Care management of patients with multiple or complex conditions has an added importance with the emergence of accountable care organizations and bundled payments. A new report from the Commonwealth Foundation examines 18 successful care management programs to find best practices. The most effective programs had these attributes:
- Customized approach to local contexts and caseloads
- Use of both qualitative and quantitative methods to identify patients
- Key emphasis on care coordination
- Focus on creating trusted relationships with patients and their primary care providers
- Matching team composition and interventions to patient needs
- Specialized training for team members
- Supporting care team efforts with technology
The report lists and summarizes each of the 18 programs studied, including outcomes on utilization, cost, and quality.
Sources:
Hong CS and others. Caring for high-need, high-cost patients: what makes for a successful care management program? Issue Brief, Commonwealth Fund, Aug. 7, 2014. http://www.commonwealthfund.org/~/media/files/publications/issue-brief/2014/aug/1764_hong_caring_for_high_need_high_cost_patients_ccm_ib.pdf
Hong CS and others. Perspective: Toward increased adoption of complex care management. New England Journal of Medicine 371: 491-493, Aug. 7, 2014. http://www.nejm.org/doi/full/10.1056/NEJMp1401755
Posted by AHA Resource Center (312) 422-2050, rc@aha.org
Filed under: Accountable care organizations, Best practices, Integrated delivery, Patient care, Population health, Posted by Diana Culbertson | Tagged: complex care management, complex case management |
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