Guided Care
(
1 vote)
Specially trained nurses work with primary care physicians (PCPs) in their offices to improve care for seniors with multiple chronic illnesses by coordinating care, facilitating transitions in care, and acting as the patient’s advocate across health care and social settings. Nurses use an electronic health record (EHR) and a variety of established methods, including disease management, case management, transitional care, self-management, lifestyle modification, caregiver education and support, and geriatric evaluation and management. A pilot study found that the program, known as "Guided Care," improved patient perceptions of the quality of their care. In addition, over a 6-month period, Guided Care reduced hospital and emergency department (ED) admissions and hospital days, resulting in 23-percent lower expenses than patients who received usual care (as measured by third-party insurance records).
- Goals Prevention:
- Funding for detection programs , Promotes adecuate understanding levels on the community about the importance of prevention
- Goals Detection:
- Shows new evidence on the importance of early detection, including guidelines of effective practices , Provides registries and patients contact systems , Promotes early intervention through primary health care measures
- Goals Treatment:
- Promotes electronic health information systems to improve the quality of care , Emphasizes the care of pluri-pathological and fragile patients , It facilitates the management by processes , Ensures the best quality of health services , Improving access to health services across the entire spectrum, from prevention to treatment , Provides support health policies to facilitate the planning and integration at locally and regionally , Develop basic elements for an integrated health system , Strengthens cooperative local groups to provide integral services
- Goals self-management:
- Refocuses the health system to support self-management , Promotes patient involvement in planning services , Improving support services with an emphasis on peer support, the disabled and carers , Allows remote support to patients and their carers from health professionals
None
1/01/2003
Progress
11/01/2009
UNITED STATES OF AMERICA
Maryland
Maryland
Baltimore
624 N. Broadway, Room 693
tnovak@jhsph.edu
