04489nam 2200613Ia 450 991087741020332120200520144314.00-470-96087-61-118-78577-01-299-46439-40-470-96086-8(CKB)2670000000336193(EBL)818646(OCoLC)829462296(SSID)ssj0000831875(PQKBManifestationID)11521855(PQKBTitleCode)TC0000831875(PQKBWorkID)10881603(PQKB)11067378(OCoLC)842892336(MiAaPQ)EBC818646(EXLCZ)99267000000033619320110503d2011 uy 0engur|n|---|||||txtccrComprehensive care coordination for chronically ill adults /editors, Cheryl Schraeder, Paul SheltonChichester, West Sussex Wiley-Blackwell20111 online resource (486 p.)Description based upon print version of record.Includes bibliographical references and index.Comprehensive Care Coordinationfor Chronically Ill Adults; Contents; Editors and Contributors; Acknowledgments; Introduction; PART 1 THEORETICAL CONCEPTS; 1 Chronic illness; 2 Overview; 3 Promising practices in acute/primary care; 4 Promising practices in integrated care; 5 Intervention components; 6 Evaluation methods; 7 Health information technology; 8 Financing and payment; 9 Education of the interdisciplinary team; PART 2 PROMISING PRACTICES; SECTION 1 PRIMARY CARE MODELS; 10 Coordination of care by guided care interdisciplinary teams; 11 Care management plus; 12 Medicare coordinated careSECTION 2 TRANSITIONAL CARE MODELS13 The care transitions intervention; 14 Enhanced Discharge Planning Program at Rush University Medical Center; SECTION 3 INTEGRATED MODELS; 15 Summa Health System and Area Agency on Aging Geriatric Evaluation Project; 16 Program of All-Inclusive Care for the Elderly (PACE); SECTION 4 MEDICAID MODELS; 17 Introduction to Medicaid care management; 18 The Aetna Integrated Care Management Model: a managed Medicaid paradigm19 King County Care Partners: a community based chronic care management system for Medicaid clients with co-occurring medical, mental, and substance abuse disorders20 Predictive Risk Intelligence SysteM (PRISM): a decision-support tool for coordinating care for complex Medicaid clients; 21 High-risk patients in a complex health system: coordinating and managing care; 22 The SoonerCare Health Management Program; SECTION 5 PRACTICE CHANGE; 23 Introduction: practice change fellows initiatives24 Interdisciplinary care of chronically ill adults: communities of care for people living with congestive heart failure in the rural setting25 Collaborative care treatment of late-life depression: development of a depression support service; 26 Geriatric Telemedicine: supporting interdisciplinary care; 27 Integrated Patient-Centered Care: the I-PiCC pilot; SECTION 6 MEDICARE MANAGED CARE; 28 Longitudinal care management: High risk care management; SECTION 7 INTERNATIONAL CARE COORDINATION; 29 The experiences in the Republic of Korea; IndexBreakthroughs in medical science and technology, combined with shifts in lifestyle and demographics, have resulted in a rapid rise in the number of individuals living with one or more chronic illnesses. Comprehensive Care Coordination for Chronically Ill Adults presents thorough demographics on this growing sector, describes models for change, reviews current literature and examines various outcomes. Comprehensive Care Coordination for Chronically Ill Adults is divided into two parts. The first provides thorough discussion and background on theoretical concepts of care, iChronically illUnited StatesChronic diseasesUnited StatesIntegrated delivery of health careUnited StatesChronically illChronic diseasesIntegrated delivery of health care616.02/8Schraeder Cheryl1759923Shelton Paul1759924MiAaPQMiAaPQMiAaPQBOOK9910877410203321Comprehensive care coordination for chronically ill adults4198600UNINA