We see that javascript is disabled or not supported by your browser - javascript is needed for important actions on the site. Read more

What's New - Home - Login

Member $avings: $81,576,788.43 | Books Available: 794,287 | Members Online: 285

Swap Used Books - Buy New Books at Great Prices!

How To Swap Books Sign Up Search submenu

PBS Market (New Books)

Gift Buying Guide

Book Browser Advanced Search Books Posted Today Member Book Reviews Award Winning Books NYT Best Sellers Amazon Best Sellers Most Traveled Copies Club Wish List

Discussion Forums Book Lists

Club Lists My Book Lists My Watched Lists Create a List

Blog Donations

School Donation Program In Memory of... Military Donation Program Friends of PBS

Box-O-Books Maps The Eclectic Pen Fun Stuff

20 Questions Sudoku Bookmark Creator

Top 100

Requests Posts Swappers Referrers Reviewers

Pulse of PBS Spread The Word

Invite Friends Bookmarks Facebook Page Facebook App More Ways...

Photo Gallery Recipes Club Tag Cloud Member Testimonials

Help Center submenu

How To Swap Books Browse Help Docs Ask the Librarian PBS Member Icons Live Help

Kiosk

PBS Market (New Books) Go Shopping Buy Credits Buy PBS Money Upgrade Membership Gift Certificates Transfer Credits

Need Help?

Search - Case Studies from Diabetes Medical Home Pilots: Key Processes, Tools, Metrics and Outcomes

Case Studies from Diabetes Medical Home Pilots Key Processes Tools Metrics and Outcomes
Author: James Barr, MD, Roberta Burgess

As the patient-centered medical home (PCMH) model moves from blueprint to implementation, there is some debate over its ability to deliver quality care and coordination while reducing healthcare cost and utilization. Overburdened physicians are also unsure how to meet the PCMH's time and technology demands under current reimbursement formulas. W... more »hile the conversation continues, results from recently completed medical home pilots show promise for patients with diabetes as well as lower costs for those who treat and insure these patients. Case Studies from Diabetes Medical Home Pilots: Key Processes, Tools, Metrics and Outcomes offers a detailed look at two physician-health plan partnerships in diabetes disease management a care coordination pilot for New Jersey state employees with diabetes and a hands-on case manager-driven initiative for Medicaid beneficiaries with diabetes in North Carolina. The first case study in this 40-page special report describes how diabetes patients benefited when Horizon Blue Cross Blue Shield of New Jersey one of the first insurers in the nation to reimburse physicians for the medical home model of care shared health-related data with Partners In Care, a coordination entity that created comprehensive member profiles for physicians treating these patients. At the end of the one-year diabetes medical home pilot, physicians' applications of these actionable health profiles resulted in dramatic spikes in clinical outcomes and compliance for key diabetes markers among these patients. Dr. James Barr, medical director for Partners in Care, recounts the processes and outcomes that were part of this care coordination pilot, which evolved from a simple registry system developed 10 years ago. In the second case study, doctors with Community Care of North Carolina serve as medical homes for Medicaid patients with diabetes. The ongoing care, information and support that physicians and caseworkers gave these patients made a huge difference in patient compliance, clinical outcomes and healthcare utilization. Roberta Burgess, a nurse case manager with Community Care Plan of North Carolina with Heritage Hospital in Tarboro, North Carolina, shares best practice care coordination strategies for diabetic patients with special emphasis on the challenges of delivering disease management to Medicaid beneficiaries. In "Case Studies from Diabetes Medical Home Pilots: Key Processes, Tools, Metrics and Outcomes," Dr. Barr and Ms. Burgess provide profiles of patients from each medical home initiative, as well as a host of checklists and tools for a diabetes medical home. They also furnish details on the following: -Transforming a physician practice into a diabetes medical home; -Defining the roles and responsibilities of a successful diabetes medical home team; -Facilitating the cultural shift from patient managers to population managers; -Applying the NCQA's Must Pass elements of the patient-centered medical home to a diabetes-focused initiative; -Developing goal-directed patient management plans; -Identifying the practice buy-in to support a diabetes medical home and engaging practices in the effort; -Reducing hospital admissions and ER utilization through the medical home model; -Launching a comprehensive multi-phase diabetes disease management program for Medicaid patients from selecting a diabetes quality improvement champion to developing patient and provider education materials; -Identifying potential patients for the diabetes medical home and engaging them in the program; -Developing a case identification database; -Measuring outcomes and cost savings from the diabetes medical home; and much more.

ISBN-13: 9781934647325
ISBN-10: 1934647322
Publication Date: 5/30/2008
Pages: 40
Rating:

0 stars, based on 0 rating

Publisher: Healthcare Intelligence Network
Book Type: Plastic Comb
Members Wishing: 0
Reviews: Amazon | Write a Review

Back to the Top ↑

Search - Case Studies from Diabetes Medical Home Pilots: Key Processes, Tools, Metrics and Outcomes

Loading...