Chronically Ill Rate Guided Care Team as
High-Quality Healthcare, Cost Savings Achieved

Chronically ill older adults who are closely supported by a nurse-physician
primary care team are twice as likely to rate their healthcare as high-
quality than those who receive usual care, according to a study by
researchers at the Johns Hopkins Bloomberg School of Public Health.

The study found that:

  • After 18 months of a randomized controlled trial, Guided Care
    recipients rated their primary care significantly higher than usual
    care recipients with regard to coordination with specialists, support
    for self-management, and help received with setting goals, making
    decisions and solving health-related problems.
  • Guided Care patients were 70 percent more likely to rate the time
    they had to wait for an appointment when sick as "excellent" or "good."
  • Guided Care patients were 50 percent more likely to rate the ability
    to get phone advice as "excellent" or "good."
  • Previously published data suggested that, compared to usual care
    patients, Guided Care patients tended to spend less time in hospitals
    and skilled nursing facilities and had fewer ER visits and home health
    episodes, producing an annual net savings for healthcare insurers
    (after accounting for the costs of Guided Care) of $1,365 (11 percent)
    per patient or $75,000 per nurse.

Other studies have shown that Guided Care reduces family caregiver strain
and improves physicians' satisfaction with chronic care.

Comorbidity Care Models: Integrated Action Plans for
Complex Healthcare Needs
presents emerging models
of care for comorbidity, including the Guided Care Model
developed by Johns Hopkins.

To learn more or to order your copy today, contact HIN
at 888-446-3530 or visit online at:
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CCM0218H

In this 30-page special report, two industry thought leaders
share programs aimed at the co-morbid patient. Chad Boult, M.D., M.P.H., M.B.A.,
professor of public health, medicine & nursing and director of the Lipitz Center for
Integrated Health Care, Johns Hopkins Bloomberg School of Public Health,
presents Guided Care, an emerging model of care for older multi-morbid patients that is
demonstrating early success in improving quality of life and efficiency of healthcare
utilization for this population.

The Guided Care model, which has been in development at Johns Hopkins for several years,
depends largely on a Guided Care Nurse (GCN) who collaborates with multiple primary
care physicians to provide cost-effective care to their chronically ill patients.

Dr. Boult reviews Guided Care Nurse (GCN) roles and responsibilities and offers
preliminary results from initial pilots, including the impact of Guided Care on
healthcare quality and costs for 904 older patients in the Baltimore-Washington, D.C.,
area.

Providing perspectives from the Medicaid population, where there is significant
behavioral health comorbidity, is Jim Hardy, senior vice president of care
management services with McKesson Health Solutions. Hardy describes the growing
trend toward closing physical and behavioral healthcare gaps for this population
and adopting an integrated, whole-person approach.

These integrated approaches can help reduce the cost of chronic care, which consumes
a significant portion of state Medicaid budgets already strained by budget cuts and
the failing economy. Also at issue are large numbers of prescriptions for Medicaid
beneficiaries written by non-psychiatrists for significant behavioral health issues,
a consequence of a lack of care coordination for these individuals.

Hardy offers strategies for overcoming information and care gaps on both the physical
and behavioral health sides and describes initiatives underway in Illinois and
elsewhere that target the comorbid Medicaid patient, with special attention to
behavioral health comorbidity.

Order your copy today at:
http://store.hin.com/product.asp?itemid=3892
Please reference this customer code when ordering: CCM0218H

This special report also provides details on:

  • The real costs of implementing the Guided Care model;
  • The eight key responsibilities of the GCN;
  • EHR support for Guided Care patient action plan, care reminders,
    prescription decision support, and more;
  • Strategies to empower and motivate the older patient and move them
    toward self-management;
  • Preliminary impact of Guided Care on utilization, quality and efficiency
    of healthcare for high-risk patients with multi-morbidity;
  • Enhanced primary care case management efforts that encompass
    behavioral health;
  • Improvement of information transfer and care coordination across physical
    and behavioral health systems;
  • Early efforts in multidisciplinary approaches in California, Illinois
    and Pennsylvania;
  • and much more, including 10 pages of Q&A on related issues.

View the full table of contents and order your copy today at:
http://store.hin.com/product.asp?itemid=3892

Please reference this customer code when ordering: CCM0218H

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or to inquire about ordering bulk copies in print or Adobe PDF, please e-mail
Sales at sales@hin.com or call at 888-446-3530.



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Comorbidity Care Models:
Integrated Action Plans for Complex Healthcare Needs

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Integrated Action Plans for Complex Healthcare Needs


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