August 17, 2009
Vol. II, No. 8
Study Shows Medical Home for Older Adults
Reduces Cost of Chronic Care
The nation’s sickest and most expensive patients need fewer healthcare resources and cost insurers less when they are closely supported by a nurse-physician primary care team that tracks their health and offers regular support, according to a study from Johns Hopkins Bloomberg School of Public Health. Researchers found that in the first eight months of a randomized controlled trial, patients in a primary care enhancement program called “Guided Care” spent less time in hospitals and skilled nursing facilities (SNFs) and had fewer ER visits and home health episodes.
“Guided Care patients cost health insurers 11 percent less than patients in the control group,” said Chad Boult, M.D., M.P.H., M.B.A., the principal investigator of the study and creator of the Guided Care model. Compared to patients who received usual care, Guided Care patients experienced, on average, 24 percent fewer hospital days, 37 percent fewer SNF days, 15 percent fewer ER visits and 29 percent fewer home healthcare episodes, according to the study.
For more details on the Guided Care Model and this study, please visit:
A new paid social networking site that PCPs can access to enhance their progress toward practice transformation and the PCMH has been launched by TransforMED, a wholly owned subsidiary of the AAFP. The $30-per-month Delta Exchange member fee includes access to a variety of tools, including online discussions, interactive webinars, how-to articles on practice improvement, an expert panel of practice facilitators and customizable forms that streamline policies and procedures.
Members can sign up for online discussions in separate work zones, including zones for physicians, clinical staff members, office staff members and residency programs. Users also can set up a notification system to track specific discussions and topics.
The physician online learning tool was developed in response to physician requests for an inexpensive and time-efficient way to learn about practice transformation, according to Terry McGeeney, M.D., M.B.A., TransforMED's president and CEO.
For more information, please visit:
Patient education is one of the payoffs of a successful medical home partnership, helping to reduce medical complications, medication costs and unnecessary healthcare utilization. More than 70 organizations have already responded to HIN's Survey of the Month on Patient Education and Engagement efforts. Add your responses by August 31 and you'll receive a free executive summary of the compiled results. Your responses will be kept strictly confidential.
Complete the survey by visiting:
Health and Wellness Coaching in 2008
The medical home team is called upon to dispense preventive and wellness information as well as traditional primary care. In this white paper, learn how 235 responding organizations are using health coaching, as well as its effect on patient outcomes, factors that contribute to a successful coaching program and the challenges of calculating ROI in health coaching.
To download this complimentary white paper, please visit:
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