Navigation Links
Aging with GRACE: New health care delivery model improves outcomes, saves money
Date:8/11/2009

INDIANAPOLIS A team approach to preventive healthcare delivery for older adults developed by researchers from Indiana University and the Regenstrief Institute improves health and quality of life, decreased emergency department visits and lowered hospital admission rates. By the second year the new model saved money for the sickest (those with three to four chronic diseases), and in the third year, a year after the home-based intervention ended, it saved even more.

The cost analysis of the home-based program appears in the August 2009 issue of the Journal of the American Geriatrics Society (JAGS). In a previous study published in the Dec. 12, 2007, issue of the Journal of American Medical Association (JAMA) the researchers reported their success in improving both quality of care and health-related quality of life measures while reducing emergency department use. Hospital admissions were reduced in the second year of the program for those at high risk of hospitalization.

Geriatric Resources for Assessment and Care of Elders (GRACE) was developed by researchers from the IU School of Medicine, the IU Center for Aging Research and the Regenstrief Institute to involve seniors and their primary care physicians in a program to optimize health and functional status, and to decrease high-cost emergency department visits and hospital admissions.

"Healthcare reform is calling out for ways to improve health and lower costs. We have found a strategy to do that for a very vulnerable growing population in a way that shows cost savings over time and has the added benefit of providing services that these seniors desperately need but can't get elsewhere," said study leader Steven R. Counsell, M.D., Mary Elizabeth Mitchell Professor of Geriatrics at the IU School of Medicine, IU Center for Aging Research center scientist and affiliated scientist of the Regenstrief Institute.

The randomized control trial enrolled 951 low-income seniors (average age 72); 477 received usual care, 474 participated in GRACE. Both the usual care and the GRACE groups were comprised of lower risk for hospitalization and higher risk for hospitalization individuals, were predominately female (77 percent) and African-American and were seen at six community-based health centers.

The key to GRACE is two teams. The support team, consisting of a nurse practitioner and a social worker, meet with each patient at his home to conduct an initial comprehensive geriatric assessment from the medicine cabinet to the kitchen cabinet. Based on the support team's findings, a larger interdisciplinary team (including a geriatrician, pharmacist, physical therapist, mental health social worker, and community-based services liaison) develops an individualized care plan.

Then the ball is back in the support team's court. The nurse practitioner and the social worker meet with the patient's primary care doctor to come up with a health-care plan consistent with the patient's goals, such as maintaining the ability to participate in social and religious activities. The support team then works with the patient to implement the plan which contains strategies for medical issues of concern as well as elements related to maintaining quality of life. With the assistance of an electronic medical record and tracking system, the GRACE support team provides ongoing comprehensive care management.

"With GRACE we focused on the many issues faced by aging low-income adults -- access to needed services, medications, mobility, depression, transportation, nutrition, as well as other health issues of aging," said Dr. Counsell, who is a geriatrician. "Using a model for geriatrics care based on our prior work, we were able to deliver care which was very popular with patients and their doctors, improved health outcomes, and saved money because it helped keep seniors from having to use the emergency department or be admitted to the hospital."


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University
Source:Eurekalert  

Related medicine news :

1. As Aging Populations Rise, World-Renowned Aging Experts Will Convene to Share Insights into How to Achieve a Healthy Lifespan
2. For Healthy Aging, Maintaining Muscle is a Must
3. ETHICON Introduces New Product Enhancement and Packaging for BIOPATCH(R) to Improve Ease of Application for Patients with Catheters
4. iCRco Releases Clarity PACS, a New Approach to Managing Digital Imaging Data
5. AnimalScan, LLC Acquires Iams Pet Imaging, LLC
6. Ex-House Aging Committee Chief of Staff Bob Weiner Warns of Insurance Control Over Health Bill Outcome, Praises House Version, Disappointed by Senate; Weiner and Policy Analyst Jordan Osserman Offer Bills Prognosis
7. Pennsylvania Department of Aging Seeks Consumer Input on New Health Care Option
8. Hitachi Medical Systems and Monarch Medical Announced as Co- Title Sponsors of the Health Connect Partners 2009 Fall Radiology and Imaging Conference
9. Are imaging features of hepatic angiomyolipoma related to its clinical setting?
10. As Medical Bills Contribute to 50% of U.S. Foreclosures, CreditFYI Shares 5 Tactics for Managing Medical Debt
11. Eucerin Provides BlogHer Attendees With a Glimpse Into Their Skins Future With Proprietary Time Machine Aging Simulator
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Aging with GRACE: New health care delivery model improves outcomes, saves money
(Date:6/26/2016)... , ... June 26, 2016 , ... ... once they have been diagnosed with endometriosis. These women need a treatment plan ... require a comprehensive approach that can help for preservation of fertility and ultimately ...
(Date:6/25/2016)... ... 2016 , ... First Choice Emergency Room , the largest network of ... Medical Director of its new Mesquite-Samuell Farm facility. , “We are pleased to ... said Dr. James M. Muzzarelli, Executive Medical Director of First Choice Emergency Room. ...
(Date:6/24/2016)... Los Angeles, CA (PRWEB) , ... June 24, 2016 , ... ... plastic surgery procedures that most people are unfamiliar with. The article goes on to ... known procedures, but also many of these less common operations such as calf and ...
(Date:6/24/2016)... MIAMI, Fla. (PRWEB) , ... June 24, 2016 , ... ... Florida Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this ... of Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... the Clinical Decision Making in Emergency Medicine conference in Ponte Vedra Beach, FL. ... articles published in Emergency Medicine Practice and Pediatric Emergency Medicine Practice. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 Research and ... Global Market - Forecast to 2022" report to their ... treatment method for the patients with kidney failure, it replaces ... fluid from the patient,s blood and thus the treatment helps ... and chloride in balance. Increasing number of ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
(Date:6/23/2016)... -- Bracket , a leading clinical trial technology and ... platform, Bracket eCOA (SM) 6.0, at the 52 nd ... 2016 in Philadelphia , Pennsylvania.  A demonstration ... of its kind to fully integrate with RTSM, will be ... is a flexible platform for electronic clinical outcomes assessments that ...
Breaking Medicine Technology: