Navigation Links
Guided care reduces cost of health care for older persons with chronic conditions
Date:8/6/2009

The nation's sickest and most expensive patients need fewer health care 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 by researchers at the Johns Hopkins Bloomberg School of Public Health. The research, published in the American Journal of Managed Care, 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 and had fewer emergency room visits and home health episodes.

"Guided Care patients cost health insurers 11 percent less than patients in the control group," said Chad Boult, MD, MPH, MBA, the principal investigator of the study and creator of the Guided Care model. "If you apply that rate of savings to the 11 million eligible Medicare beneficiaries, programs like Guided Care could save Medicare more than $15 billion every year," added Boult, who is also the Eugene and Mildred Lipitz Professor in Health Care Policy at the Bloomberg School and director of the Lipitz Center for Integrated Health Care.

Compared to patients who received usual care, Guided Care patients experienced, on average, 24 percent fewer hospital days, 37 percent fewer skilled nursing facility days, 15 percent fewer emergency department visits and 29 percent fewer home health care episodes, according to the study.

"While Guided Care patients received more personal attention from their care team and had more physician office visits, the avoided expenses related to care in hospitals, skilled nursing facilities and emergency departments more than offset all the costs of providing Guided Care," said lead author Bruce Leff, MD, associate professor in the Bloomberg School's Department of Health Policy and Management and associate professor in the Department of Medicine at the Johns Hopkins School of Medicine. "The program realized annual net savings of $75,000 per nurse, two thirds of which resulted from reductions in hospitalization."

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

Guided Care is a model of proactive, comprehensive health care provided by physician-nurse teams for people with several chronic health conditions. It is a medical home for the growing number of older adults with chronic health conditions. This model is designed to improve patients' quality of life and care, while improving the efficiency of treating the sickest and most complex patients. The care teams include a registered nurse, two to five physicians, and other members of the office staff who work together for the benefit of each patient to:

  • Perform a comprehensive assessment at home
  • Create an evidence-based care guide and action plan
  • Monitor and coach the patient monthly
  • Coordinate the efforts of all the patient's healthcare providers
  • Smooth the patient's transition between sites of care
  • Promote patient self-management
  • Educate and support family caregivers
  • Facilitate access to appropriate community resources


'/>"/>

Contact: Tim Parsons
tmparson@jhsph.edu
410-955-7619
Johns Hopkins University Bloomberg School of Public Health
Source:Eurekalert

Related medicine news :

1. Successful neurosurgery with transcranial MR-guided high-intensity focused ultrasound
2. Cancer Patients Use New Guided Imagery CD to Help Boost Healthy Immune Functioning
3. New Jersey Doctors Now Delivering Non-Invasive, Image-Guided Radiosurgery Treatments Using Novalis Tx(TM) Technology
4. Phreesia Works With Osteoporosis Experts to Expand its Measurement Guided Care Program
5. Image-guided treatment helping women with tubo-ovarian abscesses avoid unnecessary surgery
6. Doctors at Henry Ford Health System Treat Ovarian, Prostate, Lung, and Other Forms of Cancer Using Novalis Tx(TM) Platform for Image-Guided Radiosurgery
7. Fox Chase is first cancer center in the nation to use MRI-guided biopsy to detect prostate cancer
8. FRC Responds to President Obamas Misguided Decision on Stem Cell Science
9. IMRIS announces development program for MR guided radiation and interventional applications
10. Nucletron and Advanced Radiation Therapy (ART) Jointly Announce a Global, Strategic Partnership to Offer AccuBoost(R) for Image-Guided Breast Irradiation
11. Magnetic-anchor-guided endoscopic submucosal dissection shows promise for gastric cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2017)... ... June 23, 2017 , ... Everybody has their own ... others prefer to read it, and some people don't like it at all. FindaTopDoc ... what they found: , Erotic literature can give readers a taste of their deepest, ...
(Date:6/23/2017)... ... June 23, 2017 , ... Ensuring meat products have ... highlight the importance of correctly using a meat thermometer. The videos feature University ... research on consumer food safety habits. Dr. Bruhn explains the variety of meat ...
(Date:6/23/2017)... West Palm Beach, FL (PRWEB) , ... June 23, 2017 , ... ... June 19, in Pinecrest, Florida. This is MD Now’s 28th facility overall and marks ... 12301 S. Dixie Highway, located one mile North of The Falls shopping mall. The ...
(Date:6/23/2017)... (PRWEB) , ... June 23, 2017 , ... American Farmer, ... winning series, which is slated to air fourth quarter 2017. American Farmer airs Tuesdays ... Hansen, a Danish pharmacist, founded Chr. Hansen in Denmark in 1874 after a ...
(Date:6/23/2017)... ... 23, 2017 , ... Jusino Insurance Services, a locally owned ... greater Chicago metropolitan area, is embarking on a charity drive in conjunction with ... Founded in 1897, Hephzibah Children’s Association is one of the oldest social services ...
Breaking Medicine News(10 mins):
(Date:6/2/2017)...  NxStage Medical, Inc. (Nasdaq:  NXTM), a leading medical technology company ... demonstrating positive biochemical outcomes related to more frequent hemodialysis ... will be presented at the ERA-EDTA Congress being held ... . The research was conducted by ... Europe (KIHDNEy) Cohort team ...
(Date:5/30/2017)... TEL AVIV, Israel , May 30, 2017 /PRNewswire/ ... clinical stage pharmaceutical Company specializing in the development ... management will present a company overview at three ... The 7th Annual LD Micro Invitational: ... Date:                     ...
(Date:5/24/2017)... 2017  ivWatch LLC today announced the launch ... to enable seamless integration of ivWatch,s groundbreaking IV ... pumps and other devices. By integrating ivWatch technology ... help health care customers deliver a higher level ... IV therapy. "The ivWatch OEM Board ...
Breaking Medicine Technology: