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Guided care reduces cost of health care for older persons with chronic conditions
Date:8/15/2009

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


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

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