A matched-pair cluster-randomized trial of guided care for high-risk older patients

Journal of General Internal Medicine

Volumn 28, Issue 5, 2013, Pages 612-621

  Boult, Chad ^a   Leff, Bruce ^b   Boyd, Cynthia M ^b   Wolff, Jennifer L ^a   Marsteller, Jill A ^a   Frick, Kevin D ^a   Wegener, Stephen ^b   Reider, Lisa ^a   Frey, Katherine ^a   Mroz, Tracy M ^a   Karm, Lya ^c   Scharfstein, Daniel O ^a  

^a JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c KAISER PERMANENTE   (United States)

Author keywords

Care management; Multi morbidity; Primary care; Randomized controlled trial; Transitional care

Indexed keywords

AGED; ARTICLE; CAREGIVER SUPPORT; CHRONIC DISEASE; COMMUNITY CARE; CONTROLLED STUDY; EVIDENCE BASED PRACTICE; FEMALE; GENERAL PRACTITIONER; GUIDED CARE; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH CARE PLANNING; HEALTH CARE UTILIZATION; HEALTH SERVICE; HIGH RISK PATIENT; HOME CARE; HUMAN; INTENTION TO TREAT ANALYSIS; MAJOR CLINICAL STUDY; MALE; MEDICARE; PATIENT ASSESSMENT; PATIENT CARE; PATIENT MONITORING; PRIMARY MEDICAL CARE; RANDOMIZED CONTROLLED TRIAL; REGISTERED NURSE; SINGLE BLIND PROCEDURE; CLINICAL TRIAL; ELDERLY CARE; HEALTH CARE QUALITY; INTEGRATED HEALTH CARE SYSTEM; MULTICENTER STUDY; ORGANIZATION AND MANAGEMENT; PATIENT SATISFACTION; PRIMARY HEALTH CARE; STANDARDS; STATISTICS AND NUMERICAL DATA; UNITED STATES; UTILIZATION; CONTROLLED CLINICAL TRIAL; STANDARD; STATISTICS; UTILIZATION REVIEW;

AGED; COMMUNITY HEALTH SERVICES; DELIVERY OF HEALTH CARE, INTEGRATED; FEMALE; HEALTH EXPENDITURES; HEALTH SERVICES; HEALTH SERVICES FOR THE AGED; HUMANS; MALE; PATIENT SATISFACTION; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; SINGLE-BLIND METHOD; UNITED STATES;

EID: 84891419082     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1007/s11606-012-2287-y     Document Type: Article

References (35)

1. Paez KA, Zhao L, Hwang W. Rising out-of-pocket spending for chronic conditions: A ten-year trend. Health Aff (Millwood). 2009;28 (1):15-25.
2. Davis K, Schoen C, Stremikis K. Mirror, Mirror on the Wall: How the Performance on the U. S. Health Care System Compares Internationally. New York, New York: The Commonwealth Fund; 2010. http://www. commonwealthfund.org/~/media/ Files/Publications/Fund%20Report/2010/Jun/1400-Davis-Mirror-Mirror-on-the-wall- 2010.pdf. Accessed October 5, 2012.
3. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
4. Anderson GF Chronic conditions: Making the case for ongoing care. Partnership for Solutions; 2004. http://www.partnershipforsolutions.org/DMS/ files/chronicbook2004.pdf. Accessed October 5, 2012.
5. Darer JD, Hwang W, Pham HH, Bass EB, Anderson G. More training needed in chronic care: A survey of U.S. physicians. Acad Med. 2004;79 (6):541-8.
6. Benjamin RM. Multiple chronic conditions: A public health challenge. Public Health Rep. 2010;125(5):626-7.
7. Counsell SR, Callahan CM, Clark DO, et al. Geriatric care management for low-income seniors: A randomized controlled trial. JAMA. 2007;298 (22):2623-33.
8. Counsell SR, Callahan CM, Tu W, Stump TE, Arling GW. Cost analysis of the Geriatric Resources for Assessment and Care of Elders care management intervention. J Am Geriatr Soc. 2009;57(8):1420-6.
9. Reid RJ, Coleman K, Johnson EA, et al. The group health medical home at year two: Cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010;29(5):835-43.
10. Gilfillan RJ, Tomcavage J, Rosenthal MB, et al. Value and the medical home: Effects of transformed primary care. Am J Manag Care. 2010;16 (8):607-14.
11. Wennberg DE, Marr A, Lang L, O'Malley S, Bennett G. A randomized trial of a telephone care-management strategy. N Engl J Med. 2010;363 (13):1245-55.
12. Boult C, Frank A, Boult L, Pacala J, Snyder C, Leff B. Successful models of comprehensive care for older adults with chronic conditions: Evidence for the Institute of Medicine's "Retooling for an Aging America" report. J Am Geriatr Soc. 2009;57:2328-37.
13. Peikes D, Chen A, Schore J, Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA. 2009;301(6):603- 18.
14. Berenson R, Devers K, Burton R. Will the Patient-Centered Medical Home Transform the Delivery of Health Care Timely Analysis of Immediate Health Policy Issues. Washington, DC: Urban Institute; 2011.
15. Boyd CM, Boult C, Shadmi E, et al. Guided Care for multi-morbid older adults. Gerontologist. 2007;47(5):697-704.
16. Wolff JL, Rand-Giovannetti E, Palmer S, et al. Caregiving and chronic care: The Guided Care Program for Families and Friends. J Gerontol A Biol Sci Med Sci. 2009;64(7):785-91.
17. Boult C, Reider L, Frey K, et al. The early effects of "Guided Care" on the quality of health care for multi-morbid older persons: A clusterrandomized controlled trial. J Gerontol A Biol Sci Med Sci. 2008;63 (A)(3):321-7.
18. Pope GC, Kautter J, Ellis RP, et al. Risk adjustment of Medicare capitation payments using the CMS-HCC model. Health Care Financ Rev. 2004;25(4):119-41.
19. Giddens JF, Tanner E, Frey K, Reider L, Boult C. Expanding the gerontological nursing role in Guided Care. Geriatr Nurs. 2009;30 (5):358-64.
20. Boult C, Giddens JF, Frey K, Reider L, Novak T. Guided Care: A new nurse-physician partnership in chronic care. New York: Springer; 2009.
21. Ware JE, Kosinski M. Interpreting SF-36 summary health measures: A response. Qual Life Res. 2001;10(5):405-20.
22. Glasgow RE, Wagner EH, Schaefer J, Mahoney LD, Reid RJ, Greene SM. Development and validation of the Patient Assessment of Chronic Illness Care (PACIC). Med Care. 2005;43(5):436-44.
23. Safran DG, Kosinski M, Tarlov AR, et al. The Primary Care Assessment Survey: Tests of data quality and measurement performance. Med Care. 1998;36(5):728-39.
24. Angst F, Aeschlimann A, Stucki G. Smallest detectable and minimal clinically important differences of rehabilitation intervention with their implications for required sample sizes using WOMAC and SF-36 quality of life measurement instruments in patients with osteoarthritis of the lower extremities. Arthritis Rheum. 2001;45 (4):384-91.
25. Royston P. Multiple imputation of missing values: Update of ICE. Stata Journal. 2005;5(4):527-36.
26. Thompson SG, Pyke SD, Hardy RJ. The design and analysis of paired cluster randomized trials: An application of meta-analysis techniques. Stat Med. 1997;16(18):2063-79.
27. Lunn D, Spiegelhalter D, Thomas A, Best N. The BUGS project: Evolution, critique and future directions. Stat Med. 2009;28(25):3049- 67.
28. Boyd CM, Reider L, Frey K, et al. The effects of Guided Care on the perceived quality of health care for multi-morbid older persons: 18- month outcomes from a cluster-randomized controlled trial. J Gen Intern Med. 2010;25(3):235-42.
29. Marsteller JA, Hsu YJ, Reider L, et al. Physician satisfaction with chronic care processes: A cluster-randomized trial of guided care. Ann Fam Med. 2010;8(4):308-15.
30. Marteller JA, Hsu YJ, Wen M, et al. Effects of Guided Care on Providers' Satisfaction with Care: A Three-Year Matched-Pair Cluster-Randomized Trial. Population Health Management 2013 (in press).
31. Wolff JL, Giovannetti ER, Boyd CM, et al. Effects of Guided Care on family caregivers. Gerontologist. 2010;50(4):459-70.
32. Boult C, Boult L, Morishita L, Pirie P. Soliciting defined populations to recruit samples of high-risk older adults. J Gerontol A Biol Sci Med Sci. 1998;53(5):M379-84.
33. Peikes D, Zutshi A, Genevro J, Parchman ML, Meyers D. Early Evaluations of the Medical Home: Building on a Promising Start. Am J Manag Care. 2012;18(2):105-16.
34. Centers for Medicare & Medicaid Services (CMS). Medicare coordinated care demonstration. 2012. Available at http://www.cms.gov/Medicare/ Demonstration-Projects/DemoProjectsE valRpts/Medicare-Demonstrations-Items/ CMS1198864.html. Accessed October 5, 2012.
35. Brown RS, Peikes D, Peterson G, Schore J, Razafindrakoto CM. Six features of Medicare Coordinated Care Demonstration programs that cut hospital admissions of high-risk patients. Health Aff (Millwood). 2012;31 (6):1156-66.