Centralized care management support for "high utilizers" in primary care practices at an academic medical center

Care Management Journals

Volumn 15, Issue 1, 2014, Pages 26-33

  Williams, Brent C ^a,c   Paik, Jamie L ^a   Haley, Laura L ^b   Grammatico, Gina M ^c  

^a UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

^b MICHIGAN STATE UNIVERSITY   (United States)

^c UNIVERSITY OF MICHIGAN   (United States)

Author keywords

Care management; Care managers; Health care utilization; Mental health

Indexed keywords

ALCOHOLISM; ARTICLE; CASE REPORT; CHRONIC DISEASE; COMORBIDITY; COST CONTROL; ECONOMICS; FEMALE; GOVERNMENT; HOMELESSNESS; HUMAN; MALE; MENTAL DISEASE; METHODOLOGY; MIDDLE AGED; NEEDS ASSESSMENT; ORGANIZATION AND MANAGEMENT; PATIENT CARE; POVERTY; PRIMARY HEALTH CARE; RETROSPECTIVE STUDY; SOCIAL WORK; SUICIDE ATTEMPT; UNITED STATES; UTILIZATION REVIEW;

ALCOHOLISM; CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); CHRONIC DISEASE; COMORBIDITY; COST CONTROL; FEMALE; HOMELESS PERSONS; HUMANS; MALE; MENTAL DISORDERS; MICHIGAN; MIDDLE AGED; NEEDS ASSESSMENT; PATIENT CARE MANAGEMENT; POVERTY; PRIMARY HEALTH CARE; RETROSPECTIVE STUDIES; SOCIAL WORK; SUICIDE, ATTEMPTED; UNITED STATES;

EID: 84894449360     PISSN: 15210987     EISSN: None     Source Type: Journal    
DOI: 10.1891/1521-0987.15.1.26     Document Type: Article

References (16)

1. Boult, C., Reider, L., Leff, B., Frick, K. D., Boyd, C. M., Wolff, J. L., . . . Scharfstein, D. O. (2011). The effect of guided care teams on the use of health services: Results from a cluster-randomized controlled trial. Archives of Internal Medicine, 171(5), 460-466.
2. Bower, P., & Sibbald, B. (1999). On-site mental health workers in primary care: Effects on professional practice. Cochrane Database of Systematic Reviews, (4), CD000532.
3. Centers for Medicare and Medicaid Services. (2013, July 24). Targeting Medicaid Super Utilizers to decrease costs and improve quality. CMS Informational Bulletin. Retrieved from http://www.medicaid .gov/federal-policy-guidance/downloads/CIB-07-24-2013.pdf
4. Coleman, E. A., Parry, C., Chalmers, S., & Min, S. (2006). The care transitions intervention: Results of a randomized controlled trial. Archives of Internal Medicine, 166(17), 1822-1828.
5. Colla, C. H., Wennberg, D. E., Meara, E., Skinner, J. S., Gottlieb, D., Lewis, V. A., . . . Fisher, E. S. (2012). Spending differences associated with the Medicare Physician Group Practice Demonstration. The Journal of the American Medical Association, 308(10), 1015-1023.
6. Counsell, S. R., Callahan, C. M., Clark, D. O., Tu, W., Buttar, A. B., Stump, T. E., & Ricketts, G. D. (2007). Geriatric care management for low-income seniors: A randomized controlled trial. The Journal of the American Medical Association, 298(22), 2623-2633.
7. Dorr, D. A., Wilcox, A. B., Brunker, C. P., Burdon, R. E., & Donnelly, S. M. (2008). The effect of technology-supported, multidisease care management on the mortality and hospitalization of seniors. Journal of the American Geriatrics Society, 56(12), 2195-2202.
8. Fields, D., Leshen, E., & Patel, K. (2010). Driving quality gains and cost savings through adoption of medical homes. Health Affairs, 29(5), 819-826.
9. Gawande, A. (2011, January 24). The hot spotters: Can we lower medical costs by giving the neediest patients better care? New Yorker, pp. 40-51.
10. Gilfillan, R. J., Tomcavage, J., Rosenthal, M. B., Davis, D. E., Graham, J., Roy, J. A., . . . Steele, G. D., Jr. (2010). Value and the medical home: Effects of transformed primary care. The American Journal of Managed Care, 16(8), 607-614.
11. Huntley, A. L., Johnson, R., Purdy, S., Valderas, J. M., & Salisbury, C. (2012). Measures of multimorbidity and morbidity burden for use in primary care and community settings: A systematic review and guide. Annals of Family Medicine, 10(2), 134-141.
12. Mechanic, R. (2004, May 1-4). Will care management improve US health care? The Health Industry Forum. Retrieved from http://health forum.brandeis.edu/meetings/materials/MechanicPrinceton.pdf
13. Norris, S. L., Nichols, P., Caspersen, C. J., Glasgow, R. E., Engelgau, M. M., Jack, L., . . . McCulloch, D. (2002). The effectiveness of disease and case management for people with diabetes. A systematic review. American Journal of Preventive Medicine, 22(Suppl. 4), 15-38.
14. O'Donnell, A. N., Williams, B. C., Eisenberg, D., & Kilbourne, A. M. (2013). Mental health in ACOs: Missed opportunities and low-hanging fruit. The American Journal of Managed Care, 19(3), 180-184.
15. Rich, M. W., Beckham, V., Wittenberg, C., Leven, C. L., Freedland, K. E., & Carney, R. M. (1995). A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. The New England Journal of Medicine, 333(18), 1190-1195.
16. Weingarten, S. R., Henning, J. M., Badamgarav, E., Knight, K., Hasselblad, V., Gano, A., Jr., & Ofman, J. J. (2002). Interventions used in disease management programmes for patients with chronic illness-Which ones work? Meta-analysis of published reports. British Medical Journal, 325(7370), 925.