An Innovative Approach to Health Care Delivery for Patients with Chronic Conditions

Janice L. Clarke, Scott Bourn, Alexis Skoufalos, Eric H. Beck, Daniel J. Castillo

Research output: Contribution to journalArticleResearchpeer-review

10 Citations (Scopus)

Abstract

Although the health care reform movement has brought about positive changes, lingering inefficiencies and communication gaps continue to hamper system-wide progress toward achieving the overarching goal - higher quality health care and improved population health outcomes at a lower cost. The multiple interrelated barriers to improvement are most evident in care for the population of patients with multiple chronic conditions. During transitions of care, the lack of integration among various silos and inadequate communication among providers cause delays in delivering appropriate health care services to these vulnerable patients and their caregivers, diminishing positive health outcomes and driving costs ever higher. Long-entrenched acute care-focused treatment and reimbursement paradigms hamper more effective deployment of existing resources to improve the ongoing care of these patients. New models for care coordination during transitions, longitudinal high-risk care management, and unplanned acute episodic care have been conceived and piloted with promising results. Utilizing existing resources, Mobile Integrated Healthcare is an emerging model focused on closing these care gaps by means of a round-the-clock, technologically sophisticated, physician-led interprofessional team to manage care transitions and chronic care services on-site in patients' homes or workplaces.

Original languageEnglish
Pages (from-to)23-30
Number of pages8
JournalPopulation Health Management
Volume20
Issue number1
DOIs
StatePublished - 1 Feb 2017

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Patient Transfer
Patient Care
Communication
Delivery of Health Care
Costs and Cost Analysis
Health Care Reform
Quality of Health Care
Health
Risk Management
Workplace
Caregivers
Population
Health Services
Physicians
Therapeutics
Multiple Chronic Conditions
Transitional Care

Cite this

Clarke, Janice L. ; Bourn, Scott ; Skoufalos, Alexis ; Beck, Eric H. ; Castillo, Daniel J. / An Innovative Approach to Health Care Delivery for Patients with Chronic Conditions. In: Population Health Management. 2017 ; Vol. 20, No. 1. pp. 23-30.
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Clarke, JL, Bourn, S, Skoufalos, A, Beck, EH & Castillo, DJ 2017, 'An Innovative Approach to Health Care Delivery for Patients with Chronic Conditions', Population Health Management, vol. 20, no. 1, pp. 23-30. https://doi.org/10.1089/pop.2016.0076

An Innovative Approach to Health Care Delivery for Patients with Chronic Conditions. / Clarke, Janice L.; Bourn, Scott; Skoufalos, Alexis; Beck, Eric H.; Castillo, Daniel J.

In: Population Health Management, Vol. 20, No. 1, 01.02.2017, p. 23-30.

Research output: Contribution to journalArticleResearchpeer-review

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