Achieving IHI's Triple Aim by Utilizing Core Health Program With Community Health Workers in Rural Communities

被引：0

作者：

Fawcett, Kenneth J., Jr. ^{[1
]}

Neff, Raymond K. ^{[1
]}

Decker, Christina M. Freese ^{[2
]}

Faber, Josephine E. ^{[3
]}

机构：

[1] Spectrum Hlth Hosp Grp, Spectrum Hlth Healthier Commun, Grand Rapids, MI USA

[2] Spectrum Hlth, Grand Rapids, MI USA

[3] Spectrum Hlth Hosp Grp, Greenville, MI USA

来源：

FAMILY & COMMUNITY HEALTH | 2018年 / 41卷 / 04期

关键词：

community health services; community health workers; managed care programs; rural health; POPULATION HEALTH; TEAM; CARE; HOME;

D O I：

10.1097/FCH.0000000000000196

中图分类号：

D669 [社会生活与社会问题]; C913 [社会生活与社会问题];

学科分类号：

1204 ;

摘要：

Utilizing a nurse/community health worker team model, a Midwest institution's community health care division developed a 12-month managed care program for underserved individuals diagnosed with heart failure and/or diabetes. A study of 277 patients was conducted to determine whether this model could be utilized in rural settings. The program was evaluated using the Institute for Healthcare Improvement's Triple Aim criteria; HEDIS measures and other health indicators quantified each patient's performance. Study participants showed improved outcomes and a reduction in the total cost of care. Hospital admissions decreased (203.4 inpatient days were saved), and the return-on-investment value realized was 1.37 for emergency department and inpatient visits in the rural communities.

引用

页码：255 / 264

页数：10

共 15 条

[1]

[Anonymous], 2001, REP BRIEF CROSS QUAL

[2]

Catalani Caricia E, 2009, Prog Community Health Partnersh, V3, P227, DOI 10.1353/cpr.0.0082

[3] Community Health Worker Integration Into the Health Care Team Accomplishes the Triple Aim in a Patient-Centered Medical Home A Bronx Tale [J].

Findley, Sally ;

Matos, Sergio ;

Hicks, April ;

Chang, Ji ;

Reich, Douglas .

JOURNAL OF AMBULATORY CARE MANAGEMENT, 2014, 37 (01) :82-91

[4] Peer-based behavioural strategies to improve chronic disease self-management and clinical outcomes: evidence, logistics, evaluation considerations and needs for future research [J].

Funnell, Martha Mitchell .

FAMILY PRACTICE, 2010, 27 :I17-I22

[5] Development of the patient activation measure (PAM): Conceptualizing and measuring activation in patients and consumers [J].

Hibbard, JH ;

Stockard, J ;

Mahoney, ER ;

Tusler, M .

HEALTH SERVICES RESEARCH, 2004, 39 (04) :1005-1026

[6]

Institute for Healthcare Improvement, 2012, GUID MEAS TRIPL AIM

[7] What is population health? [J].

Kindig, D ;

Stoddart, G .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2003, 93 (03) :380-383

[8]

Michigan Department of Community Health, 2010, HEART DIS STROK MICH

[9]

Michigan Department of Community Health, 2009, BEH RISK FACT SURV 2

[10]

National Committee for Quality Assurance, 2009, HEDIS

← 1 2 →