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

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