Medical "Extensivists" Care for High-Acuity Patients Across Settings, Leading to Reduced Hospital Use
A Medicare Advantage plan uses employed "extensivists" who perform traditional hospitalist functions for a smaller-than-average caseload of patients, and then continue to follow and care for these patients after discharge until their condition becomes stabilized, leading to low length of stay and fewer readmissions.
Multidisciplinary Team Brings Palliative Care to Rural Patients, Leading to Improved Symptom Management and High Levels of Satisfaction
A palliative care program brings holistic physical, spiritual, and psychosocial support and care to patients in rural areas in their setting of choice, leading to improved symptom management and high levels of patient and provider satisfaction.
Multidisciplinary Team, Real-Time Information, and Incentives Help Medical Homes Improve Mental Health and Patient Experience, Reduce Utilization and Costs
As part of a statewide public-private initiative, the diverse Burlington (Vermont) health service area supports 18 patient-centered medical home practices via a multidisciplinary team, real-time electronic information, and financial incentives, leading to more appropriate care, better health outcomes and patient experiences, and lower utilization and costs.
Onsite Care Teams Enhance Access to Medical and Mental Health/Substance Abuse Services for Homeless Individuals
Penobscot Community Health Center provides onsite services at a community health clinic, with psychiatric and medical professionals offering primary care, disease management, mental health, and substance abuse services, along with referrals to additional mental health and other specialty services that may be needed.
Postdischarge Care Management Integrates Medical and Psychosocial Care of Low-Income Elderly Patients
An interdisciplinary care management program that integrates medical and social care for low-income elderly patients with chronic illnesses reduces care costs and improves self-reported health status.
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