Chronic Care and Disease Management Improves Health, Reduces Costs for Patients With Multiple Chronic Conditions in an Integrated Health System
The Sutter Care Coordination Program combines chronic care and disease management to address the medical and psychosocial needs of individuals with multiple chronic conditions.
Comprehensive Electronic and Personal Health Record System Enhances Patient Engagement and Improves Efficiency of Physician Practice
A large group practice operates an electronic health record system that is closely integrated with a personal health record system that gives patients (and authorized caregivers as proxy users) secure access to key components of their medical records and the ability to request appointments, renew prescriptions, and communicate with physicians electronically. The integrated system has generated high levels of satisfaction among patients and caregivers, who report increased involvement in their health care, and physicians who report being able to practice more efficiently.
System-Integrated Program Coordinates Care for People With Advanced Illness, Leading to Greater Use of Hospice Services, Lower Utilization and Costs, and High Satisfaction
The Advanced Illness Management program supports Medicare patients with advanced illness and their families in making patient-centered decisions, leading to greater use of hospice care, lower inpatient and ambulatory utilization and overall care costs, and high levels of patient, family, and physician satisfaction.
Clinicians in Tertiary Hospital Monitor Critical Care Patients in Rural Facilities via Telemedicine, Leading to Reductions in Mortality, Length of Stay, Patient Transfers, and Costs
Clinicians in a tertiary hospital continuously monitor and intervene as necessary with critical care patients in rural facilities via telemedicine, leading to reductions in mortality, length of stay, number of patient transfers, and costs.
This Web application (also available on various smartphones) provides consumers with efficient access to actionable health care information.
Care Coordination Measures Atlas
The Care Coordination Measures Atlas lists existing measures of care coordination, with a focus on ambulatory care, and presents a framework for understanding care coordination measurement.