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Redesigning care for patients at increased hospitalization risk: the Comprehensive Care Physician model

Health Affairs, 2014-05, Vol.33 (5), p.770-777 [Peer Reviewed Journal]

Copyright The People to People Health Foundation, Inc., Project HOPE May 2014 ;2014 Project HOPE—The People-to-People Health Foundation, Inc. 2014 ;ISSN: 0278-2715 ;EISSN: 1544-5208 ;EISSN: 2694-233X ;DOI: 10.1377/hlthaff.2014.0072 ;PMID: 24799573

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Title:
Redesigning care for patients at increased hospitalization risk: the Comprehensive Care Physician model
Author: Meltzer, David O ; Ruhnke, Gregory W
Subjects: Ambulatory care ; Ambulatory Care - economics ; Ambulatory Care - organization & administration ; Benefits ; Comprehensive Health Care - economics ; Comprehensive Health Care - organization & administration ; Cost ; Cost control ; Cost Control - economics ; Cost Control - organization & administration ; Cost reduction ; Health care expenditures ; Health Status Indicators ; Hospital costs ; Hospital Costs - statistics & numerical data ; Hospital-Physician Joint Ventures - economics ; Hospital-Physician Joint Ventures - organization & administration ; Hospitalists ; Hospitalization ; Hospitalization - economics ; Hospitals ; Humans ; Hypotheses ; Medicaid ; Medicaid program ; Medicare ; Patient satisfaction ; Patients ; Physicians ; Primary care ; Quality Improvement - economics ; Quality Improvement - organization & administration ; Risk ; Risk management ; Studies ; United States
Is Part Of: Health Affairs, 2014-05, Vol.33 (5), p.770-777
Description: Patients who have been hospitalized often experience care coordination problems that worsen outcomes and increase costs. One reason is that hospital care and ambulatory care are often provided by different physicians. However, interventions to improve care coordination for hospitalized patients have not consistently improved outcomes and generally have not reduced costs. We describe the rationale for the Comprehensive Care Physician model, in which physicians focus their practice on patients at increased risk of hospitalization so that they can provide both inpatient and outpatient care to their patients. We also describe the design and implementation of a study supported by the Center for Medicare and Medicaid Innovation to assess the model's effects on costs and outcomes. Evidence concerning the effectiveness of the program is expected by 2016. If the program is found to be effective, the next steps will be to assess the durability of its benefits and the model's potential for dissemination; evidence to the contrary will provide insights into how to alter the program to address sources of failure.
Publisher: United States: The People to People Health Foundation, Inc., Project HOPE
Language: English
Identifier: ISSN: 0278-2715
EISSN: 1544-5208
EISSN: 2694-233X
DOI: 10.1377/hlthaff.2014.0072
PMID: 24799573
Source: AUTh Library subscriptions: ProQuest Central
MEDLINE

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Redesigning care for patients at increased hospitalization risk: the Comprehensive Care Physician model

Copyright The People to People Health Foundation, Inc., Project HOPE May 2014 ;2014 Project HOPE—The People-to-People Health Foundation, Inc. 2014 ;ISSN: 0278-2715 ;EISSN: 1544-5208 ;EISSN: 2694-233X ;DOI: 10.1377/hlthaff.2014.0072 ;PMID: 24799573

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