Managing elders with comorbidities.
Carle's Medicare Coordinated Care Demonstration care/disease management interventional components, based on the chronic care model, are described for elderly patients in 13 counties in Illinois. Patients enrolled in the program are diagnosed with chronic obstructive pulmonary disease, coronary artery disease, diabetes, atrial fibrillation, or congestive heart failure. Primary care teams are made up of a primary care physician, an advanced practice nurse, a nurse case manager, and a case assistant. The patient/family is the cornerstone of the intervention, which is evaluated using a prospective, longitudinal randomized treatment-control design.
Schraeder
Cheryl
C
Health Systems Research Center, Carle Foundation Hospital, Urbana, Illinois 62853, USA. Cheryl.Schraeder@Carle.com
Dworak
Donna
D
Stoll
John F
JF
Kucera
Chris
C
Waldschmidt
Valerie
V
Dworak
Melissa Pollard
MP
D000368:Aged; D016022:Case-Control Studies; D002908:Chronic Disease; D015897:Comorbidity; D019468:Disease Management; D005260:Female; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D007087:Illinois; D008297:Male; D006278:Medicare; D010348:Patient Care Team