title: The ironic business case for chronic care in the acute care setting.
abstract: The U.S. health care system provides acute care tools to deal with the problems of chronic disease, and strategies are needed to engage hospitals in chronic care innovations. Acute care-based models that improve chronic care have been developed, but their diffusion is limited by the absence of a business case for adoption. Yet a financial case for improving chronic care is possible by aggregating previously tested models into a service line that can be customized to local circumstances. Beyond benefits to hospitals, patients and payers could benefit from improved patient outcomes and costs; society could benefit from more appropriate deployment of resources.
authors.affiliation: Brookdale Department of Geriatrics at Mount Sinai School of Medicine and James J. Peters VA Hospital in New York City, USA. albert.siu@mssm.edu
authors.forename: Albert L
authors.initials: AL
authors.lastname: Siu
authors.forename: Lynn H
authors.initials: LH
authors.lastname: Spragens
authors.forename: Sharon K
authors.initials: SK
authors.lastname: Inouye
authors.forename: R Sean
authors.initials: RS
authors.lastname: Morrison
authors.forename: Bruce
authors.initials: B
authors.lastname: Leff
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D004469:Economics, Hospital / Q000458:organization & administration; D004636:Emergency Service, Hospital; D006801:Humans; D011787:Quality of Health Care; D014481:United States