title: Value-based reengineering: twenty-first century chronic care models.
abstract: The need for improved models of chronic care is great and will become critical over the next years as the Medicare-aged population doubles. Many promising models have been developed by outstanding groups across the country. This article reviews key strategies used by successful models in chronic disease management and discusses in detail how Geisinger has evolved and organized its cohesive delivery model.
authors.affiliation: Population Health Initiatives, Community Practice Service Line, Geisinger Health System, 100 North Academy Avenue, Danville, PA 17821-3220, USA. trgraf@geisinger.edu
authors.forename: Thomas R
authors.initials: TR
authors.lastname: Graf
authors.forename: Frederick J
authors.initials: FJ
authors.lastname: Bloom
authors.forename: Janet
authors.initials: J
authors.lastname: Tomcavage
authors.forename: Duane E
authors.initials: DE
authors.lastname: Davis
mesh_terms: D002908:Chronic Disease; D004059:Diffusion of Innovation; D017598:Efficiency, Organizational; D006801:Humans; D017146:Models, Organizational; D005791:Patient Care / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D011787:Quality of Health Care; D012945:Social Values; D014481:United States