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Related Experiment Videos

Improving clinical effectiveness in an integrated care delivery system.

P L Green1

  • 1VHA Upper Midwest, Inc., Edina, MN, USA.

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality
|June 3, 1999
PubMed
Summary

HealthEast implemented a care management program in 1993, defining it as a collaborative, interdisciplinary process. This initiative significantly improved both clinical and financial performance within the healthcare system.

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Area of Science:

  • Healthcare Management
  • Clinical Effectiveness
  • Integrated Care Delivery

Background:

  • HealthEast, an integrated care delivery system, initiated a care management program in 1993.
  • Care management was defined as an interdisciplinary, client-centered process across the continuum of care.

Purpose of the Study:

  • To describe the implementation and impact of a care management program.
  • To highlight the role of a collaborative practice model in driving organizational improvements.

Main Methods:

  • Establishment of an integrated care delivery system.
  • Implementation of a collaborative practice model for care management.
  • Focus on coordinating services across the continuum of care.

Main Results:

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  • Significant improvements in financial performance.
  • Significant improvements in clinical performance.
  • Recognition with a leadership award for improving clinical effectiveness.

Conclusions:

  • A well-defined care management program, utilizing a collaborative practice model, can lead to substantial improvements in healthcare system performance.
  • Integrated care delivery systems can achieve quality and cost-effective outcomes through strategic program implementation.