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The Minnesota model of subacute care
J W Haefemeyer1, L Convery, R P Manninen
1Division of Geriatrics, HealthPartners, Inc., Minneapolis, Minnesota 55454, USA.
Clinics in Geriatric Medicine
|September 14, 2000
Summary
HealthPartners created an integrated care system for seniors, utilizing nurse-practitioner and geriatrician teams in skilled nursing facilities. This approach optimizes care utilization and outcomes for frail seniors through geriatric assessment.
Area of Science:
- Geriatric Medicine
- Healthcare Management
- Integrated Care Models
Background:
- Frail seniors often require complex, coordinated care across multiple settings.
- Managed care organizations face challenges in optimizing care for elderly populations.
- Skilled nursing facilities can serve as hubs for specialized geriatric care.
Purpose of the Study:
- To describe an integrated system of care for frail seniors developed by HealthPartners.
- To highlight the role of nurse-practitioner and geriatrician collaboration in subacute care settings.
- To demonstrate the application of geriatric assessment principles for improved outcomes.
Main Methods:
- Development of an integrated care system across clinics, hospitals, and subacute care centers.
- Contracting with skilled nursing facilities to concentrate patients.
- On-site presence of nurse-practitioners collaborating with geriatricians for patient management.
Main Results:
- Concentration of patients facilitates on-site specialist presence.
- Collaborative teams (nurse-practitioner and geriatrician) manage small groups of seniors (15-20).
- Application of geriatric assessment principles aims to optimize utilization and outcomes.
Conclusions:
- Integrated care systems can effectively manage frail seniors.
- Specialized teams in subacute care settings improve geriatric patient outcomes.
- Geriatric assessment is a key component in optimizing care for the elderly.