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Developing a comprehensive interdisciplinary senior healthcare practice.

Ronald D Stock1, Dan Reece, Lorelei Cesario

  • 1PeaceHealth Oregon Region Center for Senior Health, Eugene, Oregon 97401, USA. rstock@peacehealth.org <rstock@peacehealth.org>

Journal of the American Geriatrics Society
|December 2, 2004
PubMed
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The PeaceHealth Senior Health and Wellness Center (SHWC) offers integrated geriatric care for seniors. It focuses on a patient-centered, team-based approach to manage chronic conditions and promote wellness.

Area of Science:

  • Geriatrics
  • Integrated Health Systems
  • Patient-Centered Care

Background:

  • The PeaceHealth Senior Health and Wellness Center (SHWC) addresses the complex needs of geriatric patients.
  • It serves both frail elders with multiple chronic conditions and healthier older adults.
  • The center operates as a hospital outpatient clinic within an integrated health system.

Purpose of the Study:

  • To describe the model of care at the SHWC.
  • To highlight the patient-centered and team-based approach.
  • To explain the focus on coordination and continuity of care for seniors.

Main Methods:

  • Implementation of the Chronic Care Model.
  • Emphasis on interdisciplinary team development and evidence-based geriatric care.

Related Experiment Videos

  • Utilization of electronic medical records across care settings and a prevention/wellness orientation.

    • Main Results:

    • The SHWC integrates various services addressing nutrition, social support, physical activity, medications, and chronic diseases.
    • A patient-centered approach identified and addressed senior service needs.
    • The model aims to improve access and quality of care while maintaining financial viability.

    Conclusions:

    • The SHWC provides comprehensive, coordinated care for seniors.
    • The model emphasizes a holistic approach, addressing physical, social, and spiritual well-being.
    • It demonstrates a viable business model for geriatric care in a noncapitated setting.