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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Related Experiment Video

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An R-Based Landscape Validation of a Competing Risk Model
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Measuring Care Continuity: A Comparison of Claims-based Methods.

Craig E Pollack1, Peter S Hussey, Robert S Rudin

  • 1*Johns Hopkins School of Medicine †Johns Hopkins Bloomberg School of Public Health, Baltimore, MD ‡RAND Corporation, Santa Monica, CA §Division of General Medicine and Primary Care, Brigham and Women's Hospital ∥Harvard Medical School ¶Harvard School of Public Health, Boston, MA.

Medical Care
|December 7, 2013
PubMed
Summary

Four claims-based measures of care continuity show high correlation, indicating they offer similar assessments of care coordination within defined patient episodes. This finding is crucial for evaluating healthcare delivery and reform impacts.

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Area of Science:

  • Health Services Research
  • Health Policy and Management

Background:

  • Assessing care continuity is vital for evaluating healthcare reform and delivery changes.
  • Multiple measures for care continuity using claims data have been developed.

Purpose of the Study:

  • To determine if different continuity measures provide distinct assessments of care coordination.
  • Examined coordination within predefined episodes of care for specific chronic conditions.

Main Methods:

  • Retrospective cohort study utilizing 2008-2009 national claims data.
  • Analyzed a 5% sample of beneficiaries with congestive heart failure, COPD, and diabetes mellitus.
  • Correlated four continuity measures (Bice-Boxerman, Herfindahl, usual provider, Sequential Continuity) at provider and practice levels.

Main Results:

  • High correlations (r=0.87-0.98) were observed among the four measures at the provider-level.
  • High correlations (r=0.75-0.98) were found among the measures at the practice-level.
  • Strong correlations (r=0.65-0.92) existed between provider- and practice-level measures.

Conclusions:

  • Claims-based care continuity measures are highly correlated within episodes of care.
  • These measures provide similar assessments of care coordination.