Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: Feb 19, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

24.9K

Improving care transitions: complex high-utilizing patient experiences guide reform.

Nancy Ambrose Gallagher1, Donna Fox, Carrie Dawson

  • 1University of Michigan School of Nursing, 400 NIB, #2174, Ann Arbor, MI 48109.

The American Journal of Managed Care
|November 1, 2017
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Patient-centered Care01:13

Patient-centered Care

3.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
3.1K
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

4.2K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.2K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

966
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.
For example, a patient with a chronic...
966
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

1.6K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
1.6K
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

6.3K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.3K
Planning Nursing Care I01:21

Planning Nursing Care I

6.1K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
6.1K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Implementation of a Biopsychosocial History and Physical Exam Template in the Electronic Health Record: Mixed Methods Study.

JMIR medical education·2023
Same author

A 7-Domain Framework That Can Bridge Clinical Care, Health Systems Science, and Health Equity: Lessons From the H&P 360.

Academic medicine : journal of the Association of American Medical Colleges·2023
Same author

Quantifying the climate benefits of a virtual versus an in-person format for an international conference.

Environmental health : a global access science source·2022
Same author

Healthy Lifetime <i>(HL)</i>: An Internet-Based Behavioral Health Coaching Protocol for Older Adults.

Frontiers in digital health·2022
Same author

Tailoring complex care to patients' needs: myths, realities, and best next steps.

The American journal of managed care·2022
Same author

Bringing the classroom to the streets: A multimodal approach.

Medical education·2021

Care management programs improved patient health and reduced hospital use for complex patients. However, overall hospital readmission rates remained unchanged, suggesting a need for external social service integration and better discharge planning.

Area of Science:

  • Health Services Research
  • Patient Care Management
  • Healthcare Systems Analysis

Background:

  • Health systems utilize care management to enhance care quality and reduce costs through inter-level coordination.
  • Separate inpatient and outpatient care management programs existed at the academic medical center, leading to administrative silos.
  • Examining longitudinal care experiences of hospitalized complex patients was crucial to identify process and communication gaps.

Purpose of the Study:

  • To bridge administrative silos between disparate care management programs.
  • To identify process and communication gaps in the care of hospitalized complex patients.
  • To drive organizational change and improve overall patient care.

Main Methods:

  • A descriptive study analyzed the care experiences of 17 high-utilizing patients.

More Related Videos

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

7.2K

Related Experiment Videos

Last Updated: Feb 19, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

24.9K
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
08:13

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

7.2K
  • Chart audits were conducted for patients with 30-day hospital readmissions in 2013.
  • Clinical and social characteristics were reviewed for patterns influencing readmissions.

    • Main Results:

    • Patients presented with diverse medical, psychological, cognitive, and social factors.
    • Interventions like supervised living, depression treatment, and sobriety were associated with improved health and reduced hospital utilization.
    • Despite restructuring case management meetings to include multidisciplinary teams, hospital readmission rates remained unchanged in 2014-2015 compared to 2013.

    Conclusions:

    • Longitudinal, patient-centered care management evolved from administrative silos.
    • Reducing readmissions for complex patients may necessitate external social, mental health, and substance use service integration.
    • Improved discharge planning is essential for managing complex patient populations.