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Comprehensive home-based care coordination for vulnerable elders with dementia: Maximizing Independence at
Quincy M Samus1, Karen Davis2, Amber Willink2
1Johns Hopkins University School of Medicine, USA.
International Journal of Care Coordination
|April 3, 2018
Summary
Maximizing Independence at Home-Plus improves dementia care coordination, helping seniors stay home longer. This model aims to reduce hospitalizations and long-term care costs for Medicare beneficiaries.
Area of Science:
- Gerontology
- Health Services Research
- Public Health
Background:
- Most healthcare systems struggle to provide comprehensive, family-centered dementia care management.
- Effective dementia care strategies exist but are underutilized due to system limitations.
- The Maximizing Independence at Home-Plus model offers a potential solution to these delivery gaps.
Purpose of the Study:
- To evaluate the impact of the Maximizing Independence at Home-Plus care coordination model.
- To assess the model's effectiveness in improving dementia care outcomes and reducing healthcare costs.
- To provide insights for a scalable and sustainable dementia care management approach.
Main Methods:
- Prospective, quasi-experimental intervention study design.
- Involved 342 community-living individuals with dementia (Medicare-Medicaid dual eligibles and Medicare-only beneficiaries).
- Compared outcomes against a propensity-matched control group over 24 months.
Main Results:
- Primary analyses focused on nursing home placement, hospitalization rates, and healthcare expenditures.
- Evaluated impacts at 12, 18 (primary endpoint), and 24 months.
- Data collection included participant characteristics and cost savings.
Conclusions:
- The model aims to enhance care coordination, promote home-based living, and improve quality of life for dementia patients and caregivers.
- It seeks to reduce overall healthcare costs for this vulnerable population.
- Findings will inform the development of a risk-adjusted payment model to support sustainability and broader implementation.
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