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Cross-Systems Care Integration Impact on Adults With Intellectual Disability Utilizing Risk Weight and Comorbidity
Thomas Wilson1, Betty Geer2, Nichole Guerra2
1Thomas Wilson, Trajectory® Healthcare.
Intellectual and Developmental Disabilities
|October 8, 2020
Summary
A new Cross-Systems Care Integration (CSCI) model improved health outcomes for adults with intellectual and developmental disabilities (IDD), significantly reducing hypertension and hyperlipidemia. Standard care coordination showed no such improvements.
Area of Science:
- Health Services Research
- Disability Studies
- Public Health
Background:
- Significant health disparities persist between adults with intellectual and developmental disabilities (IDD) and neurotypical populations.
- Improving health outcomes for individuals with IDD has been a slow and challenging process.
Purpose of the Study:
- To compare the effectiveness of a novel Cross-Systems Care Integration (CSCI) model of care coordination against standard care coordination.
- To evaluate health outcomes for adults with IDD receiving Medicaid services in central Colorado.
Main Methods:
- Retrospective study design analyzing data from 927 adults with IDD from 2014-2017.
- Comparison of health care cost risk weight, depression diagnoses, hypertension, and hyperlipidemia between CSCI and standard care groups.
Main Results:
- The CSCI intervention group showed a non-statistically significant decrease in health care cost risk weight.
- Depression diagnoses remained unchanged in both groups.
- Significant improvements were observed in hypertension and hyperlipidemia among patients receiving CSCI.
Conclusions:
- The CSCI model demonstrates potential for improving specific health conditions in adults with IDD.
- Further research with extended duration and additional variables like health-related quality of life is warranted.
Keywords:
Medicaidcare coordinationcost risk weighthealth disparitiesintellectual and developmental disabilitiesMore Related Videos
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