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A Targeted "Top 100" High-Risk Care Management Program Improves Adherence to Best Practices
Sarah J Conway1, Abhay Singh, Cassy Peterson
1Johns Hopkins School of Medicine, Baltimore, Maryland (Drs Conway and Berkowitz, Mr Singh, and Ms Himmelrich); and Johns Hopkins HealthCare LLC, Hanover, Maryland (Ms Peterson and Dr Dunbar).
The Journal of Ambulatory Care Management
|November 9, 2020
Summary
Implementing best practices in care management programs for high-risk patients showed increased adherence. However, patient enrollment fluctuated, highlighting challenges in sustained engagement for reducing healthcare costs.
Area of Science:
- Healthcare Management
- Patient Care
- Health Economics
Background:
- Care management programs for high-risk individuals show variable success in controlling healthcare spending.
- Identifying key components of effective programs is crucial for improving outcomes.
Purpose of the Study:
- To identify and assess adherence to best practices in care management for high-risk patients.
- To evaluate the impact of these best practices on program outcomes.
Main Methods:
- A review of successful care management programs identified five best practice areas.
- Adherence to these practices was measured at baseline, 6 months, and 9 months for high-risk patients.
- Patient enrollment trends were also monitored.
Main Results:
- Adherence to all five best practice areas increased from baseline throughout the 9-month study period.
- Patient enrollment in the program rose by the 6-month mark.
- A decline in program enrollment was observed by the 9-month follow-up.
Conclusions:
- Increased adherence to best practices in care management is achievable.
- Sustaining patient enrollment in care management programs presents a challenge.
- Further strategies are needed to maintain engagement for long-term cost reduction.
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