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Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Introduction To Health Care Delivery System01:18

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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...
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Secondary Healthcare System01:11

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Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
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Nursing Clinical Information System01:27

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Tertiary Healthcare System01:21

Tertiary Healthcare System

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Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
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Building the Infrastructure to Integrate Social Care in a Safety Net Health System.

Christopher M Callahan1, Amy Carter1, Hannah S Carty1

  • 1Christopher M. Callahan, Amy Carter, Hannah S. Carty, Tedd Grain, Seth L. Grant, Kimberly McElroy-Jones, Deanna Reinoso, and Lisa E. Harris are with Eskenazi Health, Indianapolis, IN. Daniel O. Clark is with the Department of Medicine, Indiana University School of Medicine, Indianapolis.

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Summary

Integrating social and medical care requires significant investment. Health systems need $1-3 million annually for infrastructure, with long-term payer support crucial for sustainability and better patient outcomes.

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Area of Science:

  • Public Health
  • Health Systems Management
  • Social Determinants of Health

Background:

  • National Academies recommend integrating social and medical care.
  • Current health systems often screen for social needs but lack full integration.
  • Urban safety net health systems face unique challenges in implementing integrated care models.

Purpose of the Study:

  • To describe the necessary human capital, operational redesign, and financial investment for integrating social and medical care.
  • To estimate the annual cost for health systems to build and maintain this integrated care infrastructure.
  • To identify the need for long-term financial investments from payers to support integrated care.

Main Methods:

  • A critical case study was conducted in an urban safety net health system.
  • Data were collected on human capital, operational changes, and financial investments.
  • Cost estimations were derived from the case study data.

Main Results:

  • Implementing integrated social and medical care requires substantial investment, estimated at $1 million to $3 million per year.
  • Existing resources may facilitate initial short-term funding, but long-term sustainability necessitates payer involvement.
  • Health systems must establish this infrastructure to enable research on integrated care's impact.

Conclusions:

  • Achieving integrated medical and social care requires significant, sustained financial investment.
  • Insurers and other payers play a critical role in enabling long-term integration.
  • Further research on patient and population outcomes necessitates functional integrated care models.