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Community response teams: extending the rapid response model to outpatient care
Sanjay Basu1,2, Scott Anders3
1Department of Medicine, San Francisco General Hospital/University of California San Francisco, San Francisco, CA.
Objective:
To propose community response teams (CRTs) as a systematic managed care approach that applies rapid response principles to prevent clinical deterioration and reduce costs in outpatient settings.
Study Design:
Conceptual framework analysis with evidence review.
Methods:
We analyzed structural parallels between hospital rapid response teams and community-based systems, reviewed evidence on early intervention for rising-risk patients, and examined implementation models for managed care organizations.
Results:
CRTs can leverage existing care management infrastructure while focusing on rising-risk patients identified through predictive analytics rather than traditional high-cost populations. Multisite implementation demonstrates significant improvements in patient outcomes, chronic disease control, and reduced emergency department visits and hospitalizations, enabling shared savings models that fully fund proactive interventions.
Conclusions:
CRTs represent a paradigm shift in managed care population health management, providing a scalable, cost-effective approach to preventing avoidable clinical deterioration while generating measurable return on investment through reduced medical expenditures.
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