scholarly journals Clinical Pharmacist Team-Based Care in a Safety Net Medical Home: Facilitators and Barriers to Chronic Care Management

2017 ◽  
Vol 20 (2) ◽  
pp. 123-131 ◽  
Author(s):  
Eboni G. Price-Haywood ◽  
Sarah Amering ◽  
Qingyang Luo ◽  
John J. Lefante
Keyword(s):  
Clinical Pharmacist ◽  
Medical Home ◽  
Care Management ◽  
Chronic Care ◽  
Safety Net ◽  
Chronic Care Management ◽  
Team Based Care ◽  
Facilitators And Barriers

Facilitators and Barriers of a Chronic Care Management Intervention Addressing Diabetes Among Mexican-Origin Adults

2021 ◽  
pp. 109019812110144
Author(s):  
Valerie L. Polletta ◽  
Alana M. W. LeBrón ◽  
Maribel R. Sifuentes ◽  
Lisa A. Mitchell-Bennett ◽  
Ciara Ayala ◽  
...  
Keyword(s):  
Care Management ◽  
Chronic Care ◽  
Mexican Origin ◽  
Community Based ◽  
Building Relationships ◽  
Program Staff ◽  
Clinic Staff ◽  
Chronic Care Management ◽  
Facilitators And Barriers ◽  
Communication And Coordination

Background Chronic care management (CCM) and community health worker (CHW) interventions hold promise for managing complex chronic conditions such as diabetes and related comorbidities. This qualitative study examines facilitators and barriers to the implementation of an expanded CCM intervention that explicitly incorporated program staff, clinic staff, CHWs, and partnerships with community-based organizations to enhance diabetes management among Mexican-origin adults. Method Grounded theory was used to analyze interviews conducted in 2018 with 24 members of the CCM team, including program staff, clinic staff, and community-based program partner staff. Results Three themes emerged that characterize perceived facilitators and barriers to CCM implementation, based on analysis of interviews: (1) understanding roles and responsibilities across organizations, (2) building relationships across organizations, and (3) coordinating delivery of the model among different organizations. First, structured meetings and colocated workspaces enhanced understanding of CCM roles for each team member and across organizations. Barriers to understanding CCM roles were more common during the early stages of CCM implementation and amongst staff who did not participate in regular meetings. Second, regular meetings facilitated development of relationships across organizations to enhance implementation of the CCM model. In contrast, limited relationship building among some CCM team members served as a barrier to implementation. Third, CHWs and case review meetings fostered communication and coordination across the CCM model. Conclusions Results suggest the importance of understanding roles and building relationships among multidisciplinary teams to ensure effective communication and coordination of care.

Chronic Care Management

2019 ◽  
pp. 501-513
Author(s):  
Siobhan Sundel ◽  
David Sundel
Keyword(s):  
Care Management ◽  
Chronic Care ◽  
Chronic Care Management

Modernes Diabetes-Management – Von Managed-Care über Disease-Management zum Chronic-Care-Management

2011 ◽  
Vol 9 (06) ◽  
pp. 260-266
Author(s):  
Ulrike Rothe ◽  
Hans-Joachim Verlohren ◽  
Hildebrand Kunath ◽  
Jan Schulze
Keyword(s):  
Managed Care ◽  
Disease Management ◽  
Care Management ◽  
Chronic Care ◽  
Diabetes Management ◽  
Chronic Care Management
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