The Development of a Community and Home-Based Chronic Care Management Program for Older Adults

2013 ◽  
Vol 31 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Jennifer Cooper ◽  
Kathryn A. McCarter
Keyword(s):  
Older Adults ◽  
Care Management ◽  
Chronic Care ◽  
Management Program ◽  
Chronic Care Management ◽  
Home Based ◽  
Care Management Program

O5-07-06: THE IMPLEMENTATION COSTS OF A PERSONALIZED CHRONIC CARE MANAGEMENT PROGRAM FOR DEMENTIA

2006 ◽  
Vol 14 (7S_Part_31) ◽  
pp. P1664-P1664
Author(s):  
Talita D'Aguiar Rosa ◽  
Katherine L. Possin ◽  
Jennifer Merrilees ◽  
Sarah Dulaney ◽  
Jessica Matuoka ◽  
...  
Keyword(s):  
Care Management ◽  
Chronic Care ◽  
Management Program ◽  
Chronic Care Management ◽  
Care Management Program ◽  
Implementation Costs

scholarly journals A Platform and Clinical Model to Enable Medicare's Chronic Care Management Program

2020 ◽  
Vol 23 (2) ◽  
pp. 107-114 ◽  
Author(s):  
William R. Mills ◽  
Dimitri Poltavski ◽  
Mark Douglas ◽  
Lisa Owens ◽  
Andrea King ◽  
...  
Keyword(s):  
Care Management ◽  
Chronic Care ◽  
Management Program ◽  
Clinical Model ◽  
Chronic Care Management ◽  
Care Management Program

scholarly journals Evidence for a Novel Care Management Program for Low-Income Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 803-804
Author(s):  
Rachel Lessem ◽  
Margaret Danilovich
Keyword(s):  
Older Adults ◽  
Low Income ◽  
Care Management ◽  
Nutritional Assessment ◽  
State Level ◽  
Management Program ◽  
Initial Assessment ◽  
Care Management Program ◽  
Item Quality

Abstract The purpose of this study was to evaluate the implementation and effectiveness of a novel care management program for low income older adults in Chicago. Older adults (n=200) who had annual income below $31,225 but about the state level for home and community based services were received care management. Program participants completed a battery of assessments (UCLA Loneliness Scale, single item Quality of Life and Physical Health scales, and Nutritional assessment) at initial assessment and 1-year follow-up. We also conducted interviews with clients and care managers. We used a t-test to evaluate participant outcomes and coded qualitative data to identify themes. Results showed no significant differences between baseline and 1 year follow-up indicating that this care management program kept participants stable. Only 5 of 200 (2.5%) of clients transitioned to a nursing home. This study contributes important results on a novel program to sustain vulnerable older adults in the community.

scholarly journals Acceptability and Feasibility of a Multicomponent Telehealth Care Management Program in Older Adults With Advanced Dementia in a Residential Memory Care Unit

2020 ◽  
Vol 6 ◽  
pp. 233372142092498
Author(s):  
Alyssa N. De Vito ◽  
R. John Sawyer ◽  
Ashley LaRoche ◽  
Beth Arredondo ◽  
Brian Mizuki ◽  
...  
Keyword(s):  
Older Adults ◽  
Care Management ◽  
Intervention Program ◽  
Activity Monitor ◽  
Management Program ◽  
Dementia Care ◽  
Advanced Dementia ◽  
Memory Care ◽  
Care Management Program

The aim of the current study was to examine the acceptability and feasibility of a multicomponent care management program in older adults with advanced dementia in a long-term memory care unit. Eighteen older adults with moderate to severe dementia were asked to wear an activity monitor (Fitbit Charge 2 HR) and participate in a once monthly telehealth intervention via iPads over a 6-month period. Activity monitor data were used to assess compliance. Acceptability was assessed through qualitative interviews conducted with the caregiving staff on the memory unit. The care management program was acceptable to residents and their caregivers. Results indicated that the care management program is feasible in older adults with advanced dementia although activity monitor adherence was better during the day than at night. Telehealth session compliance was excellent throughout the study. A long-term multicomponent dementia care program is acceptable and feasible in individuals with advanced dementia. Future studies should aim to evaluate whether data received from activity monitors can be used in a dementia care intervention program.

scholarly journals Transitional Care Management: Evidence for Novel Implementation Models and Rehabilitation Implications

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 803-803
Author(s):  
Margaret Danilovich ◽  
Margaret Danilovich
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Low Income ◽  
Care Management ◽  
Transitional Care ◽  
Management Program ◽  
Service Agency ◽  
Program Outcomes ◽  
Implementation Framework ◽  
Care Management Program

Abstract The transition between healthcare settings is a complex process presenting challenges for effective and consistent communication between older adults, their caregivers, and healthcare providers. These challenges often result in adverse health events and re-hospitalizations. Further, once transitioned to home, older adults often need ongoing care management and support and evidence for models remains unclear as to the precise parameters of supports needed for comprehensive care. This symposium will provide an overview of the evidence for both interdisciplinary care management models and transitional care programs, present the implementation of a care management program for low income older adults at one social service agency, and provide evidence-based tools for older adult functional assessment and decision-making for transitional care. The speakers will present new tools from the American Physical Therapy Association home health toolbox that promote patient-centered health care decision-making to facilitate successful transitions that reduce resource use and hospital readmission. The speakers will also discuss the implementation of a care management program for older adults in a care gap (having too much income for Medicaid home and community-based services, but still <200% of the federal poverty line). An implementation framework for the needs assessment will be highlighted and 1-year program outcomes will be presented. Attendees will learn strategies for interprofessional collaboration, enhanced communication, and advocacy within the interprofessional team to facilitate improved care management and transitional services for older adults.

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