Medicare Chronic Care Management Payments and Financial Returns to Primary Care Practices

2015 ◽  
Vol 163 (8) ◽  
pp. 580 ◽  
Author(s):  
Sanjay Basu ◽  
Russell S. Phillips ◽  
Asaf Bitton ◽  
Zirui Song ◽  
Bruce E. Landon
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Chronic Care ◽  
Financial Returns ◽  
Chronic Care Management ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals The impact of COVID-19 on chronic care according to providers: a qualitative study among primary care practices in Belgium

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Katrien Danhieux ◽  
Veerle Buffel ◽  
Anthony Pairon ◽  
Asma Benkheil ◽  
Roy Remmen ◽  
...  
Keyword(s):  
Primary Care ◽  
High Risk ◽  
Qualitative Study ◽  
Chronic Care ◽  
Self Management ◽  
Management Support ◽  
High Risk Patients ◽  
Risk Patients ◽  
Care Practices ◽  
Primary Care Practices

Abstract Background The COVID-19 pandemic affects the processes of routine care for chronic patients. A better understanding helps to increase resilience of the health system and prepare adequately for next waves of the pandemic. Methods A qualitative study was conducted in 16 primary care practices: 6 solo working, 4 monodisciplinary and 7 multidisciplinary. Twenty-one people (doctors, nurses, dieticians) were interviewed, using semi-structured video interviews. A thematic analysis was done using the domains of the Chronic Care Model (CCM). Results Three themes emerged: changes in health care organization, risk stratification and self-management support. All participating practices reported drastic changes in organization with a collective shift towards COVID-19 care, and reduction of chronic care activities, less consultations, and staff responsible for self-management support put on hold. A transition to digital support did not occur. Few practitioners had a systematic approach to identify and contact high-risk patients for early follow-up. A practice with a pre-established structured team collaboration managed to continue most chronic care elements. Generally, practitioners expected no effects of the temporary disruption for patients, although they expressed concern about patients already poorly regulated. Conclusion Our findings show a disruption of the delivery of chronic care in the Belgium prim care context. In such contexts, the establishment of the CCM can facilitate continuity of care in crisis times. Short term actions should be directed to facilitate identifying high-risk patients and to develop a practice organization plan to organize chronic care and use digital channels for support, especially to vulnerable patients, during next waves of the epidemic.

scholarly journals Care Management Processes Used Less Often For Depression Than For Other Chronic Conditions In US Primary Care Practices

2016 ◽  
Vol 35 (3) ◽  
pp. 394-400 ◽  
Author(s):  
Tara F. Bishop ◽  
Patricia P. Ramsay ◽  
Lawrence P. Casalino ◽  
Yuhua Bao ◽  
Harold A. Pincus ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Care Management ◽  
Management Processes ◽  
Care Practices ◽  
Primary Care Practices

scholarly journals Under the same roof: co-location of practitioners within primary care is associated with specialized chronic care management

2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Juliet Rumball-Smith ◽  
Walter P Wodchis ◽  
Anna Koné ◽  
Tim Kenealy ◽  
Jan Barnsley ◽  
...  
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Chronic Care ◽  
Chronic Care Management

scholarly journals Use of Chronic Care Management Among Primary Care Clinicians

2020 ◽  
Vol 18 (5) ◽  
pp. 455-457
Author(s):  
Ashok Reddy ◽  
Leah M. Marcotte ◽  
Lingmei Zhou ◽  
Stephan D. Fihn ◽  
Joshua M. Liao
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Chronic Care ◽  
Chronic Care Management ◽  
Primary Care Clinicians

scholarly journals The Impact of COVID-19 on Chronic Care: A Qualitative Study Among Primary Care Practices in Belgium

2020 ◽  
Author(s):  
Katrien Danhieux ◽  
Veerle Buffel ◽  
Anthony Pairon ◽  
Asma Benkheil ◽  
Roy Remmen ◽  
...  
Keyword(s):  
Primary Care ◽  
High Risk ◽  
Qualitative Study ◽  
Chronic Care ◽  
Self Management ◽  
Management Support ◽  
Risk Patients ◽  
Care Practices ◽  
Primary Care Practices ◽  
Second Wave

Abstract Background. The COVID-19 pandemic affects the processes of routine care for chronic patients. A better understanding helps to increase resilience of the health system and prepare adequately for a second wave or flare-ups of the pandemic.Methods. A qualitative study was conducted in 16 primary care practices: 6 solo working, 4 monodisciplinary and 7 multidisciplinary. 21 people (doctors, nurses, dieticians) were interviewed, using semi-structured video interviews. A thematic analysis was done using the domains of the Chronic Care Model (CCM).Results. Three themes emerged: changes in health care organization, risk stratification and self-management support. All participating practices reported drastic changes in organization with a collective shift towards COVID-19 care, and reduction of chronic care activities, less consultations, and staff responsible for self-management support put on hold. A transition to digital support did not occur. Few practitioners had a systematic approach to identify and contact high-risk patients for early follow-up. A practice with a pre-established structured team collaboration managed to continue most chronic care elements. Generally, practitioners expected no effects of the temporary disruption for patients, although they expressed concern about patients already poorly regulated.Conclusion: Our findings show the delivery of chronic care as disrupted. It indicates that the establishment of the CCM can facilitate continuity of care in crisis times. Short term actions should be directed to facilitate identifying high-risk patients and to develop a practice organization plan to organize chronic care and use digital channels for support, especially to vulnerable patients, during a second wave or in flare-ups.

scholarly journals Chronic Care Management for Substance Dependence in Primary Care Among Patients With Co-Occurring Disorders

2015 ◽  
Vol 66 (1) ◽  
pp. 72-79 ◽  
Author(s):  
Tae Woo Park ◽  
Debbie M. Cheng ◽  
Jeffrey H. Samet ◽  
Michael R. Winter ◽  
Richard Saitz
Keyword(s):  
Primary Care ◽  
Care Management ◽  
Chronic Care ◽  
Substance Dependence ◽  
Chronic Care Management
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