Guided Care: Integrating High Tech and High Touch Principal Investigator: Chad Boult, MD, MPH, MBA Supported By: The Agency for Healthcare Research and Quality / The National Institute on Aging / The John A. Hartford Foundation The Johns Hopkins Bloomberg School of Public Health is conducting a rigorous test of Guided Care at eight sites in the Baltimore-Washington DC area. This randomized study will measure the effect of Guided Care on patients’ and families’ quality of life, as well as on overall health care costs and primary care practices. Consultants and national leaders in health policy, consumer advocacy, health insurance, and health care delivery are helping shape the study and, if the results are favorable, will speed the adoption of Guided Care throughout American health care. The Effectiveness of Interdisciplinary Primary Care for the Elderly: an Evaluation of Cost and Utilization Outcomes Principal Investigator: Chad Boult, MD, MPH, MBA Supported By: Baylor Health Care System The purpose of this study is to evaluate the care provided by the Senior Health Network (SHN) clinics of Baylor Health Care System to Medicare beneficiaries. The SHN clinics have an interdisciplinary staff and a model of care that incorporates a social work visit for every new patient, chronic care clinics, and health education. Using Medicare claims data, cost and utilization outcomes are being compared for a cohort of SHN patients and a similar cohort in a network of traditional primary care clinics. A Randomized Trial of Training and Support for Voluntary Caregivers Principal Investigator: Jennifer Wolff, PHD, MHS Co-PI: Chad Boult, MD, MPH, MBA Supported By: The Jacob and Valeria Langeloth Foundation The goals of the project are to conduct and evaluate a multi-component, community-based intervention for caregivers who provide assistance to older adults with complex health-related needs. The intervention combines training and support for caregivers within the context of an innovative model of health care (“Guided Care”) designed to facilitate coordinated, evidence-based health care for frail older persons. In-Home Caregiving and Use of Medical Services Principal Investigator: Jennifer Wolff, PHD, MHS Supported By: The National Institute on Aging Provides an understanding of the influence of in-home caregivers on older Americans’ use of health services. National Demonstration and Evaluation of the Johns Hopkins Home Hospital Model: Training, Coordination, and Technical Assistance Principal Investigator: Bruce Leff, MD Supported By: The John A. Hartford Foundation The goal of this project was to develop and test the clinical and economic feasibility of a home hospital model of care. Translating Research into Practice: The Johns Hopkins Home Hospital Principal Investigator: Bruce Leff, MD Supported By: The John A. Hartford Foundation The goal of this project is to disseminate the Johns Hopkins home hospital care model into Medicare managed care and the VA healthcare systems. Coordination of Primary Care Referrals to Gastroenterologists in Northern Israel Principal Investigator: Efrat Shadmi, RN, PHD Supported By: The University of Haifa Research Foundation This study examines how referrals of patients from primary care physicians to gastroenterologists are coordinated in terms of inter-provider communication and alignment of expectations and objectives between the three stakeholders (primary care physicians, gastroenterologists, and patients). The effects of coordination on referral results are being explored. |