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The Roger C. Lipitz Center for Integrated Health Care

Guided Care In the News

Guided Care won the 2011 Case Management Research Award: On June 16th, the Guided Care Program at Johns Hopkins HealthCare received the Case Management Society of America's 2011 Case Management Research Award.

Guided Care article in American Society of Aging's Spring 2011 Issue of GENERATIONS journal titled It Takes a Team: Affordable Care Act. Policy Makers Mine the Potential of the Guided Care Model by Bruce Leff, MD, and Tracy Novak, MHS.

Dutch experts interested in Guided Care: The Lipitz Center hosted a group of 28 primary care physicians, nurses, insurers, lawmakers, and academic researchers from the Netherlands on a 2-day site visit in June to learn about Guided Care and how it works in practice. Click here for details.

Guided Care article in HealthCare Finance News titled Guided Care Model Holds Promise by Stephanie Bouchard, April 13, 2011.

Guided Care is featured in Managed Care Magazine article titled Poor Transitions of Care Can Be Corrected Now by Frank Diamond, April 2011 edition.

Guided Care is featured in Managed Care Magazine article titled US Family Health Plan Satisfies Members in Many Ways, March 2011 edition.

Guided Care is featured in the Journal of the American Psychiatric Nurses Association article titled Transforming Assertive Community Treatment into an Integrated Care System: the Role of Nursing and Primary Care Partnerships by Lara Carson Weinstein et al., January/February 2011 edition.

Utilization data published in Archives of Internal Medicine (Boult C et al.): After 20-months of a cluster-randomized controlled trial, Guided Care patients experienced, on average, 30% few home health care episodes, 21% fewer hospital readmissions, 16% fewer skilled nursing facility days, and 8% fewer skilled nursing facility admissions; only the reduction in home health care episodes was statistically significant. Guided Care produced even larger reductions in a subset of patients who received their primary care from one well-managed health system. Guided Care patients in Kaiser Permanente of the Mid Atlantic States experienced, on average, 52% fewer skilled nursing facility days, 47% fewer skilled nursing facility admissions, 49% fewer hospital readmissions, and 17% fewer emergency department visits; the differences for skilled nursing facility days and admissions were statistically significant. For details, please read press release or the article.

Guided Care won the 2011 Silver Crown Award. On March 8th, the Guided Care Program at Johns Hopkins Hopkins HealthCare received Dorland Health's 2011 Silver Crown Award for Case/Care Management Program. For more information, read Dorland Health's announcement or JHHC's press release (look under 'More News and Announcements').

Scholarships now available for the online Guided Care Nursing course! Through funding from the John A. Hartford Foundation, the Institute for Johns Hopkins Nursing is offering scholarships for the online Guided Care Nursing course. Registered nurses are eligible to apply if they are working for an organization in the United States that plans to use the Guided Care model or the principles of Guided Care in their patient-centered medical home or accountable care organization. For details, please read press release or visit the Adoption Page on the Guided Care website. To apply for the scholarship, please visit www.ijhn.jhmi.edu.

Free technical assistance now available! Through a grant from the John A. Hartford Foundation, the Lipitz Center is offering free technical assistance to organizations in the United States that plan to use the Guided Care model or the principles of Guided Care as they develop into patient-centered medical homes or accountable care organizations. For information, please visit the Adoption Page on the Guided Care website or read the press release.

Guided Care is referenced as a reform model in the Catholic Health Association of the United States report titled Crossing the Continuum: Integrating Senior Care in Catholic Health Systems written by Howard Gleckman of The Urban Institute, Fall 2010.

Guided Care is referenced in a blog by Jesse Gruman, PhD, titled Hospital Discharge Without a Net on the Prepared Patient Forum, which is a collection of resources and information about what it takes to find good health care and make the most of it.

Guided Care is listed as a promising care strategy to improve the quality of care for older Americans in a report by the Engelberg Center for Health Care Reform at Brookings titled Achieving Better Chronic Care at Lower Costs Across the Health Care Continuum for Older Americans.

JAMA article identifies Guided Care as one of three models with greatest potential to improve effectiveness and efficiency of complex primary health care. For more information, read press release or the article Comprehensive Primary Care for Older Patients with Multiple Chronic Conditions "Nobody Rushes You Through."

Center for Technology and Aging profiles Guided Care in its Position Paper Technologies for Improving Post-Acute Care Transitions, September 2010.

Chad Boult gave an opening presentation at a summit organized by the Gerontological Society of America titled "Diffusing Care Coordination Models: Translating Research into Policy & Practice" in Washington, DC, on September 16, 2010.

License Agreement for Guided Care: Organizations that wish to use the Guided Care model and the term "Guided Care" are required to obtain a license from Johns Hopkins University. A Sample License Agreement is available. To initiate the licensing process, organizations should contact Andrea Doering, Portfolio Director, Johns Hopkins Technology Transfer, or visit "One-Stop Licenses."

Guided Care is featured in the Agency for Healthcare Research and Quality's September 2010 edition of Research Activities, click here to read.

Guided Care is referenced in Professional Case Management article "Taking the Quality Journey to the Prize of Success" in July/August 2010 edition.

Caregiver data published in The Gerontologist (Wolff JL et al.): After 18-months of a randomized controlled trial, Guided Care caregivers judged the quality of chronic illness care received by their loved ones significantly higher than caregivers of patients of usual care. Guided Care caregivers who were employed (in addition to their caregiving role) reported increased work productivity, low absenteeism, and a decline in presenteeism (caregiving-related reductions in productivity at work).

Physician satisfaction data published in Annals of Family Medicine (Marsteller J et al.): After 1 year of a randomized controlled trial, primary care physicians who provided Guided Care reported higher levels of satisfaction with their patient/family communications and their knowledge of their patients' clinical characteristics than primary care physicians who provided usual care. For details, please see the press release or read the article.

Guided Care is featured on the APHA's Gerontological Health Section Newsletter, Spring 2010. Click here to read the article.

Guided Care is featured on AHRQ's June Change Exchange: listen to a podcast by Chad Boult and Tracy Novak and join the dialogue by posting a comment. Click here to access, and read the "News & Events" column on the right.

Guided Care added to PCPCC's Multi-Stakeholder Demonstration Map: the Patient-Centered Primary Care Collaborative maintains a database of national pilots/demonstrations of patient-centered medical homes. Click here to read about Guided Care and click here to learn about initiatives in your state.

The John A. Hartford Foundation blog posting on May 6, 2010 Making the Best Case (Management) is about the Guided Care Program at Kaiser Permanente Mid-Atlantic States winning a Case In Point Platinum Award.

New Guided Care book for Patients and Families: "Transformation: A Familiy's Guided to Chronic Care, Guided Care, and Hope" by Tom Grunder, Ed.D., is a short book that describes to chronically ill patients and their families what Guided Care is and how it works. Click here for details.

The National Center on Caregiving Family Caregiver Alliance's Innovations Clearinghouse features Q&A with Jennifer Wolff; click here to read.

Guided Care wins a Case In Point Platinum Award: The Guided Care Program at Kaiser Permanente Mid-Atlantic States won the 2010 Case In Point Platinum Award for the Case Management Provider Program. Guided Case was a finalist in two other categories: the Integrated Case Management Program and the Overall Case Management Program. Click here for more information.

Chad Boult presents Guided Care during March 5, 2010 Alliance for Health Reform's briefing "Better Care - Lower Costs: Exploring the Promise of Patient Engagement" at the Dirksen Senate Office Building. Click here to watch the video (click on camera icon before speaker's name).

Chad Boult presents Guided Care at January 28, 2010 Brookings Institution conference "Health Care Reform and Older Americans: Achieving Better Chronic Care at Lower Costs." Click here to watch the video.

The Lipitz Center was a finalist for a British Medical Journal Group award: The Roger C. Lipitz Center for Integrated Health Care in the Dept of Health Policy and Management at the Johns Hopkins Bloomberg School of Public Health was selected a finalist for the British Medical Journal Group's 2010 Getting Research into Practice Award for its work on Guided Care. Read press release for details.

Quality data published in the Journal of General Internal Medicine (Boyd CM et al.): After 18 months of a randomized controlled trial, Guided Care recipients rated their primary care significantly higher than usual care recipients with regard to coordination with specialists, support for self-management, and help received setting goals, making decisions, and solving health-related problems. Guided Care patients were also more likely to rate as "excellent" or "good" the time they had to wait for an appointment when they were sick and their ability to get phone advice. For more information, read the press release.

Chad Boult has been awarded a Health and Aging Policy Fellowship funded by the Atlantic Philanthropies. He will serve his fellowship at the Centers for Medicare and Medicaid Services, working in the Office of Research, Development and Inforamtion (ORDI) and the Center for Medicare Management (CMM). See article for details.

Chad Boult shared his thoughts on the challenges and the future of chronic care, read the article Guided Tour in the Fall 2009 edition of The Magazine of the Johns Hopkins Bloomberg School of Public Health.

Practice Management's August 7, 2009 edition featured an article on Guided Care, Teamwork Delivers Savings When Treating Chronic Conditions.

Guided Care wins the 2009 Medical Economics Award for Innovation in Practice Improvement cosponsored by the American Academy of Family Physicians, the Society of Teachers of Family Medicine, and Medical Economics magazine. See press release for details.

Case Management Advisor November 2009 edition features an article on Guided Care.

The American Public Health Association's Gerontological Health Section Newsletter Fall 2009 contained an article on Guided Care.

Chad Boult presented Guided Care at the World Health Summit in Berlin, Germany on October 18, 2009; read article for details.

Kaiser Family Foundation September 2009 White Paper "Strategies for Reining in Medicare Spending Through Delivery System Reform" cites Guided Care, stating "Some evidence from a small pilot test of the Guided Care model developed by Chad Boult, which may serve as a model for the medical home, suggests that such models could be effective in reducing hospitalizations and Medicare expenditures." "The Guided Care model...has great promise for medical homes."

Article published in Geriatric Nursing titled "Expanding the Gerontological Nursing Role in Guided Care" (see citation).

Guided Care featured in The New England Journal of Medicine's Sept 30, 2009 Perspective "Follow the Money - Controlling Expenditures by Improving Care for Patients Needing Costly Services" by Tom Bodenheimer and Rachel Berry-Millett.

Healthcare Financial Management Association's Leadership E-Newsletter featured an article on Guided Care.

The John A. Hartford Foundation blog posting on Sept 16, 2009, "Connecting Patients to Policymakers" is on Guided Care and patient experiences.

Guided Care wins the 2009 Medical Economics Award for Innovation in Practice Improvement cosponsored by the Society of Teachers of Family Medicine, the American Academy of Family Physicians, and Medical Economics magazine. Chad Boult will receive the award during the Conference on Practice Improvement on November 7 in Kansas City.

The Agency for Healthcare Research and Quality (AHRQ) awards additional funds to Johns Hopkins to evaluate continued savings of Guided Care. For details, see press release. Chad Boult presented Guided Care during the AHRQ Annual Conference on Sept 14, 2009.

Chad Boult audio interview on Medicare reform by the Magazine of the Johns Hopkins Bloomberg School of Public Health.

Advance for Nurses August 2009 E-Newsletter included an article titled "Guided Care Reduces Costs of Healthcare for Older Patients, Study Shows."

The National Health Policy Forum hosts Guided Care Site Visits, details and an article are available.

Cost savings data published in the American Journal of Managed Care (Leff B et al, 2009). In the first 8 months of a randomized controlled trial, Guided Care patients spent less time in hospitals and skilled nursing facilities and had fewer emergency room visits and home health episodes, leading to a 11% reduction in net costs. See press release for details.

Advance for Nurses July 29, 2009 Newsletter featured an article on Guided Care and a sidebar on becoming a Guided Care Nurse.

American Medical News July 2, 2009 edition included an article on Guided Care.

The Baltimore Sun Commentary "Healthy Savings" refered to Guided Care on June 16, 2009.

Commissioned Paper for the Institute of Medicine, National Academy of Sciences 2008 Report "Retooling for an Aging America: Building the Health Care Workforce." Chad Boult led the team that wrote "Successful Models of Comprehensive Health Care for Multi-Morbid Older Persons: A Review of Effects on Health and Health Care."

The National Gerontological Nursing Association endorsed the new online Guided Care Nursing course developed by the Institute for Johns Hopkins Nursing.

The Case Management Society of America's Magazine Case in Point features Guided Care in an article titled "Health and Performance Improvement" in its June/July 2009 issue.

The John A. Hartford Foundation's blog posting on April 1, 2009 is titled "Guided Care Featured."

New York Times 'The New Old Age Caring and Coping' blog March 31, 2009 Care Coordination: Too Expensive for Medicare? featured Guided Care and Guided Care nurse Cecilia Daub.

Guided Care book is available from Springer Publishing. "Guided Care: A New Nurse-Physician Partnership in Chronic Care" provides physicians, nurses, administrators, and leaders of health care organizations with step-by-step guidance to adopt Guided Care plus many tools and resources. The book is coauthored by Chad Boult, MD, MPH, MBA, Jean Giddens, PhD, RN, Katherine Frey, MPH, Lisa Reider, MHS, and Tracy Novak, MHS.  For more information or to order, click here or call Springer's customer service at 877-687-7476.

Chad Boult, MD, MPH, MBA, quoted in the New York Times about the need for new models of health care for older adults. See articles, New Model of Care is Needed, Experts Say and 'Cookbook Medicine' Won't Do for Elderly.

Chad Boult receives 2008 Archstone Award.Guided Care has received the 2008 Archstone Foundation Award for Excellence in Program Innovation from the Archstone Foundation and the Gerontological Health Section of the American Public Health Association (APHA). Chad Boult, MD, MPH, MBA, accepted the award on October 27 at the 136th Annual APHA meeting in San Diego. Click here for the press release about the award.

Johns Hopkins Magazine November 2008 Search for an Rx by Michael Anft.

Healthcare Intelligence Network's Health Sounds October 23, 2008 Podcast featuring Chad Boult describing Guided Care. The podcast is titled Managing Comorbidities in Disease Management.

Capitation Rates & Data, October 2008
Guided Care Plan Reduces Costs for Chronically Ill Seniors Edited by Marie Powers.

Chad Boult, MD, MPH, MBA, has been named the recipient of the 2008 UCLA David H. Solomon Award. This award is given annually to recognize an influential leader in the field of geriatrics. Dr. Boult's research includes Guided Care, a novel, multidisciplinary model of primary care for people with multiple chronic conditions.  Click here for the press release about the award.

$1.7 Million Grant Received to Assist Practices in the Medicare Medical Home Demo.  The Roger C. Lipitz Center for Integrated Health Care at the Johns Hopkins Bloomberg School of Public Health received a $1.7 million grant from the John A. Hartford Foundation to help medical practices qualify for and participate in CMS's three-year Medicare Medical Home Demonstration project.  The Lipitz Center will offer health care providers information, education, and technical support based on the Hopkins-developed Guided Care model.  Click here for the press release.

New Data Available on Early Effects of Guided Care on the Quality of Health Care published in the Journal of Gerontology: Medical SciencesClick here for the reference and link to the article.

The Magazine of the Johns Hopkins Bloomberg School of Public Health, Fall 2007
Fix This Mess By Mary Beth Regan; Illustrations by Dung Hoang.

Baltimore Magazine listed Chad Boult among the top doctors in geriatric medicine, November 2007.

CBS News Radio Correspondent Barry Bagnato featured Guided Care in his "Autumn in America" series that aired in Sept 2007.

KNPR State of Nevada interviewed Chad Boult about Guided Care on August 31, 2007.

AARP's Prime Time Radio Program interview with Chad Boult. Click here to link to the interview - See "Guided Care" on Aug 21, 2007. [RealPlayer technology is needed.  If your computer doesn't have it, click here for free installation and easy directions.]

MarketWatch by Dow Jones, August 2, 2007
Caregiving at a Crossroads: Boomer Caregivers Drive Push for More Integrated Support Services
By Kristen Gerencher.

AARP Retirement Living Video clip: The Guided Care Solution
Click here to watch the video.

The New Yorker, April 30, 2007
Annals of Medicine: The Way We Age Now
By Atul Gawande.

The Wall Street Journal, April 22, 2007
The Elderly Population Booms, but Care Doesn’t Keep Pace By Jim Winston.

The Magazine of the Johns Hopkins Bloomberg School of Public Health, Spring 2007
A New Age for Old Age By Jim Duffy.