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The Roger C. Lipitz Center for Integrated Health Care

Keyword: care

The Common Attributes of Successful Care Manager Programs for High-Need, High-Cost Persons: A Cross-Case Analysis.


Thurber EGBoyd CLeff BWolff JAnderson G

Abstract

Many programs use care managers to improve care coordination for high-need, high-cost patient populations. However, little is known about how programs integrate care managers into care delivery or the attributes shared by successful programs. We used a case study approach to examine the common attributes of 10 programs for high-need, high-cost individuals utilizing a longitudinal care manager that had achieved success in reducing cost, improving quality, or increasing patient satisfaction. Through interviews with program leaders and document review, we identified 10 common attributes of successful care manager programs, offering insights for providers aiming to better serve the high-need, high-cost population.

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Sharing in care: engaging care partners in the care and communication of breast cancer patients.

This study examines the acceptability and short-term effects of a low-cost, scalable strategy to engage family care partners in cancer communication. At baseline, most—but not all—patients reported involving family in medical decision-making while 4 in 5 patients stated they would like their care partner to have access to their electronic health information. Few (< 2%) care partners were registered for MyChart at baseline, although 4 in 10 reported viewing patient’s electronic health information in the prior year using the patient’s credential. Within this context, we found that a brief, self-administered patient–family agenda setting checklist was endorsed as being helpful to patient and care partner pre-visit preparations, led to striking increases in care partner registration and use of the patient’s MyChart account, and led to more intervention patients viewing oncology visit notes at 6 weeks....Read More