El. knyga: Enhancing Primary Care of Elderly People [Taylor & Francis e-book]

Foreword xi(4) Donna Regenstreif Abbreviations and Acronyms xv(2) Acknowledgements xvii Introduction: Medicare Managed Care and Primary Care for Frail Elders 3(6) Bradford L. Kirkman-Liff The Promises of Medicare Managed Care 4(1) The Reality of Medicare Managed Care 5(2) Moving Managed Care Forward 7(2) CHAPTER 1 An Overview of Primary Care and the Generalist Physician Initiative 9(16) Mark Sager Frank G. Williams F. Ellen Netting The Challenges of Geriatric Care 11(2) The Potential of Primary Care 13(2) The Generalist Physician Initiative 15(10) CHAPTER 2 Complementary Geriatric Practice Model 25(18) Nancy A. Whitelaw Mary Beth Tupper Alice Early Phyllis Collier Project Design 26(3) Patient Selection and Enrollment 29(2) Roles and Relationships 31(2) Implementation and Relationship Development 33(2) Assessment and Care Planning 35(3) Evaluation and Lessons Learned 38(5) CHAPTER 3 Collaborative Care Teams 43(22) Cheryl Schraeder Paul Shelton Teri Britt Robert Turngren Ida Nagele Background 43(3) Geriatric Collaborative Care Model 46(6) Geriatric Collaborative Care: Clinical Processes 52(4) Model Application: Case Studies 56(3) Lessons Learned 59(3) Summary 62(3) CHAPTER 4 Advanced Practice Nurses as System-Wide Case Managers for Internists 65(20) Linda J. Battaglini A. Judith Czerenda Background 66(2) Project Design 68(1) Roles and Relationships 69(6) Patient Selection and Enrollment 75(3) Assessment and Care Planning 78(2) Evaluation Results 80(1) Lessons Learned 81(2) Summary 83(2) CHAPTER 5 A Collaborative Model with Nurse Practitioners and Social Workers 85(22) Gloria B. Weinberg Background 85(2) Project Design 87(9) Relationship Development Among Collaborators 96(2) Evaluation 98(2) Lessons Learned 100(3) Summary 103(4) CHAPTER 6 Physician Assistants in Urban Neighborhood Health Centers 107(20) Philip A. Anderson Richard H. Fortinsky C. Seth Landefeld Background 107(1) Project Design 108(2) Roles and Relationships 110(7) Patients 117(2) Assessment and Care Planning 119(1) Evaluation 120(2) Lessons Learned 122(2) Summary 124(3) CHAPTER 7 Primary Care Physician, Nurse, and Social Work Collaboration in the Care of Community-Dwelling, Chronically Ill Elders 127(24) Lucia Sommers Janeane Randolph Project Design and Implementation 128(2) Roles and Relationships 130(3) The SCC Intervention 133(3) Evaluation and Lessons Learned 136(6) Implications 142(6) Summary 148(3) CHAPTER 8 An Effective Managed Care Strategy: Case Managers in Partnership with Primary Care Physicians 151(20) Lynne Anker-Unnever Background 151(2) St. Joseph Healthcare in a Changing Environment 153(1) Project Design 154(5) Roles and Relationships 159(6) Evaluation 165(2) Lessons Learned 167(1) Summary 168(3) CHAPTER 9 Cost Effective Care Coordination in the Rural Physicians Office 171(18) Carlton A. Hornung Bernice Brewer Millicent Stein Background 171(2) The Geriatric Technician 173(4) Role Development 177(1) Patient Selection Criteria 178(1) Patient Assessment 179(2) Evaluation 181(3) Lessons Learned 184(2) Summary 186(3) CHAPTER 10 How Understanding the Patients World Can Improve Geriatric Care in Physicians Busy Practice Settings 189(12) John H. Wasson Anne M. Jette Background 189(2) Practice Selection and Project Design 191(5) Evaluation and Lessons Learned 196(3) Summary 199(2) CHAPTER 11 The Physician and Care Coordinator: A Chronic Care Partnership 201(18) Sue Shearer W. June Simmons Barbara Berkman Gladys Gundrum Monika White Background 201(2) Project Design 203(2) Physician Selection 205(1) Roles and Relationships 206(2) Relationship Development 208(1) Patient Selection and Enrollment 209(2) Assessment and Care Planning 211(2) Replication Efforts 213(1) Lessons Learned 214(3) Summary 217(2) CHAPTER 12 Lessons Learned Across Sites 219(16) Frank G. Williams Bradford L. Kirkman-Liff F. Ellen Netting Consider the Context 220(2) Coordinated Care Can Be Cost-Effective 222(1) Flexibility Is Needed 223(2) Geriatric Training and Knowledge Is Limited 225(1) Successful Collaboration Requires Tact, Preparation, and Time 226(1) Each Team is Different: Lessons Learned 227(2) Project Leadership Is Critical 229(2) Applied Research Is Difficult in Health Care 231(1) Managed Care Can Foster Improved Primary Care 232(1) Summary and Conclusions 233(2) Contributors 235(10) Index 245

F. Ellen Netting, Frank G. Williams