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Details of developing and implementing an intensive interdisciplinary care program for high need, high cost patients. Healthc (Amst) 2021 Jun;9(2):100452

Date

02/20/2021

Pubmed ID

33607519

DOI

10.1016/j.hjdsi.2020.100452

Scopus ID

2-s2.0-85100897727

Abstract

1. Developing and implementing an intensive interdisciplinary medical home within a large academic medical center was feasible. 2. Deploying a complex care management program that shared staff and resources with an intensive primary care program was not successful. 3. Barriers included traversing legal barriers to text messaging patients, making hospital consults feasible financially, managing challenging patients, team wellness, provider back up, managing homebound patients, and discharging patients. 4. Although expensive, this model may have hidden benefits including improved patient satisfaction, quality of care, and providing a solid care system for a health system's most challenging and vulnerable population.

Author List

Hilgeman B, Egede L, Silverstein R, Kastner M, Stulac-Motzel W, Dawson A, Walker R, Simms A, Ayala K, MacKinney T

Authors

Aprill Z. Dawson PhD, MPH Assistant Professor in the Medicine department at Medical College of Wisconsin
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin
Brian Hilgeman MD Assistant Professor in the Medicine department at Medical College of Wisconsin
Theodore MacKinney MD Professor in the Medicine department at Medical College of Wisconsin
Rebekah Walker PhD Associate Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Academic Medical Centers
Critical Care
Humans
Patient Satisfaction
Patient-Centered Care
Referral and Consultation