Identifying Care Coordination Interventions Provided to Community-Dwelling Older Adults Using Electronic Health Records. Comput Inform Nurs 2016 Jul;34(7):303-11
Date
03/18/2016Pubmed ID
26985762Pubmed Central ID
PMC4938732DOI
10.1097/CIN.0000000000000232Scopus ID
2-s2.0-84961226630 (requires institutional sign-in at Scopus site) 4 CitationsAbstract
Although care coordination is a popular intervention, there is no standard method of delivery. Also little is known about who benefits most, or characteristics that predict the amount of care coordination needed, especially with chronically ill older adults. The purpose of this study was to identify types and amount of nurse care coordination interventions provided to 231 chronically ill older adults who participated in a 12-month home care medication management program in the Midwest. For each participant, the nurse care coordinator spent an average of 134 min/mo providing in-person home care, 48 min/mo of travel, and 18 min/mo of indirect care occurring outside the home visit. This accounted for 67.2%, 23.8%, and 9.0% of nursing time, respectively, for home visits, travel, and indirect care. Four of 11 nursing interventions focused on medication management were provided to all participants. Seven of the 11 main interventions were individualized according to each person's special needs. Wide variations were observed in time provided with in-person home care and communications with multiple stakeholders. Study findings indicate the importance of individualizing interventions and the variability in the amount of nursing time needed to provide care coordination to chronically ill older adults.
Author List
Kim TY, Marek KD, Coenen AAuthor
Amy Coenen PhD Professor in the Nursing department at University of Wisconsin - MilwaukeeMESH terms used to index this publication - Major topics in bold
AgedAged, 80 and over
Case Management
Chronic Disease
Continuity of Patient Care
Electronic Health Records
Female
Home Care Services
Humans
Independent Living
Male
Middle Aged
Nursing Assessment
