Guided Care. a New Nurse-Physician Partnership in Chronic Care

Description

"Boult and his colleagueshave crafted a team model that builds upon the unique strengths of nurses and primary care physicians coupled with effective communication and implementation of evidence-based care. This represents a great advance over business as usual." --David B. Reuben, MD, Director, Multicampus Program in Geriatric Medicine and Gerontology-
Chief, Division of Geriatrics, David Geffen School of Medicine at UCLA

Guided Care is an exciting, new team model used to provide medical care to clients with chronic conditions. This model involves adding a Guided Care nurse to the primary care practice team. It is also the most efficient, cost-effective way to respond to the needs of patients.

This book provides physicians, nurses, administrators, and leaders of health care organizations with step-by-step guidance on adopting Guided Care Nursing into their practice.

Featured Highlights:

• Evaluating the primary care pratice's readiness to adopt Guided Care
• Preparing for adoption
• Integrating Guided Care into existing practices
• Hiring nurses for the primary care team
• Assuring financial viability
• Comparing Guided Care with other models

The future of primary care, and the quality of care for adults with chronic conditions, depends on finding approaches to improve efficiency and effectiveness. This book demonstrates that Guided Care yields the best outcomes for patients and for primary care at large.

Table of Contents

Preface by Edward H. Wagner, MD, MPH, FACP
Foreword
Chapter 1: The Challenge - Improving Chronic Care
Chapter 2: Guided Care
Chapter 3: Is Your Practice Ready To Adopt Guided Care?
Chapter 4: First Things First - Preparing To Implement Guided Care
Chapter 5: The Starting Line - Putting Guided Care Into Practice
Chapter 6: Getting Results With Guided Care - Managing The Model
Chapter 7: Balancing The Budget And Obtaining Technical Assistance
Appendices: Appendix A - Guided Care Nursing
Appendix B - Condition-Specific Assessment Forms
Appendix C - Condition-Specific Guideline and Data Forms
Appendix D - CMS's Medicare Medical Home Demonstration
References

Author Biographies

Dr. Chad Boult is the Eugene and Mildred Lipitz Professor of Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health. He directs the Roger C. Lipitz Center for Integrated Health Care and holds joint appointments on the faculties of the Johns Hopkins University Schools of Medicine and Nursing. A geriatrician for 20 years, he has extensive experience in developing, testing, evaluating, and diffusing new models of health care for older adults.

Dr. Jean Giddens is a professor and coordinator for the Masters in Nursing Education program at the College of Nursing, University of New Mexico in Albuquerque. A nurse educator for 25 years, she has taught nursing in associate, baccalaureate, master and doctoral programs. Her expertise is curriculum development and online learning applications. She has been involved with Guided Care as a nursing consultant since 2005.

Katherine Frey is a research associate in the Department of Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health. As a project director for eight years, she has extensive experience coordinating and managing large research studies. She also has rich experience in planning and delivering training programs for educating professionals.

Lisa Reider is a research associate in the Department of Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health. She has five years of experience coordinating aging-focused research studies at Johns Hopkins University, with expertise in managing and analyzing large data sets. She is currently the project director for the Guided Care study.

Tracy Novak is a research associate in the Department of Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health. As a health policy professional, her experience focuses on developing and implementing diffusion strategies, and organizing grassroots advocacy campaigns to build effective lobbying platforms. She has been an advocate on end-of-life issues and has testified before the Maryland House of Delegates in support of advance directives legislation. Her current work involves communicating information about Guided Care to relevant stakeholders and supporting its adoption in the American health care system.