How Geisinger's Advanced Medical Home Model Argues The Case For Rapid-Cycle Innovation

被引：57

作者：

Steele, Glenn D. ^{[1
]}

Haynes, Jean A.

Davis, Duane E.

Tomcavage, Janet ^{[2
]}

Stewart, Walter F. ^{[1
]}

Graf, Tom R.

Paulus, Ronald A. ^{[3
]}

Weikel, Karena ^{[4
]}

Shikles, Janet

机构：

[1] Geisinger Hlth Syst, Ctr Hlth Res, Danville, PA USA

[2] Geisinger Hlth Plan, Hlth Serv, Danville, PA USA

[3] Mission Hlth Syst & Hosp, Asheville, NC USA

[4] Geisinger Hlth Plan, Actuarial Serv, Danville, PA USA

来源：

HEALTH AFFAIRS | 2010年 / 29卷 / 11期

关键词：

ELECTRONIC HEALTH RECORD; CARE REFORM; MASSACHUSETTS;

D O I：

10.1377/hlthaff.2010.0840

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

The Patient Protection and Affordable Care Act of 2010 provides for a number of major payment and delivery system initiatives. These potential changes need to be tested, scaled, and adapted with an urgency not evident in previous demonstration projects of the Centers for Medicare and Medicaid Services. We discuss lessons learned from our iterative tests of care reengineering at Geisinger-specifically, through our advanced medical home model, ProvenHealth Navigator(SM), and the way we continuously modified the model to improve quality and value. We hypothesize that the most important ingredient in our model has been the embedding of nurse case managers into our community practices and the real-time feedback of data on the use of health services by the most complex patients.

引用

页码：2047 / 2053

页数：7

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