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Coordinated Care

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  • Topic: Coordinated care
  • Age: Seniors (65+)
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Tootsie’s Story, Continued: A Family Wonders Whether Nurse-Led Care Coordination Might Have Prolonged a Life

February 7, 2013 | Human Capital Blog Post

RWJF Nurse Faculty Scholar Jennifer Bellot writes about losing her grandmother to complications from a medical error.

Additional Funding to Coordinate Services for Elderly in Cincinnati Doesn't Improve Health Care

August 1, 2003 | Program Result

The Council on Aging of the Cincinnati Area developed a project to enhance care for the frail elderly by linking acute and long-term care services and improving communication and coordination among providers.

Medicare/Medicaid Integration Program

National Program

A state demonstration program to test the operation and design of delivery systems that integrate long-term and acute care services under combined Medicare and Medicaid capitation payments for elderly patients.

Going It Together: Physician Visits as a Family Affair

February 10, 2012 | Human Capital Blog Post

Study participants also reported through the Medicare Current Beneficiary Survey that their companions performed or assisted with a variety of functions: transportation, physical assistance, scheduling appointments, taking notes, asking questions, p ...

Minnesota's Senior Health Options Integrates Long-Term and Acute Care

January 14, 2009 | Program Result

Minnesota's Department of Human Services planned, developed and implemented Minnesota Senior Health Options, a managed care program that blends funds from the Medicare and Medicaid programs.

PACE Summit Develops Action Plan to Serve Rural Elderly

March 1, 2007 | Program Result

The National PACE Association, along with the National Rural Health Association, convened the Rural PACE Summit. PACE (Programs of All-inclusive Care for the Elderly) is a service delivery model that integrates medical and social services.

Scope of Care Coordination Daunting for Physicians Treating Medicare Patients

February 16, 2009 | News Release

Typical primary care physician must coordinate care with 229 other physicians in 117 practices.

Larry Wants to Take Care of Himself

October 31, 2008 | Program Result

Like many low-income seniors in Minnesota, Larry wants to take care of himself, but he needs some help.

Estella's Macular Degeneration

October 31, 2008 | Program Result

Estella set a potholder on fire because she could no longer read the burner knobs on her stove to tell if they were "on" or "off."

Mae, Temporarily Too Weak After Surgery to Keep House or Eat Properly

October 31, 2008 | Program Result

Before having heart surgery at the age of 78, Mae was content to live alone in an apartment, managing her diabetes, and doing all of her own cooking, cleaning and driving.

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