Care coordination experiences of people with disabilities enrolled in medicaid managed care

Bowers, Anne; Owen, Randall; Heller, Tamar

doi:10.1080/09638288.2016.1219773

Cited by 19 publications

(13 citation statements)

References 23 publications

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“…Ensuring quality is an essential component of the chronic care model. 33 Person-centered health care is associated with improved outcomes [79][80][81] and better relationships between referring practitioners, individuals, and teams. 82,83 For DSMES services to be sustainable, quality must be a priority.…”

Section: Standard 4 Quality Coordinator Overseeing Dsmes Servicesmentioning

confidence: 99%

2017 National Standards for Diabetes Self-Management Education and Support

et al. 2017

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The purpose of this study is to review the literature for Diabetes Self-Management Education and Support (DSMES) to ensure the National Standards for DSMES (Standards) align with current evidence-based practices and utilization trends. Methods The 10 Standards were divided among 20 interdisciplinary workgroup members. Members searched the current research for diabetes education and support, behavioral health, clinical, health care environment, technical, reimbursement, and business practice for the strongest evidence that guided the Standards revision. Results Diabetes Self-Management Education and Support facilitates the knowledge, skills, and ability necessary for diabetes self-care as well as activities that assist a person in implementing and sustaining the behaviors needed to manage their condition on an ongoing basis. The evidence indicates that health care providers and people affected by diabetes are embracing technology, and this is having a positive impact of DSMES access, utilization, and outcomes. Conclusion Quality DSMES continues to be a critical element of care for all people with diabetes. The DSMES services must be individualized and guided by the concerns, preferences, and needs of the person affected by diabetes. Even with the abundance of evidence supporting the benefits of DSMES, it continues to be underutilized, but as with other health care services, technology is changing the way DSMES is delivered and utilized with positive outcomes.

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Section: Standard 4 Quality Coordinator Overseeing Dsmes Servicesmentioning

confidence: 99%

2017 National Standards for Diabetes Self-Management Education and Support

et al. 2017

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“…Care coordination is an example of integration at the service delivery level and has been identified as a core requirement for provision of such care (33, 34). Care coordination involves working with persons with SPMI to first identify and prioritize their needs, then liaising with multiple service providers to develop a care plan, and finally facilitating the provision of services according to that plan to meet clients’ needs (32, 35).…”

Section: Introductionmentioning

confidence: 99%

Care Coordination Can Reduce Unmet Needs of Persons With Severe and Persistent Mental Illness

et al. 2019

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Introduction: Persons with severe and persistent mental illness (SPMI) have multiple and complex needs, many of which are not health related. Mental health services are unable to address these needs without collaboration with other agencies. In the absence of this collaboration, persons with SPMI often fall through the system cracks and are unlikely to experience recovery. Furthermore, previous studies have shown that unmet accommodation needs are associated with unmet needs in other areas. This study aimed to ascertain whether a care coordination model adopted in Australia’s Partners in Recovery [PIR] initiative was able to reduce unmet needs in such persons and also if meeting accommodation needs were associated with meeting other needs. Methods: This was a longitudinal study where met and unmet needs of clients measured using the Camberwell Assessment of Needs Short Appraisal Schedule (CANSAS) were compared at enrolment and exit from the PIR initiative. Logistic regression was used to examine the association between change in accommodation needs and change in other CANSAS variables. Results: In total, 337 clients (66% of 508 clients) had both baseline and follow-up data and were seen within the time frame of 14 to 101 weeks. At baseline, the most frequently reported unmet needs were psychological distress, daytime activity, and company (89%, 72%, and 67%, respectively). At follow-up, these had decreased to 27%, 22%, and 22%, respectively. The proportions of clients with an unmet need at baseline who subsequently progressed to having that need met at follow-up ranged between 62% and over 90%. Change in accommodation needs from unmet to met was associated with changes in monetary needs and needs related to childcare, food, safety to self, education, and access to other services, with the greatest change seen for monetary needs (adjusted OR 2.87, 95% CI 1.76, 4.69). Conclusions: Reducing needs of persons with SPMI is the starting point of recovery and is a good indicator of psychiatric care. Care coordination is a useful way to address multiple and complex needs of persons with SPMI. While addressing needs, priority must be given to meeting accommodation needs.

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“…Personcentered health care is associated with improved outcomes (79)(80)(81) and better relationships between referring practitioners, individuals, and teams (82,83). For DSMES services to be sustainable, quality must be a priority (84,85).…”

Section: Standard 4 Quality Coordinator Overseeing Dsmes Servicesmentioning

confidence: 99%