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Experiences in the Development of Electronic Care Plans for the Management of Comorbidities [chapter]

Esther Lozano, Mar Marcos, Begoña Martínez-Salvador, Albert Alonso, Josep Ramon Alonso
2010 Lecture Notes in Computer Science  
To confirm this hypothesis we have carried out an experiment consisting in developing a library of care plan components for the management of patients with COPD 3 or CHF 4 , and next building a care plan  ...  We are concerned with the development and reengineering of electronic care plans dealing with comorbidities.  ...  Experimental framework Our experiment consists in the development of a care plan in electronic format for the prevention of exacerbations in stable COPD&CHF patients, care plan which is partly based on  ... 
doi:10.1007/978-3-642-11808-1_10 fatcat:nts6lmddkzckxfabwhijohiw5u

The effectiveness of case management for comorbid diabetes type 2 patients; the CasCo study. Design of a randomized controlled trial

Nathalie Versnel, Laura MC Welschen, Caroline A Baan, Giel Nijpels, François G Schellevis
2011 BMC Family Practice  
The objective of this study is to examine the effectiveness of a case management program, in addition to a diabetes management program, on the quality of care for comorbid T2DM patients.  ...  Comorbid patients are therefore at risk for suboptimal treatment, unsafe care, inefficient use of health care services and unnecessary costs.  ...  of the study and training of the case managers.  ... 
doi:10.1186/1471-2296-12-68 pmid:21729265 pmcid:PMC3142502 fatcat:x44qiz2arngtpaeov2mpbpu23e

Information Technology to Support Improved Care For Chronic Illness

Alexander S. Young, Edmund Chaney, Rebecca Shoai, Laura Bonner, Amy N. Cohen, Brad Doebbeling, David Dorr, Mary K. Goldstein, Eve Kerr, Paul Nichol, Ruth Perrin
2007 Journal of general internal medicine  
BACKGROUND: In populations with chronic illness, outcomes improve with the use of care models that integrate clinical information, evidence-based treatments, and proactive management of care.  ...  Software to implement these strategies should be developed, and rigorously evaluated within the context of organizational efforts to improve care.  ...  Shoai received salary support from the grant that funded this research. Other authors received support from grants involving related projects.  ... 
doi:10.1007/s11606-007-0303-4 pmid:18026812 pmcid:PMC2150622 fatcat:z2jlb3mykbetfhioistsbsh5gu

Evaluating Depression Care Management in a Community Setting: Main Outcomes for a Medicaid HMO Population with Multiple Medical and Psychiatric Comorbidities

Jeanette A. Waxmonsky, Marshall Thomas, Alexis Giese, Steve Zyzanski, L. Miriam Dickinson, Gretchen Flanders McGinnis, Paul Nutting
2012 Depression Research and Treatment  
The authors describe the implementation of a depression care management (DCM) program at Colorado Access, a public sector health plan, and describe the program's clinical and system outcomes for members  ...  Limitations and recommendations for the integrated depression care management are discussed.  ...  Acknowledgments This project was supported in part by Grant from the Robert Wood Johnson Foundation no. 048042 and the Caring for Colorado Foundation Community Health Grant no. 20030741.  ... 
doi:10.1155/2012/769298 pmid:23133748 pmcid:PMC3485479 fatcat:4bx5z3mclncjbolf7njhq2ghpy

The Center for Peripartum Optimization: An Innovative Approach to Care Coordination

2018 Anesthesia and Medical Practice Journal  
and reduce the likelihood of post-surgical adverse events, escalations in level of care, and readmissions for certain patient populations.  ...  In the first stage, the departments of Anesthesiology, Gynecology and Obstetrics, Hematology, and Cardiology synchronized patient scheduling and developed a process for transfer of administrative and clinical  ...  With this information, he/she develops a tailored peripartum anesthetic and comorbidity management plan and facilitates the triage of patients who are in need of further testing, imaging, or consultative  ... 
doi:10.29011/2637-9953.100025 fatcat:enxynle5tnfq7bno2lhecu3b6e

Primary care and communication in shared cancer care: a qualitative study

Yvonne H Sada, Richard L Street, Hardeep Singh, Rachel E Shada, Aanand D Naik
2011 American Journal of Managed Care  
However, strategies to promote a more active role for PCPs in managing comorbidities, psychological distress, and behavior modification, as well as to overcome communication challenges between physicians  ...  Primary care physicians expressed uncertainty about their role during cancer care, although medical oncologists emphasized the importance of comorbidity control during cancer treatment.  ...  The findings of our study suggest a more active role for PCPs in managing comorbidities, psychological distress, and behavior modification in shared cancer care.  ... 
pmid:21615196 pmcid:PMC3693186 fatcat:bnnolvrrjrbodkt4fismbuwobu

Elderly People with Chronic Diseases: A Vision Of The Future

Antonio Masia Alegre
2017 Epidemiology: Open Access  
Autonomous Plan Care for patients with CD in each of the Autonomous Communities (CCAA), the Health Plan of Catalonia 2011-2015 [5] , the Plan of Care for patients with CD of the Valencian Community (  ...  • Comprehensive health care plan for the elderly and the chronically ill in the CV (2007-2011). • Plan of attention to the stroke in the CV (2011-2015). • Comprehensive palliative care plan of the CV  ... 
doi:10.4172/2161-1165.1000310 fatcat:oxzlktjaijgevlwam7gdisr22u

Rationale and Design of a Telehealth Self-Management, Shared Care Intervention for Post-treatment Survivors of Lung and Colorectal Cancer

Virginia Sun, Anne Reb, Marc Debay, Marwan Fakih, Betty Ferrell
2021 Journal of Cancer Education  
However, there are few evidence-based interventions that address survivors' post-treatment needs beyond the use of a follow-up care plan.  ...  The intervention design was informed by (1) contemporary published evidence on cancer survivorship, (2) our previous research in lung and colorectal cancer survivorship, (3) the chronic care self-management  ...  The purpose of this paper is to describe the rationale, development, and design of a telehealth self-management, shared care intervention for post-treatment survivors of stages I-III lung and colorectal  ... 
doi:10.1007/s13187-021-01958-8 pmid:33415649 fatcat:c7a4ocqhhjdu5ni3hwtfuxnpmi

Setting the research agenda for living with and beyond cancer with comorbid illness: reflections on a research prioritisation exercise

D. Cavers, S. Cunningham-Burley, E. Watson, E. Banks, C. Campbell
2020 Research Involvement and Engagement  
Five key priorities were identified for exploration in subsequent qualitative studies, including the diagnostic journey, the burden of symptoms, managing medications, addressing the needs of informal carers  ...  Including patient partners in the research prioritisation process adds focus and relevance, and feeds into future work and recommendations to improve health and social care for this group of patients.  ...  Authors' contributions DC conceived of the idea for this study and all authors contributed to its development.  ... 
doi:10.1186/s40900-020-00191-9 pmid:32368351 pmcid:PMC7191759 fatcat:e754fd5fnbb35k5wib7aeccxuq

Protocol for regional implementation of community-based collaborative management of complex chronic patients

Isaac Cano, Ivan Dueñas-Espín, Carme Hernandez, Jordi de Batlle, Jaume Benavent, Juan Carlos Contel, Erik Baltaxe, Joan Escarrabill, Juan Manuel Fernández, Judith Garcia-Aymerich, Miquel Àngel Mas, Felip Miralles (+9 others)
2017 npj Primary Care Respiratory Medicine  
The protocol for regional deployment of CCP management in Catalonia (ES) (7.5M citizens) is being developed under the umbrella of the Catalan Government Health Plan 2016-2020, 25 and it is supported  ...  into effectiveness at health system level. 12 In addition, poor comparability among experiences on management of multimorbidity emerges as an important hurdle for the adoption of integrated care.  ...  AUTHOR CONTRIBUTIONS Competing interests: The authors declare that they have no competing financial interests.  ... 
doi:10.1038/s41533-017-0043-9 pmid:28710482 pmcid:PMC5511202 fatcat:xqvdta3tsfgxbgh7g2tgdcc5n4

Congestive Heart Failure: Diagnosis and Management in Primary Health Care

Ibrahim Abdulrahman Altukhays, Salman Hejab Alosaimi, Meshari Assaf Alotaibi, Amirh Ayman Aamzami, Zainab Adel Slais, Amani Mohammed Al Zainaldeen, Laila Hassan Hakami, Badria Fahad Al Saber, Abdulelah Mohammed Alessa, ‎‏Maitham Ahmed Alfardan, Mohammed Abdulrahman Alotaibi
2022 Archives of Pharmacy Practice  
This review will highlight the importance of diagnosing and managing Congestive heart failure patients for primary health care physicians.  ...  However, the management and presentation of a patient with heart failure remain in the fields of doubt.  ...  In this review, we will highlight the importance of diagnosing and managing Congestive heart failure patients for primary health care physicians.  ... 
doi:10.51847/kbs2ghpd1q fatcat:7xqhgjbupbfgzkv4yrhfhh7srm

Electronic Screening System through Community Engagement: A National Strategic Plan to Find COVID-19 Patients and Reduce Clinical Intervention Delays

Mehrdad Amir-Behghadami, Masoumeh Gholizadeh
2020 Infection control and hospital epidemiology  
Conflicts of interest. All authors report no conflicts of interest relevant to this article.  ...  In conclusion, a successful electronic screening system was developed and introduced to combat the COVID-19 pandemic in Iran.  ...  In addition, this plan is consistent with the overall goal of developing health systems, strengthening their capacity to meet the needs of the community, and achieving universal health coverage.  ... 
doi:10.1017/ice.2020.188 pmid:32362298 pmcid:PMC7218181 fatcat:p4anypcurfewfcozuydn3mbc3a

Physician involvement in disease management as part of the CCM

Paul J Wallace
2005 Health Care Financing Review  
During the last decade, Kaiser Permanente, an integrated health care delivery system with more than 60 years of experience in managing the care of individuals and populations, has applied the chronic care  ...  Phase I of the voluntary chronic care improvement (CCI-I) under traditional fee-for-service Medicare initiative seeks to extend the benefits of disease management to an elderly population with comorbid  ...  ACKNOWLEDGMENTS The author would like to express appreciation to Helen Pettay and Jim Bellows for their helpful comments and suggestions and to Jennifer Green for manuscript production and editorial support  ... 
pmid:17288075 pmcid:PMC4194903 fatcat:kqvdcd2ddrcfhm6ecsyzblxlje

A Nursing Approach to Self-Management Education for Individuals With Mental Illness and Diabetes

Mary Ellen Lawless, Stephanie W. Kanuch, Siobhan Martin, Denise Kaiser, Carol Blixen, Edna Fuentes-Casiano, Martha Sajatovic, Neal V. Dawson
2016 Diabetes Spectrum  
to engage group discussion of home practice exercises Assisting partici- pants in writing a personal care plan (PC plan) for their diabetes and mental health management Writing a PC plan can  ...  Professional groups have called for developing best practices to address the unique needs of patients with SMI for treatment of their comorbid general medical and psychiatric conditions (4, 8) .  ... 
doi:10.2337/diaspect.29.1.24 pmid:26912962 pmcid:PMC4755453 fatcat:vz7gc2v3bvgwhe3j74pscowrfm

Accuracy of the Charlson index comorbidities derived from a hospital electronic database in a teaching hospital in Saudi Arabia

Adel Youssef, Hana Alharthi
2013 Perspectives in health information management  
Although several studies have examined the accuracy of electronic databases developed for general administrative purposes, few studies have examined electronic databases created to document the care provided  ...  Of the 17 comorbidities, the electronic database had substantial or excellent agreement for 10 comorbidities relative to paper chart data, and only one showed poor agreement.  ...  Acknowledgment Many thanks are due to Atheer Al-Saif and Lolwa Al-Mukhailid for abstracting data from the paper charts. We also would like to thank Mr.  ... 
pmid:23861671 pmcid:PMC3709874 fatcat:no2ip2wbc5dhll7ogqmyystxrq
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