Comprehensive Care Coordination for Chronically Ill Adults

Content: 
Chapter 1 Chronic Illness (pages 1–23): Paul Shelton, Cheryl Schraeder, Michael Berkes and Benjamin Ronk
Chapter 2 Overview (pages 25–38): Cheryl Schraeder, Paul Shelton, Linda Fahey, Krista L. Jones and Carrie Berger
Chapter 3 Promising Practices in Acute/Primary Care (pages 39–64): Randall S. Brown, Arkadipta Ghosh, Cheryl Schraeder and Paul Shelton
Chapter 4 Promising Practices in Integrated Care (pages 65–86): Patricia J. Volland and Mary E. Wright
Chapter 5 Intervention Components (pages 87–126): Cheryl Schraeder, Cherie P. Brunker, Ida Hess, Beth A. Hale, Carrie Berger and Valerie Waldschmidt
Chapter 6 Evaluation Methods (pages 127–140): Robert Newcomer and L. Gail Dobell
Chapter 7 Health Information Technology (pages 141–165): David A. Dorr and Molly M. King
Chapter 8 Financing and Payment (pages 167–189): Julianne R. Howell, Robert Berenson and Patricia J. Volland
Chapter 9 Education of the Interdisciplinary Team (pages 191–202): Emma Barker, Patricia J. Volland and Mary E. Wright
Chapter 10 Coordination of Care by Guided Care Interdisciplinary Teams (pages 203–220): Chad Boult, Carol Groves and Tracy Novak
Chapter 11 Care Management Plus (pages 221–228): Cherie P. Brunker, David A. Dorr and Adam B. Wilcox
Chapter 12 Medicare Coordinated Care (pages 229–259): Angela M. Gerolamo, Jennifer Schore, Randall S. Brown and Cheryl Schraeder
Chapter 13 The Care Transitions Intervention (pages 261–275): Susan Rosenbek and Eric A. Coleman
Chapter 14 Enhanced Discharge Planning Program at Rush University Medical Center (pages 277–290): Anthony J. Perry, Robyn L. Golden, Madeleine Rooney and Gayle E. Shier
Chapter 15 Summa Health System and Area Agency on Aging Geriatric Evaluation Project (pages 291–302): Kyle R. Allen, Joseph L. Ruby, Susan Hazelett, Carolyn Holder, Sandee Ferguson and Phyllis Yoders
Chapter 16 Program of All‐Inclusive Care for the Elderly (PACE) (pages 303–313): Brenda Sulick and Christine van Reenen
Chapter 17 Introduction to Medicaid Care Management (pages 315–324): Allison Hamblin and Stephen A. Somers
Chapter 18 The Aetna Integrated Care Management Model: A managed Medicaid Paradigm (pages 325–337): Robert M. Atkins and Mark E. Douglas
Chapter 19 King County Care Partners: A Community‐Based Chronic Care Management System for Medicaid Clients with Co‐Occurring Medical, Mental, and Substance Abuse Disorders (pages 339–348): Daniel S. Lessler, Antoinette Krupski and Meg Cristofalo
Chapter 20 Predictive Risk Intelligence System (Prism): A Decision‐Support Tool for Coordinating Care for Complex Medicaid Clients (pages 349–359): Beverly J. Court, David Mancuso, Chad Zhu and Antoinette Krupski
Chapter 21 High‐Risk Patients in a Complex Health System: Coordinating and Managing Care (pages 361–370): Maria C. Raven
Chapter 22 The SoonerCare Health Management Program (pages 371–375): Carolyn J. Reconnu and Mike Herndon
Chapter 23 Introduction: Practice Change Fellows Initiatives (pages 377–382): Eric A. Coleman and Nancy Whitelaw
Chapter 24 Interdisciplinary care of chronically ill adults: communities of care for people living with congestive heart failure in the rural setting (pages 383–390): Lee Greer
Chapter 25 Collaborative Care Treatment of Late‐Life Depression: Development of a Depression Support Service (pages 391–405): Eran D. Metzger
Chapter 26 Geriatric Telemedicine: Supporting Interdisciplinary Care (pages 407–416): Daniel A. Reece
Chapter 27 Integrated Patient‐Centered Care: The I‐Picc Pilot (pages 417–428): Karyn Rizzo
Chapter 28 Longitudinal Care Management: High Risk Care Management (pages 429–437): Chandra L. Torgerson and Lynda Hedstrom
Chapter 29 The Experiences in the Republic of Korea (pages 439–450): Weon‐seob Yoo and Joo‐bong Park Oh