Emerging Systems in Long-Term Care
Emerging Systems in Long-Term Care

Author: Paul R. Katz, MD

Publisher: Springer Publishing Company

Published: 2004-01-01

Total Pages: 201

ISBN-13: 0826168361

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The fourth volume in the prestigious Advances in Long-Term Care Series continues to address the challenges of long-term care with innovation and practical insight. Highlighting the dynamic nature of long-term care, the authors share their practical insight and explore issues linked to the cost and process of delivering care to an increasing number of clients. Topics include transitions between acute and long-term care, geriatric day hospitals, subacute care, and more. Contributors from a range of gerontologic disciplines use new research as bases to develop care solutions under the mandates of managed care.

Value Driven Healthcare and Geriatric Medicine
Value Driven Healthcare and Geriatric Medicine

Author: James S. Powers

Publisher: Springer

Published: 2018-05-04

Total Pages: 160

ISBN-13: 3319770578

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Value driven healthcare is the lasting legacy of the Affordable Care Act, which had three goals: to improve access to healthcare by increasing healthcare insurance coverage, to improve the patient’s experience and quality of care, and to slow the rate of increase in healthcare costs. Regardless of changes to the financing of healthcare or changes in policy, value-based purchasing for healthcare is to remain a constant feature of the healthcare horizon. Value-based purchasing is a demand side strategy to reward quality in health care delivery. Value-based purchasing involves cost considerations and includes the actions of employers, the public sector, health plans, and individual consumers in making healthcare decisions. Effective health care services and high performing health care providers are incentivized to provide quality outcomes and to control cost. Value-based purchasing drives quality metrics which are publicly reported and serve as important levers for changes in healthcare delivery. Geriatric patients consume a disproportionate share of healthcare resources, so CMS directs Medicare and drives geriatric healthcare models. All other insurers generally model CMS/Medicare guidelines. Innovative geriatric care models which demonstrate improved outcomes and cost moderation are scaled and lessons learned used to create new healthcare models. The best data for broader value driven healthcare comes from the geriatric models, which currently have the best data available. This book traces the origins of value-based purchasing and current geriatric care models and synthesizes their implications for today's changing health system. It also discusses healthcare accountability and risk sharing. The audience includes geriatric healthcare professionals, but also a wider audience interested in broader healthcare models and value driven healthcare from a policy, economic, and ethical perspective. These include primary care physicians, specialists who work with aging patients, hospital administrators, healthcare educators, healthcare organizations, and all medical professionals working with aging patients and patients affected by healthcare reform.

Acute Care for Elders
Acute Care for Elders

Author: Michael L. Malone

Publisher: Springer

Published: 2014-07-21

Total Pages: 276

ISBN-13: 1493910256

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Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients.

Care of the Elderly Patient
Care of the Elderly Patient

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1989-02-01

Total Pages: 153

ISBN-13: 0309040973

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A guiding principle of the Council on Health Care Technology is a special focus on medical technology assessment measures that coincide with patient well-being, quality of health care, and quality of life. Of particular concern is care of the elderly, which constitutes a special and vulnerable patient population. This comprehensive book discusses the appropriate use of technology to minimize risks posed to the elderly patient in the delivery of health care services. It covers home and community care as well as acute hospital care, and system resources and constraints.

Oxford Handbook of Geriatric Medicine
Oxford Handbook of Geriatric Medicine

Author: Lesley K. Bowker

Publisher: Oxford University Press

Published: 2018-03-09

Total Pages: 817

ISBN-13: 0191058211

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This new edition of the Oxford Handbook in Geriatric Medicine has been expanded and updated to reflect the substantial changes in clinical practice since the previous edition, including the Francis report and the impact on care for the older patient, the National Dementia Strategy and screening, and the evolution of the role of Geriatricians in other specialities. It includes new material on risk scoring management of TIA, and a new chapter on the older surgical patient. With an ageing population, geriatric medicine is increasingly central to emergency and internal medicine in hospital settings and in general practice. Diseases are more common in the older person, and can be particularly difficult to assess and to treat effectively in a field that has limited evidence, yet makes up a substantial proportion of the work of most clinicians. Using clinical vignettes and how-to boxes to provide practical advice on common problems, this is a practical, accessible, and essential handbook for all medical staff who manage older patients.

Osteoarthritis, An Issue of Clinics in Geriatric Medicine, E-Book
Osteoarthritis, An Issue of Clinics in Geriatric Medicine, E-Book

Author: David Hunter

Publisher: Elsevier Health Sciences

Published: 2022-04-14

Total Pages: 289

ISBN-13: 0323987087

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In this issue of Clinics in Geriatric Medicine, guest editor Dr. David Hunter brings his considerable expertise to the topic of Osteoarthritis. Top experts in the field cover key topics such as obesity and nutrition influences in osteoarthritis, the genesis of pain in osteoarthritis, overview of disease management, and more. Contains 14 relevant, practice-oriented topics including overview of disease management, concordance with guidelines, and strategies to increase implementation of best evidence; obesity and nutrition influences in osteoarthritis; pathogenesis of osteoarthritis; behavior change barriers and facilitators in people with osteoarthritis; suitable candidates and realistic expectations in surgery for osteoarthritis; and more. Provides in-depth clinical reviews on osteoarthritis, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.