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Development and Applications of an Outcomes Assessment Framework for Care Management Programs in Learning Health Systems
PURPOSE: To develop and apply an outcomes assessment framework (OAF) for care management programs in health care delivery settings. BACKGROUND: Care management (CM) refers to a regimen of organized activities that are designed to promote health in a population with particular chronic conditions or r...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AcademyHealth
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435002/ https://www.ncbi.nlm.nih.gov/pubmed/25992387 http://dx.doi.org/10.13063/2327-9214.1119 |
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author | Wang, Lin Kuntz-Melcavage, Kara Forrest, Christopher B. Lu, Yanyan Piet, Leslie Evans, Kathy Uriyo, Maria Sherry, Melissa Richardson, Regina Hawkins, Michelle Neale, Donna |
author_facet | Wang, Lin Kuntz-Melcavage, Kara Forrest, Christopher B. Lu, Yanyan Piet, Leslie Evans, Kathy Uriyo, Maria Sherry, Melissa Richardson, Regina Hawkins, Michelle Neale, Donna |
author_sort | Wang, Lin |
collection | PubMed |
description | PURPOSE: To develop and apply an outcomes assessment framework (OAF) for care management programs in health care delivery settings. BACKGROUND: Care management (CM) refers to a regimen of organized activities that are designed to promote health in a population with particular chronic conditions or risk profiles, with focus on the triple aim for populations: improving the quality of care, advancing health outcomes, and lowering health care costs. CM has become an integral part of a care continuum for population-based health care management. To sustain a CM program, it is essential to assure and improve CM effectiveness through rigorous outcomes assessment. To this end, we constructed the OAF as the foundation of a systematic approach to CM outcomes assessment. INNOVATIONS: To construct the OAF, we first systematically analyzed the operation process of a CM program; then, based on the operation analysis, we identified causal relationships between interventions and outcomes at various implementation stages of the program. This set of causal relationships established a roadmap for the rest of the outcomes assessment. Built upon knowledge from multiple disciplines, we (1) formalized a systematic approach to CM outcomes assessment, and (2) integrated proven analytics methodologies and industrial best practices into operation-oriented CM outcomes assessment. CONCLUSION: This systematic approach to OAF for assessing the outcomes of CM programs offers an opportunity to advance evidence-based care management. In addition, formalized CM outcomes assessment methodologies will enable us to compare CM effectiveness across health delivery settings. |
format | Online Article Text |
id | pubmed-4435002 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | AcademyHealth |
record_format | MEDLINE/PubMed |
spelling | pubmed-44350022015-05-19 Development and Applications of an Outcomes Assessment Framework for Care Management Programs in Learning Health Systems Wang, Lin Kuntz-Melcavage, Kara Forrest, Christopher B. Lu, Yanyan Piet, Leslie Evans, Kathy Uriyo, Maria Sherry, Melissa Richardson, Regina Hawkins, Michelle Neale, Donna EGEMS (Wash DC) Articles PURPOSE: To develop and apply an outcomes assessment framework (OAF) for care management programs in health care delivery settings. BACKGROUND: Care management (CM) refers to a regimen of organized activities that are designed to promote health in a population with particular chronic conditions or risk profiles, with focus on the triple aim for populations: improving the quality of care, advancing health outcomes, and lowering health care costs. CM has become an integral part of a care continuum for population-based health care management. To sustain a CM program, it is essential to assure and improve CM effectiveness through rigorous outcomes assessment. To this end, we constructed the OAF as the foundation of a systematic approach to CM outcomes assessment. INNOVATIONS: To construct the OAF, we first systematically analyzed the operation process of a CM program; then, based on the operation analysis, we identified causal relationships between interventions and outcomes at various implementation stages of the program. This set of causal relationships established a roadmap for the rest of the outcomes assessment. Built upon knowledge from multiple disciplines, we (1) formalized a systematic approach to CM outcomes assessment, and (2) integrated proven analytics methodologies and industrial best practices into operation-oriented CM outcomes assessment. CONCLUSION: This systematic approach to OAF for assessing the outcomes of CM programs offers an opportunity to advance evidence-based care management. In addition, formalized CM outcomes assessment methodologies will enable us to compare CM effectiveness across health delivery settings. AcademyHealth 2015-04-23 /pmc/articles/PMC4435002/ /pubmed/25992387 http://dx.doi.org/10.13063/2327-9214.1119 Text en All eGEMs publications are licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License http://creativecommons.org/licenses/by-nc-nd/3.0/ |
spellingShingle | Articles Wang, Lin Kuntz-Melcavage, Kara Forrest, Christopher B. Lu, Yanyan Piet, Leslie Evans, Kathy Uriyo, Maria Sherry, Melissa Richardson, Regina Hawkins, Michelle Neale, Donna Development and Applications of an Outcomes Assessment Framework for Care Management Programs in Learning Health Systems |
title | Development and Applications of an Outcomes Assessment Framework for Care Management Programs in Learning Health Systems |
title_full | Development and Applications of an Outcomes Assessment Framework for Care Management Programs in Learning Health Systems |
title_fullStr | Development and Applications of an Outcomes Assessment Framework for Care Management Programs in Learning Health Systems |
title_full_unstemmed | Development and Applications of an Outcomes Assessment Framework for Care Management Programs in Learning Health Systems |
title_short | Development and Applications of an Outcomes Assessment Framework for Care Management Programs in Learning Health Systems |
title_sort | development and applications of an outcomes assessment framework for care management programs in learning health systems |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4435002/ https://www.ncbi.nlm.nih.gov/pubmed/25992387 http://dx.doi.org/10.13063/2327-9214.1119 |
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