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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...

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Autores principales: Wang, Lin, Kuntz-Melcavage, Kara, Forrest, Christopher B., Lu, Yanyan, Piet, Leslie, Evans, Kathy, Uriyo, Maria, Sherry, Melissa, Richardson, Regina, Hawkins, Michelle, Neale, Donna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AcademyHealth 2015
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.
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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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