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Introduction of Network-Based Healthcare at Kaiser Permanente

BACKGROUND: Early 2014, Kaiser Permanente decided to adopt an innovative model for network-based allied healthcare for persons with Parkinson’s disease (PD), based on the principles of the Dutch ParkinsonNet. OBJECTIVE: We present the interventions that were performed to implement this method at Kai...

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Autores principales: Rompen, Lonneke, de Vries, Nienke M., Munneke, Marten, Neff, Carolyn, Sachs, Todd, Cedrone, Steve, Cheves, Jason, Bloem, Bastiaan R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029370/
https://www.ncbi.nlm.nih.gov/pubmed/31594246
http://dx.doi.org/10.3233/JPD-191620
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author Rompen, Lonneke
de Vries, Nienke M.
Munneke, Marten
Neff, Carolyn
Sachs, Todd
Cedrone, Steve
Cheves, Jason
Bloem, Bastiaan R.
author_facet Rompen, Lonneke
de Vries, Nienke M.
Munneke, Marten
Neff, Carolyn
Sachs, Todd
Cedrone, Steve
Cheves, Jason
Bloem, Bastiaan R.
author_sort Rompen, Lonneke
collection PubMed
description BACKGROUND: Early 2014, Kaiser Permanente decided to adopt an innovative model for network-based allied healthcare for persons with Parkinson’s disease (PD), based on the principles of the Dutch ParkinsonNet. OBJECTIVE: We present the interventions that were performed to implement this method at Kaiser Permanente and we show the first outcomes based on these interventions. METHODS: In this study, 57 physical therapists, 18 speech therapists and 20 occupational therapists, as well as 13 medical centers across the state of California were included. Nine interventions were performed more or less simultaneously, including training and education of healthcare providers and patients, a train the trainer curriculum, organizing IT, streamlining referral processes and building networks. RESULTS: At the start, less than 30% of the patients within the Southern California Region received specialized allied health treatment (consisting of, i.e., gait training, voice training or guidance in activities of daily life). After one year, almost 55% of patients received specialized allied health treatment. In the second year, this number increased to just under 67%, suggesting a sustained concentration of care (the second core component of networked care). This can be seen as a first indicator for successful implementation of the ParkinsonNet network at Kaiser Permanente. CONCLUSIONS: The importance of these findings lies in the fact that a healthcare innovation that proved effective in one country can be transferred successfully to another country and to another healthcare system.
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spelling pubmed-70293702020-03-04 Introduction of Network-Based Healthcare at Kaiser Permanente Rompen, Lonneke de Vries, Nienke M. Munneke, Marten Neff, Carolyn Sachs, Todd Cedrone, Steve Cheves, Jason Bloem, Bastiaan R. J Parkinsons Dis Research Report BACKGROUND: Early 2014, Kaiser Permanente decided to adopt an innovative model for network-based allied healthcare for persons with Parkinson’s disease (PD), based on the principles of the Dutch ParkinsonNet. OBJECTIVE: We present the interventions that were performed to implement this method at Kaiser Permanente and we show the first outcomes based on these interventions. METHODS: In this study, 57 physical therapists, 18 speech therapists and 20 occupational therapists, as well as 13 medical centers across the state of California were included. Nine interventions were performed more or less simultaneously, including training and education of healthcare providers and patients, a train the trainer curriculum, organizing IT, streamlining referral processes and building networks. RESULTS: At the start, less than 30% of the patients within the Southern California Region received specialized allied health treatment (consisting of, i.e., gait training, voice training or guidance in activities of daily life). After one year, almost 55% of patients received specialized allied health treatment. In the second year, this number increased to just under 67%, suggesting a sustained concentration of care (the second core component of networked care). This can be seen as a first indicator for successful implementation of the ParkinsonNet network at Kaiser Permanente. CONCLUSIONS: The importance of these findings lies in the fact that a healthcare innovation that proved effective in one country can be transferred successfully to another country and to another healthcare system. IOS Press 2020-01-13 /pmc/articles/PMC7029370/ /pubmed/31594246 http://dx.doi.org/10.3233/JPD-191620 Text en © 2020 – IOS Press and the authors. All rights reserved https://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Report
Rompen, Lonneke
de Vries, Nienke M.
Munneke, Marten
Neff, Carolyn
Sachs, Todd
Cedrone, Steve
Cheves, Jason
Bloem, Bastiaan R.
Introduction of Network-Based Healthcare at Kaiser Permanente
title Introduction of Network-Based Healthcare at Kaiser Permanente
title_full Introduction of Network-Based Healthcare at Kaiser Permanente
title_fullStr Introduction of Network-Based Healthcare at Kaiser Permanente
title_full_unstemmed Introduction of Network-Based Healthcare at Kaiser Permanente
title_short Introduction of Network-Based Healthcare at Kaiser Permanente
title_sort introduction of network-based healthcare at kaiser permanente
topic Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029370/
https://www.ncbi.nlm.nih.gov/pubmed/31594246
http://dx.doi.org/10.3233/JPD-191620
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