A Model Approach to Health Care

Posted on

Oct 27, 2015

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AARPs April Bulletin focused on the New Face of Health Care as its lead article. The story focused on the successful efforts of several healthcare systems to reward doctors and hospitals for taking better care of patients at lower costs.

This is not only laudable, but also essential given our economy and exploding older population. Isnt it interesting that it has taken so long to learn the basic lesson that quality may actually be the best way of reducing costs?

According to the article some of the factors leading to these system improvements include: a coordinated approach to primary care, electronic health records; and engaging the patient (I would say consumer) in their own care. This is precisely what Geriatric Care Managers and specifically SeniorBridge has known and implemented for years!

The SeniorBridge model is built upon the concept of an integrated professional team, which assures the efficient delivery of care across settings. The Care Management team creates a consumer-centered focus that enables our professionals to individualize the plan of care based upon the health, social, financial and environmental needs of each client system. In the process of creating this team the care recipient along with his/her family and other social supports is central. The professional Care Managers help to empower the consumer to take back control of their preferences for care, ensuring consistency with their needs, culture, faith tradition and lifestyle. The approach helps to engage the consumer in decisions, which improves compliance with care and consistent follow up for treatments.

A central task of this professionally led team is to assure that consumers are helped across the chasm that occurs at points of transition from primary care to hospital to rehab and back home. The Care Management team assures that accurate health and social information is transmitted to all care providers; assists caregivers to understand the social and emotional needs of the care recipient; and coordinates the timely delivery of all community services, equipment and supports.

SeniorBridge also has the unique advantage of having a proprietary electronic database that enables the housing and appropriate dissemination of health and social status to better serve the consumer. This extensive information, along with monitoring changes of health status in the community assures efficient data for the physician. When the consumer goes for a doctor appointment, s/he will have real information about the clients situation in the home setting and will be able to deliver more effective care. The data assures that the Care Management team can answer questions about prevention, treatments, and lifestyle for both the consumer and the medical team. SeniorBridges coordinated approach, using electronic data systems and engaging the consumer has assured our clients the opportunity to maximize the benefits of the current health care system. The focus of our Care Manage-ment approach assures timely, efficient delivery of quality care and support for clients and their families.

We believe that integrated professional teams with Care Managers in a central role will facilitate a more successful outcome for health reform this time around. Heres to your health and to quality care at the most efficient cost!

Article submitted by Rona S. Bartelstone, LCSW, MSW, CMC. Senior Vice President of Care Management, SeniorBridge

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