“Care Management: A Manual For Replication,” prepared by Research and Evaluation Associates, LLC for Network 180, provides a comprehensive overview of a tested integrated care model to assist other agencies in the treatment of individuals with chronic medical and behavioral health conditions. Network 180, the Community Mental Health Services Provider (CMHSP), in partnership with Priority Health, the Medicaid Health Plan (MHP) implemented the Care Management program based upon the principles of the Triple Aim model developed by the Institute for Healthcare Improvement (www.ihi.org) which seeks to reduce costs, increase health and improve care. The manual outlines each stage of program development, program implementation, next steps, and appendixes containing program documents describing program protocols. Each section describes the essential components from choosing a health plan partner to program structure.
The accompanying “Statistical Analysis for Physical and Behavioral Health Outcomes” provides an analysis of 113 participants enrolled in the program in 2015. Findings indicate that:
participants report a significant decrease in total member costs, emergency costs and non-acute care costs during the program and where positive outcomes continue even after program discharge;
significantly reduced visits to the emergency room and to inpatient care 74% fewer primary care visits and 66% fewer specialist visits during program participation;
no significant differences in costs after program discharge at 0-3 months, 3-6 months, 6 months-1 year, or over 1 year since program discharge;
the PAM-13 and VR-12 scores do not associate significantly with participant changes in cost which may be attributed to consumers’ initial scores being high and which may suggest that although participants are clearly not managing their chronic health conditions, the rate their confidence in managing them is high.
For more information, please contact:
Valerie A. Lyle, LLMSW
Care Management Program Supervisor
Phone 616-855-5125 firstname.lastname@example.org
This course looks at depression, dementia and delirium in older adults. The goals of course are to help you identify each of these diagnoses, detail specific tools to assist you with treatment ideas, and to help you understand the interplay between each depression, dementia and delirium in the older adult population.
This course provides 1 credit hour (MI-CEC,MCBAP Specific) and is available for self-enrollment.