Implementation of Care Management: An Analysis of Recent AHRQ Research

Andrada Tomoaia-Cotisel; Timothy W. Farrell; Leif I. Solberg; Carolyn A. Berry; Neil S. Calman; Peter F. Cronholm; Katrina E. Donahue; David L. Driscoll; Diane Hauser; Jeanne W. McAllister; Sanjeev N. Mehta; Robert J. Reid; Ming Tai-Seale; Christopher G. Wise; Michael D. Fetters; Jodi Summers Holtrop; Hector P. Rodriguez; Cherie P. Brunker; Erin L. McGinley; Rachel L. Day; Debra L. Scammon; Michael I. Harrison; Janice L. Genevro; Robert A. Gabbay; Michael K. Magill

doi:10.1177/1077558716673459

Implementation of Care Management: An Analysis of Recent AHRQ Research

Andrada Tomoaia-Cotisel, Timothy W. Farrell, Leif I. Solberg, Carolyn A. Berry, Neil S. Calman, Peter F. Cronholm, Katrina E. Donahue, David L. Driscoll, Diane Hauser, Jeanne W. McAllister, Sanjeev N. Mehta, Robert J. Reid, Ming Tai-Seale, Christopher G. Wise, Michael D. Fetters, Jodi Summers Holtrop, Hector P. Rodriguez, Cherie P. Brunker, Erin L. McGinley, Rachel L. DayDebra L. Scammon, Michael I. Harrison, Janice L. Genevro, Robert A. Gabbay, Michael K. Magill

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

Care management (CM) is a promising team-based, patient-centered approach “designed to assist patients and their support systems in managing medical conditions more effectively.” As little is known about its implementation, this article describes CM implementation and associated lessons from 12 Agency for Healthcare Research and Quality–sponsored projects. Two rounds of data collection resulted in project-specific narratives that were analyzed using an iterative approach analogous to framework analysis. Informants also participated as coauthors. Variation emerged across practices and over time regarding CM services provided, personnel delivering these services, target populations, and setting(s). Successful implementation was characterized by resource availability (both monetary and nonmonetary), identifying as well as training employees with the right technical expertise and interpersonal skills, and embedding CM within practices. Our findings facilitate future context-specific implementation of CM within medical homes. They also inform the development of medical home recognition programs that anticipate and allow for contextual variation.

Original language	English
Pages (from-to)	46-65
Number of pages	20
Journal	Medical Care Research and Review
Volume	75
Issue number	1
DOIs	https://doi.org/10.1177/1077558716673459
State	Published - 1 Feb 2018
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2016, © The Author(s) 2016.

Funding

During this process, the TPC team became aware that AHRQ had also concurrently funded four studies of primary care delivery system innovations under a larger program supported by the American Recovery and Reinvestment Act (ARRA; Health and Human Services, 2010). The team invited the primary investigators on these four studies to take part in this cross-study analysis. A second grant, awarded to another study investigator (Magill), also supported this analysis. At this time, the TPC team was expanded to include the participating ARRA instigators and relevant AHRQ personnel (hereafter “the Team”).

Funders	Funder number
National Institute of Diabetes and Digestive and Kidney Diseases	P30DK036836
Agency for Healthcare Research and Quality	HHSA2902007

Keywords

PCMH
care coordination
care management
implementation
patient-centered medical home
primary care

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/1077558716673459

Cite this

Tomoaia-Cotisel, A., Farrell, T. W., Solberg, L. I., Berry, C. A., Calman, N. S., Cronholm, P. F., Donahue, K. E., Driscoll, D. L., Hauser, D., McAllister, J. W., Mehta, S. N., Reid, R. J., Tai-Seale, M., Wise, C. G., Fetters, M. D., Holtrop, J. S., Rodriguez, H. P., Brunker, C. P., McGinley, E. L., ... Magill, M. K. (2018). Implementation of Care Management: An Analysis of Recent AHRQ Research. Medical Care Research and Review, 75(1), 46-65. https://doi.org/10.1177/1077558716673459

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title = "Implementation of Care Management: An Analysis of Recent AHRQ Research",

abstract = "Care management (CM) is a promising team-based, patient-centered approach “designed to assist patients and their support systems in managing medical conditions more effectively.” As little is known about its implementation, this article describes CM implementation and associated lessons from 12 Agency for Healthcare Research and Quality–sponsored projects. Two rounds of data collection resulted in project-specific narratives that were analyzed using an iterative approach analogous to framework analysis. Informants also participated as coauthors. Variation emerged across practices and over time regarding CM services provided, personnel delivering these services, target populations, and setting(s). Successful implementation was characterized by resource availability (both monetary and nonmonetary), identifying as well as training employees with the right technical expertise and interpersonal skills, and embedding CM within practices. Our findings facilitate future context-specific implementation of CM within medical homes. They also inform the development of medical home recognition programs that anticipate and allow for contextual variation.",

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author = "Andrada Tomoaia-Cotisel and Farrell, {Timothy W.} and Solberg, {Leif I.} and Berry, {Carolyn A.} and Calman, {Neil S.} and Cronholm, {Peter F.} and Donahue, {Katrina E.} and Driscoll, {David L.} and Diane Hauser and McAllister, {Jeanne W.} and Mehta, {Sanjeev N.} and Reid, {Robert J.} and Ming Tai-Seale and Wise, {Christopher G.} and Fetters, {Michael D.} and Holtrop, {Jodi Summers} and Rodriguez, {Hector P.} and Brunker, {Cherie P.} and McGinley, {Erin L.} and Day, {Rachel L.} and Scammon, {Debra L.} and Harrison, {Michael I.} and Genevro, {Janice L.} and Gabbay, {Robert A.} and Magill, {Michael K.}",

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Tomoaia-Cotisel, A, Farrell, TW, Solberg, LI, Berry, CA, Calman, NS, Cronholm, PF, Donahue, KE, Driscoll, DL, Hauser, D, McAllister, JW, Mehta, SN, Reid, RJ, Tai-Seale, M, Wise, CG, Fetters, MD, Holtrop, JS, Rodriguez, HP, Brunker, CP, McGinley, EL, Day, RL, Scammon, DL, Harrison, MI, Genevro, JL, Gabbay, RA & Magill, MK 2018, 'Implementation of Care Management: An Analysis of Recent AHRQ Research', Medical Care Research and Review, vol. 75, no. 1, pp. 46-65. https://doi.org/10.1177/1077558716673459

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AU - Tomoaia-Cotisel, Andrada

AU - Farrell, Timothy W.

AU - Solberg, Leif I.

AU - Berry, Carolyn A.

AU - Calman, Neil S.

AU - Cronholm, Peter F.

AU - Donahue, Katrina E.

AU - Driscoll, David L.

AU - Hauser, Diane

AU - McAllister, Jeanne W.

AU - Mehta, Sanjeev N.

AU - Reid, Robert J.

AU - Tai-Seale, Ming

AU - Wise, Christopher G.

AU - Fetters, Michael D.

AU - Holtrop, Jodi Summers

AU - Rodriguez, Hector P.

AU - Brunker, Cherie P.

AU - McGinley, Erin L.

AU - Day, Rachel L.

AU - Scammon, Debra L.

AU - Harrison, Michael I.

AU - Genevro, Janice L.

AU - Gabbay, Robert A.

AU - Magill, Michael K.

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KW - patient-centered medical home

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Implementation of Care Management: An Analysis of Recent AHRQ Research

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

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