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Developing a Poly-Chronic Care Network: An Engineered, Community-Wide Approach to Disease Management Pdf

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Book Description:

Although a lot has been achieved in care coordination and accountable care, healthcare leaders need additional, game-altering enhancements to deal with constraints in medical belongings, care functionality, and worth that have not however been completely addressed. This need for innovation is especially good inside the care of the chronically unwell: the costliest, highest-hazard segments of our populations.

Filling this void, Developing a Poly-Chronic Care Group: An Engineered, Community-Wide Approach to Disease Management reconstructs and augments typical persistent care provide fashions. The proposed reply—the Poly-Chronic Care Group© (PCCN)—is a specific iteration of the Care Circle Group© (CCN) concept that creates a sustainable group-partaking response to the complexity, worth, and outcomes of persistent sicknesses. By dynamically engineering all of the climate of a group’s "Functionality to Care" instantly into short- and long-time interval affected individual care processes, the PCCN expands care functionality and physician "attain", and improves high high quality and outcomes, with out rising the complete worth of care.

The book describes the basic concepts, guidelines, and requirements for the PCCN and explains how this care model may improve and enhance totally different new enterprise fashions, resembling Accountable Care Organizations (ACOs) and Affected individual-Centered Medical Homes (PCMHs). In addition to to a detailed description of implementation steps and organizational buildings, the textual content material presents useful insights into utilized sciences which will help and enhance implementation, along with residence/digital monitoring, social networking, and dynamic simulation. Importantly, the book consists of every detailed examples and a versatile how-to info for establishing a PCCN or totally different CCN, offering readers step-by-step ideas and decisions for combining readily-on the market communal belongings with straightforward utilized sciences inside the design of revolutionary care fashions for his or her communities.

With this book in hand, readers can confidently determine and choose specific parts to match their group’s needs and capabilities, "amending the combination" to account for the size, scale, scope, and inhabitants of the group and victims they need to serve.

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