chronic care model
transitional care model
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care coordination model

11 Nov 2013 Developed specifically for people with multiple chronic conditions, Guided Care is a new model of care that was designed to improve the 18 Oct 2016 In the Guided Care model, specially trained nurses create care plans, educate and support high-need patients and their caregivers, and 17 Jan 2013 “As more practices move to a comprehensive care model, Guided Care's team care approach can help ensure better quality care and moreGuided Care® helps primary care practices meet the complex needs of patients with multiple chronic conditions. In this proven care model, a trained Guided Care nurse works closely with patients, physicians and others to provide coordinated, patient-centered care. Guided Care is a new model for “chronic care” that is now being tested by Kaiser Permanente (KP) in the Baltimore-Washington, DC area. Guided Care is THE SOLUTION. The Guided Care® model consists of a Guided Care nurse, based in a primary care office, working with 2 to 5 physicians and other care team members to provide coordinated, patient-centered, cost-effective health care to 50 to 60 of their chronically ill patients. Guided Care. Guided Care is a model of proactive, comprehensive health care for people with several chronic conditions. It is designed to increase patients' quality of care and quality of life, while improving the efficiency of their use of health care resources, thus reducing their overall health care costs. THE SOLUTION: The Guided Care® model consists of a Guided Care nurse, based in a primary care office, working with 2 to 5 physicians and other care team The Guided Care® model consists of a Guided Care nurse, based in a primary care office, working with 2 to 5 physicians and other care team members to