Health System Performance for the High-Need Patient: A Look at Access to Care and Patient Care Experiences
One in five high-need adults reported having an unmet medical need.
Brief/Report
All Resources
All Resources
Topics
Populations
Stakeholders
Content Types
Project ECHO’s Complex Care Initiative: Building Capacity to Help “Superutilizers”
Interdisciplinary teams provide support for Medicaid beneficiaries with mental illnesses, addictions, and other needs.
Case Example
Guided Care: A Structured Approach to Providing Comprehensive Primary Care for Complex Patients
Guided Care is designed to strike a balance between telephone-based and interdisciplinary team-based care management programs.
Case Example
Models of Care for High-Need, High-Cost Patients: An Evidence Synthesis
Much of the evidence comes from small studies, so further testing is needed.
Brief/Report
The Return on Investment (ROI) Calculator: The Business Case and Person-Centered Care
A calculator that can help build and present business case for serving adults with complex needs.
Implementation Tool
November 2016
Person-Centered Care: A Definition and Essential Elements
This resource provides a definition and essential elements of person-centered care.
Peer-Reviewed Article
Generating Hypotheses about Care Needs of High Utilizers: Lessons from Patient Interviews
This resource presents promising ideas for more effective modes of care for persons with complex needs.
Peer-Reviewed Article
The Hospital at Home Model: Bringing Hospital-Level Care to the Patient
The program offers a lower-cost alternative to the hospital for patients who can be safely treated at home.
Case Example
Hennepin Health: A Care Delivery Paradigm for New Medicaid Beneficiaries
By closing gaps in care, a safety-net ACO has reduced medical costs for Medicaid patients with complex needs.
Case Example
Bringing Primary Care Home: The Medical House Call Program at MedStar Washington Hospital Center
Providing the frail elderly with 24/7 access to an interdisciplinary care team reduced expected spending by 20 percent.
Case Example
High-Need, High-Cost Patients: Who Are They and How Do They Use Health Care?
There is considerable variation in use and spending among high-need adults, suggesting this population should be segmented into subgroups.
Brief/Report
How High-Need Patients Experience the Health Care System in Nine Countries
The U.S. had the highest rate of cost-related access problems.
Brief/Report
Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals
Targeting is important, even within the high-need patients enrolled in the program.
Peer-Reviewed Article
The Care Transitions Intervention
The Care Transitions Intervention was co-designed with patients and evaluated using randomized trials.
Implementation Tool
November 2016
Supporting a Culture of Health: Opportunities to Improve Models of Care for People with Complex Needs
Key opportunities include strengthening information technology connections across service providers.
Brief/Report