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 journalArticle

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 languageEnglish (US)
Pages (from-to)46-65
Number of pages20
JournalMedical Care Research and Review
Volume75
Issue number1
DOIs
StatePublished - Feb 1 2018

Keywords

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

ASJC Scopus subject areas

  • Health Policy

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  • 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