A Collaborative, Community Case Management Intervention for Vulnerable Populations in Sedgwick County, Kansas

2.50
Hdl Handle:
http://hdl.handle.net/10755/156507
Type:
Presentation
Title:
A Collaborative, Community Case Management Intervention for Vulnerable Populations in Sedgwick County, Kansas
Abstract:
A Collaborative, Community Case Management Intervention for Vulnerable Populations in Sedgwick County, Kansas
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 21, 2004
Author:Wetta-Hall, Ruth, RN, MPH, MSN
P.I. Institution Name:University of Kansas Medical School-Wichita
Title:Community Health Improvement Project Coordinator & Teaching Associate
Objective: To assess the impact of a Collaborative, Community Case Management (CCM) Intervention for Vulnerable Populations. Design: A nurse and social worker were teamed to assist clients in finding a primary care medical home, accessing available community resources, and managing their health. Population, Sample, Setting, Years: The cross-sectional study sample included nearly 600 low-income, uninsured adults and children residing in Sedgwick County, Kansas, enrolled in the intervention from December 2001 through August 2003. Methods: Using a logic model approach, the structure, process, outputs, and proximal and distal term outcomes were assessed. Statistical analyses included dependent t-test and ANOVA to assess changes in key outcome measures, and discriminant analysis to predict group membership for high, low and moderate health care resource consumption. Concept or Variables Studied Together or Intervention and Outcome Variable(s): Structure measures included client characteristics, while process measures tracked key points during service delivery. Outcome measures included analyses of changes in health status, health locus of control, and health care resource consumption by participants. Findings: The Case Management program has been effective in reducing ED visits for non-urgent health problems, linking clients to medical care homes, improving health status, and in achieving cost savings. CCM clients perceived less control over their health than healthy adults, and clients with low perceived social support consumed the largest number of health care resources. The difference between total numbers of ED visits pre versus post intervention was 2,040, with total charge avoidance achieved from December 2001 through February 2003 was $1,550,400. Conclusions: The case management teams appear to be most effective in helping extremely high users of the ED, who may have complex social and/or health problems. Implications: CCM is a potential solution for low-income, uninsured populations to navigate and access the fragmented, American health care delivery system.
Repository Posting Date:
26-Oct-2011
Date of Publication:
21-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Collaborative, Community Case Management Intervention for Vulnerable Populations in Sedgwick County, Kansasen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156507-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Collaborative, Community Case Management Intervention for Vulnerable Populations in Sedgwick County, Kansas</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 21, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wetta-Hall, Ruth, RN, MPH, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Kansas Medical School-Wichita</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Community Health Improvement Project Coordinator &amp; Teaching Associate</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rwettaha@kumc.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: To assess the impact of a Collaborative, Community Case Management (CCM) Intervention for Vulnerable Populations. Design: A nurse and social worker were teamed to assist clients in finding a primary care medical home, accessing available community resources, and managing their health. Population, Sample, Setting, Years: The cross-sectional study sample included nearly 600 low-income, uninsured adults and children residing in Sedgwick County, Kansas, enrolled in the intervention from December 2001 through August 2003. Methods: Using a logic model approach, the structure, process, outputs, and proximal and distal term outcomes were assessed. Statistical analyses included dependent t-test and ANOVA to assess changes in key outcome measures, and discriminant analysis to predict group membership for high, low and moderate health care resource consumption. Concept or Variables Studied Together or Intervention and Outcome Variable(s): Structure measures included client characteristics, while process measures tracked key points during service delivery. Outcome measures included analyses of changes in health status, health locus of control, and health care resource consumption by participants. Findings: The Case Management program has been effective in reducing ED visits for non-urgent health problems, linking clients to medical care homes, improving health status, and in achieving cost savings. CCM clients perceived less control over their health than healthy adults, and clients with low perceived social support consumed the largest number of health care resources. The difference between total numbers of ED visits pre versus post intervention was 2,040, with total charge avoidance achieved from December 2001 through February 2003 was $1,550,400. Conclusions: The case management teams appear to be most effective in helping extremely high users of the ED, who may have complex social and/or health problems. Implications: CCM is a potential solution for low-income, uninsured populations to navigate and access the fragmented, American health care delivery system.</td></tr></table>en_GB
dc.date.available2011-10-26T14:51:04Z-
dc.date.issued2004-07-21en_GB
dc.date.accessioned2011-10-26T14:51:04Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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