Academic Health Centers and Community Health Centers Partnering to Build a System of Care for Vulnerable Patients: Lessons From Carolina Health Net
Academic Health Centers and Community Health Centers Partnering to Build a System of Care for Vulnerable Patients: Lessons From Carolina Health Net
复制标题
学术健康中心和社区健康中心合作建立弱势患者护理系统：卡罗莱纳州健康网的经验教训
DOI：
10.1097/acm.0b013e31828a3b8a
复制
发表时间：
2013
影响因子：
7.4
通讯作者：
W. Newton
中科院分区：
文献类型：
--
作者：
A. Denham;S. Hay;B. Steiner;W. Newton
Academic health centers (AHCs) are challenged to meet their core missions in a time of strain on the health care system from rising costs, an aging population, increased rates of chronic disease, and growing numbers of uninsured patients. AHCs should be leaders in developing creative solutions to these challenges and training future leaders in new models of care. The authors present a case study describing the development, implementation, and early results of Carolina Health Net, a partnership between an AHC and a community health center to manage the most vulnerable uninsured by providing access to primary care medical homes and care management systems. This partnership was formed in 2008 to help transform the delivery of health care for the uninsured. As a result, 4,400 uninsured patients have been connected to primary care services. Emergency department use by enrolled patients has decreased. Patients have begun accessing subspecialty care within the medical home. More than 2,200 uninsured patients have been assisted to enroll in Medicaid. The experience of Carolina Health Net demonstrates that developing a system of care with primary care and wrap-around services such as pharmacy and case management can improve the cost-effectiveness and quality of care, thereby helping AHCs meet their broader missions. This project can serve as a model for other AHCs looking to partner with community-based providers to improve care and control costs for underserved populations.
