Primary Care for Older Adults: Models and Challenges

Description

This book provides a comprehensive and systematic state-of-the science review of major primary care delivery models, how they address specific needs of older adults, and available evidence for their efficacy. Written by experts in the field, this book explores the patient-centered medical home model (PCMH) in depth and dives into the complexities of the “medical neighborhood”. It describes and analyzes primary care specifically directed toward special, complex populations, such as the Health Home for safety net patients with mental health needs, and intensive primary care for older adults. It reviews an array of primary care models related to dual eligible patients including the GRACE primary care consultation model and PACE models. It describes primary care with Advanced Practice Nurses and Physician Assistants and explores in-depth the massive effort within the VA to develop the Patient Activated Care Team (PACT), a VA form of the PCMH that also has several offshoots that address complex older veterans and veterans with severe mental illness. Finally, it illuminates rarely discussed primary care that occurs within the home and within long-term care. Throughout the entire book, experts navigate the workforce, care quality, and financing challenges of primary care for older adults. Primary Care for Older Adults is a valuable resource for clinicians, researchers, patients, caregivers and their advocates, and policy makers who have an interest in designing, promoting, and implementing high quality primary care for older adults. Front Matter ....Pages i-xii Introduction: Primary Care in the United States Today (Michael Wasserman, James Riopelle)....Pages 1-4 Geriatric Consultative Models in Primary Care (Magda Lenartowicz)....Pages 5-12 GRACE Team Care Model (Cathy C. Schubert, Julia Dolejs, Justine May)....Pages 13-24 Introduction to Population Health (James Riopelle)....Pages 25-28 Patient-Centered Medical Home (PCMH) and the Care of Older Adults (Jason F. Lee)....Pages 29-34 A Geriatrician’s Guide to Accountable Care Implementation: Thickets and Pathways (Terry E. Hill)....Pages 35-90 Primary Care Clinic Model (Jeremy V. Phillips, Steven L. Phillips)....Pages 91-103 Keys to Successful Primary Care Operations (Shelly Thomas)....Pages 105-108 Primary Care Across the Care Continuum (Steven Atkinson)....Pages 109-122 Primary Care in the Nursing Home (Robert A. Zorowitz)....Pages 123-142 Primary Care in the Home: The Independence at Home Demonstration (George Taler, Peter Boling, Bruce Kinosian)....Pages 143-157 Nurse Practitioners and Primary Care for Older Adults (Debra Bakerjian)....Pages 159-172 Collaboration with a Geriatric Pharmacist (Janice Hoffman)....Pages 173-181 Financial Models for Effective Primary Care (Peter A. Hollmann)....Pages 183-207 Incentivizing Primary Care Physicians: Opportunities and Challenges (Michael Wasserman, James Riopelle)....Pages 209-214 The Future of Primary Care for Older Adults (Patrick P. Coll)....Pages 215-221 Back Matter ....Pages 223-228