Guided Care® Chronic Care Management
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LICENSE COMPONENTS:
This is the Three-Year Johns Hopkins License to use the Guided Care® model and the service mark "Guided Care" in promotional materials to sell services, to enhance web presence, and for similar purposes. The License also allows application of the very specific Guided Care protocols in your practice, and use of the following essential forms that will guide the implementation of Guided Care into your practice:
- Guided Care Health History Questionnaire
- Guided Care Preliminary Care Guide
- Guided Care Care Guide
- Guided Care Action Plan
Outcomes of the Guided Care Model:
- Improves the Quality of Patient Care
- Improves Family Caregivers' Perception of Quality
- Improves Physicians' Satisfaction with Chronic Care
- Produces High Job Satisfaction among Guided Care Nurses
- May Reduce the Use of Expensive Services
This Solution page is for the Guided Care license only. For hospitals, health systems or practices who would like to fully implement the Guided Care Model, please contact us here: Solutions@MX.com.
The following Solution Overview is a downloadable PDF to share with colleagues, decision makers and interested parties at your hospital or health system. This informative one-page piece offers a snapshot overview of the Solution to highlight and easily share the Solution summary, key components and outcomes.
LICENSE COMPONENTS:
This is the Three-Year Johns Hopkins License to use the Guided Care® model and the service mark "Guided Care" in promotional materials to sell services, to enhance web presence, and for similar purposes. The License also allows application of the very specific Guided Care protocols in your practice, and use of the following essential forms that will guide the implementation of Guided Care into your practice:
- Guided Care Health History Questionnaire
- Guided Care Preliminary Care Guide
- Guided Care Care Guide
- Guided Care Action Plan
This Solution page is for the Guided Care license only. For hospitals, health systems or practices who would like to fully implement the Guided Care Model, please contact us here: Solutions@MX.com.
Below you will find a series of questions and answers that will guide you through the objectives, implementation, performance and outcomes of the Guided Care Model.
ABSTRACT:
Guided Care® is a new solution to the growing challenge of caring for older adults with chronic conditions and complex health needs. A Guided Care nurse, based in a primary care office, works with 2 to 5 physicians and other members of the care team to provide coordinated, patient-centered, cost-effective health care to 50 to 60 of the practices' chronically ill patients. The Guided Care nurse conducts in-home assessments, facilitates care planning, promotes patient self-management, monitors conditions monthly, coordinates the efforts of all health care professionals, smoothes transitions between sites of care, educates and supports family caregivers, and facilitates access to community resources. This program will help integrate the many aspects of care for this growing segment of the population, resulting in better care for patients and efficiencies for outpatient centers.
OBJECTIVES:
What problems does the Solution address?
Guided Care addresses the problem of a lack of an efficient, cost-effective way to respond to the needs of patients with either chronic illnesses or co-morbidities. Research shows that Guided Care reduces the use of expensive health services for chronically ill older adults.
How was the Solution developed?
The Guided Care model is shaped by the lessons of 30 years of research in chronic care. In research conducted at the Johns Hopkins Bloomberg School of Public Health (the leading school of public health as ranked by the annual U.S. News and World Report survey), Guided Care is designed to translate the best available scientific evidence and the most effective health care processes into routine use in primary care practices. Preliminary results from the research trial indicate that Guided Care improves the quality of patients' care, improves family caregivers' perception of quality, improves physicians' satisfaction with chronic care, improves nurses' job satisfaction, and may reduce the use of expensive services.
Unlike most care/case management interventions, Guided Care focuses on the role of the Guided Care Nurse, who:
- is based in the primary care physician’s office.
- works with the patient long-term, usually for life.
- provides intensive transitional care.
- uses motivational interviewing to help patients manage their conditions.
- provides continuing education, resources, and support for family caregivers.
LESSONS:
Can this Solution be modified to better fit another organization?
Guided Care is a specific care model. Best results obtained when following the model.
Our Preview section offers you insight into key Solution components. The following screenshots, images, and materials may appear redacted to protect the intellectual property of the Solution.
Click below to view detailed images:
Q: What is Guided Care®?
A: Guided Care is a practical, interdisciplinary model of health care designed to improve the quality of life and efficiency of resource use for persons with medically complex health conditions. A Guided Care Nurse works in partnership with several primary care physicians to provide coordinated, patient-centered, cost-effective care to 50-60 of their chronically ill patients.
Q: What is the role of a Guided Care Nurse?
A: The Guided Care Nurse uses an Electronic Health Record and works closely with the patient, the family, and the primary care physician in conducting clinical care.
Q: What is unique about Guided Care?
A: Guided Care integrates several previously successful innovations with primary care to make evidence-based, state-of-the-art, chronic care available continuously from professionals the patients trusts. Guided Care is easily adopted by primary care practices.
Q: What do I get with the Guided Care Chronic Care Management?
A: This is the Three-Year Johns Hopkins License to use the Guided Care® model and the service mark "Guided Care" in promotional materials to sell services, to enhance web presence, and for similar purposes. The License also allows application of the very specific Guided Care protocols in your practice, and use of the following essential forms that will guide the implementation of Guided Care into your practice:
- Guided Care Health History Questionnaire
- Guided Care Preliminary Care Guide
- Guided Care Care Guide
- Guided Care Action Plan
For hospitals, health systems or practices who would like to fully implement the Guided Care Model, please contact us here: Solutions@MX.com.
Q: What does it take to fully implement the Guided Care Model?
A: Guided Care is a well-defined model of care that primary care practices and outpatients clinics can fully implement in 6-9 months. Implementation involves (1) having a registered nurse(s) within the practice who has completed the course in Guided Care Nursing and (2) integrating the nurse into the practice. Organizations are required to obtain a license from Johns Hopkins University in order to use the Guided Care model and use the service mark "Guided Care" in promotional materials . The license also states eight (8) services that must be followed in the care of a practice's chronically ill older patients:
- Assess the patient at home.
- Create an evidence-based comprehensive “Care Guide” (a tool for providers that summarizes the patient’s conditions, medications, care providers, family members and other important data in a succinct and professional format) and “Action Plan” (a patient-friendly version of the Care Guide).
- Promote patient self-management.
- Monitor the patient’s conditions monthly.
- Monthly proactive monitoring
- Coordinate the efforts of all the patient’s health care providers.
- Smooth the patient’s transitions between sites and providers of care.
- Assess, educate, and support family caregivers.
- Facilitate access to community resources.
Q: What is the pricing structure for the Guided Care license?
A: There are now three license levels available for the Guided Care model, based on the number of Guided Care designated nurses at your hospital, health system or practice. Please select the number of Guided Care designated nurses.
- The first license level is for up to 9 Guided Care designated nurses. The cost is $1,000.
- The second license level is for 10-99 Guided Care designated nurses. The cost for the 2nd license level is $10,000.
- The third license level is for 100+ Guided Care designated nurses. The cost for the 3rd license level is $50,000.
Q: What happens after the three year period?
A: To continue to use the Guided Care model and service mark, the license must be renewed every three years. The current renewal price is the same as the purchase price.
Q: When will I receive my order?
A: Upon verification and payment receipt.
Q: How is the Solution delivered?
A: As soon as your order is verified and your payment is confirmed, you will be put in touch with the appropriate Johns Hopkins contact, who will send you the printed materials, the Guided Care Usage License, and provide you with access to the online courses.
Q: What if I have problems with downloading or using the Solution?
A: We hope that does not happen but if it should, please contact Solutions@MX.com. We will escalate as needed to the Licensor.
Q: Can I return a Solution?
A: Yes, your satisfaction is guaranteed. If you are dissatisfied―within 30 days of purchase, email a full refund request to sales@MX.com. Simply provide Solution feedback and discontinue its use. Details
Download a solution overview
There are three license levels available for the Guided Care model. Pricing is based on the number of Guided Care nurses at your hospital, health system or practice.
Purchase this solution
$1,000.00
QUESTIONS?
- Sign up for a webinar
- Email a representative
- Call us at 866-485-9669
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