Inland Comprehensive Health Care Community Care Management, Serving Unincorporated Regions of San...
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Inland Comprehensi ve Health Care Community Care Management, Serving Unincorporated Regions of San Diego County
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Inland Comprehensive Health Care
Community Care Management, Serving
Unincorporated Regions of
San Diego County
Bruce L. Baumann
Executive Director
Inland Comprehensive
Health Care
Cindy HaszCommunity Liaison
Inland Comprehensive
Health Care
Cindy Hasz
Community Liaison
Inland Comprehensive
Health Care
Charles Fraley
Health Care
Consultant
Inland Comprehensive
Health Care
Inland Comprehensive Health Care Community Care Management, Serving the Unincorporated, Rural Regions of San Diego County
Senior Population Growth in the Unincorporated Regions of San Diego County
Estimated Growth: 2000 – 2030 185 %
2002 Seniors 14%
2030 Seniors 33%
Inland Comprehensive Health Care Community Care Management, Serving the Unincorporated, Rural Regions of San Diego County
Looming Doctor Shortage in San Diego County
Estimated 1500 Vacant Nursing Positions in San Diego County
Inland Comprehensive Health Care Community Care Management, Serving the Unincorporated, Rural Regions of San Diego County
VisionA Comprehensive, Integrated continuum of long-term care services.
A Matrix of “Community Care Management” (“Wrap Around Services” “Safety Net”)
Enables the elder patient to avoid nursing home placement and/or navigate the system in accordance with their changing needs.
Affordable Nurse Case Management offered on a sliding scale.
Nurse Case Management delivered in coordinated and therapeutic manner.
Increased access to existing services.
Increased availability of health care.
Increased information and education of health issues.
Improved quality of life! Inland Comprehensive Health Care Community Care Management,
Serving the Unincorporated, Rural Regions of San Diego County
DirectiveContracted Providers using the socio-medical “Community Care Management” model.
Use of existing community providers to optimal levels.
Invitations to other providers to service underserved communities.
Facilitation of community health information and education.
Inland Comprehensive Health Care Community Care Management, Serving the Unincorporated, Rural Regions of San Diego County
ScopeServing the senior, frail and homebound population in the communities of Ramona and Julian at first, then expanding to the other rural underserved communities.
Long term plans to serve the larger population.
Inland Comprehensive Health Care Community Care Management, Serving the Unincorporated, Rural Regions of San Diego County
Benefits Home and Community Based Care
•· Individual consumer directed
•· Increases access to/and options for care
•· Improves outcomes and satisfaction
•· Using resources more creatively and cost effectively
•· Decreases ER visits/burden on overtaxed health care system.
•Improved quality of life!
Inland Comprehensive Health Care Community Care Management, Serving the Unincorporated, Rural Regions of San Diego County
Client Referral Patterns
A Tale of Two Systems Managed Care and Care Management
Inland Comprehensive Health Care Community Care Management, Serving the Unincorporated, Rural Regions of San Diego County
LONG TERM CARE IN: ACUTE SYSTEM CHRONIC SYSTEM
Starting Point Vertical Horizontal
Institution centered Patient centered
Facility-Stationary Residence-Mobile
Crisis based Maintains Normalcy
Method of Delivery Single-system based Partnership based
Managed Care Care Management
Insurance Fee for service
Character of System RIGID DYNAMIC
Fixed-Slow-Inefficient Flexible-Fast-Efficient
Functional Outcome Emergency Resolved Homeostasis Maintained
Inland Comprehensive Health Care
ACUTE
Vertical
Managed Care
Institution Centered
Rigid
Crisis
Emergency
VARIABLE
Current Managed Care System
CHRONIC
Horizontal
Care Management
Patient Centered
Dynamic
Homeostasis
STABLE
Community Care Management
ACUTE
CHRONIC
The Acute/Vertical and Chronic/Horizontal Cross; This Allows For The Best Utilization Of Both Systems
Community Care Management:
Choice Dignity
Quality of Life.Inland Comprehensive Health Care Community Care Management,
Serving the Unincorporated, Rural Regions of San Diego County
