PROMOTE INTERDISCIPLINARY TEAM CARE
Guided Care: Demonstration and Diffusion Planning/Enhancing the Quality of Medical Home Services
2004-2012 Guided Care is a nurse-coordinated model that brings specially trained nurses into primary care practices to provide and coordinate high quality, evidence-based geriatric care. It draws on innovations in interdisciplinary team care, including many developed with Hartford Foundation support (such as the IMPACT depression model and Geriatric Interdisciplinary Team Training).
In partnership with the Agency for Healthcare Research and Quality and the National Institute on Aging, the Hartford Foundation made a grant to Johns Hopkins University to co-fund a rigorous evaluation of Guided Care.
Guided Care explored some of the most important and challenging questions about how to integrate best practices in the care of complex, older patients in the real world.
“For older adults with several chronic conditions the old approach of taking one disease at a time and seeing different specialists in different settings for each one doesn’t work. Quality of care is low when care is not coordinated.” Charles “Chad” E. Boult, MD, MPH, MBAProgram Director
Improving Healthcare Systems
Patient-Centered Outcomes Research Institute (PCORI)
