Faculty Articles
Establishment of Outpatient Rounds by an Interprofessional Chronic Care Management Team
ISBN or ISSN
1535-2900
Publication Title
American Journal of Health-System Pharmacy (AJHP)
Volume
75
Issue
10
Publication Date / Copyright Date
5-15-2018
First Page
598
Last Page
601
Publisher
American Society of Health-System Pharmacists
DOI Number
10.2146/ajhp170106
Abstract
Chronic conditions are collectively the leading cause of death in the United States, and nearly half of all Americans have 2 or more chronic conditions.1 In 2015, the Centers for Medicare and Medicaid Services implemented chronic care management (CCM) reimbursement strategies to reduce the burden of chronic conditions on the U.S. healthcare system. Patients eligible for CCM services have 2 or more chronic conditions expected to last more than 1 year (or until death) and are at significant risk for death or decline.(2) In the CCM model, patient-specific care plans are established and revised, and the plans include measurable treatment goals that focus heavily on medication management, community resources, functional needs, and transitional care services.3
Disciplines
Medicine and Health Sciences | Pharmacy and Pharmaceutical Sciences
Keywords
accountable care organizations, ambulatory care, chronic disease, humans, interprofessional relations, outpatients, patient care team, teaching rounds
NSUWorks Citation
Hale, Genevieve M.; Joseph, Tina; Moreau, Cynthia; Prados, Yesenia; Gernant, Stephanie; Schneller, Matthew; Jones, Renee; Seamon, Matthew J.; and Rodriguez, Haidy, "Establishment of Outpatient Rounds by an Interprofessional Chronic Care Management Team" (2018). Faculty Articles. 205.
https://nsuworks.nova.edu/hpd_corx_facarticles/205