Faculty Articles

Title

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

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