The Martin Health System Chronic Care Management An Interdisciplinary Collaborative for Complex Patient Management
Background 25% of Florida’s practicing physicians are over 65 and only 10% are under 35. Florida’s population is projected to increase 60% by 2030 and the aged population is projected to grow by 124% in the same span which will dramatically increase demand for physician services. Association of American Medical Colleges Oct 2012
What difference does it really make? 75% of all healthcare spending is for patients with one or more chronic diseases… CMS 2012 5% of the population is responsible for 50% of healthcare spending What at’s 5 50% o % of $ $ 2. 2.8 T 8 Trillion Do Doll llars?
Time is of the essence 10,000 people in the U.S. turn 65 every day And that will continue to happen … EVERY DAY….. For the next 14 years Jenkins, J. It’s Time To Disrupt Aging: The Realities of Aging Have Changed But Attitudes Have Not
An Overwhelmed System Meeting the complex needs of patients with chronic illness or impairment is THE SINGLE GREATEST CHALLENGE facing organized medical practice. Usual care is not doing the job….. … Patients and families struggling with chronic illness have different needs, and these needs are unlikely to be met by an acute care organization and culture …. They require planned, regular interactions with their caregivers, with a focus on function and prevention of exacerbations and complications. This interaction includes systematic assessments, attention to treatment guidelines, …” The American College of Physicians 2014
Future State?
Credentialing ?
Backed By Research
CHaMpS …..a Template for Progress Now Called Chronic Care Management Decreases - 35.2% All Increases In the Comparison Group -18.6%
Thank You David Harlow, III BS, Pharm. D. Assistant VP of Professional Services Martin Health System Dave.Harlow@martinhealth.org
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