Welcome!

News Feed Item

New Project Seeks to Align Primary and Specialty Care for Older Adults With Complex Chronic Conditions

The John A. Hartford Foundation and the Patient-Centered Outcomes Research Institute Announce Nearly $750,000 for CaRe-Align Initiative

NEW YORK, NY--(Marketwired - May 20, 2014) - The John A. Hartford Foundation and the Patient-Centered Outcomes Research Institute (PCORI) have joined together to invest nearly $750,000 in CaRe-Align, an initiative to develop a new model of care that could better meet the complex needs of older patients with multiple chronic conditions.

The Hartford Foundation will provide $497,000 and PCORI will provide $250,000 to support the development of this new model that seeks to realign care around older patients' self-identified health goals and potentially lead to improved health outcomes and lower care costs for this population, which is the major user of health care services in the country.

The new model will aim to incorporate the best available evidence for involving patients in their own care and facilitating communication and coordination between and among primary care and specialty care clinicians.

The CaRe-Align initiative is led by MacArthur Fellow Mary Tinetti, MD, of Yale University and Caroline Blaum, MD, of NYU School of Medicine, geriatricians who are experts in the care of older adults with multiple chronic conditions.

Under their leadership, the initiative has convened a group of more than 50 older individuals, clinicians who care for such patients, family caregivers, and other health care stakeholders to gain their insights and perspectives on the new care model.

The critical need to realign care for older adults with complex conditions
Medicare patients see an average of seven different physicians, including two primary care providers and five specialists, multiple times over the course of a year. This care is difficult to coordinate and generally has not focused on needs or concerns that matter most to patients. The Institute of Medicine reports that up to 30 percent to 40 percent of all health care may be unnecessary or even harmful.

"More care does not equal better care," says Corinne Rieder, EdD, executive director of the John A. Hartford Foundation. "The fragmentation in our health care system means a person could receive care from several physicians whose treatments may actually conflict." The worsening of one condition by treatment of a coexisting one is common. Twenty percent of older adults receive medication recommended by guidelines that adversely affects a co-occurring condition.

"Patients need to be at the center of their health care, and they should expect to be able to work in partnership with a team of clinicians that coordinates its efforts to meet the goals that are most important to each patient and his or her family," says Joe Selby, MD, MPH, PCORI's executive director. "As we build a potential new care model for these patients, we must engage and involve them at every stage of the development process." 

Patients and caregivers are represented on the CaRe-Align steering committee, and on each advisory panel set up to guide the initiative's work, along with clinicians and representatives from major primary and specialty provider organizations.

Advancements in health information technology and new payment and delivery system reforms that encourage care coordination will provide a platform on which the model will be built.

Following the CaRe-Align model development phase, the John A. Hartford Foundation plans to initiate a large-scale demonstration project intended to support the implementation and evaluation of the model in practice. If it is shown to be successful in improving health outcomes and reducing costs, the model will be promoted for widespread adoption.

About the John A. Hartford Foundation
The John A. Hartford Foundation is a private philanthropy working to improve the health of older Americans. After three decades of championing research and education in geriatric medicine, nursing, and social work, today the Foundation pursues opportunities to put geriatrics expertise to work in all health care settings. This includes advancing practice change and innovation, supporting team-based care through interdisciplinary education of all health care providers, supporting policies and regulations that promote better care, and developing and disseminating new evidence-based models that deliver better, more cost-effective health care. The Foundation was established by John A. Hartford. Mr. Hartford and his brother, George L. Hartford, both former chief executives of the Great Atlantic & Pacific Tea Company, left the bulk of their estates to the Foundation upon their deaths in the 1950's. Additional information about the Foundation and its programs is available at www.jhartfound.org.

About the Patient-Centered Outcomes Research Institute
The Patient-Centered Outcomes Research Institute (PCORI) is an independent, non-profit organization authorized by Congress in 2010. Its mission is to fund research that will provide patients, their caregivers and clinicians with the evidence-based information needed to make better-informed healthcare decisions. PCORI is committed to continuously seeking input from a broad range of stakeholders to guide its work. More information is available at www.pcori.org.

Media Contacts

For the John A. Hartford Foundation:
John Beilenson or Elliott Walker 
610-687-5495 or 917-846-6334 
[email protected] or [email protected]

For PCORI:
Christine Stencel
202-827-7707 or 202-570-9275
[email protected]

More Stories By Marketwired .

Copyright © 2009 Marketwired. All rights reserved. All the news releases provided by Marketwired are copyrighted. Any forms of copying other than an individual user's personal reference without express written permission is prohibited. Further distribution of these materials is strictly forbidden, including but not limited to, posting, emailing, faxing, archiving in a public database, redistributing via a computer network or in a printed form.

Latest Stories
When shopping for a new data processing platform for IoT solutions, many development teams want to be able to test-drive options before making a choice. Yet when evaluating an IoT solution, it’s simply not feasible to do so at scale with physical devices. Building a sensor simulator is the next best choice; however, generating a realistic simulation at very high TPS with ease of configurability is a formidable challenge. When dealing with multiple application or transport protocols, you would be...
As businesses adopt functionalities in cloud computing, it’s imperative that IT operations consistently ensure cloud systems work correctly – all of the time, and to their best capabilities. In his session at @BigDataExpo, Bernd Harzog, CEO and founder of OpsDataStore, presented an industry answer to the common question, “Are you running IT operations as efficiently and as cost effectively as you need to?” He then expounded on the industry issues he frequently came up against as an analyst, and ...
SYS-CON Events announced today that App2Cloud will exhibit at SYS-CON's 21st International Cloud Expo®, which will take place on Oct. 31 – Nov 2, 2017, at the Santa Clara Convention Center in Santa Clara, CA. App2Cloud is an online Platform, specializing in migrating legacy applications to any Cloud Providers (AWS, Azure, Google Cloud).
In his session at @DevOpsSummit at 20th Cloud Expo, Kelly Looney, director of DevOps consulting for Skytap, showed how an incremental approach to introducing containers into complex, distributed applications results in modernization with less risk and more reward. He also shared the story of how Skytap used Docker to get out of the business of managing infrastructure, and into the business of delivering innovation and business value. Attendees learned how up-front planning allows for a clean sep...
Blockchain is a shared, secure record of exchange that establishes trust, accountability and transparency across supply chain networks. Supported by the Linux Foundation's open source, open-standards based Hyperledger Project, Blockchain has the potential to improve regulatory compliance, reduce cost and time for product recall as well as advance trade. Are you curious about Blockchain and how it can provide you with new opportunities for innovation and growth? In her session at 20th Cloud Exp...
IoT is at the core or many Digital Transformation initiatives with the goal of re-inventing a company's business model. We all agree that collecting relevant IoT data will result in massive amounts of data needing to be stored. However, with the rapid development of IoT devices and ongoing business model transformation, we are not able to predict the volume and growth of IoT data. And with the lack of IoT history, traditional methods of IT and infrastructure planning based on the past do not app...
To get the most out of their data, successful companies are not focusing on queries and data lakes, they are actively integrating analytics into their operations with a data-first application development approach. Real-time adjustments to improve revenues, reduce costs, or mitigate risk rely on applications that minimize latency on a variety of data sources. Jack Norris reviews best practices to show how companies develop, deploy, and dynamically update these applications and how this data-first...
Intelligent Automation is now one of the key business imperatives for CIOs and CISOs impacting all areas of business today. In his session at 21st Cloud Expo, Brian Boeggeman, VP Alliances & Partnerships at Ayehu, will talk about how business value is created and delivered through intelligent automation to today’s enterprises. The open ecosystem platform approach toward Intelligent Automation that Ayehu delivers to the market is core to enabling the creation of the self-driving enterprise.
"At the keynote this morning we spoke about the value proposition of Nutanix, of having a DevOps culture and a mindset, and the business outcomes of achieving agility and scale, which everybody here is trying to accomplish," noted Mark Lavi, DevOps Solution Architect at Nutanix, in this SYS-CON.tv interview at @DevOpsSummit at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
Internet-of-Things discussions can end up either going down the consumer gadget rabbit hole or focused on the sort of data logging that industrial manufacturers have been doing forever. However, in fact, companies today are already using IoT data both to optimize their operational technology and to improve the experience of customer interactions in novel ways. In his session at @ThingsExpo, Gordon Haff, Red Hat Technology Evangelist, shared examples from a wide range of industries – including en...
In IT, we sometimes coin terms for things before we know exactly what they are and how they’ll be used. The resulting terms may capture a common set of aspirations and goals – as “cloud” did broadly for on-demand, self-service, and flexible computing. But such a term can also lump together diverse and even competing practices, technologies, and priorities to the point where important distinctions are glossed over and lost.
"We're here to tell the world about our cloud-scale infrastructure that we have at Juniper combined with the world-class security that we put into the cloud," explained Lisa Guess, VP of Systems Engineering at Juniper Networks, in this SYS-CON.tv interview at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
Enterprise architects are increasingly adopting multi-cloud strategies as they seek to utilize existing data center assets, leverage the advantages of cloud computing and avoid cloud vendor lock-in. This requires a globally aware traffic management strategy that can monitor infrastructure health across data centers and end-user experience globally, while responding to control changes and system specification at the speed of today’s DevOps teams. In his session at 20th Cloud Expo, Josh Gray, Chie...
Consumers increasingly expect their electronic "things" to be connected to smart phones, tablets and the Internet. When that thing happens to be a medical device, the risks and benefits of connectivity must be carefully weighed. Once the decision is made that connecting the device is beneficial, medical device manufacturers must design their products to maintain patient safety and prevent compromised personal health information in the face of cybersecurity threats. In his session at @ThingsExpo...
All organizations that did not originate this moment have a pre-existing culture as well as legacy technology and processes that can be more or less amenable to DevOps implementation. That organizational culture is influenced by the personalities and management styles of Executive Management, the wider culture in which the organization is situated, and the personalities of key team members at all levels of the organization. This culture and entrenched interests usually throw a wrench in the work...