Comprehensive Care Coordination for Chronically Ill Adults

PART 1 THEORETICAL CONCEPTS
 
1 Chronic illness
Paul Shelton, EdD, Cheryl Schraeder, RN, PhD, FAAN, Michael K. Berkes,
BS, MSW Candidate, and Benjamin Ronk, BA
 
2 Overview
Cheryl Schraeder, RN, PhD, FAAN, Paul Shelton, EdD, Linda Fahey, RN,
MSN, Krista L. Jones, DNP, MSN, ACHN, RN, and Carrie Berger, BA,
MSW Candidate
 
3 Promising practices in acute/primary care
Randall S. Brown, PhD, Arkadipta Ghosh, PhD, Cheryl Schraeder, RN,
PhD, FAAN, and Paul Shelton, EdD
 
4 Promising practices in integrated care
Patricia J. Volland, MSW, MBA, and Mary E. Wright
 
5 Intervention components
Cheryl Schraeder, RN, PhD, FAAN, Cherie P. Brunker, MD, Ida Hess,
MSN, FNP-BC, Beth A. Hale, PhD, RN, Carrie Berger, BA, MSW
Candidate, and Valerie Waldschmidt, BSE
 
6 Evaluation methods
Robert Newcomer, PhD, and L. Gail Dobell, PhD
 
7 Health information technology
David A. Dorr, MD, MS and Molly M. King, BA
 
8 Financing and payment
Julianne R. Howell, PhD, Robert Berenson, MD, and
Patricia J. Volland, MSW, MBA
 
9 Education of the interdisciplinary team
Emma Barker, MSW, Patricia J. Volland, MSW, MBA, and Mary E. Wright
 
PART 2 PROMISING PRACTICES
SECTION 1 PRIMARY CARE MODELS
 
10 Coordination of care by guided care interdisciplinary teams
Chad Boult, MD, MPH, MBA, Carol Groves, RN, MPA, and
Tracy Novak, MHS
 
11 Care management plus
Cherie P. Brunker, MD, David A. Dorr, MD, MS, and Adam B. Wilcox, PhD
 
12 Medicare coordinated care
Angela M. Gerolamo, PhD, APRN, BC, Jennifer Schore, MSW, MS,
Randall S. Brown, PhD, and Cheryl Schraeder, RN, PhD, FAAN
 
SECTION 2 TRANSITIONAL CARE MODELS
 
13 The care transitions intervention
Susan Rosenbek, RN, MS, and Eric A. Coleman, MD, MPH
 
14 Enhanced Discharge Planning Program at Rush University
Medical Center
Anthony J. Perry, MD, Robyn L. Golden, LCSW, Madeleine Rooney, MSW,
LCSW, and Gayle E. Shier,

Cheryl Schraeder, RN, Ph.D., FAAN is currently Clinical Associate Professor and also Director of Policy and Practice Initiatives, Institute for Healthcare Innovation, at the College of Nursing at the University of Illinois in Chicago, IL. Dr. Schraeder has been the project director/ principle investigator for governmental health care agencies and private foundation demonstrations and projects with vulnerable populations.

Paul S. Shelton, EdD is currently Senior Research Specialist at the Institute for Healthcare Innovation at the College of Nursing at the University of Illinois in Chicago, IL. Dr. Shelton has extensive experience in working with governmental health care agencies and private foundations in primary care management demonstrations.