TY - JOUR
T1 - Developing a community care team
T2 - Lessons learned from the community connections program, a health care home-community care team partnership
AU - Vanderboom, Catherine E.
AU - Holland, Diane E.
AU - Targonski, Paul V.
AU - Madigan, Elizabeth
PY - 2013
Y1 - 2013
N2 - This article describes the development of the Community Connections Program (CCP), a community care team, within a health care home (HCH), as a short-term, intensive, team-based service planning and coordination program for older adults with multiple chronic health conditions. Three proven approaches were combined to support patient's self-management: nurse care coordination, the Wraparound process, and use of community services. Participants' responses to the CCP demonstrated the success of the community care team in connecting patients and nurse care coordinators (NCCs) with community service providers, thus supplying primary care providers with important information regarding the development of a community care team to support patient-centered care within a HCH.
AB - This article describes the development of the Community Connections Program (CCP), a community care team, within a health care home (HCH), as a short-term, intensive, team-based service planning and coordination program for older adults with multiple chronic health conditions. Three proven approaches were combined to support patient's self-management: nurse care coordination, the Wraparound process, and use of community services. Participants' responses to the CCP demonstrated the success of the community care team in connecting patients and nurse care coordinators (NCCs) with community service providers, thus supplying primary care providers with important information regarding the development of a community care team to support patient-centered care within a HCH.
KW - Community services
KW - Health care home
KW - Nurse care coordination
KW - Self-management support
KW - Wraparound
UR - http://www.scopus.com/inward/record.url?scp=84883776693&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84883776693&partnerID=8YFLogxK
U2 - 10.1891/1521-0987.14.3.150
DO - 10.1891/1521-0987.14.3.150
M3 - Article
C2 - 24282996
AN - SCOPUS:84883776693
SN - 1521-0987
VL - 14
SP - 150
EP - 157
JO - Care Management Journals
JF - Care Management Journals
IS - 3
ER -