Tag: care planning

Interim Reports on Aggregating Care Plans to Manage Supportive Care Services for Elders

By Les Morgan The following reports were produced as deliverables for our project “Aggregating Care Plans to Manage Supportive Care Services for Elders” (Joanne Lynn, M.D., Principal Investigator).This project is funded by the Gordon and Betty Moore Foundation through Grant GBMF5662 to Altarum Institute. Dr. Lynn will provide a more detailed report on the project

Continue reading

Enhancing Collaboration and Communication Between Medical and Community Settings

Anne Montgomery portrait

By Anne Montgomery [as posted on the American Society on Aging (ASA) website] As evidence accumulates on how community-based organizations (CBO) can cost effectively meet the medical and long-term care needs of older adults through supportive services, the importance of linking multiple data streams across settings becomes clear. But until recently, policy barriers hampered effective

Continue reading

Seeing the Person in Advanced Illness: Two Current Federal Opportunities

Picture of Anne Montgomery

By Anne Montgomery In late July 2016, my friend Dan sent an email around to friends and colleagues. The subject line was “Uncomfortable news.” Opening it, we read about his diagnosis of metastatic pancreatic cancer. Gently telling us there was no effective treatment and that he would not be seeking any, he said: “I will

Continue reading

Measuring Performance of a Community’s Elder Care System

Portrait of Dr. Joanne Lynn

By Joanne Lynn Most of us now reading this will get the extraordinary privilege of being able to live into old age. For nearly all of human history, few people lived to be old, and even fewer lived long with serious disabilities. Now, most of us will have a substantial period of increasing disability at

Continue reading

MediCaring Communities: Getting What We Want and Need in Frail Old Age at an Affordable Cost

MediCaring Communities: Getting What We Want and Need in Frail Old Age at an Affordable Cost Published June, 2016 194 pages, 6″ x 9″ (15.24 x 22.86 cm) ISBN-10: 1481266918 List Price $9.95 at Amazon.com Americans want a long life and most of us will get to live into our 80’s and beyond, but we

Continue reading

Family Caregiver Platform Project: What’s Urgent Now?

The pace of activity in the 2016 election cycle is picking up dramatically. We are in the midst of a populist moment, in which citizens around the country are making their views heard loudly and clearly. For the tens of millions of Americans who have, are, or will be family caregivers, this spring offers an

Continue reading

Purchasing Value – Not Yet Right for Medicare’s Frail Elders

By Joanne Lynn In late January, Department of Health and Human Services Secretary Sylvia Matthews Burwell announced that Medicare would purchase most services on the basis of value rather than volume, aiming for 90% of fee-for-service payments by 2018 [http://www.hhs.gov/blog/2015/01/26/progress-towards-better-care-smarter-spending-healthier-people.html]. Of course, paying on the basis of value is much better than paying on the

Continue reading

The Case for Care Plans

Posted on behalf of Dr. Joanne Lynn Patients and policy makers must require that clinicians communicate effectively with patients and families, not only to plan for death but also to develop a care plan that guides healthcare services through to end of life. Discussing clinical circumstances and their probable course, understanding the patient’s goals and

Continue reading

Family Caregivers Need Care, Too

Family caregivers are the infrastructure upon which the lives and well-being of millions of frail elders rest. Without their presence, and without their filling in healthcare gaps to coordinate and manage care for their loved ones, whole segments of the healthcare industry would simply collapse. Although caregivers can find the experience of helping others to be

Continue reading

Resources for Advance Care Planning include Handbook for Mortals

Handbook for Mortals cover

The following post first appeared on March 27 as “New Chapters” via http://www.mydirectives.com.  Starting productive conversations with your loved ones about your life decisions is not always easy. It takes a great deal of strength and initiative to take that first step. One of the best ways to take initiative is to find inspiration, so

Continue reading