About My Health Careers Internship MedBlogs Contact us

Collaborative Care Reduces Health Care Cost and Improves Patient Outcomes

by Ramya Rachamanti on August 14, 2019 at 7:02 PM
Font : A-A+

Collaborative Care Reduces Health Care Cost and Improves Patient Outcomes

Interprofessional collaborative care reduces health care costs in vulnerable group and high risk patients, according to a new study from Creighton University School of Medicine and Center for Interprofessional Practice, Education and Research, which is published in the Annals of Family Medicine.

The study, "Lessons From Practice Transformation," involved patients at a family practice clinic at CHI Creighton University Medical Center-University Campus near downtown. The clinic was specifically designed around something called the interprofessional collaborative practice (ICPC) model.


"Our study demonstrated that interprofessional education and collaborative practice provided in a primary care residency-based program are associated with reductions of 16.7% in emergency room visits, 17.7% in hospitalizations, 0.8%in hemoglobin A1c levels, and 48.2% in total patient charges," said Thomas P Guck, PhD, psychologist and professor in Family Medicine at Creighton University, and lead author of the study.

Guck said these results came about primarily because, "We are teaching future providers to work in teams," said Guck.

To get an idea of what that teamwork looks like, walk into the downtown area Creighton family practice clinic. There are patients checking in, some are sitting down waiting to be seen, nothing appears out of the ordinary. Behind the patient rooms is where the transformation begins. There's a medical assistant working on a computer next to a third-year family practice medical resident.

A faculty physician is consulting with a nurse about a patient, right next to the social worker speaking with an occupational therapist. There's a pharmacy next to the waiting room, and ran occupational and physical therapy gym on the first floor. The patient has access to all of these services and clinicians in one place. It is known as the interprofessional collaborative practice (IPCP) model.

There are plenty of studies that show interprofessional collaborative care can lead to better, less costly outcomes in specific patient populations, like those with diabetes or heart disease, but until now no one has studied whether this model of care offers these same improvements in a diverse patient population like what you see in Family Practice. But the Creighton study showed a nearly 50% reduction in patient charges in one year.

"That's a cost savings of more than $4 million," said Joy Doll, OTD, occupational therapist, executive director of Creighton's Center for Interprofessional Practice, Education and Research (CIPER), and one of the study's authors.

Doll said those savings came about mostly because there were far fewer visits to the emergency room and patients were hospitalized less often.

This kind of change wasn't easy, for patients or clinic staff. An important part of the study, which was partly supported by grant funding, focused on team-building and training staff and clinicians how to productively engage in conflict. In other words, learning to respectfully admit to and talk about differing opinions, clashes, or struggles.

The study revealed an added bonus as well: a sharp drop in clinical burnout.

"Out of 151 clinics we used to be in the bottom 2/3 with regard to employee engagement, i.e. happy clinicians," said Doll. "Now we're first or second in that area (employee engagement), and retention at the clinic is really high."

The Creighton College of Nursing and CIPER were awarded a $50,000 grant from the National Center for Interprofessional Practice and Education, in collaboration with the Robert Wood Johnson Foundation, The John A. Hartford Foundation, the Josiah Macy Jr. Foundation and the Gordon and Betty Moore Foundation. Creighton University and CHI Health each gave $25,000 for the project, for a total budget of $100,000.

Source: Newswise

News A-Z
News Category
What's New on Medindia
Health Benefits of Giloy
Breast Cancer Awareness Month 2021 - It's time to RISE
First-Ever Successful Pig-To-Human Kidney Transplantation
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Health Insurance Plan New India Assurance Policies Laser Vision Correction Surgery Health Insurance - India 

Recommended Reading
Artificial intelligence in Healthcare
Artificial intelligence (AI) in healthcare is the discipline using data intensive computer based ......
Health Insurance - India
Health insurance has emerged as one of the fastest growing segments in the non-life insurance indust...
Health Insurance Plan
With a health insurance policy you and your family can rest assured!...
Laser Vision Correction Surgery
Techniques using laser allow faster recovery rates when compared to the older modalities. LASIK is t...
New India Assurance Policies
The existing Mediclaim and Health Plus Medical expenses policies have been discontinued and Mediclai...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use