| A Solution That Lets You Stay at Home |  |
| A Solution That Lets You Stay at Home | |
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The SeniorBridge Approach to Complex Care |
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Our Offices Care Management Network Baltimore, MD Boston, MA Boca Raton, FL Bradenton, FL Brooklyn, NY Charlotte, NC Chicago, IL Fort Lauderdale, FL Miami, FL Marco Island, FL Fort Myers, FL Great Neck, NY Naples, FL New York, NY Orlando, FL Paramus, NJ Pittsburgh, PA Punta Gorda, FL Queens, NY San Antonio, TX Sarasota, FL Tequesta, FL West Orange, NJ West Palm Beach, FL White Plains, NY Venice, FL  "SeniorBridge care is based on an integrated practice model where a care manager coordinates multiple disciplines to ensure the highest quality of care for our clients."Eric C. Rackow, M.D. President & CEO 
SeniorBridge Care Report Download our Care Report, "The Growing Need for Care at Home"Please Contact Us for a printed copy. |
Improved Outcomes with our Integrated Practice ModelOur approach to care is based on our own unique Integrated Practice. The Integrated Practice is a system of organizing and providing care that enables individuals with chronic disabilities to live at home and get better care. This unique model of care consists of a dedicated team, led by a geriatric care manager, working together to achieve systematic improvement in the provision of care to clients. Because many individuals’ clinical conditions will be in the moderate to advanced stage, they may be unable to self-manage, walk, maintain their homes, drive safely or take medications appropriately. Other may be depressed or unable to remember recent events. Their conditions may make it impossible to perform the Activities of Daily Living or Instrumental Activities of Daily Living, tasks such as bathing, dressing, eating, shopping, and cooking.We pioneered the Integrated Practice model based on many clinical studies of recent years that evaluated the outcomes of care for people with complex chronic conditions. These studies have shown that approaches similar to our model improve outcomes for clients. Clinical EvidenceOur model of care is based on a large body of clinical literature dedicated to evaluating patient outcomes in chronically ill populations. Many studies demonstrate improved overall health and quality of care for clients with chronic disease through the use of organized care management processes, integrated health teams and comprehensive services that address multiple aspects of a client’s condition.Widespread Support for Integrated Practice ModelLess Hospitalizations and Emergency Room visits with Care ManagementA study of 226 high-risk, frail elderly patients showed that geriatric care management by nurses and social workers resulted in a decrease of emergency room visits and hospital admissions. Emergency room visits declined from 1,500 visits to 700 visits over a 24-month period in patients who received care management. Hospitalizations also declined when care management was utilized from 800 admissions to 400 admissions over the same 24-month period.-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2007) Less agitation in Alzheimer’s patients and less stress in caregivers with collaborative care modelIn a study of 153 older adults with Alzheimer's disease and their caregivers, two groups were followed for 18 months. One group received collaborative care, spearheaded by an advanced practice nurse. The control group was not exposed to the team approach to health care, but did receive educational materials on the disease. Conclusion: the decreased patient agitation seen in the care group was directly correlated with lower caregiver stress and fewer depressive symptoms, and was achieved without anti-psychotics or sedatives.-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2006) Care coordination, counseling and support improve patient outcomesIn a study of 139 elderly patients with cardiac medical and surgical diagnosis, it was found that the greater the nursing time spent and number of contacts per patient, the better the patient outcome and the lower the healthcare costs. Three interventions were especially valuable: (1) surveillance of symptoms and behaviors; (2) care coordination; and (3) counseling and support.-JOURNAL OF NURSING SCHOLARSHIP (2003) Chronic care model shows improved patient outcomesThe chronic care model, a model of care involving multidisciplinary practice teams of 6 to 8 people, including nurses and social workers, each with a “physician champion,” has proven to be effective in improving patient outcomes. This was found by a number of studies of populations with different chronic conditions, including diabetes, asthma, depression and others commonly found in the elderly population.-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2002) Benefits of restorative home care versus traditional home careA study of 1,382 elderly patients that compared restorative home care with traditional home care services. It found that restorative home care, based on principles from geriatric medicine, nursing rehabilitation and goal attainment, was shown to prevent the functional decline that occurs in elderly patients after they are discharged from a hospital.-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2002) |
“The chronically ill patient has complex needs that require multiple healthcare providers. This calls for individualized care management, which is the core of the SeniorBridge model.”Jason Karlawish, MD Associate Professor Department of Medicine Division of Geriatrics University of Pennsylvania, Philadelphia, PA |
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