Care Coordination in Primary Care for Older Americans: Evidence-Based Models and Policy Implications

Moderator: Steven R. Counsell, MD, AGSF
Developed by the Public Policy and Clinical Practice and Models of Care Committees.
Learning Objectives: (1) Describe two evidence-based models of care coordination in primary care consistent with the patient-centered medical home concept and shown to be effective in improving quality of care and outcomes, and reducing unnecessary utilization and costs; (2) Identify key components of effective models of care coordination in older adults with multiple chronic illnesses and geriatric conditions; (3) Discuss nursing practice and policy perspectives on care coordination in primary care for older adults; and (4) Summarize ideas for healthcare policy reform to better support improved coordination of care in Medicare beneficiaries.

Guided Care Model
Chad Boult, MD, MPH, MBA

GRACE Model
Steven R. Counsell, MD, AGSF

Nursing Practice and Policy Implications
Terry Fulmer, PhD, RN, FAAN

Medicare Policy Implications
Robert A. Berenson, MD