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Project ECHO’s Complex Care Initiative: Building Capacity to Help “Superutilizers” in Underserved Communities
| Content Provider | Semantic Scholar |
|---|---|
| Author | Hostetter, Martha Klein, Sarah Mccarthy, Dougla S. |
| Copyright Year | 2016 |
| Abstract | INTRODUCTION By the time Mark reached his early 40s, years of alcohol abuse had almost killed him. On the day he first met with Chris Ruge, a nurse practitioner in New Mexico, Mark was incoherent, with 20 pounds of fluid in his abdomen a clear sign that his liver had nearly stopped working. Ruge called 911, and Mark spent four weeks recovering in an ICU and skilled nursing facility. He was unable to walk and barely able to talk when he was discharged, but started drinking again within days. Ruge and his care team are throwing lifelines to Medicaid beneficiaries like Mark—the “superutilizers” who accrue very high health care costs because of their addictions, mental illness, and physical health problems, which are often compounded by poverty and social isolation. To help Mark, Ruge spent hours with him. “We didn’t talk about medical stuff,” he says. “I just talked to him about his life and asked whether he wanted to stick around.” After several such conversations, Mark told Ruge he was ready to get sober, and asked for help. To learn more about new publications when they become available, visit the Fund’s website and register to receive email alerts. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | http://www.commonwealthfund.org/publications/case-studies/2016/aug/~/media/files/publications/case-study/2016/aug/1891_hostetter_project_echo_case_study.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
