The Primary Cares Initiative: Value-Based Redesign of Primary Care

Reversing Frailty Levels in Primary Care Using the CARES Model

BACKGROUND The purpose of this manuscript was to evaluate the effectiveness of the Community Actions and Resources Empowering Seniors (CARES) model in measuring and mitigating frailty among community-dwelling older adults. METHODS The CARES model is based on a goal-oriented multidisciplinary primary care plan which combines a comprehensive geriatric assessment (CGA) with health coaching. A to...

Realising the value of primary care.

The immediate task in primary care is to respond to patient demand. In the absence of other influences, the resulting system of care tends to be both inefficient and inequitable. Primary care has been shown to be increasingly capable of making important contributions to public health, however, by delaying or reducing the complications of established conditions, and by reversing risks in people ...

The comprehensive primary care initiative: what you need to know.

Exploring Attributes of High-Value Primary Care.

PURPOSE Medicare's merit-based incentive payment system and narrowing of physician networks by health insurers will stoke clinicians' and policy makers' interest in care delivery attributes associated with value as defined by payers. METHODS To help define these attributes, we analyzed 2009 to 2011 commercial health insurance claims data for more than 40 million preferred provider organizatio...

Diagnostic value of microtympanometry in primary care.

OBJECTIVE To determine the reliability, validity, and feasibility of a new hand held microtympanometer. DESIGN Comparison of microtympanometry by two independent observations of a general practitioner and a nurse, and against a validated reference instrument. SETTING Primary care health centre of a school for the deaf in the United States. SUBJECTS 111 schoolchildren receiving a regular c...