Patient-centered Goals of Care: Using the Chronic Care Management (CCM) Code Towards Cooperative Goal Setting in the Multimorbid Elderly

Patient-centered care contributes to quality healthcare delivery by encouraging health care providers to consider patients ’ needs as articulated by the patients themselves. Due to barriers such as limited time and lack of clinician training, shared decision-making may not take place. It is particularly important in older adults with multiple comorbidities for the clinician and patient to cooperatively determine goals together. In recognition of the importance of care coordination in patients with multiple chronic conditions, Medicare approved payment for non face-to-face care management for selected patients with multi-morbidity, including a requirement to elicit goals and create a care plan.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Quality Improvement Source Type: research