Development of the Senior Health and Wellness Center (SHWC) began in 1998 with financial support from PeaceHealth capital and operational funds. In January 2001, PeaceHealth was awarded a 4-year grant from the John A. Hartford Foundation Geriatric Interdisciplinary Team in Practice Initiative. Hartford grant funds are being used to support a quasi-experimental, 30-month research study to compare health and organizational outcomes in this practice with traditional models of care. Other aspects described in this paper that are partially supported by Hartford, in collaboration with PeaceHealth, include the training of the SHWC interdisciplinary team and resources for developing quality improvement measurement tools and methods.
Developing a Comprehensive Interdisciplinary Senior Healthcare Practice
Article first published online: 18 NOV 2004
Journal of the American Geriatrics Society
Volume 52, Issue 12, pages 2128–2133, December 2004
How to Cite
Stock, R. D., Reece, D. and Cesario, L. (2004), Developing a Comprehensive Interdisciplinary Senior Healthcare Practice. Journal of the American Geriatrics Society, 52: 2128–2133. doi: 10.1111/j.1532-5415.2004.52576.x
- Issue published online: 18 NOV 2004
- Article first published online: 18 NOV 2004
- chronic care model;
- senior health;
- outpatient care
The PeaceHealth Senior Health and Wellness Center (SHWC) provides primary care coordinated by geriatricians and an interdisciplinary office practice team that addresses the multiple needs of geriatric patients. The SHWC is a hospital outpatient clinic operated as a component of an integrated health system and is focused on the care of frail elders with multiple interacting chronic conditions and management of chronic disease in the healthier older population. Based on the Chronic Care Model, the SHWC strives to enhance coordination and continuity along the continuum of care, including outpatient, inpatient, skilled nursing, long-term care, and home care services. During its development, a patient-centered approach was used to identify senior service needs. The model emphasizes team development, integration of evidence-based geriatric care, site-based care coordination, longer appointment times, “high touch” service qualities, utilization of an electronic medical record across care settings, and a prevention/wellness orientation. This collection of services addresses the interrelationships of all senior issues, including nutrition, social support, spiritual support, caregiver support, physical activity, medications, and chronic disease. The SHWC provides access in an environment sensitive to the special needs of seniors, with a staff trained to meet those needs. The SHWC business model attempts to improve access and quality of care to seniors in a mostly noncapitated healthcare setting, while also attempting to remain financially viable.