Publications by the Care Management Plus Team

Study Results & Publications - Annotated Bibliography

Description plus Clinical and Financial Benefits of the Model

• Dorr DA, Wilcox AB, Brunker CP, Burdon RE, Donnelly SM. The Effect of Technology Supported, Multidisease Care Management on the Mortality and Hospitalization of Seniors. J Am Geriatr Soc. In Press.
  
  

• Wilcox AB. Dorr DA. Burns L. Jones SS. Poll J. Brunker CP. Physician Perspectives of Nurse Care Management Located in Primary Care Clinics.
  Care Manag J. 2007; 8(2):58-63
  • Physicians appreciate the Care Management system while using it in different ways; the satisfaction may lead to reduced turnover and a happier primary care team.
  • Article


• Young AS, Chaney E, Shoai R, Bonner L, Cohen AN, Doebbeling B, Dorr D, Goldstein MK, Kerr E, Nichol P, Perrin R. Information technology to support improved care for chronic illness. Journal of General Internal Medicine. 2007; 22: 425-430.
  • Published Abstract
  • Article
    
    
• Dorr D. Bonner LM. Cohen AN. Shoai RS. Perrin R. Chaney E. Young AS. Informatics Systems to Promote Improved Care for Chronic Illness: A Literature Review. J Am Med Inform Assoc. 2007 March-April;14(2):156-163. Epub 2007 Jan 9.
  • Many studies have been done on information technology systems created or enhanced to improve care for patients with chronic illness; this literature review examined over 100 such studies and determined that the systems had benefits the majority of the time (67%) but failure to adequately demonstrate that benefit was common. Specific enhancements seemed to lead to greater success, such as connection to an electronic medical record, computerized prompts, population management (including reports and feedback), specialized decision support, electronic scheduling, and personal health records.
  • Published Abstract – PubMed Central
  • Article

• Dorr DA. Wilcox A. McConnell KJ. Burns L. Brunker CP. Productivity Enhancement for Primary Care Providers Using Multicondition Care Management. Am J Manag Care. 2007 Jan;13(1):22-8.
  • We demonstrate an 8-12% improvement in productivity of providers who actively send patients to the care manager versus those who do not; this pays for the Care Management program.
  • Published Abstract – PubMed Central
  • Article

• Donnelly S. Burns L. Using Clinic-Based Care Managers to Improve Quality Outcomes and Increase Efficiency in Primary Care. Quality Insight. Fall 2006: 7-8.
  • Quality Improvement Organizations help assure the highest possible quality of care for patients on Medicare; this paper demonstrates our collaboration with HealthInsight, the QIO for Utah.
  • Article

• Dorr DA. Wilcox A. Burns L. Brunker CP. Narus SP. Clayton PD. Implementing a Multidisease Chronic Care Model in Primary Care Using People and Technology. Dis Manag. 2006 Feb; 9(1):1-15.
  • This paper highlights the Care Management Plus implementation and compares it to previous Care Management/coordination like the Chronic Care Model. The technology, care manager and health system infrastructure, and process are described in detail.
  • Published Abstract – PubMed Central
  • Article .

• Dorr DA. Wilcox AB. Donnelly SM. Burns L. Clayton PD. Impact of Generalist Care Managers on Patients with Diabetes. Health Serv Res. 2005 Oct; 40(5 Pt 1):1400-21.
  • For patients with diabetes, the program was very effective at improving process and outcomes measures of diabetes control. The reductions were estimated to lead to a 20-35% reduction in complications of diabetes.
  • Published Abstract – PubMed Central
  • Article

• Wilcox AB. Jones SS. Dorr DA. Cannon W. Burns L. Radican K. Christensen K. Brunker C. Larsen A. Narus SP. Thornton SN. Clayton PD. Use and Impact of a Computer-Generated Patient Summary Worksheet for Primary Care. AMIA Annu Symp Proc. 2005: 824-8.
  • Individual summarization of patient data coupled with appropriate reminders can be a very powerful tool, leading to improvements in adherence to quality measures.
  • Published Abstract – PubMed Central
  • Article

Deconstructing the Elements of the Care Management Plus Model and Their Effect

• Dorr DA. Wilcox A. Jones S. Brunker CP. Donnelly SM. Burns L. Care Management Dosage.  J Gen Intern Med. 2007 Jun; 22(6):736-41. Epub 2007 Apr.
  • The 'dosage' of Care Management is defined to better understand how the care managers work and how what they provide helps patients and others.
  • Article
  • Appendix

• Dorr DA. Jones SS. Burns L. Donnelly SM. Brunker CP. Wilcox AB. Clayton PD. Use of Health-Related, Quality-of-Life Metrics to Predict Mortality and Hospitalizations in Community-Dwelling Seniors. J Am Geriatr Soc. 2006 Apr; 54(4):667-73.
  • An important task in Care Management is identification of the population; this paper highlights the use of a comorbidity score and the SF-12 metric to predict patients at risk for disease exacerbation and death.
  • Published Abstract – PubMed Central
  • Article

• Dorr DA. Jones SS. Wilcox A. A framework for information system usage in collaborative care. J Biomed Inform.2006 Oct 10; Epub.
  • Many groups ask us how they can better use or develop information systems to support collaboration (e.g., for patients with complex needs or conditions); this paper highlights a number of factors identified by our research team and compared to an EHR framework.
  • Published Abstract – PubMed Central
  • Article

Works in Progress

Presentations

2008

• Wilcox A, Dorr DA. Clinical Quality Measures from EHRs – Oregon experience. AMIA Annual Meeting. Phoenix, AZ. May 30, 2008.

Slides


• Dorr DA. Care Management Plus: Improving Translational Science through Informatics. Oregon Clinical & Translational Research Institute / OHSU Dept of Medical Informatics & Clinical Epidemiology. Portland, OR. May 8, 2008.
  
Slides


• Brunker C, Dorr DA, Wilcox A, Donnelly S. Care Management Plus Increases Enrollment in Hospice. Poster Presentation, American Geriatrics Society Annual Scientific Meeting. Washington, DC. April 2008.
  
  
• Dorr DA, McConnell KJ, Brunker CP, Wilcox A. Care Management Plus: Effect on Mortality and Hospitalization of Seniors. Poster Presentation, American Geriatrics Society Annual Scientific Meeting. Washington, DC. April 2008.
  
  
• Burdon RE, Brunker CP, Tran H, Dorr DA. Improving Clinical Care for Chronically Ill Patient Populations Using IT Supported Care Management. Poster Presentation, International Forum on Quality and Safety in Health Care. Paris, France. April 2008.
  Poster
  
  
• Dorr DA. Geriatric (+!) Models of Ambulatory Care – Improving the experience of Primary Care for older adults and those with complex illness: Care Management Plus. Oregon Health & Science University Grand Rounds. Portland, OR. April 16, 2008.
  Slides
  
  
• Dorr DA, Bowen J, DiPiero A. Reducing Distortion in Quality Measurement in Primary Care. Society of General Internal Medicine Annual Meeting. Pittsburgh, PA. April 11, 2008.
  Slides
  
  
• Widmier L, Brunker CP, Dorr DA, Berry P. Curriculum for Care Management Plus: Information Technology Tools for the Care of Seniors. Poster Presentation, University of Utah Center on Aging Research Retreat. Salt Lake City, UT. February 2008.
  Poster
  
  

2007

• Dorr DA. Care Management Plus Information Technology. Comments as recipient of Best New Investigator Award. American Medical Informatics Association Annual Symposium. Chicago, IL. November 2007.



• Dorr DA. McConnell KJ. Addressing Problems in Care Coordination: Experience of Care Management Plus. Agency for Healthcare Research and Quality. Bethesda, MD. Sept 27, 2007.

Slides


• Dorr DA. Quality and Hospital Medicine: An Overview. Society of Hospital Medicine Conference. September 21, 2007.
  Slides



• Larsen A. Burns G. CDEs as Care Managers. AADE Conference, August 3, 2007.
  Slides

• Dorr DA. McConnell KJ. Donnelly S. Brunker CP for CMP. The Effect of Generalist Care Management on Expenditures for Medicare Beneficiaries. International Health Economics Association (iHEA), July 9, 2007.
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• Dorr DA. Health IT Use for interdisciplinary training: experience from academics. Advisory Committee on Interdisciplinary and Community-based Linkage (ACICBL), June 25, 2007.
  Slides
  
  
• Dorr DA. McConnell KJ. Donnelly S. Brunker CP. Expenditure and utilization changes from a primary care-based, multicondition Care Management program. AcademyHealth, Orlando, FL. June 4, 2007.
  Slides
  
  
• Dorr DA for CMP. "Primary Care Decision Support for Clinical Teams: Creation of a Medical Home", Spring AMIA conference, Orlando, FL, May 22-24, 2007.
  Slides
  


• Dorr DA for CMP. "Quality for patients with complex conditions defined through Care Management Plus", Special Session SGIM, Toronto, Canada, April 25-28th, 2007.
  Slides
  
  
• Wilcox AB. Dorr DA. Maximizing the Utility of Information Technology in Chronic Care Management. Computers in Practice 90 minute session, American College of Physicians, San Diego, CA. April 19, 2007.
  Slides

• Brunker CP. Dorr DA. Donnelly SM. Wilcox AB. Increasing Hospice Enrollment: The Role of Clinic Care Managers. Poster Presentation, American Association of Hospice and Palliative Medicine, Salt Lake City, UT. February 2007.

2006

• Dorr DA. Brunker CP. Wilcox AB. Burns L. Implementing protocols is not enough: the need for flexible, broad based Care Management in primary care. TRIPP Conference, Washington, DC. July 10-12, 2006.
  Slides
  


• Dorr DA. Donnelly SM. Wilcox AB. Brunker CP. Burns L. Incorporating Multidisease Care Management into Primary Care Using People and Technology. AcademyHealth, Seattle, WA. June 25-28, 2006.
  Slides

• Dorr DA. Donnelly S. Donnelly S. Care Management Plus. 90 minute presentation, Triregional Quality Improvement Organizations, St. Pete's Beach, FL. June 14-16, 2006.
  Slides

• Dorr DA. Larsen A. Care Management Plus: Integrating people and technology into primary care. 90 minute session, Care Management Society of America, Dallas, TX. June 14-16, 2006.
  Slides

• Dorr DA. Burns L. Brunker CP. Donnelly S. Wilcox AB. Integrating Geriatric Care Management into Primary Care Practice. Poster Presentation, Society of General Internal Medicine, Los Angeles, CA. April 28, 2006.
  Poster