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Assisting Lucinda: A Depressed Individual with Diabetes Mellitus, Numerous Complications, Poor Control, and High Service Use

  • Roger G. Kathol
  • Rachel L. Andrew
  • Michelle Squire
  • Peter J. Dehnel
Chapter

Chapter Objectives

  • To illustrate implementation of a value-based integrated case management complexity assessment using adult VP-ICM methodology for Lucinda.

  • To connect complexity assessment findings to the development of a personal care plan.

  • To demonstrate how to document care plan outcomes and to use the patient-centered ICM performance tool for recording participating individual and VB-ICM manager-based outcomes.

  • To walk through the VB-ICM assistance and support process with Lucinda, including her graduation from VB-ICM and return to standard care.

Keywords

Medical and behavioral health complexity Cross-disciplinary case management Integrated care coordination Case management outcome measurement VB-ICM 

References

  1. 1.
    Kathol R, Perez R, Cohen J. The integrated case management manual: assisting complex patients regain physical and mental health. 1st ed. New York: Springer; 2010.Google Scholar
  2. 2.
    Katon WJ, Lin EH, Von Korff M, Ciechanowski P, Ludman EJ, Young B, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611–20.CrossRefGoogle Scholar
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    Unutzer J, Katon WJ, Fan MY, Schoenbaum MC, Lin EH, Della Penna RD, et al. Long-term cost effects of collaborative care for late-life depression. Am J Manag Care. 2008;14(2):95–100.PubMedPubMedCentralGoogle Scholar
  4. 4.
    Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Roger G. Kathol
    • 1
  • Rachel L. Andrew
    • 2
  • Michelle Squire
    • 3
  • Peter J. Dehnel
    • 4
  1. 1.Cartesian Solutions, Inc.™ and University of MinnesotaBurnsvilleUSA
  2. 2.Premera Blue Cross Mountlake TerraceUSA
  3. 3.ManahawkinUSA
  4. 4.Twin Cities Medical SocietyEdinaUSA

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