241789 Critical elements of health care coordination for people with physical disabilities

Wednesday, November 2, 2011: 9:06 AM

Lynda Anderson, MPH , Institute on Community Integration, U of MN, Minneapolis, MN
Brian Abery, PhD , Institute on Community Integration, University of Minnesota, Minneapolis, MN
Sheryl Larson, PhD , Institute on Community Integration, University of Minnesota, Minneapolis, MN
The University of Minnesota study, Health Care Coordination for Persons with Disabilities: Critical Elements and Consumer Outcomes, is a five year study of health care coordination for adults with physical disabilities in Minnesota's Special Needs Basic Care program (SNBC). The research objective is to identify and test the elements of care coordination to improve care delivery to persons with disabilities.

Three activities were initiated to develop an operational definition of health care coordination: a review of the literature, an environmental scan, and a series of participatory planning and decision making (PPDM) groups in which groups of care coordinators, their managers and people with physical disabilities were involved in developing consensus around the critical elements of care coordination. Using a Delphi method of coding and NVivo as our coding and model building tool, we developed domains and elements of care coordination. Participants were asked to rank elements within specific domains related to the delivery of care coordination.

This process was repeated with six groups of care coordinators, one group of managers, and four groups of people with disabilities using a focus group approach called Participatory Planning and Decision Making (PPDM) groups.

This paper will present the findings of the environmental scan, the PPDM process and the development of a health care coordination model. Specifically, the principal finding that the critical elements of care coordination can be categorized into organization and process domains in accordance with Donabedian's model of quality assurance in health care model.

Learning Areas:
Other professions or practice related to public health

Learning Objectives:
Participants will be able to describe the critical elements of health care coordination for people with physical disabilities.

Keywords: Disability, Case Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the project coordinator for this project, and as such am responsible for day-to-day management of the study, including data collection, analysis, etc.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.