Implementation and Evaluation of a Novel Technology-Enabled, Integrated Case Management Program for Complex-Needs Patients in Northumberland County, New Brunswick| MEKTU | NB-IRDT | UNB

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NB-IRDT

Implementation and Evaluation of a Novel Technology-Enabled, Integrated Case Management Program for Complex-Needs Patients in Northumberland County, New Brunswick

Lead organization:  Government of New Brunswick, Department of Health and EM-ANB (Ambulance NB)

Principle investigator(s): Ginette Pellerin

About the project:

The issue

Primary healthcare often lacks the integration and coordination of care for complex-needs patients, who are high-cost users, and often older and have multiple chronic conditions.  Care is benefitted from coordination among health, social services and community organizations. A new care coordination model is needed to assist these complex-needs patients.

The importance

The NB Health Council predicts that the cost of care for these complex-need patients could increase by $100 million or more within seven years.

What makes this project different

A new care coordination model will be developed to strengthen primary healthcare in the community for complex-needs patients. It will use a novel, technologically enabled, integrated case-management approach to care. This novel approach to care will create seamless care coordination and provide better health and care experiences for patients with complex needs living in the community.

Anticipated impacts

The overall goal of the project is to reduce the rates of emergency room visits and hospitalizations of complex-needs patients. Therefore, it is anticipated that this project will improve seniors’ health and reduce their early admissions in nursing homes; and result in cost savings for the health care system.

 

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