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Truman Medical Centers Super-Utilizer Project |
Missouri |
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Truman Medical Centers (TMC) is a not-for-profit health system that provides safety net care to residents of Western Missouri who are uninsured or under-insured. The system is working to improve care for high-need patients using a team-based, medical home model. Eligible patients (identified through utilization data and medical histories) receive care that is coordinated by a nurse and social worker who work individually with the patient to ensure that goals are met. This involves connecting patients with physicians, pharmacists and other caregivers, and helping them understand and manage their illnesses. In 2015, TMC announced it had partnered with Cerner to deploy advanced population health data management software throughout the health system. |
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Partner Organizations |
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Target Population |
Medicaid enrollees with multiple chronic conditions, multiple medications and mental illness or substance abuse problems |
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Care Team |
Registered nurse, social worker |
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Timeframe |
2012 - present |
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Results/ Studies |
N/A |
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Funding |
Federal grant initially, health system currently |
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Resources |
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