
doi: 10.1007/bf03324314
pmid: 8547376
Geriatric care management refers to the multidis ciplinary accumulation and analysis of data regarding an elderly patient, with associated management deci sions and implementation follow-up. Included in this concept is gatekeeping, coordination of care, making initial referrals, and evaluating new and ongoing med ical concerns via comprehensive geriatric assessment (CGA). The care/case manager could be anyone of the various team members, be it the primary care physi cian, nurse, social worker, therapist, psychologist, etc. From a practical standpoint, the physician is usu ally the person who must approve proposed man agement options, wherever they originate. This paper describes a computer software pro gram designed to allow performance of these func tional assessments in a streamlined, cost-effective manner with a minimum of additional staff. The soft ware program was developed and tested in the au thor's solo primary care geriatric practice. The actu al administration of the evaluation, consisting of the computer-prompted interview, lasts about 1-1/2 hours, depending on the cognitive status of the client. Since cognitive status is assessed early in the interview, it is suggested that if the patient scores below 26 on the Mini-Mental State Exam, a corroborating person must be in attendance. If the interview is conducted at the client's home, using a laptop computer, the Home Safety Checklist can be used as a guide for the house inspection. If the interview is conducted at the care manager's office, the client should arrive with the Home Safety Checklist al ready completed. Table 1 lists the tests used in this as sessment.
Geriatrics, Humans, Diagnosis, Computer-Assisted, Delivery of Health Care, Geriatric Assessment
Geriatrics, Humans, Diagnosis, Computer-Assisted, Delivery of Health Care, Geriatric Assessment
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