Health Service Delivery for Patients with Complex Care Needs
Health Service Delivery for People with Complex Care Needs
As the U.S. population ages, the number of Americans who have chronic health conditions will greatly increase. These demographic and epidemiologic dynamics will strain the capacity and the sustainability of the acute care-oriented U.S. health care system, which now provides chronic care ineffectively and inefficiently. New health service delivery systems will need to be developed, evaluated, and disseminated into widespread practice in order to deliver high-quality, cost-effective care for older adults.
Research Focus
In recent work that includes partnerships with other health care institutions and agencies, researchers from the Center for Transformative Geriatric Research have explored the development of geriatrics health service delivery at all levels of the health system, from the patient and their family or caregivers to providers, hospital and health system. Using a wide array of qualitative and quantitative research techniques, investigators are finding new and better ways to care for older adults.
Current Research Studies
Hopkins investigators have been at the forefront of developing, evaluating, and disseminating into practice new models of geriatric health service delivery to care for an aging population. Current research studies are focused on:
Clinical interventions to improve transitions of older adults across the continuum of care
Community-based long-term care
Program of All-inclusive Care for the Elderly (PACE)
Expertise, Disease and Conditions:
Cognitive Decline in Older Adults, General Internal Medicine, Geriatric Consultation and Preventative Health, Geriatric Medicine, Osteoporosis, Paget's Disease, Primary Care of Older Adults, Sleep Disorders
Research Interests:
Older people, Comorbidity, Hospitalization, Disability, Functional recovery, Chronic disease care, Quality of life
Expertise, Disease and Conditions:
Cognitive Decline in Older Adults, Dementia, General Internal Medicine, Geriatric Consultation and Preventative Health, Geriatric Medicine, Polypharmacy, Primary Care of Older Adults
Research Interests:
Reducing use of potentially harmful medicines in older adults, shared decision making, dementia
Professor of Medicine
Associate Medical Director; Clinical Chief, Ventilator Rehabilitation Unit, Johns Hopkins Bayview Medical Center
Associate Medical Director, The Johns Hopkins Bayview Medical Center, Division of Geriatric Medicine and Gerontology
Expertise, Disease and Conditions:
Geriatric Medicine
Research Interests:
Diarrhea C. difficile, Oral rehydration therapy
Professor of Medicine
Director, The Center for Transformative Geriatric Research
Director, Program in Geriatric Health Services Research
Co-Director, Johns Hopkins Home-Based Medicine
Co-director, Medicine Clerkship
Medical Director, Business Development and Strategic Alliances
Expertise, Disease and Conditions:
Geriatric Medicine, Polypharmacy, Primary Care of Older Adults
Research Interests:
Home care and medical house calls, Multimorbidity, Development, evaluation, and dissemination of novel models of care for older adults, notably Hospital at Home, Guided care and geriatric "portfolio" models, Case-mix issues, Medical education
Associate Professor of Medicine
Program Director, Fellowship Training Program in Geriatric Medicine and Gerontology
Medical Director, Program for All-Inclusive Care of the Elderly (PACE)
Expertise, Disease and Conditions:
Geriatric Medicine
Research Interests:
Geriatrics curriculum development and evaluation for medical trainees, Models of care delivery with a focus on long-term care
Associate Professor of Medicine
Assistant Professor of Pathology
Joint Appointment in Psychiatry and Behavioral Sciences
Associate Director, Johns Hopkins Memory and Alzheimer's Treatment Center
Expertise, Disease and Conditions:
Clinical Care of Older Adults, Cognitive Decline in Older Adults, Geriatric Medicine, Geriatric Psychiatry, Mood Disorders, Perioperative Care of Older Adults
Research Interests:
Development of biomarkers for different stages of dementia, as markers of early detection as well as for markers of treatment response
