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Publications by the Care Management Plus Team


The Care Management Plus team regularly publishes and publicizes information about the successes of the project. Please see the below articles and publications for more scholarly information about Care Management Plus. For more information about these articles or other research we are involved with, please contact the authors listed on our Team page.

Study Results & Publications - Annotated Bibliography

Description plus Clinical and Financial Benefits of the Model  

  • Behkami NA. Dorr DA. User centered design in complex healthcare workflows: the case of care coordination and care management redesign. AMIA Annu Symp Proc. 2009.


  • Dorr DA. Managing and Coordinating Health Care: Creating Collaborative, Proactive Systems. National Academy of Engineering (NAE) The Bridge 39(4):21-29.


  • Dorr DA, Wilcox AB, Brunker CP, Burdon RE, Donnelly SM. The Effect of Technology Supported, Multidisease Care Management on the Mortality and Hospitalization of Seniors. J Am Geriatr Soc. 2008 Dec; 56 (12): 2195-2202.
  • Wilcox AB. Dorr DA. Burns L. Jones SS. Poll J. Brunker CP. Physician Perspectives of Nurse Care Management Located in Primary Care Clinics.
    Care Manag J. 2007; 8(2):58-63
    • Physicians appreciate the Care Management system while using it in different ways; the satisfaction may lead to reduced turnover and a happier primary care team.
    • Article PDF

  • Young AS, Chaney E, Shoai R, Bonner L, Cohen AN, Doebbeling B, Dorr D, Goldstein MK, Kerr E, Nichol P, Perrin R. Information technology to support improved care for chronic illness. Journal of General Internal Medicine. 2007; 22: 425-430.
  • Dorr D. Bonner LM. Cohen AN. Shoai RS. Perrin R. Chaney E. Young AS. Informatics Systems to Promote Improved Care for Chronic Illness: A Literature Review. J Am Med Inform Assoc. 2007 March-April;14(2):156-163. Epub 2007 Jan 9.
    • Many studies have been done on information technology systems created or enhanced to improve care for patients with chronic illness; this literature review examined over 100 such studies and determined that the systems had benefits the majority of the time (67%) but failure to adequately demonstrate that benefit was common. Specific enhancements seemed to lead to greater success, such as connection to an electronic medical record, computerized prompts, population management (including reports and feedback), specialized decision support, electronic scheduling, and personal health records.
    • Published Abstract – PubMed Central
    • Article PDF
  • Dorr DA. Wilcox A. McConnell KJ. Burns L. Brunker CP. Productivity Enhancement for Primary Care Providers Using Multicondition Care Management. Am J Manag Care. 2007 Jan;13(1):22-8.
    • We demonstrate an 8-12% improvement in productivity of providers who actively send patients to the care manager versus those who do not; this pays for the Care Management program.
    • Published Abstract – PubMed Central
    • Article PDF
  • Donnelly S. Burns L. Using Clinic-Based Care Managers to Improve Quality Outcomes and Increase Efficiency in Primary Care. Quality Insight. Fall 2006: 7-8.
    • Quality Improvement Organizations help assure the highest possible quality of care for patients on Medicare; this paper demonstrates our collaboration with HealthInsight, the QIO for Utah.
    • Article PDF
  • Dorr DA. Wilcox A. Burns L. Brunker CP. Narus SP. Clayton PD. Implementing a Multidisease Chronic Care Model in Primary Care Using People and Technology. Dis Manag. 2006 Feb; 9(1):1-15.
    • This paper highlights the Care Management Plus implementation and compares it to previous Care Management/coordination like the Chronic Care Model. The technology, care manager and health system infrastructure, and process are described in detail.
    • Published Abstract – PubMed Central
    • Article PDF.
  • Dorr DA. Wilcox AB. Donnelly SM. Burns L. Clayton PD. Impact of Generalist Care Managers on Patients with Diabetes. Health Serv Res. 2005 Oct; 40(5 Pt 1):1400-21.
    • For patients with diabetes, the program was very effective at improving process and outcomes measures of diabetes control. The reductions were estimated to lead to a 20-35% reduction in complications of diabetes.
    • Published Abstract – PubMed Central
    • Article PDF
  • Wilcox AB. Jones SS. Dorr DA. Cannon W. Burns L. Radican K. Christensen K. Brunker C. Larsen A. Narus SP. Thornton SN. Clayton PD. Use and Impact of a Computer-Generated Patient Summary Worksheet for Primary Care. AMIA Annu Symp Proc. 2005: 824-8.
    • Individual summarization of patient data coupled with appropriate reminders can be a very powerful tool, leading to improvements in adherence to quality measures.
    • Published Abstract – PubMed Central
    • Article PDF

Deconstructing the Elements of the Care Management Plus Model and Their Effect

  • Dorr DA. Wilcox A. Jones S. Brunker CP. Donnelly SM. Burns L. Care Management Dosage.  J Gen Intern Med. 2007 Jun; 22(6):736-41. Epub 2007 Apr.
    • The 'dosage' of Care Management is defined to better understand how the care managers work and how what they provide helps patients and others.
    • Article PDF
    • Appendix
  • Dorr DA. Jones SS. Burns L. Donnelly SM. Brunker CP. Wilcox AB. Clayton PD. Use of Health-Related, Quality-of-Life Metrics to Predict Mortality and Hospitalizations in Community-Dwelling Seniors. J Am Geriatr Soc. 2006 Apr; 54(4):667-73.
    • An important task in Care Management is identification of the population; this paper highlights the use of a comorbidity score and the SF-12 metric to predict patients at risk for disease exacerbation and death.
    • Published Abstract – PubMed Central
    • Article PDF
  • Dorr DA. Jones SS. Wilcox A. A framework for information system usage in collaborative care. J Biomed Inform.2006 Oct 10; Epub.
    • Many groups ask us how they can better use or develop information systems to support collaboration (e.g., for patients with complex needs or conditions); this paper highlights a number of factors identified by our research team and compared to an EHR framework.
    • Published Abstract – PubMed Central
    • Article PDF

Works in Progress

  • Behkami NA. Dorr DA. Morrice S. A Business case for HIT Adoption: effects of “meaningful use” EHR financial incentives on clinic revenue. MedInfo 2010 13th World Congress on Medical and Health Informatics. Under review.

  • Tran H. Dorr DA. Brunker CP. Gorman P. Role and information needs of nurse care managers in primary care.

  • Vasquez Guzman CE. Dorr DA. Wilcox AB. Increasing the Efficacy of Self Management Education Programs: The Increasing Role of Care Managers.

  • Widmier L. Burdon R. Brunker CP. Butterworth S. Highlighting the Evolution of the CM+ Training Curriculum.

  • Behkami NA. Haggstrom. Weiner. Dorr DA. IT functions within a Medical Home Model.

  • Olsen GS.  McConnell KJ. Dorr DA.  Health information technology adoption: economic lessons in how to achieve efficiency and quality in care management.

  • King M. Dorr DA. Narus S. Brunker CP. Care Management Plus: Improving Translational Science through Informatics.

  • Fagnan LJ. Dorr DA. Davis M. Mahler J. Michaels L. McGinnis P. Turning on the Care Coordination Switch in Rural Primary Care:  Voices from the practices—clinician champions, clinician partners, administrators, and nurse care managers.

 

Presentations

2010

  • King MM, Dorr DA. Effects of population tracking and follow-up on patient lipid profile and diabetic HbA1c improvement. Poster. AcademyHealth Annual Research Meeting. Boston, MA. June 28, 2010.   
    Slides  

  • Dorr DA. Integrated Care Coordination Information System: a tech-driven solution to improve care for older patients. AHRQ Annual Health IT Grantee & Contractor Meeting 2010. Washington, DC. June 2, 2010.  
    Slides  

  • Dorr DA, Wenger NS, Widmier L, Brunker CP. Translating Evidence into Practice: the Medical Home and Quality Measures. Workshop. AGS 2010 Conference, Orlando, FL. May 14, 2010.  
    Slides       

  • Brunker CP, Widmier L, Dorr DA. Care Management Plus: An Innovative Proactive Model. Poster. AGS 2010 Conference, Orlando, FL. May 13, 2010.   

  • Dorr DA. Improving Healthcare Quality and Efficiency through Systematic Longitudinal Care for the Chronically Ill. Poster. International Forum on Quality & Safety in Health Care, Nice, France. April 20-23, 2010.  
    Slides  

  • Brunker CP. Developing Effective Practice Reform Strategies in Practice Redesign. Coastal Medical CME Series-Practice Transformation and Redesign: Disease Management within the Patient Centered Medical Home Model. Warwick, RI. April 7, 2010.   
    Slides  

  • Brunker CP, Dorr DA, Widmier L. Care Management Plus: Meeting the Requirements of the Advanced Medical Home. Workshop. NCOA-ASA Aging in America Conference 2010. Chicago, IL. March 16, 2010.  
    Slides  

  • Brunker CP. Chronic Care Model: Clinical Information Systems EMR Use in Chronic Disease Management. Breakout Session. AAFP Conference. Kansas City, MO. March 5-7, 2010.  
    Slides  

  • Dorr DA. Panelist. Putting It All Together: Integrating Payment Reforms, Performance Measurement, and Delivery Methods That Work. Improving Health Care for Older Americans: Achieving Better Chronic Care at Lower Costs Public Forum. Engelberg Center for Health Care Reform at The Brookings Institution. Washington, DC. January 28, 2010.  

2009

  • Fagnan LJ. McGinnis P. Brunker C. Implementing the Patient Centered Medical Home: Lessons Learned From a Care Coordination Intervention in Rural Primary Care Practices. Workshop. 2009 North American Primary Care Research Group (NAPCRG) Annual Meeting. Montreal, Canada. November 18, 2009. 
    Slides      

  • Behkami NA. Dorr DA. User Centered Design in Complex Healthcare Workflows. American Medical Informatics Association (AMIA) 2009 Annual Symposium. San Francisco, CA. November 18, 2009. 
    Slides      

  • Brunker CP. What’s New With Medical Home? Utah Geriatrics Society Conference. Utah. October 13, 2009. 
    Slides      

  • Dorr DA. Care Management for the Older Adult. Oregon Geriatrics Society Annual Conference. Sunriver, OR. October 11, 2009. 
    Slides      

  • Larsen A. Widmier L. Expanding Roles of Gerontological Nursing: Preparing for the Future.  National Gerontological Nursing Association (NGNA) Convention. St. Louis, MO. October 9, 2009. 
    Slides      

  • Fagnan LJ. Coordinating Care in Rural Oregon Using Care Management Plus (CMP). Poster. AHRQ 2009 Annual Conference. Bethesda, MD. September 14, 2009.
    Slides      

  • Dorr DA. Managing and Coordinating Health Care: Creating Collaborative, Proactive Systems. National Academy of Engineering (NAE) 2009 U.S. Frontiers of Engineering Symposium. Irvine, CA. September 11, 2009. 
    Slides      

  • Dorr DA. Advanced Models of Primary Care: Care Management Plus Pilot and Dissemination. Strengthening Primary Care Through Medical Homes White House Roundtable. Washington, DC. August 10, 2009. 
    Slides      

  • Dorr DA. Behkami, NA. Application of Engineering & Technology Management Practices to University R&D Research in Sustainable Healthcare Information Technology for Primary Care Clinics. Portland International Center for Management of Engineering and Technology (PICMET) 2009 Conference. Portland, OR. August 5, 2009. 
    Slides      

  • Fagnan LJ. Dorr DA. McConnell KJ. McGinnis P. Mahler M. Davis M. Goubaud M. Michaels L.  The Rural Nurse Care Manager Study: Coordinating Care Using Care Management Plus (CMP). AHRQ National PBRN Research Conference. Bethesda, MD. June 25, 2009. 
    Slides      

  • Behkami NA. Dorr DA. Daim TU. Modeling Healthcare Information Technology (HIT) Adoption using Systems Dynamics. CORS-INFORMS International Conference. Toronto, Canada. June 14, 2009. 
    Slides      

  • Wilcox AB. Dorr DA. Brunker C. Radican K. Care Management Plus: Translating a Model of Outpatient Care Using People and Technology to Transform Health Care. American Medical Informatics Association (AMIA) Spring Congress. Orlando, FL. May 29, 2009. 
    Slides      

  • Umscheid C. Dorr DA. Shah NR. West CP. Implementing Best Practices at Your Medical Center through Computerized Clinical Decision Support. Workshop. Society of General Internal Medicine (SGIM) Annual Meeting. Miami, FL. May 15, 2009. 
    Slides      

  • Dorr DA. Williams BC. Bernstein SJ. Brunker CP. Adapting the Medical Home for Older Adults and Patients with Complex Issues. Society of General Internal Medicine (SGIM) Annual Meeting. Miami, FL. May 15, 2009. 
    Slides      

  • Widmier L. Burdon R. Brunker CP. Dorr DA. Butterworth S. Poster. Curriculum For Care Managers: Expanding Skill Sets and Dorr D. Brunker C. Czerniak S. Olsen G. Poster. The Role of Technology in Improving the Health of Older Adults. American Geriatrics Society (AGS) 2009 Annual Scientific Meeting. Chicago, IL. April 29-May 2, 2009. 
    Slides 1  Slides 2     

  • Berman A. Hilton R. Dorr DA. The Future of Aging | Grantmakers In Aging, Grantmakers in Health National Conference, New Orleans, LA. March 19, 2009.  

  • Brunker CP. Dorr DA. Golden RL. Coburn K. Schraeder C. Charting the Future of Primary Care and Dorr DA. ASA-NYAM National Forum on Care Coordination. National Council on Aging and American Society on Aging Annual Conference, Las Vegas, NV. March 17-19, 2009.
    Slides

  • Dorr DA. Sustainable Primary Care and Care Management. American Medical Group Association Annual Conference, North West Regional, Portland, OR. February 5, 2009.
    Slides  

  • Dorr DA. The role of information technology in improving the health of older adults: current state and gap analysis. Grantmakers in Aging Call. February 4, 2009.  

2008

  • Dorr DA, Fagnan LJ. The Medical Home and Practice-Based Nurse Care Management. Society of Teachers of Family Medicine & American Academy of Family Physicians Conference on Practice Improvement, Savannah, GA. December 5, 2008.
    Slides


  • Brunker CP, Widmier L. Symposium: Perspectives of Geriatric Case Management. The Gerontological Society of America Annual Conference, National Harbor, MD. November 21-25, 2008.


  • Dorr DA. Secondary data use: the experience of Care Management Plus. American Medical Informatics Association Annual Symposium, Washington, DC. November 8-12, 2008.
    Slides


  • Dorr DA. Quality measure creation in EHRs: OHSU experience. American Medical Association Conference, Chicago, IL. October 15, 2008.
    Slides


  • Behkami N, Dorr DA, Third N. Technology Road-mapping process with Feature-based Analysis and Cluster-based Grouping in Healthcare. The Institute For Operations Research and Management Sciences Annual Conference, Washington, DC. October 14, 2008.


  • Brunker CP. Evidence behind CM+, Medicare Chronic Care Practice-based Research Network (MCCPRN), St. Louis, MO. October, 2008.


  • Dorr DA. Teamwork and medical Home in Rural settings: a case study with Care Management Plus. Oregon Rural Health Conference, Bend, OR. September 26, 2008.
    Slides


  • Dorr DA. Redefining quality for team-based care management in primary care. National Association for Healthcare Quality Conference. Phoenix, AZ. September 16, 2008.
    Slides


  • Brunker CP. Surviving Practice. Geriatrics Grand Rounds, University of Utah, Salt Lake City, UT. September 16, 2008.


  • Dorr, DA. Overview of the Medical Home. North Bend Pediatrics/Bay Area Hospital Grand Rounds, Coos Bay, OR. September 11, 2008.


  • Wilcox AB. Dorr DA. A Business Case for Quality. APS Healthcare Pay for Performance Summit, White Plains, NY. July 30, 2008.
    Slides


  • Dorr DA. Measuring the Medical Home. Trust for Healthcare Excellence: The Medical Home: Exploring Northwest Initiatives Meeting. Portland, OR. July 14, 2008.
    Slides


  • Brunker C. Care Management Plus Best Practice Presentation. Medicare Coordinated Care Practice-based Research Network, St. Louis, MO. June 23, 2008.


  • Wilcox A, Dorr DA. Clinical Quality Measures from EHRs – Oregon experience. AMIA Annual Meeting. Phoenix, AZ. May 30, 2008.

    • Slides

  • Dorr DA. Care Management Plus: Improving Translational Science through Informatics. Oregon Clinical & Translational Research Institute / OHSU Dept of Medical Informatics & Clinical Epidemiology. Portland, OR. May 8, 2008.
    • Slides

  • Brunker C, Dorr DA, Wilcox A, Donnelly S. Care Management Plus Increases Enrollment in Hospice. Poster Presentation, American Geriatrics Society Annual Scientific Meeting. Washington, DC. April 30-May 4, 2008.

  • Dorr DA, McConnell KJ, Brunker CP, Wilcox A. Care Management Plus: Effect on Mortality and Hospitalization of Seniors. Poster Presentation, American Geriatrics Society Annual Scientific Meeting. Washington, DC. April 30-May 4, 2008.

  •  James B. Quality Healthcare in the 21st Century: a New Outlook for Humanity (Seminar included Care Management Plus). International Forum on Quality and Safety in Health Care. Paris, France. April 24, 2008.


  • Burdon RE, Brunker CP, Tran H, Dorr DA. Improving Clinical Care for Chronically Ill Patient Populations Using IT Supported Care Management. Poster Presentation, International Forum on Quality and Safety in Health Care. Paris, France. April 23-25, 2008.
    Poster

  • Dorr DA. Geriatric (+!) Models of Ambulatory Care – Improving the experience of Primary Care for older adults and those with complex illness: Care Management Plus. Oregon Health & Science University Grand Rounds. Portland, OR. April 16, 2008.
    Slides

  • Dorr DA. Quality Improvement Research, Oregon Clinical & Translational Research Institute. Portland, OR. April 12, 2008.


  • Dorr DA, Bowen J, DiPiero A. Reducing Distortion in Quality Measurement in Primary Care. Society of General Internal Medicine Annual Meeting. Pittsburgh, PA. April 11, 2008.
    Slides

  • Widmier L, Brunker CP, Dorr DA, Berry P. Curriculum for Care Management Plus: Information Technology Tools for the Care of Seniors. Poster Presentation, University of Utah Center on Aging Research Retreat. Salt Lake City, UT. February 2008.
    Poster

2007

  • Dorr DA. Care Management Plus Information Technology. Comments as recipient of Best New Investigator Award. American Medical Informatics Association Annual Symposium. Chicago, IL. November 2007.


  • Dorr DA. McConnell KJ. Addressing Problems in Care Coordination: Experience of Care Management Plus. Agency for Healthcare Research and Quality. Bethesda, MD. Sept 27, 2007.

    • Slides

  • Dorr DA. Quality and Hospital Medicine: An Overview. Society of Hospital Medicine Conference. September 21, 2007.
    Slides


  • Larsen A. Burns G. CDEs as Care Managers. AADE Conference, August 3, 2007.
    Slides
  • Dorr DA. McConnell KJ. Donnelly S. Brunker CP for CMP. The Effect of Generalist Care Management on Expenditures for Medicare Beneficiaries. International Health Economics Association (iHEA), July 9, 2007.
    Slides

  • Dorr DA. Health IT Use for interdisciplinary training: experience from academics. Advisory Committee on Interdisciplinary and Community-based Linkage (ACICBL), June 25, 2007.
    Slides

  • Dorr DA. McConnell KJ. Donnelly S. Brunker CP. Expenditure and utilization changes from a primary care-based, multicondition Care Management program. AcademyHealth, Orlando, FL. June 4, 2007.
    Slides

  • Dorr DA for CMP. "Primary Care Decision Support for Clinical Teams: Creation of a Medical Home", Spring AMIA conference, Orlando, FL, May 22-24, 2007.
    Slides

  • Dorr DA for CMP. "Quality for patients with complex conditions defined through Care Management Plus", Special Session SGIM, Toronto, Canada, April 25-28th, 2007.
    Slides

  • Wilcox AB. Dorr DA. Maximizing the Utility of Information Technology in Chronic Care Management. Computers in Practice 90 minute session, American College of Physicians, San Diego, CA. April 19, 2007.
    Slides
  • Brunker CP. Dorr DA. Donnelly SM. Wilcox AB. Increasing Hospice Enrollment: The Role of Clinic Care Managers. Poster Presentation, American Association of Hospice and Palliative Medicine, Salt Lake City, UT. February 2007.

2006

  • Dorr DA. Brunker CP. Wilcox AB. Burns L. Implementing protocols is not enough: the need for flexible, broad based Care Management in primary care. TRIPP Conference, Washington, DC. July 10-12, 2006.
    Slides

  • Dorr DA. Donnelly SM. Wilcox AB. Brunker CP. Burns L. Incorporating Multidisease Care Management into Primary Care Using People and Technology. AcademyHealth, Seattle, WA. June 25-28, 2006.
    Slides
  • Dorr DA. Donnelly S. Donnelly S. Care Management Plus. 90 minute presentation, Triregional Quality Improvement Organizations, St. Pete's Beach, FL. June 14-16, 2006.
    Slides
  • Dorr DA. Larsen A. Care Management Plus: Integrating people and technology into primary care. 90 minute session, Care Management Society of America, Dallas, TX. June 14-16, 2006.
    Slides
  • Dorr DA. Burns L. Brunker CP. Donnelly S. Wilcox AB. Integrating Geriatric Care Management into Primary Care Practice. Poster Presentation, Society of General Internal Medicine, Los Angeles, CA. April 28, 2006.
    Poster

 
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