PURPOSE: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. DESIGN AND METHODS: The program provides primary care, care management, and mental health services delivered in patient's homes by a multidisciplinary, multiagency team. RESULTS: After 2 years of operation, Just for Us is serving nearly 300 individuals in 10 buildings. The program is demonstrating improvement in individual indices of health. Medicaid expenditures for enrollees are shifting from ambulances and hospital services to pharmacy, personal care, and outpatient visits. The program is not breaking even, but it is moving toward that goal. The program's success is based on a partnership involving an academic medical center, a community health center, county social and mental health agencies, and a city housing authority to coordinate and leverage services. IMPLICATIONS: Just for Us is becoming a financially sustainable way of creating a "system within a nonsystem" for low-income elderly persons in clustered housing.
PURPOSE: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. DESIGN AND METHODS: The program provides primary care, care management, and mental health services delivered in patient's homes by a multidisciplinary, multiagency team. RESULTS: After 2 years of operation, Just for Us is serving nearly 300 individuals in 10 buildings. The program is demonstrating improvement in individual indices of health. Medicaid expenditures for enrollees are shifting from ambulances and hospital services to pharmacy, personal care, and outpatient visits. The program is not breaking even, but it is moving toward that goal. The program's success is based on a partnership involving an academic medical center, a community health center, county social and mental health agencies, and a city housing authority to coordinate and leverage services. IMPLICATIONS: Just for Us is becoming a financially sustainable way of creating a "system within a nonsystem" for low-income elderly persons in clustered housing.
Authors: Richard Rieselbach; Ted Epperly; Eleanor McConnell; Jay Noren; Greg Nycz; Peter Shin Journal: J Gen Intern Med Date: 2019-07-24 Impact factor: 5.128
Authors: Lloyd Michener; Jennifer Cook; Syed M Ahmed; Michael A Yonas; Tamera Coyne-Beasley; Sergio Aguilar-Gaxiola Journal: Acad Med Date: 2012-03 Impact factor: 6.893
Authors: Victoria S Kaprielian; Mina Silberberg; Mary Anne McDonald; Denise Koo; Sharon K Hull; Gwen Murphy; Anh N Tran; Barbara L Sheline; Brian Halstater; Viviana Martinez-Bianchi; Nancy J Weigle; Justine Strand de Oliveira; Devdutta Sangvai; Joyce Copeland; Hugh H Tilson; F Douglas Scutchfield; J Lloyd Michener Journal: Acad Med Date: 2013-05 Impact factor: 6.893
Authors: Li-Tzy Wu; Kathleen T Brady; Susan E Spratt; Ashley A Dunham; Brooke Heidenfelder; Bryan C Batch; Robert Lindblad; Paul VanVeldhuisen; Shelley A Rusincovitch; Therese K Killeen; Udi E Ghitza Journal: Contemp Clin Trials Date: 2015-11-10 Impact factor: 2.226
Authors: J Lloyd Michener; Truls Østbye; Victoria S Kaprielian; Katrina M Krause; Kimberly S H Yarnall; Susan D Yaggy; Margaret Gradison Journal: BMC Health Serv Res Date: 2006-03-20 Impact factor: 2.655
Authors: Li-Tzy Wu; Udi E Ghitza; He Zhu; Susan Spratt; Marvin Swartz; Paolo Mannelli Journal: Drug Alcohol Depend Date: 2018-03-03 Impact factor: 4.492