175 - High Risk Case Management

Abstract

Purpose: As part of an effort to provide care coordination for adolescents and to help Boston Medical Center contain medical costs, a care management program was established in the adolescent center for patients deemed “high risk” by their primary care provider. The initial tasks of this care management effort were to compose a care management team, identify patients who would be appropriate candidates for care management, conduct chart reviews for referred patients, and establish care plans for each patient. The program aim over time is to establish reproducible processes for providing care management to a subset of the adolescent primary care patient population with the greatest medical and psychosocial needs and also to identify the critical unmet needs of this population.