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dc.contributor.advisorKlein, Cerry M.eng
dc.contributor.authorHarwood, Lyndsay Nicoleeng
dc.coverage.spatialMissourieng
dc.date.issued2014eng
dc.date.submitted2014 Springeng
dc.description.abstractDue to financial and political pressure, the atmosphere of healthcare is radically changing. In order to adapt to these changes, many healthcare systems are seeking to employ coordinated care programs to increase the continuity of care and population wellbeing. To sustain a coordinated care program and its potential benefits, it must prove to generate adequate savings to support the program's cost. In this thesis, a model is generated to determine the point of sustainability and the necessary cost reductions to achieve sustainability. The model is applied to the University of Missouri Health Care system to determine a reduction of admissions by 1.42% and holding the costs of 30-day readmissions, ED visits, outpatient observation stays, and urgent care visits neutral will generate adequate savings to offset the cost of the program for 10,000 Medicare and Medicaid patients. The model is then improved to determine the optimal number of care coordinators to effectively service the program's population, the cost of the program, and the savings required to sustain the program. This model generated an optimal workforce of 42.5 FTE at a cost of $2.3 million, which would be sustained by a reduction of 3.34% of admissions and holding the other cost factors steady.eng
dc.format.extent1 online resource (v, 46 pages)eng
dc.identifier.merlinb107164826eng
dc.identifier.oclc903396063eng
dc.identifier.urihttps://hdl.handle.net/10355/44274
dc.identifier.urihttps://doi.org/10.32469/10355/44274eng
dc.languageEnglisheng
dc.publisherUniversity of Missouri--Columbiaeng
dc.relation.ispartofcommunityUniversity of Missouri-Columbia. Graduate School. Theses and Dissertations. These. 2014 Theses. 2014 Freely available theseseng
dc.subjectAuthor supplied: coordinated care, economic justification, linear programming, care coordination, sustainability model, nurse care managerseng
dc.subject.lcshMedical care, Cost ofeng
dc.subject.lcshIntegrated delivery of health careeng
dc.subject.lcshUniversity of Missouri--Columbia Health Careeng
dc.titleEconomic justification of coordinated care program for the University of Missouri health care systemeng
dc.typeThesiseng
thesis.degree.disciplineIndustrial and manufacturing systems engineering (MU)eng
thesis.degree.grantorUniversity of Missouri--Columbiaeng
thesis.degree.levelMasterseng
thesis.degree.nameM.S.eng


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