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Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model
Neil S. Wenger, Carol P. Roth, David Martin, Lorraine D. Nickels, Robin Beckman, CAREN J. KAMBERG, John R. Mach, David A. Ganz. Journal of the American Geriatrics Society, 2011-10-01
Topic: Risk, prevention and care in population studies
Based on physician medical records alone, the 231 high-risk participants (mean age 77, 67% women) received recommended care for 53% of 5,569 evaluated clinical circumstances, ranging from 12% for end-of-life care to 78% for diabetes mellitus. In fewer than 40% of these clinical circumstances was recommended care provided for dementia, falls, and urinary incontinence. In a second analysis accounting for care provided by both the Evercare nurse and the physician, recommended care was provided to patients in 69% of the 5,684 evaluated clinical circumstances. Comprehensive quality measurement applied to vulnerable older adults enrolled in one mature SNP showed that the Evercare nurse model addresses important deficits in physician care for geriatric conditions. Such measurement should be applied to other SNP models and to compare SNP care with that for complex, older, fee-for-service Medicare cohorts.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Wenger, N. S., Roth, C. P., Martin, D., Nickels, L. D., Beckman, R., KAMBERG, C. J., et al. (2011). Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model. Journal of the American Geriatrics Society. https://doi.org/10.1111/j.1532-5415.2011.03599.x
Vancouver
Wenger NS, Roth CP, Martin D, Nickels LD, Beckman R, KAMBERG CJ, et al. Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model. Journal of the American Geriatrics Society. 2011. doi:10.1111/j.1532-5415.2011.03599.x. PMID: 22091494.
BibTeX
@article{wenger2011-22091494,
author = {Wenger, Neil S. and Roth, Carol P. and Martin, David and Nickels, Lorraine D. and Beckman, Robin and KAMBERG, CAREN J. and Mach, John R. and Ganz, David A.},
title = {{Quality of Care Provided in a Special Needs Plan Using a Nurse Care Manager Model}},
journal = {Journal of the American Geriatrics Society},
year = {2011},
doi = {10.1111/j.1532-5415.2011.03599.x},
pmid = {22091494},
url = {https://doi.org/10.1111/j.1532-5415.2011.03599.x}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. The record names 8 authors; APA and Vancouver show the first six, BibTeX and the downloads carry all of them. Check the citation against the original before you use it.
Key findings
- Based on physician medical records alone, the 231 high-risk participants (mean age 77, 67% women) received recommended care for 53% of 5,569 evaluated clinical circumstances, ranging from 12% for end-of-life care to 78% for diabetes mellitus.
- In fewer than 40% of these clinical circumstances was recommended care provided for dementia, falls, and urinary incontinence.
- In a second analysis accounting for care provided by both the Evercare nurse and the physician, recommended care was provided to patients in 69% of the 5,684 evaluated clinical circumstances.
- Comprehensive quality measurement applied to vulnerable older adults enrolled in one mature SNP showed that the Evercare nurse model addresses important deficits in physician care for geriatric conditions.
- Such measurement should be applied to other SNP models and to compare SNP care with that for complex, older, fee-for-service Medicare cohorts.
Why it matters
This study measured the quality of care in a special needs plan using a nurse care manager model and found that recommended care was provided in fewer than 40% of clinical circumstances for dementia, falls, and urinary incontinence. It addresses care delivery for dementia but does not test any treatment, cure, or prevention for Alzheimer's disease.
Study details
- Evidence strengthLow
How this study scored 35/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of the American Geriatrics Society) |
| Journal's citation record | 3 / 4 | Journal of the American Geriatrics Society: journal h-index 344 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2011 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 3 / 7 | Cited 19 times (OpenAlex, 2026-10-10) |
| Citations per year | 1 / 5 | 1.1 citations a year over 17 year(s) since 2011 |
| Impact for its field and year | 1 / 6 | Cited 0.7× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 1 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 2 / 4 | Last-listed author David A. Ganz: h-index 40 (OpenAlex, whole career) |
| Institution's track record | 2 / 3 | University of California, Los Angeles: institution h-index 1,923 (OpenAlex) |
| Multi-centre collaboration | 2 / 3 | OpenAlex lists 4 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 22091494) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Total | 35 / 100 | — |
What each of these 20 components measures, and what this score is not →
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