HealthEast, an integrated care delivery system based in St. Paul, MN, established a care management program in 1993. At HealthEast, care management is defined as "an interdisciplinary process of coordinating client-centered services across the continuum of care to achieve quality and cost-effective outcomes." The program included establishing a collaborative practice model that was used to drive the organization's improvement efforts. The use of this model has been instrumental in achieving significant improvements in financial and clinical performance. As a result, HealthEast received a leadership award for "Improving Clinical Effectiveness within a Healthcare System" from VHA, Inc., a nationwide membership alliance of approximately 1,700 community healthcare organizations.
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Paul L. Green (1998) studied this question.