Health Care for Individuals with Intellectual and Developmental Disabilities

An Integrated DD Health Home Model

Theodore A. Kastner, Kevin K. Walsh

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

In this chapter, we present a community-based health care model for persons with intellectual and developmental disabilities (I/DD), the DD Health Home. We explore the background, rationale, and evolution of the model against the backdrop of the American health care system and efforts to reform it. The model addresses the triple aim of health care reform in America-better care, better health, and lower costs-for patients with I/DD who often do not have adequate access to health care. Building on the medical home concept, we show how a re-engineering of primary care practices to incorporate nurse practitioners and certain medical specialties achieves the triple aim for this population. We also describe research studies on the efficacy of the DD Health Home conducted on several iterations of the model over a 25-year period. We review clinical research that has informed practice patterns within the model and we present studies that highlight outcomes related to quality and satisfaction. Utilization studies are presented that show substantial cost savings in emergency room use and hospital admissions by patients served in the DD Health Home. We argue that the structure of the model and, especially, its care-coordination provisions account for such savings. Implications are examined for the model in a reformed health care marketplace.

Original languageEnglish (US)
Pages (from-to)1-45
Number of pages45
JournalInternational Review of Research in Developmental Disabilities
Volume43
DOIs
StatePublished - 2012
Externally publishedYes

Fingerprint

Developmental Disabilities
Intellectual Disability
Delivery of Health Care
Health
Community Health Services
Patient-Centered Care
Health Services Accessibility
Health Care Reform
Nurse Practitioners
Cost Savings
Patient Admission
Disabled Persons
Research
Health Care Costs
Hospital Emergency Service
Primary Health Care
Medicine
Outcome Assessment (Health Care)
Population

Keywords

  • DD Health Home
  • Health care
  • Health care management
  • Health care satisfaction
  • Health care utilization
  • Integrated care
  • Medical home
  • Triple aim

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Developmental and Educational Psychology

Cite this

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