Exhibit 1 Poverty and Social Isolation Are More Prevalent Among High-Need Patients Percent reporting experiencing . . . Notes: Social isolation = Reported.

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Presentation transcript:

Exhibit 1 Poverty and Social Isolation Are More Prevalent Among High-Need Patients Percent reporting experiencing . . . Notes: Social isolation = Reported often feeling left out, lacking companionship, or feeling isolated from others. Any material hardship = Reported worry or stress about having enough money to pay rent/mortgage, pay gas/oil/electric, or buy nutritious meals in the past year. * Significantly different from not high-need adults at the p<0.05 level. Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

High-Need Patients Experience Disparities in Timely Access to Care Exhibit 2 High-Need Patients Experience Disparities in Timely Access to Care Percent reporting . . . * Significantly different from not high-need adults at the p<0.05 level. Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

High-Need Patients Report Problems with Convenient Access to Care Exhibit 3 High-Need Patients Report Problems with Convenient Access to Care Percent reporting . . . * Significantly different from not high-need adults at the p<0.05 level. Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

Can get an appointment for counseling as soon as needed Exhibit 4 Less Than Half of Distressed High-Need Patients Can Usually or Always Get an Appointment for Emotional Counseling as Soon as Needed In the past two years, experienced emotional distress that was difficult to cope with alone Can get an appointment for counseling as soon as needed Did not seek help 6% Usually/ always 39% No 47% Yes 53% Sometimes/ never 55% Base: High-need adults. Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

Exhibit 5 Less Than Half of High-Need Patients Who Might Need One Have an Informed Care Coordinator In the past two years, visited multiple doctors’ offices or used multiple health care services Has a care coordinator No 47% Yes 53% Informed care coordinator 42% No care coordinator 43% Uninformed care coordinator 15% Base: High-need adults. Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

Has someone to help with these activities Exhibit 6 Few High-Need Patients with Functional Limitations Have Adequate Help with Activities of Daily Living Has difficulty with ADLs or IADLs because of a health or memory problem Has someone to help with these activities Usually/ always 38% No 43% Yes 57% Sometimes/ never 62% Base: High-need adults. Note: ADLs = activities of daily living (e.g., eating, bathing, dressing); IADLs = instrumental activities of daily living (e.g., housework, preparing meals). Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

Exhibit 7 There Is Room for Improvement in Patient-Centered Communication for High-Need Patients Percent reporting . . . * Significantly different from not high-need adults at the p<0.05 level. Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

Exhibit 8 For High-Need Patients, Good Access to Care and Communication with Provider Are Associated with Fewer Nonurgent Emergency Department Visits Percent of high-need patients who reported using the emergency department for a condition that could have been treated in the doctor’s office Base: High-need adults. * Significantly different at the p<0.05 level. Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

Exhibit 9 High-Need Patients with Good Physician Communication and Timely Access to Care Have Lower Rates of Delaying Care Percent of high-need patients who reported delaying care in past year because of access issue Base: High-need adults. * Significantly different at the p<0.05 level. Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

Distribution of Survey Respondents with High Needs Exhibit M1 Distribution of Survey Respondents with High Needs Total high-need sample: N=1,805 Multiple complex chronic: Multiple major chronic conditions; most also have some functional limitation (n=1,274) Under-65 disabled: Generally, Medicare-eligible population younger than age 65, with some functional limitation (n=379) Frail elderly: Age 65 or older with multiple functional limitations (n=152) Frail elderly (152) Under-65 disabled (379) Multiple complex chronic (1,274) Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.

Exhibit M2 Distribution of Survey Respondents with High Needs by Chronic Conditions, Functional Limitations, Age, and Insurance Status Depression, anxiety, or other mental health problems Asthma, lung disease, or emphysema Diabetes requiring insulin Chronic kidney disease or kidney failure Cancer, not including skin cancer Heart failure or heart attack Stroke Have health problems that require you to use special equipment, such as a cane, wheelchair, special bed, or special telephone Because of a health or memory problem, have difficulty preparing meals, shopping for groceries, making telephone calls, or taking medication Because of a health or memory problem, have difficulty getting across a room, dressing, bathing, eating, getting in/out of bed, or using toilet OR OR No Medicare, ages 18–64 Has Medicare, ages 18–64 Age 65+ 1 or more 0 or 1 0 or 1 0 or 1 3 or more 2 or more 2 or more 2 or more 1 or more Multiple complex chronic Frail elderly Under-65 disabled Data: The 2016 Commonwealth Fund Survey of High-Need Patients, June–September 2016.