Frail elderly and polychronic patients are a special challenge for our healthcare system. Many have tried and failed to get these two tough cohorts of patients on track to better health. Atul Gawande's refers to them in his New Yorker piece as The Hot Spotters. Just as law enforcement in community policing identifies crime hotspots, the most challenging (and expensive) patients in a community are identified and become a part of a model that is very proactive about reaching out to them.
Frail elderly and polychronic patients are a special challenge for our healthcare system. Many have tried and failed to get these two tough cohorts of patients on track to better health. Atul Gawande's refers to them in his New Yorker piece as The Hot Spotters. Just as law enforcement in community policing identifies crime hotspots, the most challenging (and expensive) patients in a community are identified and become a part of a model that is very proactive about reaching out to them.
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