The Third Edition of Clinical Integration: Accountable Care and Population Health, is a forthcoming book that will provide fresh insights and new information on the evolution of clinically integrated networks (CINs) across the U.S. health care system. Chapter 11 of this book, Non-Traditional Mental Health and Substance Use Disorder Services as a Core Part of Health in CINs and ACOs, was...
Coordinated patient-centered care is on the rise among medical providers aiming to improve health care quality while reducing overall costs. Last month, the U.S. Department of Health and Human Services announced an $840 million initiative to fund applicants who are transitioning to coordinated patient-centered care and are able to track progress toward measurable goals. “The Transforming Clinical Practice Initiative is one of the largest federal investments uniquely designed to support...
In September 2014, the Agency for Healthcare Research and Quality (AHRQ) published the National Strategy for Quality Improvement in Health Care2014 Annual Progress Report to Congress.  As stated in this report’s Executive Summary, “The National Quality Strategy [NQS] serves as a framework for aligning stakeholders across the private and public sectors at the Federal, State, and local...
The CAHPS Patient-Centered Medical Home (PCMH) Survey (Adult Version), is a new instrument used to evaluate patients’ experiences with a practice and indicates how well the practice meets patient expectations. A new composite measure for “Comprehensiveness – Adult Behavioral” is based on three questions from the survey: Q39: In the last 12 months, did anyone in this provider's office ask you if there was a period of time when you felt sad, empty or depressed? Q40...
Take a look at the following funding opportunities: Agency for Healthcare Research and Quality (AHRQ) AHRQ Health Services Research Demonstration and Dissemination Grants (R18) The Research Demonstration and Dissemination Grant (R18) is an award made by AHRQ to an institution/organization to support a discrete, specified health services research project. The project will be performed by the named investigator and...
In 2010, the Veterans Health Administration (VHA) began the Patient Aligned Care Teams (PACT), a nationwide initiative “that reorganized care at all [their] primary care clinics in accordance with the patient-centered medical home [PCMH] model.” The goal of PACT is to provide comprehensive, longitudinal, patient-centered primary care by establishing team-based care, increasing access to same-day care, improving care management and coordination, and increasing focus on patient-...
Several payment reform initiatives are shaping the world of behavioral health and primary care integration.  A recent blog post by the National Academy for State Health Policy (NASHP) provided an overview of state strategies being developed and implemented for integrating behavioral health and primary care.  Notably, a number of Medicaid programs now allow...
Two slide decks have been created: Slide Deck 1: Why Behavioral Health Integration Is Critical to a Patient-Centered Medical Home (PCMH). This deck is appropriate for audiences with limited knowledge about the concept of integrated behavioral health, or for audiences that are already practicing PCMH but need to be convinced of the value of behavioral health integration. Slide Deck 2: Where and How Behavioral Health Can Be Integrated into the PCMH.  This deck is appropriate for...
The Milbank Memorial Fund has recently released a new report, Aligning Payers and Practices to Transform Primary Care: A Report from the Multi-State Collaborative. This report describes the efforts of several states that have developed and implemented initiatives to transform their primary care delivery systems in order to improve the health of their populations and reduce costs. There is a great deal to learn about restructuring health care in the United States in the post-Affordable Care Act...
Major depression affects women twice as often as men over the lifetime. Women’s highest rates of depression occur during reproductive and menopausal transitions. Additionally, more than one-third of obstetrics-gynecology (OB/GYN) patients use their OB/GYN physician as their primary care provider, particularly those with limited income and limited or no health insurance. However, OB/GYN physicians often have less training in depression than other primary care physicians. In addition,...

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