Literature Collection

601

The Evolving Role of Subspecialties in Population Health Management and New Healthcare Delivery Models; The Impact of a Co-Located, Integrated Primary Care Service in a Mental Health Clinic on People with Serious Mental Illness

Type: Journal Article

Authors: Dhruv Khullar, Sandhya K. Rao, Sreekanth K. Chaguturu, Rahul Rajkumar, Melinda Haas

Year: 2016

Publication Place: Plainsboro, New Jersey; Baltimore, Maryland

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602

The future of pediatrics: Mental health competencies for pediatric primary care

Type: Journal Article

Authors: Committee on Psychosocial Aspects of Child and Family Health and Task Force on Mental Health

Year: 2009

Publication Place: United States

Abstract: Pediatric primary care clinicians have unique opportunities and a growing sense of responsibility to prevent and address mental health and substance abuse problems in the medical home. In this report, the American Academy of Pediatrics proposes competencies requisite for providing mental health and substance abuse services in pediatric primary care settings and recommends steps toward achieving them. Achievement of the competencies proposed in this statement is a goal, not a current expectation. It will require innovations in residency training and continuing medical education, as well as a commitment by the individual clinician to pursue, over time, educational strategies suited to his or her learning style and skill level. System enhancements, such as collaborative relationships with mental health specialists and changes in the financing of mental health care, must precede enhancements in clinical practice. For this reason, the proposed competencies begin with knowledge and skills for systems-based practice. The proposed competencies overlap those of mental health specialists in some areas; for example, they include the knowledge and skills to care for children with attention-deficit/hyperactivity disorder, anxiety, depression, and substance abuse and to recognize psychiatric and social emergencies. In other areas, the competencies reflect the uniqueness of the primary care clinician's role: building resilience in all children; promoting healthy lifestyles; preventing or mitigating mental health and substance abuse problems; identifying risk factors and emerging mental health problems in children and their families; and partnering with families, schools, agencies, and mental health specialists to plan assessment and care. Proposed interpersonal and communication skills reflect the primary care clinician's critical role in overcoming barriers (perceived and/or experienced by children and families) to seeking help for mental health and substance abuse concerns.

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603

The Geographic Impact of Buprenorphine Expansion to Nurse Practitioner Prescribers in Oregon

Type: Journal Article

Authors: T. A. Klein, J. Geddes, D. Hartung

Year: 2020

Publication Place: England

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604

The Geographic Impact of Buprenorphine Expansion to Nurse Practitioner Prescribers in Oregon

Type: Journal Article

Authors: T. A. Klein, J. Geddes, D. Hartung

Year: 2022

Publication Place: England

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605

The group health medical home at year two: Cost savings, higher patient satisfaction, and less burnout for providers

Type: Journal Article

Authors: R. J. Reid, K. Coleman, E. A. Johnson, P. A. Fishman, C. Hsu, M. P. Soman, C. E. Trescott, M. Erikson, E. B. Larson

Year: 2010

Publication Place: United States

Abstract: As the patient-centered medical home model emerges as a key vehicle to improve the quality of health care and to control costs, the experience of Seattle-based Group Health Cooperative with its medical home pilot takes on added importance. This paper examines the effects of the medical home prototype on patients' experiences, quality, burnout of clinicians, and total costs at twenty-one to twenty-four months after implementation. The results show improvements in patients' experiences, quality, and clinician burnout through two years. Compared to other Group Health clinics, patients in the medical home experienced 29 percent fewer emergency visits and 6 percent fewer hospitalizations. We estimate total savings of $10.3 per patient per month twenty-one months into the pilot. We offer an operational blueprint and policy recommendations for adoption in other health care settings.

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606

The Healthcare Law: About the Law

Type: Web Resource

Authors: Department of Health and Human Services

Year: 2017

Publication Place: Washington, D.C.

Topic(s):

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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607

The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization: Annual Review of Evidence 2016-2017

Type: Report

Authors: Yalda Jabbarpour, Emilia DeMarchis, Andrew Bazemore, Paul Grundy

Year: 2017

Publication Place: Washington, DC

Topic(s):

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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608

The impact of scope-of-practice restrictions on access to medical care

Type: Journal Article

Authors: J. Guo, A. E. Kilby, M. S. Marks

Year: 2024

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609

The Impact on Future Prescribing Patterns of Opioid Use Disorder (OUD) Education and Waiver Provision During Residency

Type: Journal Article

Authors: V. Boggiano, Gilmore Wilson, E. B. Fagan, J. Kirk, K. Bossenbroek-Fedoriw, C. R. Tak

Year: 2020

Publication Place: United States

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610

The Implementation of Integrated Behavioral Health Protocols In Primary Care Settings in Project Care

Type: Journal Article

Authors: H. Padwa, C. Teruya, E. Tran, K. Lovinger, V. P. Antonini, C. Overholt, D. Urada

Year: 2016

Publication Place: United States

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611

The Individual Mandate, Mental Health Parity, and the Obama Health Plan

Type: Journal Article

Authors: N.K. Aggarwal, M. Rowe

Year: 2013

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612

The integrated behavioral health service delivery system model

Type: Journal Article

Authors: J. S. Wodarski

Year: 2014

Publication Place: United States

Abstract: Costs and effective management of health care in general, and behavioral health care in particular, have been of primary importance and concern to federal, state, and local governments. With the passage of Health Care Reform (HCR) these concerns will only escalate. Thus, the necessity for the development of innovative, successful, and integrated cost-effective treatments and procedures is evident. The behavioral health care model presented here is proposed to address these needs. The model centers on the composition of effective psychosocial treatment and provides a cost analysis of social work and its services. By defining the problems that need to be addressed in health care management and cost containment, and applying findings of evidence-based studies, this article provides an effective model for health care organizations. It also presents a profile of the behavioral health social worker, defining the requisite abilities for effectiveness in the role and looking at the key impact areas for a behavioral health model. This comprehensive guide will prepare new social workers entering health care organizations as well as provide a valuable reference for existing social workers, academics, and practitioners of behavioral health care.

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613

The Integration of Care for Mental Health, Substance Abuse, and Other Behavioral Health Conditions into Primary Care: Executive summary of an American College of Physicians Position Paper

Type: Journal Article

Authors: R. A. Crowley, N. Kirschner, Health and Public Policy Committee of the American College of Physicians*

Year: 2015

Abstract: Behavioral health care includes care for patients around mental health and substance abuse conditions, health behavior change, life stresses and crises, and stress-related physical symptoms. Mental and substance use disorders alone have been estimated to surpass all physical diseases as a major cause of disability worldwide by 2020. The literature recognizes the importance of the health care system effectively addressing behavioral health conditions. Recently, there has been a call for the use of the primary care delivery platform and the related patient-centered medical home model to effectively address these conditions. This position paper focuses on the issue of better integration of behavioral health into the primary care setting. It provides an environmental scan of the current state of conditions included in the concept of behavioral health and examines the arguments for and barriers to increased integration into primary care. It also examines various approaches of integrated care delivery and offers a series of policy recommendations that are based on the reviewed information and evidence to inform the actions of the American College of Physicians and its members regarding advocacy, research, and practice.

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614

The medical home and integrated behavioral health: Advancing the policy agenda

Type: Journal Article

Authors: J. Ader, C. J. Stille, D. Keller, B. F. Miller, M. S. Barr, J. M. Perrin

Year: 2015

Publication Place: United States

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615

The new services that opioid treatment programs have adopted in response to COVID-19

Type: Journal Article

Authors: J. Cantor, A. Laurito

Year: 2021

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616

The opioid epidemic in rural northern New England: An approach to epidemiologic, policy, and legal surveillance

Type: Journal Article

Authors: T. J. Stopka, E. Jacque, P. Kelso, H. Guhn-Knight, K. Nolte, R. Hoskinson Jr, A. Jones, J. Harding, A. Drew, A. VanDonsel, P. D. Friedmann

Year: 2019

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617

The patient protection and affordable care act

Type: Web Resource

Year: 2010

Topic(s):

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Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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618

The Patient-Centered Health Home: Transformation to excellence in practice

Type: Journal Article

Authors: Bryan Sims

Year: 2011

Publication Place: United States

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619

The patient-centered medical home neighbor: A subspecialty physician's view

Type: Journal Article

Authors: H. F. Yee

Year: 2011

Publication Place: United States

Abstract: To achieve the benefits of the patient-centered medical home (PCMH) model, the American College of Physicians has issued a policy paper addressing the relationship between specialist and subspecialist physicians and PCMH practices. This paper represents a significant step toward improving care coordination and quality by demonstrating that this model is supported by numerous specialties and subspecialties, recognizing the importance of building a strong medical neighborhood, and providing a framework that will foster improvements in care at the interface of PCMHs and PCMH neighbors (PCMH-Ns). Construction of a well-functioning medical neighborhood will, however, require some refinements. First, the proposed interaction typology between PCMHs and PCMH-Ns must be expanded to include innovative forms of interaction that do not depend on traditional office visits, but for which there are clear incentives. Second, the recommended care coordination agreements must be better standardized for the sake of practicality. Finally, genuine dialogue between PCMH and PCMH-N practices needs to be realized.

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620

The patient-centered medical home: How to advance patient care through technology

Type: Journal Article

Authors: J. Stape

Year: 2010

Publication Place: United States

Abstract: The process of applying for National Committee for Quality Assurance recognition as a Physician Practice Connections--Patient-Centered Medical Home (PPC-PCMH) can enrich even those practices already solidly committed to providing patient-centric care based on evidence-based medical guidelines. The goal is to leverage information technology to transform both operational and patient care procedures. But even with robust technology, PCMH certification requires team commitment and an unremitting big-picture focus. This article provides an in-depth case study that shows how one groundbreaking Arizona practice used technology to reach the pinnacle of PCMH certification--and continues to use it to improve the quality of patient care.

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