Literature Collection

141

Connecting during COVID: The application of teleservices in two integrated perinatal settings

Type: Journal Article

Authors: A. C. Ehmer, S. M. Scott, H. Smith, B. D. Ashby

Year: 2022

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142

Connecting the dots and merging meaning: Using mixed methods to study primary care delivery transformation.

Type: Journal Article

Authors: Debra L. Scammon, Andrada Tomoaia-Cotisel, Rachel L. Day, Julie Day, Jaewhan Kim, Norman J. Waitzman, Timothy W. Farrell, Michael K. Magill

Year: 2013

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143

Consultation psychiatry in the medical home and accountable care organizations: Achieving the triple aim

Type: Journal Article

Authors: W. Katon, J. Unutzer

Year: 2011

Publication Place: United States

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144

Consultative care coordination through the Medical Home for CSHCN: A randomized controlled trial

Type: Journal Article

Authors: J. E. Farmer, M. J. Clark, E. H. Drewel, T. M. Swenson, B. Ge

Year: 2010

Abstract: The purpose of this study was to examine the impact of a care coordination intervention aimed at improving the medical home for children with special health care needs (CSHCN). 100 CSHCN referred by a Medicaid managed care plan were randomly assigned to a care coordination intervention or to a wait list comparison group that received standard care. For the intervention group, a care coordinator supported the medical home by consulting with primary care providers at multiple practices to develop an integrated, individualized plan to meet child and family needs. During the second phase of the study, the wait list comparison group received the 6-month intervention. At the end of 12 months, the two groups were combined to examine within subject differences (n = 61). Compared to the control group, participants in the initial intervention group reported a decreased need for information and improved satisfaction with mental health services and specialized therapies. This effect was replicated when the wait list control group received the intervention. Additional benefits were observed in the within subject analysis, including a decline in unmet needs, improved satisfaction with specialty care and care coordination, and improved ratings of child health and family functioning. This intervention improved outcomes for CSHCN and their families by supporting the efforts of primary care physicians to provide comprehensive and coordinated care through the medical home. The consulting care coordinator may provide an efficient and cost effective approach to enhancing the quality of care for CSHCN.

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145

Context for understanding the National Demonstration Project and the patient-centered medical home

Type: Journal Article

Authors: K. C. Stange, W. L. Miller, P. A. Nutting, B. F. Crabtree, E. E. Stewart, C. R. Jaen

Year: 2010

Publication Place: United States

Abstract: This article introduces a journal supplement evaluating the country's first national demonstration of the patient-centered medical home (PCMH) concept. The PCMH is touted by some as a linchpin for renewing the foundering US health care system and its primary care foundation. The National Demonstration Project (NDP) tested a new model of care and compared facilitated and self-directed implementation approaches in a group-randomized clinical trial. The NDP asked what a national sample of 36 highly motivated family practices could accomplish in moving toward the PCMH ideal during 2 years within the current US health care payment and organizational system. Our independent evaluation used a multimethod approach that integrated qualitative methods to tell the NDP story from multiple perspectives and quantitative methods to assess and compare aspects that could be measured. The 7 scientific reports presented in this supplement explain the process, outcomes, lessons, and implications of the NDP. This introductory article provides context for making sense of the NDP. Important context includes the evolution of the PCMH concept and movement, the roots of the NDP and how it developed, and both what is valuable and what is problematic about family medicine and primary care. Together, the articles in this supplement show how primary care practices and the concept of the PCMH can continue to evolve. The evaluation depicts some of the early effects of this evolution on patients and practices, and shows how the process of practice development can be understood and how lessons from the NDP can inform ongoing and future efforts to transform primary care and health care systems.

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146

Coordination within medical neighborhoods: Insights from the early experiences of Colorado patient-centered medical homes

Type: Journal Article

Authors: Shehnaz Alidina, Meredith Rosenthal, Eric Schneider, Sara Singer

Year: 2016

Publication Place: Baltimore, Maryland

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147

Creating a medical home for homeless persons with serious mental illness

Type: Journal Article

Authors: B. F. Henwood, L. C. Weinstein, S. Tsemberis

Year: 2011

Publication Place: United States

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148

Creating a network of care: Healthy San Francisco connects uninsured residents to a primary care home

Type: Journal Article

Authors: D. S. Finley, T. Brigham

Year: 2011

Publication Place: United States

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149

Creating collaborative learning environments for transforming primary care practices now

Type: Journal Article

Authors: William L. Miller, Joanne Cohen-Katz

Year: 2010

Publication Place: US: Educational Publishing Foundation; Systems, & Health

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150

Curriculum redesign for teaching the PCMH in Colorado Family Medicine Residency programs

Type: Journal Article

Authors: B. T. Jortberg, D. H. Fernald, L. M. Dickinson, L. Coombs, N. Deaner, C. O'Neill, F. DeGruy, L. Green, W. P. Dickinson

Year: 2014

Publication Place: United States

Abstract: BACKGROUND AND OBJECTIVES: The patient-centered medical home (PCMH) is a practice model that is intended to improve the quality of care by making it safer, more comprehensive, integrated, and personal. However, most family medicine residency programs are not fully prepared to train residents on this idealized model. The Colorado Family Medicine Residency PCMH Project's overall objective is to transform 10 residency practices into PCMHs through practice improvement and curriculum redesign. This paper focuses on the programs' implementation of key PCMH components into the residency curricula and the impact on resident self-perceived competence in and use of PCMH components. METHODS: Mixed-method evaluation assessed PCMH curricular characteristics, routine use of PCMH components in patient care, and perceived resident competence after implementation of quality improvement coaching and PCMH curriculum tools. Baseline and follow-up PCMH semi-structured curriculum interviews assessed elements included in the residency programs' curricula. The PCMH Clinician Assessment (PCMH-CA) Survey assessed routine use of PCMH components in patient care. The PCMH Competency Self-Assessment Survey assessed residents' perceived competency in applying PCMH elements in patient care. RESULTS: Qualitative data results demonstrated active efforts by the residency programs to implement key PCMH components. Survey results showed significant improvement from baseline to follow-up (12--36 months). CONCLUSIONS: Implementation of the key components of PCMH into practice improvement efforts and residency curricula improved residents' routine use of PCMH in patient care and their perceived PCMH competence.

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151

Customizing Health Homes for Children with Serious Behavioral Health Challenges

Type: Government Report

Authors: S. A. Pires

Year: 2013

Topic(s):

,

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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152

Decreasing Role Strain for Caregivers of Veterans with Dependence in Performing Activities of Daily Living

Type: Journal Article

Authors: Colleen L. Campbell, Sean McCoy, Nannette Hoffman, Patricia O'Neil

Year: 2014

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153

Defining and measuring the patient-centered medical home

Type: Journal Article

Authors: K. C. Stange, P. A. Nutting, W. L. Miller, C. R. Jaen, B. F. Crabtree, S. A. Flocke, J. M. Gill

Year: 2010

Publication Place: United States

Abstract: The patient-centered medical home (PCMH) is four things: 1) the fundamental tenets of primary care: first contact access, comprehensiveness, integration/coordination, and relationships involving sustained partnership; 2) new ways of organizing practice; 3) development of practices' internal capabilities, and 4) related health care system and reimbursement changes. All of these are focused on improving the health of whole people, families, communities and populations, and on increasing the value of healthcare. The value of the fundamental tenets of primary care is well established. This value includes higher health care quality, better whole-person and population health, lower cost and reduced inequalities compared to healthcare systems not based on primary care. The needed practice organizational and health care system change aspects of the PCMH are still evolving in highly related ways. The PCMH will continue to evolve as evidence comes in from hundreds of demonstrations and experiments ongoing around the country, and as the local and larger healthcare systems change. Measuring the PCMH involves the following: Giving primacy to the core tenets of primary care. Assessing practice and system changes that are hypothesized to provide added value Assessing development of practices' core processes and adaptive reserve. Assessing integration with more functional healthcare system and community resources. Evaluating the potential for unintended negative consequences from valuing the more easily measured instrumental features of the PCMH over the fundamental relationship and whole system aspects. Recognizing that since a fundamental benefit of primary care is its adaptability to diverse people, populations and systems, functional PCMHs will look different in different settings. Efforts to transform practice to patient-centered medical homes must recognize, assess and value the fundamental features of primary care that provide personalized, equitable health care and foster individual and population health.

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154

Defining the psychiatric nursing role in the medical home

Type: Journal Article

Authors: Geraldine S. Pearson

Year: 2016

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155

Demonstrating the impact of colocated behavioral health in pediatric primary care

Type: Journal Article

Authors: Rachel J. Valleley, Tawnya J. Meadows, Jennifer Burt, Kathryn Menousek, Kristen Hembree, Joseph Evans, Rebecca Gathje, Kevin Kupzyk, Jessica R. Sevecke, Blake Lancaster

Year: 2020

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156

Demonstrating the impact of colocated behavioral health in pediatric primary care

Type: Journal Article

Authors: Rachel J. Valleley, Tawnya J. Meadows, Jennifer Burt, Kathryn Menousek, Kristen Hembree, Joseph Evans, Rebecca Gathje, Kevin Kupzyk, Jessica R. Sevecke, Blake Lancaster

Year: 2019

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157

Depression screening in adolescents in the United States: a national study of ambulatory office-based practice

Type: Journal Article

Authors: I. S. Zenlea, C. E. Milliren, L. Mednick, E. T. Rhodes

Year: 2014

Publication Place: United States

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158

Designing Medicaid Health Homes for People with Opioid Dependency: Considerations for States

Type: Government Report

Authors: K. Moses, J. Klebonis

Year: 2015

Abstract: Although individuals with opioid dependency represent a small percentage of all Medicaid enrollees, they often have significant physical and behavioral health needs that result in high costs of care. States are looking for innovative, cost-effective ways to integrate and coordinate care for this high-need population. Through the Affordable Care Act, states can implement health homes to provide enhanced integration and care coordination for people with opioid dependency.

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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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159

Developing Health Homes for Children with Serious Emotional Disturbance: Considerations and Opportunites

Type: Report

Authors: K. Moses, J. Klebonis, D. Simons

Year: 2014

Abstract: Section 2703 of the Affordable Care Act (ACA) created the Medicaid health home state plan option to coordinate primary and acute physical and behavioral health care and long-term services and supports (LTSS) for eligible Medicaid beneficiaries. One potential target population for enrollment in health homes is individuals with serious mental health condition, including children with a serious emotional disturbance (SED). This issue brief highlights health home opportunities for children with SED and presents considerations to help states develop models that address this population's unique needs.

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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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160

Development and implementation of health care transition resources for youth with autism spectrum disorders within a primary care medical home

Type: Journal Article

Authors: Jill F. Harris, Leigh P. Gorman, Doshi Aditi, Shannon Swope, Shayleigh D. Page

Year: 2021

Topic(s):

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