Literature Collection

681

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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682

The patient protection and affordable care act

Type: Web Resource

Year: 2010

Topic(s):

,

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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 Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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683

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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684

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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685

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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686

The patient-centered medical home: What we need to know more about

Type: Journal Article

Authors: Timothy Hoff

Year: 2010

Publication Place: US: Sage Publications

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687

The Perceived Impact of 42 CFR Part 2 on Coordination and Integration of Care: A Qualitative Analysis

Type: Journal Article

Authors: D. McCarty, T. Rieckmann, R. L. Baker, K. J. McConnell

Year: 2017

Publication Place: United States

Abstract: OBJECTIVE: Title 42 of the Code of Federal Regulations Part 2 (42 CFR Part 2) controls the release of patient information about treatment for substance use disorders. In 2016, the Substance Abuse and Mental Health Services Administration (SAMHSA) released a proposed rule to update the regulations, reduce provider burdens, and facilitate information exchange. Oregon's Medicaid program (Oregon Health Plan) altered the financing and structure of medical, dental, and behavioral care to promote greater integration and coordination. A qualitative analysis examined the perceived impact of 42 CFR Part 2 on care coordination and integration. METHODS: Interviews with 76 stakeholders (114 interviews) conducted in 2012-2015 probed the processes of integrating behavioral health into primary care settings in Oregon and assessed issues associated with adherence to 42 CFR Part 2. RESULTS: Respondents expressed concerns that the regulations caused legal confusion, inhibited communication and information sharing, and required updating. Addiction treatment directors noted the challenges of obtaining patient consent to share information with primary care providers. CONCLUSIONS: The confidentiality regulations were perceived as a barrier to care coordination and integration. The Oregon Health Authority, therefore, requested regulatory changes. SAMHSA's proposed revisions permit a general consent to an entire health care team and allow inclusion of substance use disorder information within health information exchanges, but they mandate data segmentation of diagnostic and procedure codes related to substance use disorders and restrict access only to parties with authorized consent, possibly adding barriers to the coordination and integration of addiction treatment with primary care.

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688

The Policy Context of Patient Centered Medical Homes: Perspectives of Primary Care Providers

Type: Journal Article

Authors: Jeffrey A. Alexander, Genna R. Cohen, Christopher G. Wise, Lee A. Green

Year: 2012

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689

The President's New Freedom Commission on Mental Health

Type: Web Resource

Authors: M. F. Hogan

Year: 2003

Publication Place: Rockville, MD

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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690

The Primary Care Extension Program: A Catalyst for Change

Type: Journal Article

Authors: R. L. Phillips, A. Kaufman, J. W. Mold, K. Grumbach, M. Vetter-Smith, A. Berry, B. T. Burke

Year: 2013

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691

The problem of integrating behavioral health in the medical home and the questions it leads to

Type: Journal Article

Authors: R. Kessler, D. Stafford, R. Messier

Year: 2009

Publication Place: United States

Abstract: Psychology and other behavioral health professions have amassed a broad empirical and clinical literature suggesting many medical presentations are best responded to with the addition of evidence based behavioral interventions. Despite this, psychology has not achieved a regular presence as part of medical practice. We suggest specific reasons for the current state of affairs including clinical, operational, societal labels, financial and training dimensions. Medical, psychological, administrative, and financial perspectives are reviewed. If the goals of health care system reform are to be reached then we must identify and challenge the current limitations of health care. This paper will identify the elements that need to be changed in order for psychology to be integrated into medicine rather than excluded from its policy, planning and operations.

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692

The Quality Improvement for Depression collaboration: general analytic strategies for a coordinated study of quality improvement in depression care

Type: Journal Article

Authors: K. M. Rost, N. Duan, L. V. Rubenstein, D. E. Ford, C. D. Sherbourne, L. S. Meredith, K. B. Wells

Year: 2001

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693

The quality of care for depressive and anxiety disorders in the United States

Type: Journal Article

Authors: A. S. Young, R. Klap, C. D. Sherbourne, K. B. Wells

Year: 2001

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694

The Relevance of the Affordable Care Act for Improving Mental Health Care

Type: Journal Article

Authors: D. Mechanic, M. Olfson

Year: 2016

Publication Place: United States

Abstract: Provisions of the Affordable Care Act provide unprecedented opportunities for expanded access to behavioral health care and for redesigning the provision of services. Key to these reforms is establishing mental and substance abuse care as essential coverage, extending Medicaid eligibility and insurance parity, and protecting insurance coverage for persons with preexisting conditions and disabilities. Many provisions, including Accountable Care Organizations, health homes, and other structures, provide incentives for integrating primary care and behavioral health services and coordinating the range of services often required by persons with severe and persistent mental health conditions. Careful research and experience are required to establish the services most appropriate for primary care and effective linkage to specialty mental health services. Research providing guidance on present evidence and uncertainties is reviewed. Success in redesign will follow progress building on collaborative care and other evidence-based practices, reshaping professional incentives and practices, and reinvigorating the behavioral health workforce.

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695

The role of family physicians in mental health care delivery in the United States: implications for health reform

Type: Journal Article

Authors: B. F. Miller, B. Druss

Year: 2013

Publication Place: United States

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696

The Role of Medicaid in Rural America

Type: Report

Authors: Julia Foutz, Samantha Artiga, Rachel Garfield

Year: 2017

Publication Place: Menlo Park, CA

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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697

The role of monitoring outcomes in initiating implementation of evidence-based treatments at the state level

Type: Journal Article

Authors: K. Hodges, J. Wotring

Year: 2004

Publication Place: United States

Abstract: This article describes a six-year statewide initiative to help mental health service providers in continuously monitoring the outcomes of youths with serious emotional disturbances who are treated in the public-sector managed behavioral health care system. Participating providers submit outcome data to a state-sponsored evaluator, using the Child and Adolescent Functional Assessment Scale (CAFAS), and receive monthly feedback that identifies youths who are making poor progress in treatment. Additional reports are used to ensure record compliance, monitor at-risk youths, and assist in reviewing the adequacy of treatment plans. In addition, outcome data for closed cases are generated for various types of clients. The consistently poor outcomes for some types of clients have generated a genuine interest among clinical staff in learning and implementing evidence-based treatments. The data for all participating providers were pooled to generate state averages for various indicators so that each provider can compare their site to these benchmarks. State administrators consider the data in generating policy and identifying systemwide needs. The processes that shaped this initiative and that created the providers' investment in continuous quality improvement activities are described.

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698

The Role of Psychiatry in Health Care Reform: Summary Report

Type: Report

Authors: American Psychiatric Association Board of Trustees Work Group on the Role of Psychiatry in Healthcare Reform

Year: 2014

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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699

The Role of Psychiatry in Healthcare Reform

Type: Report

Authors: American Psychiatric Association Board of Trustees Work Group on the Role of Psychiatry in Healthcare Reform

Year: 2014

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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700

The science and practice of medication-assisted treatments for opioid dependence

Type: Journal Article

Authors: A. Pecoraro, M. Ma, G. E. Woody

Year: 2012

Publication Place: England

Abstract: This paper briefly reviews the evolution of opioid addiction treatment from humanitarian to scientific and evidence-based, the evidence bases supporting major medication-assisted treatments and adjunctive psychosocial techniques, as well as challenges faced by clinicians and treatment providers seeking to provide those treatments. Attitudes, politics, policy, and financial issues are discussed.

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