Literature Collection | The Integration Academy

2641

Collaborative Video Consultations from Tertiary Care Based Telepsychiatrist to a Remote Primary Care Doctor to Manage Opioid Substitution Therapy Clinic

Type: Journal Article

Authors: E. Pahuja, S. Kumar, A. Kumar, F. Uzzafar, S. Sarkar, N. Manjunatha, Y. P. S. Balhara, C. N. Kumar, S. B. Math

Year: 2020

Abstract:

Opioid use is a major problem in India and has high morbidity and mortality with a prevalence of 2.06%. There is a huge treatment gap for opioid use disorders (OUDs). Due to limited mental health resources and limited psychiatric training of medical practitioners in OUDs, a significant proportion of patients do not receive appropriate medical intervention. This article demonstrates how a primary care doctor working in a remote opioid substitution therapy (OST) clinic received assistance from the optional opioid module of clinical schedule for primary care psychiatry (CSP) and collaborative video consultation (CVC) module to address specific difficulties of patients already on Buprenorphine OST and improve the quality of care, thereby reducing chances of relapses. CVC module is a part of one-year digitally driven primary care psychiatry program designed by National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru. The opioid module was designed by NIMHANS, Bengaluru in collaboration with the All India Institute of Medical Sciences (AIIMS), New Delhi These observations warrant replication of this approach across diverse settings and at a larger scale to explore and evaluate its impact and effectiveness.

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2642

Collaborators and Communication Channels in Eight Patient-Centered Medical Homes

Type: Journal Article

Authors: D. A. Chase, D. A. Dorr, D. J. Cohen, J. S. Ash

Year: 2017

Publication Place: Netherlands

Abstract: BACKGROUND: The patient-centered medical home (PCMH) concept requires collaboration among clinicians both within the medical home clinic, and outside the clinic. As we redesign health information technology (HIT) to support transformation to the PCMH, we need to better understand these collaboration patterns. This study provides quantitative data describing these collaborations in order to facilitate the design of systems to allow for more efficient collaboration. APPROACH: Eighty-four clinicians in eight clinics identified their two most recent significant collaborators - one each within the clinic and in the medical neighborhood. They also identified the communication channels used in these collaborations. We used k-means clustering to identify communication patterns. RESULTS: Within the clinic, half of the primary care providers (PCPs) identified a care manager as their most recent collaborator. Outside specialists were their most common external collaborators. Ninety-two percent of the non-PCP participants identified PCP's as their most recent internal collaborators. The best model for communication channel usage (p < .0001) had six clusters. In general, inside communications were more informal but outside collaborations were more often formal written communications (faxes, letters) or the exchange of electronic health record progress notes. But there were exceptions to these patterns and in many cases multiple channels were used for the same collaboration. CONCLUSION: Systems design (and redesign) needs to focus on reducing communications load and increasing communication effectiveness while maintaining flexibility.

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2643

College AIM: Alcohol Intervention Matrix

Type: Web Resource

Authors: National Institute on Alcohol Abuse and Alcoholism

Year: 2023

Publication Place: Bethesda, MD

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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2644

Colocated Developmental-Behavioral Pediatrics in Primary Care: Improved Outcome Across Settings

Type: Journal Article

Authors: S. P. Martin-Herz, C. A. Buysse, A. DeBattista, H. M. Feldman

Year: 2020

Publication Place: United States

Abstract: OBJECTIVE: We developed a colocation "Rapid Developmental Evaluation" (RDE) model for Developmental-Behavioral Pediatrics (DBP) to evaluate young children for developmental concerns raised during routine developmental surveillance and screening in a pediatric primary care Federally Qualified Health Center (FQHC). In this low-income patient population, we anticipated that colocation would improve patient access to DBP and decrease time from referral to first developmental evaluation and therapeutic services. METHODS: Children were assessed at the FQHC by a DBP pediatrician, who made recommendations for therapeutic services and further diagnostic evaluations. A retrospective chart review over 27 months (N = 151) investigated dates of referral and visit, primary concern, diagnosis, and referral to tertiary DBP center and associated tertiary DBP center dates of service and diagnoses if appropriate. We surveyed primary care clinicians (PCCs) for satisfaction. RESULTS: The DBP pediatrician recommended that 51% of children be referred to the tertiary DBP center for further diagnostic evaluation or routine DBP follow-up. Average wait from referral to an RDE visit was 57 days compared with 137.3 days for the tertiary DBP center. Children referred from RDE to the tertiary DBP center completed visits at a higher rate (77%) than those referred from other sites (54%). RDE-recommended therapeutic services were initiated for 73% of children by the tertiary visit. Fidelity of diagnosis between RDE and the tertiary DBP center was high, as was PCC satisfaction. CONCLUSION: Colocation of a DBP pediatrician in an FQHC primary care pediatrics program decreased time to first developmental assessment and referral for early intervention services for an at-risk, low-income patient population.

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2645

Colocated Developmental-Behavioral Pediatrics in Primary Care: Improved Outcome Across Settings

Type: Journal Article

Authors: S. P. Martin-Herz, C. A. Buysse, A. DeBattista, H. M. Feldman

Year: 2020

Publication Place: United States

Abstract: OBJECTIVE: We developed a colocation "Rapid Developmental Evaluation" (RDE) model for Developmental-Behavioral Pediatrics (DBP) to evaluate young children for developmental concerns raised during routine developmental surveillance and screening in a pediatric primary care Federally Qualified Health Center (FQHC). In this low-income patient population, we anticipated that colocation would improve patient access to DBP and decrease time from referral to first developmental evaluation and therapeutic services. METHODS: Children were assessed at the FQHC by a DBP pediatrician, who made recommendations for therapeutic services and further diagnostic evaluations. A retrospective chart review over 27 months (N = 151) investigated dates of referral and visit, primary concern, diagnosis, and referral to tertiary DBP center and associated tertiary DBP center dates of service and diagnoses if appropriate. We surveyed primary care clinicians (PCCs) for satisfaction. RESULTS: The DBP pediatrician recommended that 51% of children be referred to the tertiary DBP center for further diagnostic evaluation or routine DBP follow-up. Average wait from referral to an RDE visit was 57 days compared with 137.3 days for the tertiary DBP center. Children referred from RDE to the tertiary DBP center completed visits at a higher rate (77%) than those referred from other sites (54%). RDE-recommended therapeutic services were initiated for 73% of children by the tertiary visit. Fidelity of diagnosis between RDE and the tertiary DBP center was high, as was PCC satisfaction. CONCLUSION: Colocation of a DBP pediatrician in an FQHC primary care pediatrics program decreased time to first developmental assessment and referral for early intervention services for an at-risk, low-income patient population.

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2646

Colocated general medical care and preventable hospital admissions for veterans with serious mental illness

Type: Journal Article

Authors: Paul A. Pirraglia, Amy M. Kilbourne, Zongshan Lai, Peter D. Friedmann, Thomas P. O'Toole

Year: 2011

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2647

Colocated Mental Health/Developmental Care

Type: Journal Article

Authors: S. L. Levy, E. Hill, K. Mattern, K. McKay, R. C. Sheldrick, E. C. Perrin

Year: 2017

Publication Place: United States

Abstract: The inadequacy of mental health and developmental services for children is a widely recognized and growing problem. Although a variety of solutions have been proposed, none has been generally successful or feasible. This research describes models of colocation that have evolved in primary care settings in Massachusetts and reports on pediatricians' and their colocated colleagues' impressions of their benefits and challenges. Pediatricians in 18 practices that included a colocated mental health/developmental specialist (MH/DS) were identified through a survey administered through the state American Academy of Pediatrics Chapter, and interviewed. Practices varied widely in the professional expertise/training and roles of the MH/DSs, communication among providers, and financial arrangements. The majority of pediatricians and MH/DSs reported being pleased with their colocated arrangements, despite the costs rarely being supported by billing revenues. This study suggests that further development of such systems hold promise to meet the growing need for accessible pediatric mental and developmental health care.

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2648

Colocating buprenorphine with methadone maintenance and outpatient chemical dependency services

Type: Journal Article

Authors: Susan D. Whitley, Hillary V. Kunins, Julia H. Arnsten, Marc N. Gourevitch

Year: 2007

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2649

Colorado care coordination resource guide

Type: Report

Year: 2013

Publication Place: Denver, CO

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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2650

Colorado integrated behavioral health plus (CIBH+): aligning behavioral health within a generalist approach to primary care

Type: Journal Article

Authors: J. H. Shore, M. Waugh, S. B. Levey, J. Calderone, C. Lyon, J. S. Holtrop, R. M. Gritz, V. Owen, S. K. McWilliams, F. DeGruy

Year: 2025

Abstract:

As healthcare costs and physician burnout in the U.S. escalate, and the acuity and prevalence of behavioral health issues hit historical highs, it is critically important that we continue to evolve care approaches that can deliver good health and well-being at the population level. Colorado Integrated Behavioral Health Plus (CIBH+) uses a whole-person health perspective, aligning psychologists, primary care physicians, and other specialists, within a generalist approach to primary care. Here, we document our local experience in services delivery, including the rationale for the CIBH+ approach, key implementation elements, and the ability to mitigate population, patient, and provider challenge by building upon existing clinically-and cost-effective models of integrated care. With this description, we hope to spark optimism, enthusiasm, and ongoing innovation in other multidisciplinary care teams seeking ways to improve patient and provider experience.

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2651

Colorado integrated care project will nurture experienced agencies

Type: Journal Article

Year: 2011

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2652

Colorado state innovation model (SIM)

Type: Web Resource

Authors: Colorado Health Institute

Year: 2017

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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2653

Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting three

Type: Report

Year: 2013

Abstract: At this third and final meeting of the SIM provider stakeholder group, 21 participants representing behavioral and physical health providers, state government, practice transition specialists and academic institutions focused on three main topics.

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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2654

Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting one

Type: Government Report

Year: 2013

Abstract: Processing and sharing electronic medical information in real time. A right-sized health care workforce with the latest and best training. State and federal regulations that smooth innovation rather than block it. Payment systems that do the same. A clear picture of the state's current health care landscape and measurable indicators to chart its progress.These were top-of-mind thoughts and ideas, among many others, that emerged when a group of health care providers gathered for the first time in June to discuss the Colorado Health Care Innovation Plan. The health care provider workgroup is part of the stakeholder process supporting the State Innovation Model (SIM) project. After two more meetings, the group's goal is to make its final recommendations and sign off on Colorado's strategic plan.

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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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2655

Colorado State Innovation Model (SIM) project: Health care provider workgroup. Report: Meeting two

Type: Report

Year: 2013

Abstract: The big job of integrating physical and behavioral health care must start somewhere - with one behavioral provider on staff, perhaps. Integration must be manageable for health care providers, with specific goals, ongoing training programs and clear measurements of progress. It must be communicated effectively to patients. And payment models must support the flexibility needed to make integration happen.These were overarching themes identified by a group of health care providers meeting to contribute expertise to the Colorado Health Care Innovation Plan, which focuses on integrating physical and behavioral health care in Colorado. At the foundation of the recommendations, however, was a recognition that integration is an important part of creating a system that delivers great care at more sustainable costs.

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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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2656

Colorado's continuing journey to integrated care: Progress!

Type: Journal Article

Authors: S. B. Gold, L. A. Green

Year: 2020

Publication Place: United States

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2657

Colorado's Patient-Centered Medical Home Pilot Met Numerous Obstacles, Yet Saw Results Such As Reduced Hospital Admissions

Type: Journal Article

Authors: M. G. Harbrecht, L. M. Latts

Year: 2012

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2658

Colorado's State Health Innovation Plan

Type: Government Report

Year: 2013

Publication Place: Denver, CO

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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2659

Combat stress casualties in Iraq. Part 1: Behavioral health consultation at an expeditionary medical group

Type: Journal Article

Authors: A. L. Peterson, M. T. Baker, K. R. McCarthy

Year: 2008

Publication Place: United States

Abstract: PURPOSE: We review the role of military mental health professionals in consulting with inpatient medical patients and staff at a combat hospital and aeromedical evacuation staging facility in Iraq. CONCLUSIONS: Behavioral health consultation with medical and surgical patients during hospitalization and prior to aeromedical evacuation can help identify patients with combat stress exposure that may require future mental health follow-up. PRACTICE IMPLICATIONS: Extensive use of civilian mental health practitioners including nurse psychotherapists and psychiatric nurse practitioners will be needed to provide psychiatric care for the large number of U.S. veterans who return from deployment with combat stress related disorders.

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2660

Combating A Crisis By Integrating Mental Health Services And Primary Care

Type: Government Report

Authors: Gerald E. Harmon, Joseph A. Giaimo, Iffath Abbasia Hoskins, Ryan D. Mire, Warren T. K. Ng, Vivian B. Pender, Sterling N. Ransone Jr, Moira Szilagyi

Year: 2022

Publication Place: Washington, D.C.

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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