Literature Collection

4401

Health care reform and behavioral health: The journey ahead

Type: Journal Article

Authors: Matthew R. Merrens, Robert E. Drake

Year: 2013

Publication Place: United Kingdom

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4402

Health care reform and care at the behavioral health--primary care interface

Type: Journal Article

Authors: B. G. Druss, B. J. Mauer

Year: 2010

Publication Place: United States

Abstract: The historic passage of the Patient Protection and Affordable Care Act in March 2010 offers the potential to address long-standing deficits in quality and integration of services at the interface between behavioral health and primary care. Many of the efforts to reform the care delivery system will come in the form of demonstration projects, which, if successful, will become models for the broader health system. This article reviews two of the programs that might have a particular impact on care on the two sides of that interface: Medicaid and Medicare patient-centered medical home demonstration projects and expansion of a Substance Abuse and Mental Health Services Administration program that colocates primary care services in community mental health settings. The authors provide an overview of key supporting factors, including new financing mechanisms, quality assessment metrics, information technology infrastructure, and technical support, that will be important for ensuring that initiatives achieve their potential for improving care.

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4403

Health care reform and integrated care: A golden opportunity for preventative psychiatry.

Type: Journal Article

Authors: Ruth S. Shim, Carol Koplan, Frederick J. P. Langheim, Marc Manseau, Christopher Oleskey, Rebecca A. Powers, Michael T. Compton

Year: 2012

Publication Place: US

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4404

Health Care Reform and the Behavioral Health Workforce

Type: Journal Article

Authors: Gerald Cochran, John Roll, Ron Jackson, Jae Kennedy

Year: 2014

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4405

Health care reform, 2014: No matter what the question, mission is the answer.

Type: Journal Article

Authors: Parinda Khatri

Year: 2014

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4406

Health care savings with the patient-centered medical home: Community Care of North Carolina's experience

Type: Journal Article

Authors: H. Fillmore, C. A. Dubard, G. A. Ritter, C. T. Jackson

Year: 2014

Publication Place: United States

Abstract: This study evaluated the financial impact of integrating a systemic care management intervention program (Community Care of North Carolina) with person-centered medical homes throughout North Carolina for non-elderly Medicaid recipients with disabilities during almost 5 years of program history. It examined Medicaid claims for 169,676 non-elderly Medicaid recipients with disabilities from January 2007 through third quarter 2011. Two models were used to estimate the program's impact on cost, within each year. The first employed a mixed model comparing member experiences in enrolled versus unenrolled months, accounting for regional differences as fixed effects and within physician group experience as random effects. The second was a pre-post, intervention/comparison group, difference-in-differences mixed model, which directly matched cohort samples of enrolled and unenrolled members on strata of preenrollment pharmacy use, race, age, year, months in pre-post periods, health status, and behavioral health history. The study team found significant cost avoidance associated with program enrollment for the non-elderly disabled population after the first years, savings that increased with length of time in the program. The impact of the program was greater in persons with multiple chronic disease conditions. By providing targeted care management interventions, aligned with person-centered medical homes, the Community Care of North Carolina program achieved significant savings for a high-risk population in the North Carolina Medicaid program.

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4407

Health Care Teamwork: Interdisciplinary Practice and Teaching

Type: Book

Authors: T. J. K. Drinka, P. G. Clark

Year: 2000

Publication Place: Westport, CT

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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4408

Health Care Transitions for Individuals Returning to the Community from a Public Institution: Promising Practices Identified by the Medicaid Reentry Stakeholder Group

Type: Web Resource

Authors: Assistant Secretary for Planning and Evaluation

Year: 2023

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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4409

Health care utilization among homeless-experienced adults who were seen by a mobile addiction health clinic in Boston, Massachusetts: A quasi-experimental study

Type: Journal Article

Authors: Danielle R. Fine, Andrea Joyce, Yuchiao Chang, Elizabeth Lewis, Karen Weinstock, Joseph Wright, Jessie Gaeta, Zirui Song, Travis P. Baggett

Year: 2023

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4410

Health care utilization among veterans with pain and posttraumatic stress symptoms

Type: Journal Article

Authors: Samantha D. Outcalt, Zhangsheng Yu, Helena Maria Hoen, Tenesha Marie Pennington, Erin E. Krebs

Year: 2014

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4411

Health Care Utilization Patterns Among High-Cost VA Patients With Mental Health Conditions

Type: Journal Article

Authors: G. Hunter, J. Yoon, D. M. Blonigen, S. M. Asch, D. M. Zulman

Year: 2015

Abstract: OBJECTIVE: To inform development of intensive management programs for high-cost patients, this study investigated the relationship between psychiatric diagnoses and patterns of health care utilization among high-cost patients in the Department of Veterans Affairs (VA) health care system. METHODS: The costliest 5% of patients who received care in the VA in fiscal year 2010 were assigned to five mutually exclusive hierarchical groups on the basis of diagnosis codes: no mental health condition, serious mental illness, substance use disorder, posttraumatic stress disorder (PTSD), and depression. Multivariable linear regression was used to examine associations between diagnostic groups and use of mental health and non-mental health care and costs of care, with adjustment for sociodemographic characteristics. The proportion of costs generated by mental health care was estimated for each group. RESULTS: Among 261,515 high-cost VA patients, rates of depression, substance use disorder, PTSD, and serious mental illness were 29%, 20%, 17%, and 13%, respectively. Individuals in the serious mental illness and substance use disorder groups were younger and had fewer chronic general medical conditions and higher adjusted rates of mental health care utilization; they also had a greater proportion of costs generated by mental health care (41% and 31%, respectively) compared with individuals in the PTSD and depression groups (18% and 11%, respectively). CONCLUSIONS: Optimal management of high-risk, high-cost patients may require stratification by psychiatric diagnoses, with integrated care models for patients with multiple chronic conditions and comorbid mental health conditions and intensive mental health services for patients whose primary needs stem from mental health conditions.

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4412

Health center implementation of telemedicine for opioid use disorders: A qualitative assessment of adopters and nonadopters

Type: Journal Article

Authors: Lori Uscher-Pines, Pushpa Raja, Ateev Mehrotra, Haiden A. Huskamp

Year: 2020

Publication Place: Elmsford

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4413

Health communication campaigns to drive demand for evidence-based practices and reduce stigma in the HEALing communities study

Type: Journal Article

Authors: R. C. Lefebvre, R. K. Chandler, D. W. Helme, R. Kerner, S. Mann, M. D. Stein, J. Reynolds, M. D. Slater, A. R. Anakaraonye, D. Beard, O. Burrus, J. Frkovich, H. Hedrick, N. Lewis, E. Rodgers

Year: 2020

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4414

Health economic analyses of the justice community opioid innovation network (JCOIN)

Type: Journal Article

Authors: S. M. Murphy, N. Laiteerapong, M. T. Pho, D. Ryan, I. Montoya, T. I. Shireman, E. Huang, K. E. McCollister

Year: 2021

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4415

Health Equity and Behavioral Health Integration

Type: Report

Authors: The Academy for Integrating Behavioral Health & Primary Care

Year: 2022

Publication Place: Rockville, 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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4416

Health Homes and Individuals with Behavioral Health Issues SAMHSA's Guidance Document Affordable Care Act Health Home Provision

Type: Report

Authors: Substance Abuse and Mental Health Services Administration

Year: 2011

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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4417

Health Homes Learning Collaborative

Type: Web Resource

Authors: Department of Medicaid Health Homes New York State

Year: 2014

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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4418

Health Industry Cybersecurity – Securing Telehealth and Telemedicine (HIC-STAT)

Type: Report

Authors: Healthcare and Public Health Sector

Year: 2021

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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4419

Health Information Exchange Driven Subscription and Notification Services: Market Assessment and Policy Considerations

Type: Government Report

Authors: G. Morris, S. Afzal, M. Bhasker, D. Finney

Year: 2012

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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4420

Health information systems in small practices. Improving the delivery of clinical preventive services

Type: Journal Article

Authors: S. C. Shih, C. M. McCullough, J. J. Wang, J. Singer, A. S. Parsons

Year: 2011

Publication Place: Netherlands

Abstract: BACKGROUND: Despite strong evidence that clinical preventive services (CPS) reduce morbidity and mortality, CPS performance has not improved in adult primary care. In addition to implementing electronic health records (EHRs), key factors for improving CPS include providing actionable information at the point of care, technical support staff, and quality-improvement assistance. These resources are not typically available in small practices. PURPOSE: Estimate the impact on CPS delivery after a software upgrade to embed a clinical decision support system and practice-level quality-improvement support services. METHODS: Practices were recruited from the Primary Care Information Project, a citywide initiative assisting practices adopt health information technology. Data were collected in 2009 and 2010, and analyses were conducted in 2010 and 2011. Across two time periods, receipt of CPS was calculated for 56 practices. Period 1 measured CPS delivery 2-37 months following implementation of an EHR. Period 2 measured CPS delivery within the first 6 months after an EHR software upgrade. RESULTS: Substantial increases in the delivery of selected CPS were observed after the EHR software upgrades. Blood pressure control for patients with hypertension increased from 46.0% to 54.8%. Breast cancer screening, recorded BMI, and HbA1c testing for patients with diabetes also increased. More than half of the practices increased their patients' blood pressure control, recorded BMI, breast cancer screening, and HbA1c screening by >/=5 percentage points. CONCLUSIONS: Delivery of CPS can increase in small primary care practices that implement an EHR that includes comprehensive quality-improvement support.

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