Literature Collection | Integration Academy

5321

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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5322

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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5323

Health Characteristics of Emerging and Young Adults with SMI

Type: Journal Article

Authors: M. F. Brunette, J. G. Bourassa, D. J. Wallin, J. C. Ferron, G. E. Williams, M. M. Santos, S. I. Pratt

Year: 2026

Abstract:

Disparate rates of cardiovascular disease (CVD) contribute to the shortened life expectancy of people with serious mental illness (SMI). CVD and its risk factors, including obesity, hypertension, diabetes and dyslipidemia, often arise in young adulthood, but there is a paucity of research focusing on emerging and young adults. This study describes the health characteristics of emerging (ages 16–24) and young (ages 25–39) adults with SMI upon enrollment into a community mental health (CMH)-based integrated primary and mental health care program (n = 439). Data were collected via structured interviews, biometric assessments and medical record review. Biometric assessments indicated that 54% had obesity, 46% had hypertension, 5% had diabetes and 6% had LDL-C hyperlipidemia. Proportions with CVD risk factors did not significantly differ between emerging and young adults. When compared to the general population, this group of emerging and young adults with SMI had higher rates of obesity, hypertension and diabetes. Very few participants with CVD risk factors had corresponding diagnoses recorded in their CMH medical records. Most participants with CVD risk were not receiving behavioral or pharmacotherapy-based interventions for their physical health conditions – among participants with blood pressure over 140/90, 56% were receiving no intervention, 33% were receiving pharmacotherapy, 13% were participating in behavioral intervention. This study highlights the need for screening and treatment of CVD risk factors in emerging and young adults with SMI. Mental health center-based integrated care programs and certified community behavioral health clinics (CCBHCs) may provide the means to increase access and quality of physical health care among young people with SMI.

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5324

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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5325

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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5326

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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5327

Health Homes Learning Collaborative

Type: Web Resource

Authors: Department of Medicaid Health Homes New York State

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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5328

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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5329

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):

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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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5330

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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5331

Health Information Technology

Type: Web Resource

Authors: AHRQ

Year: 2011

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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5332

Health information technology and mental health services research: a path forward

Type: Journal Article

Authors: David A.Chambers, Adam Haim, Charlotte A. Mullican, Michael Stirratt</br>

Year: 2013

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5333

Health information technology and the medical home

Type: Journal Article

Authors: Council on Clinical Information Technology

Year: 2011

Publication Place: United States

Abstract: The American Academy of Pediatrics (AAP) supports development and universal implementation of a comprehensive electronic infrastructure to support pediatric information functions of the medical home. These functions include (1) timely and continuous management and tracking of health data and services over a patient's lifetime for all providers, patients, families, and guardians, (2) comprehensive organization and secure transfer of health data during patient-care transitions between providers, institutions, and practices, (3) establishment and maintenance of central coordination of a patient's health information among multiple repositories (including personal health records and information exchanges), (4) translation of evidence into actionable clinical decision support, and (5) reuse of archived clinical data for continuous quality improvement. The AAP supports universal, secure, and vendor-neutral portability of health information for all patients contained within the medical home across all care settings (ambulatory practices, inpatient settings, emergency departments, pharmacies, consultants, support service providers, and therapists) for multiple purposes including direct care, personal health records, public health, and registries. The AAP also supports financial incentives that promote the development of information tools that meet the needs of pediatric workflows and that appropriately recognize the added value of medical homes to pediatric care.

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5334

Health Information Technology in Rural Healthcare

Type: Web Resource

Authors: Rural Health Information Hub

Year: 2015

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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5335

Health Insurance Coverage and Access to Care for LGBTQ+ Individuals: Current Trends and Key Challenges

Type: Web Resource

Authors: Assistant Secretary for Planning and Evaluation

Year: 2021

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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5336

Health issues in the Arab American community. Integrated health care delivery: Past, present and future. Assessment of local models of integrating physical and mental health concerns. Overview

Type: Journal Article

Authors: W. Sakr, R. M. Massanari

Year: 2007

Publication Place: United States

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5337

Health issues in the Arab American community. Integrating mental and general medical health care--the Henry Ford health system experience

Type: Journal Article

Authors: C. E. Coffey

Year: 2007

Publication Place: United States

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5338

Health issues in the Arab American community. Models of health and mental health integration: ACCESS Community Health and Research Center model

Type: Journal Article

Authors: I. Kira, A. Hammad, S. Abou-Mediene

Year: 2007

Publication Place: United States

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5339

Health IT in small and rural communities

Type: Web Resource

Authors: Agency for Healthcare Research and Quality

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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5340

Health IT-Enabled Care Coordination: A National Survey of Patient-Centered Medical Home Clinicians

Type: Journal Article

Authors: S. Morton, S. C. Shih, C. H. Winther, A. Tinoco, R. S. Kessler, S. H. Scholle

Year: 2015

Publication Place: United States

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