Literature Collection

8281

Patient-Centered Medical Home Care for Adolescents in Need of Mental Health Treatment

Type: Journal Article

Authors: J. C. Yonek, N. Jordan, D. Dunlop, R. Ballard, J. Holl

Year: 2018

Publication Place: United States

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8282

Patient-centered medical home cyberinfrastructure current and future landscape

Type: Journal Article

Authors: J. Finkelstein, M. S. Barr, P. P. Kothari, D. K. Nace, M. Quinn

Year: 2011

Publication Place: Netherlands

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8283

Patient-centered medical home initiative produced modest economic results for Veterans Health Administration, 2010-12

Type: Journal Article

Authors: P. L. Hebert, C. F. Liu, E. S. Wong, S. E. Hernandez, A. Batten, S. Lo, J. M. Lemon, D. A. Conrad, D. Grembowski, K. Nelson, S. D. Fihn

Year: 2014

Publication Place: United States

Abstract: In 2010 the Veterans Health Administration (VHA) began a nationwide initiative called Patient Aligned Care Teams (PACT) that reorganized care at all VHA primary care clinics in accordance with the patient-centered medical home model. We analyzed data for fiscal years 2003-12 to assess how trends in health care use and costs changed after the implementation of PACT. We found that PACT was associated with modest increases in primary care visits and with modest decreases in both hospitalizations for ambulatory care-sensitive conditions and outpatient visits with mental health specialists. We estimated that these changes avoided $596 million in costs, compared to the investment in PACT of $774 million, for a potential net loss of $178 million in the study period. Although PACT has not generated a positive return, it is still maturing, and trends in costs and use are favorable. Adopting patient-centered care does not appear to have been a major financial risk for the VHA.

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8284

Patient-Centered Medical Home Membership Is Associated with Decreased Hospital Admissions for Emergency Department Behavioral Health Patients

Type: Journal Article

Authors: A. Adaji, G. J. Melin, R. L. Campbell, C. M. Lohse, J. J. Westphal, D. J. Katzelnick

Year: 2018

Publication Place: United States

Abstract: The objective was to examine the impact of a multipayer patient-centered medical home (PCMH) on health care utilization for behavioral health patients seen at a tertiary care emergency department (ED). A retrospective health records review was performed for PCMH and non-PCMH patients who presented and received a psychiatric consultation during a 2-year period in the ED of the Mayo Clinic Hospital in Rochester, Minnesota. Univariable and multivariable associations with the outcomes of admission and return visits within 72 hours were evaluated using logistic regression models and summarized with odds ratios (ORs) and 95% confidence intervals (CIs). There were 5398 visits among 3815 patients during the study period. Among these, there were 2440 (45%) PCMH patient visits. There were 2983 (55%) total patient visits resulting in an admission. In a univariable model, PCMH patients (53%) were less likely to be admitted from the ED compared with non-PCMH patients (57%) (OR 0.84; 95% CI 0.76-0.94; P = 0.002) and this remained statistically significant (OR 0.83; 95% CI 0.74-0.93; P = 0.001) after multivariable adjustment. Among the 2415 non-admitted patients, there was no significant difference in returns within 72 hours between PCMH patients (13%) and non-PCMH patients (12%) (OR 1.12; 95% CI 0.83-1.43; P = 0.36). PCMH membership was associated with a lower probability of inpatient hospitalization from the ED. PCMH interventions may be associated with a reduction in health care utilization.

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8285

Patient-Centered Medical Home Membership Is Associated with Decreased Hospital Admissions for Emergency Department Behavioral Health Patients

Type: Journal Article

Authors: A. Adaji, G. J. Melin, R. L. Campbell, C. M. Lohse, J. J. Westphal, D. J. Katzelnick

Year: 2018

Publication Place: United States

Abstract: The objective was to examine the impact of a multipayer patient-centered medical home (PCMH) on health care utilization for behavioral health patients seen at a tertiary care emergency department (ED). A retrospective health records review was performed for PCMH and non-PCMH patients who presented and received a psychiatric consultation during a 2-year period in the ED of the Mayo Clinic Hospital in Rochester, Minnesota. Univariable and multivariable associations with the outcomes of admission and return visits within 72 hours were evaluated using logistic regression models and summarized with odds ratios (ORs) and 95% confidence intervals (CIs). There were 5398 visits among 3815 patients during the study period. Among these, there were 2440 (45%) PCMH patient visits. There were 2983 (55%) total patient visits resulting in an admission. In a univariable model, PCMH patients (53%) were less likely to be admitted from the ED compared with non-PCMH patients (57%) (OR 0.84; 95% CI 0.76-0.94; P = 0.002) and this remained statistically significant (OR 0.83; 95% CI 0.74-0.93; P = 0.001) after multivariable adjustment. Among the 2415 non-admitted patients, there was no significant difference in returns within 72 hours between PCMH patients (13%) and non-PCMH patients (12%) (OR 1.12; 95% CI 0.83-1.43; P = 0.36). PCMH membership was associated with a lower probability of inpatient hospitalization from the ED. PCMH interventions may be associated with a reduction in health care utilization.

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8286

Patient-Centered Medical Home Membership Is Associated with Decreased Hospital Admissions for Emergency Department Behavioral Health Patients

Type: Journal Article

Authors: A. Adaji, G. J. Melin, R. L. Campbell, C. M. Lohse, J. J. Westphal, D. J. Katzelnick

Year: 2017

Publication Place: United States

Abstract: The objective was to examine the impact of a multipayer patient-centered medical home (PCMH) on health care utilization for behavioral health patients seen at a tertiary care emergency department (ED). A retrospective health records review was performed for PCMH and non-PCMH patients who presented and received a psychiatric consultation during a 2-year period in the ED of the Mayo Clinic Hospital in Rochester, Minnesota. Univariable and multivariable associations with the outcomes of admission and return visits within 72 hours were evaluated using logistic regression models and summarized with odds ratios (ORs) and 95% confidence intervals (CIs). There were 5398 visits among 3815 patients during the study period. Among these, there were 2440 (45%) PCMH patient visits. There were 2983 (55%) total patient visits resulting in an admission. In a univariable model, PCMH patients (53%) were less likely to be admitted from the ED compared with non-PCMH patients (57%) (OR 0.84; 95% CI 0.76-0.94; P = 0.002) and this remained statistically significant (OR 0.83; 95% CI 0.74-0.93; P = 0.001) after multivariable adjustment. Among the 2415 non-admitted patients, there was no significant difference in returns within 72 hours between PCMH patients (13%) and non-PCMH patients (12%) (OR 1.12; 95% CI 0.83-1.43; P = 0.36). PCMH membership was associated with a lower probability of inpatient hospitalization from the ED. PCMH interventions may be associated with a reduction in health care utilization.

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8287

Patient-Centered Medical Home With Colocation: Observations and Insights From an Academic Family Medicine Clinic

Type: Journal Article

Authors: George G. A. Pujalte, Sally Ann Pantin, Thomas A. Waller, Livia Y. Maruoka Nishi, Floyd B. Willis, Tarang P. Jethwa, Richard J. Presutti

Year: 2020

Publication Place: Thousand Oaks, California

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8288

Patient-centered medical home: how it affects psychosocial outcomes for diabetes

Type: Journal Article

Authors: B. T. Jortberg, B. F. Miller, R. A. Gabbay, K. Sparling, W. P. Dickinson

Year: 2012

Publication Place: United States

Abstract: Fragmentation of the current U.S. health care system and the increased prevalence of chronic diseases in the U.S. have led to the recognition that new models of care are needed. Chronic disease management, including diabetes, is often accompanied by a myriad of associated psychosocial issues that need to be addressed as part of a comprehensive treatment plan. Diabetes care should be aligned with comprehensive whole-person health care. The patient-centered medical home (PCMH) has emerged as a model for enhanced primary care that focuses on comprehensive integrated care. PCMH demonstration projects have shown improvements in quality of care, patient experience, care coordination, access to care, and quality measures for diabetes. Key PCMH transformative features associated with psychosocial issues related to diabetes reviewed in this article include integration of mental and behavioral health, care management/coordination, payment reform, advanced access, and putting the patient at the center of health care. This article also reviews the evidence supporting comprehensive and integrated care for addressing psychosocial issues associated with diabetes in the medical home.

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8289

Patient-centered medical home: Renewing primary care

Type: Journal Article

Authors: J. V. Cox, N. Kirschner

Year: 2008

Publication Place: United States

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8290

Patient-Centered Medical Homes

Type: Web Resource

Authors: Rhode Island Department of Health

Year: 2021

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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8291

Patient-centered medical homes: presenting a role for the advanced practice mental health nurse

Type: Journal Article

Authors: R. L. Jordow

Year: 2014

Publication Place: United States

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8292

Patient-centered mental health care: encouraging caregiver participation

Type: Journal Article

Authors: S. M. Buila, J. R. Swanke

Year: 2010

Publication Place: United States

Abstract: Caregivers of patients with mental illness play a vital role caring for their loved ones, yet they may not always be fully included in the process of assessment and treatment. A patient-centered approach to treating persons with mental illness views caregivers as partners in providing care for the patient. This study sought to explore perceptions of caregivers of persons with mental illness regarding the care their loved ones receive and to illicit specific issues caregivers wish to communicate with professionals that could improve patient care. A modified nominal group technique exercise was conducted as part of a suicide prevention workshop. Participants completed a four-item questionnaire. Five main themes emerged the caregivers' perception that they need to be included in the mental health care of their loved one; concerns about the diagnosing process; communication with professionals; a desire for individualized, holistic treatment; and the need for information about services and resources for the caregiver and the patient. Findings are similar to studies that also sought to understand the perspectives of caregivers. Caregivers provide an invaluable resource for the patient with mental illness. Efforts to include caregivers would enhance the overall care provided to patients with mental illness.

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8293

Patient-centered methadone treatment: a randomized clinical trial

Type: Journal Article

Authors: R. P. Schwartz, S. M. Kelly, S. G. Mitchell, J. Gryczynski, K. E. O'Grady, D. Gandhi, Y. Olsen, J. H. Jaffe

Year: 2017

Publication Place: England

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8294

Patient-Centered Opioid Addiction Treatment (P-COAT) Alternative Payment Model

Type: Report

Authors: American Society of Addiction Medicine, American Medical Association

Year: 2018

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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8295

Patient-Centered Outcomes Associated With a Novel Office-Based Opioid Treatment Program in a District Health Department: Mixed Methods Pilot Study

Type: Journal Article

Authors: T. Coles, H. Chen, Des Marais, N. Sachdeva, C. Bush, Macon Harrison, S. Guthrie

Year: 2023

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8296

Patient-centered outcomes in an interdisciplinary clinic for complex children with autism

Type: Journal Article

Authors: Catherine G. Suen, Kathleen Campbell, Gregory Stoddard, Paul S. Carbone

Year: 2021

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8297

Patient-Centered Primary Care Collaborative

Type: Web Resource

Authors: Patient-Centered Primary Care Collaborative

Year: 2013

Publication Place: Washington, D.C.

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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8298

Patient-Centered Primary Care Home Program 2025 Recognition Criteria Technical Specifications and Reporting Guide

Type: Government Report

Authors: Oregon Health Authority

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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8299

Patient-Centered Primary Care Home Program Patients & Families

Type: Web Resource

Authors: Oregon Health Authority

Year: 2020

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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8300

Patient-Centered Research: The Author Replies

Type: Journal Article

Authors: P. Gionfriddo

Year: 2013

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