The Journal of Ambulatory Care Management This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Documenting Community Health Worker Roles in Primary Care: Contributions to Evidence-Based Integration Into Health Care Teams, 2015
The Patient Protection and Affordable Care Act provided community health workers (CHWs) with new opportunities, and current efforts develop evidence-based guidelines for CHW integration into clinical teams. This qualitative study documents CHW roles and activities in 3 federally qualified health care centers in southern Arizona. Community health worker clinical roles, activities, and integration varied by health center and were in flux. Integration included complementary roles, scheduled and everyday communications with team members, and documentation in the electronic health records. These findings contribute to evidence-...
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Evidence on the Validity of a Comprehensive Health Risk Index and Implications for Ambulatory Care and Population Health Management
A novel, comprehensive health risk index for adults has been validated and is now ready for use to improve the health of individuals and populations. This health risk index provides an estimate of the avoidable risk of death for adults 30 years or older. It includes 12 evidence-based clinical and behavioral risk factors and was validated on discrimination and calibration using the NHANES (National Health and Nutrition Examination Survey) and Framingham Heart Study cohorts. The results from both cohorts were consistent and similar. Discrimination was good, and calibration was acceptable but tended to overpredict mortality r...
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Registered Nurses in Primary Care: Emerging New Roles and Contributions to Team-Based Care in High-Performing Practices
This study examined the roles of RNs in 30 exemplary primary care practices. We identified the emergence of new roles and activities for RNs characterized by greater involvement in face-to-face patient care and care management, their own daily schedule of patient visits and contacts, and considerable autonomy in the care of their patients. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Perspectives on How to Engage Consumers in Health System Transformation
While health care organizations and public programs have recently demonstrated an increased interest in engaging patients and consumers as part of the implementation of new programs and policies, there is little published to date to guide these organizations in how to best engage consumers. We turn to an unconventional source—health care consumer advocates—who have developed experience in the type of consumer outreach, engagement, and activation that could help inform health care organizations and policy makers in further defining and studying engagement. We share perspectives from the field of advocacy that we believe...
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Competing Visions for Consumer Engagement”: Reaction
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Competing Visions for Consumer Engagement in the Dawn of the Trump Administration”
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Competing Visions for Consumer Engagement in the Dawn of the Trump Administration”
In this commentary on Hwang, Garrett and Miller's piece, we explain how value-based insurance design can help bring together both supporters and skeptics of the consumer-directed health care. Our commentary also notes the hazards that disruptive repeal-and-replace legislation might pose for consumer engagement efforts generally. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Hwang et al”
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Commentary on “Refining Consumer Engagement Definitions and Strategies”
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Competing Visions for Consumer Engagement in the Dawn of the Trump Administration
We describe these 2 competing visions and their adoption to date and offer our assessment of future directions for consumer engagement. (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

From the Editor
No abstract available (Source: The Journal of Ambulatory Care Management)
Source: The Journal of Ambulatory Care Management - August 30, 2017 Category: Emergency Medicine Tags: From the Editor Source Type: research

Patient and Physician Race and the Allocation of Time and Patient Engagement Efforts to Mental Health Discussions in Primary Care: An Observational Study of Audiorecorded Periodic Health Examinations
This study investigated racial differences in patient-physician communication around mental health versus biomedical issues. Data were collected from audiorecorded periodic health examinations of adults with mental health needs in the Detroit area (2007-2009). Patients and their primary care physicians conversed for twice as long, and physicians demonstrated greater empathy during mental health topics than during biomedical topics. This increase varied by patient and physician race. Patient race predicted physician empathy, but physician race predicted talk time. Interventions to improve mental health communication could b...
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Physician Perception of the Role of the Patient Portal in Pediatric Health
The patient portal, increasingly available to patients, allows secure electronic communication with physicians. Although physician attitude toward the portal plays a crucial role in patient adoption, little information regarding physician opinion of the portal is available, with almost no information gathered in the pediatric environment. Using a mixed-methods approach, physicians in a large pediatric medical facility and integrated delivery network were surveyed using an online quantitative questionnaire and structured interviews. Physicians reported the portal's role in more communication efficiency for patients, parents...
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Impact of a Patient-Centered Medical Home Pilot on Utilization, Quality, and Costs and Variation in Medical Homeness
This study evaluated the impact of a patient-centered medical home (PCMH) pilot on utilization, costs, and quality and assessed variation in PCMH components. Data included the New Hampshire Comprehensive Healthcare Information System and Medical Home Index (MHI) scores for 9 pilot sites. A quasi-experimental, difference-in-difference model with propensity score-matched comparison group was employed. MHI scores were collected in late 2011. There were no statistically significant findings for utilization, cost, or quality in the expected direction. MHI scores suggest variation in type and level of implemented features. Under...
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research

Effects of Hospital Systems on Medical Home Transformation in Primary Care Residency Training Practices
Most primary care residency training practices have close financial and administrative relationships with teaching hospitals and health systems. Many residency practices have begun integrating the core principles of the patient-centered medical home (PCMH) into clinical workflows and educational experiences. Little is known about how the relationships with hospitals and health systems affect these transformation efforts. Data from the Colorado Residency PCMH Project were analyzed. Results show that teaching hospitals and health systems have significant opportunities to influence residency practices' transformation, particu...
Source: The Journal of Ambulatory Care Management - June 3, 2017 Category: Emergency Medicine Tags: Original Articles Source Type: research