Integrating Behavioral Medicine Into Primary Care GME: A Necessary Paradigm For 21st Century Ambulatory Practice
Limited access to child and adolescent, adult, and geriatric psychiatry, as well as other mental health providers, has a large impact on the capacity of our health care system to address mental health needs, particularly in underserved urban and rural areas. A major determinant of this limited access is an under-supply of mental health providers. The recently developed Teaching Health Center Graduate Medical Education (THCGME) program provides a promising resource to address this problem because of its unique educational setting, which could facilitate integration of behavioral medicine into primary care graduate medical e...
Source: Health Affairs Blog - April 24, 2015 Category: Health Management Authors: Alan Axelson Tags: Health Policy Lab Health Professionals Organization and Delivery Population Health Behavioral Health GME Primary Care Source Type: blogs
It Pays to Pay Well for Medicaid
This study came out a while ago, from ICYMI. The research team called up primary care practices and tried to make appointments for Medicaid patients. When states raised reimbursement rates, it became easier: Health insurance doesn’t do much good when … Continue reading →
The post It Pays to Pay Well for Medicaid appeared first on PeterUbel.com. (Source: blog.bioethics.net)
Source: blog.bioethics.net - April 21, 2015 Category: Medical Ethics Authors: Peter Ubel Tags: Health Care Peter Ubel syndicated Uncategorized Source Type: blogs
Addressing Behavioral Health Integration With Payment Reform
Editor’s note: This post is part of a periodic Health Affairs Blog series, looking at payment and delivery reforms in Arkansas and Oregon. The posts will be based on evaluations of these reforms performed with the support of the Robert Wood Johnson Foundation. The authors of this post are part of the team evaluating the Oregon model.
Primary care practices in Oregon and elsewhere have been moving toward the Patient Centered Primary Care Home (PCPCH) model. As they emphasize whole-person primary care that is accessible, high in quality, and safe, Oregon’s Alternative Payment Methodology (APM) pilot is an important st...
Source: Health Affairs Blog - April 20, 2015 Category: Health Management Authors: Deborah Cohen Tags: Featured Innovations in Care Delivery Alternative Payment Methodology Oregon Payment Reform PCPCH RWJF States Source Type: blogs
Health Affairs’ April Issue: The Cost And Quality Of Cancer Care
This study is part of Health Affairs’ DataWatch series.
Under the new pay-for-performance models, how do low performers fare?
Jessica Greene of George Washington University’s School of Nursing and coauthors studied the impact of a primary care provider compensation model—that of Fairview Health Service, a Pioneer accountable care organization in Minnesota—in which 40 percent of providers’ compensation was based on their clinic-level quality outcomes. The researchers examined providers’ performance data before the model and two years after implementation,
The best predictor of improvement was the primary care pr...
Source: Health Affairs Blog - April 6, 2015 Category: Health Management Authors: Chris Fleming Tags: Access All Categories Chronic Care Comparative Effectiveness Consumers Europe Health Care Costs Health Care Delivery Pharma Policy Quality Research Source Type: blogs
Top stories in health and medicine, March 24, 2015
From MedPage Today:
Retooling the Health Hazard Survey. “Oral sex? Anal sex? Fetishes?” These are questions on the patient intake form at AlphaBetterCare, an LGBT-friendly primary care practice owned and operated by Howard Grossman, MD.
Orthopedists’ Financial Conflicts Can Hurt Patients, Surgeon Says. Financial conflicts of interest often drive physicians to perform worthless surgeries, but the field of orthopedics “is one of the worst offenders,” says an Indiana orthopedist who has launched a “moral persuasion” campaign to convince his colleagues to stop.
Questioning Medicine: ...
Source: Kevin, M.D. - Medical Weblog - March 24, 2015 Category: Journals (General) Authors: MedPage Today Tags: News Orthopedics Rheumatology Source Type: blogs
Wall Street Journal: "ObamaCare’s Electronic-Records Debacle"
This WSJ Op-Ed could have been entitled "President Sucker: Led Down the Garden Path by The Healthcare IT Industry."It is entitled "ObamaCare’s Electronic-Records Debacle", as below. First, though:On Feb. 18, 2009 the WSJ published the following Letter to the Editor authored by me (http://www.wsj.com/articles/SB123492035330205101):Digitizing Medical Records May Help, but It's ComplexDear WSJ:You observe that the true political goal is socialized medicine facilitated by health care information technology. You note that the public is being deceived, as the rules behind this takeover were stealthily inserted i...
Source: Health Care Renewal - February 17, 2015 Category: Health Management Tags: AMA healthcare IT dangers healthcare IT distraction healthcare IT risk HITECH Jeffrey A. Singer MD Wall Street Journal Source Type: blogs
NYU Researchers Develop New Assessment Tool to Combat Oral-Systemic Disease Across the Lifespan
The Interprofessional Oral Health Grant Team Challenges the Medical Profession to “Put the Mouth Back in the Head” in the American Journal of Public HealthImproving oral health is a leading population health goal; however, curricula preparing health professionals have a dearth of oral health content and clinical experiences. Funded by a grant from the Health Resources and Service Administration (HRSA), New York University College of Nursing’s (NYUCN) Teaching Oral-Systemic Health (TOSH) Program is working to build interprofessional oral health workforce capacity which addresses a significant public health i...
Source: Dental Technology Blog - January 26, 2015 Category: Dentists Source Type: blogs
Beyond Law Enforcement: The FTC’s Role In Promoting Health Care Competition And Innovation
By now, the Federal Trade Commission’s (FTC) law enforcement efforts in the health care area are well known. We have successfully challenged several hospital and physician practice mergers in the last few years. We also continue to pursue anticompetitive pharmaceutical patent settlements, following a victory at the Supreme Court in the Actavis case. Speaking of the Court, it is currently reviewing a case we brought against the North Carolina Board of Dental Examiners, alleging that its members conspired to exclude non-dentists from providing teeth whitening services in North Carolina.
Perhaps less publicized are the FTC...
Source: Health Affairs Blog - January 26, 2015 Category: Health Management Authors: Maureen Ohlhausen Tags: All Categories Competition Connected Health Consumers Health Care Costs Health Law Innovation Policy States Technology Workforce Source Type: blogs
January 2015 HPMJC: Palliative Care and heart failure in primary care
by Katherine Sleeman and Tara WhitburnOn Monday 26th January 2015 from 8-9pm London Time (3-4p New York/ET and Noon-1p California/PT) we will be holding the monthly twitter journal club for hospice and palliative medicine: #hpmjc. The aim of the journal club is to provide an informal multidisciplinary forum for discussion of latest research findings, and we hope you will join us!You can find some more information about the journal club #hpmjc here in a previous Pallimed post. The paper for discussion this month is ‘Palliative Care among Heart Failure Patients in Primary Care: A Comparison to Cancer Patients Us...
Source: Pallimed: A Hospice and Palliative Medicine Blog - January 24, 2015 Category: Palliative Carer Workers Tags: heart failure hpmjc sleeman social media tweetchat twitter whitburn Source Type: blogs
Early Evidence On Medicare ACOs And Next Steps For The Medicare ACO Program
Conclusion
These early results support the thoughtful examination taking place now on how MSSP can better achieve its key health care reform goals. While half of MSSP ACOs have been able to reduce spending in year one, and the program has achieved significant overall savings and even more notable quality results, further changes will be needed for MSSP to attract and sustain organizations that are effectively reforming care. Many ACOs are seeking more certainty about their financial performance and prospects for savings before committing to two-sided risk and making larger investments in redesigning care. Organizations tha...
Source: Health Affairs Blog - January 22, 2015 Category: Health Management Authors: Mark McClellan, S. Lawrence Kocot, and Ross White Tags: All Categories Health Care Costs Health Reform Hospitals Insurance Medicare Payment Physicians Policy Quality Spending Source Type: blogs
Early Evidence On Medicare ACOs And Next Steps For The Medicare ACO Program (Updated)
Conclusion
These early results support the thoughtful examination taking place now on how MSSP can better achieve its key health care reform goals. While half of MSSP ACOs have been able to reduce spending in year one, and the program has achieved significant overall savings and even more notable quality results, further changes will be needed for MSSP to attract and sustain organizations that are effectively reforming care. Many ACOs are seeking more certainty about their financial performance and prospects for savings before committing to two-sided risk and making larger investments in redesigning care. Organizations tha...
Source: Health Affairs Blog - January 22, 2015 Category: Health Management Authors: Mark McClellan, S. Lawrence Kocot, and Ross White Tags: All Categories Health Care Costs Health Reform Hospitals Insurance Medicare Payment Physicians Policy Quality Spending Source Type: blogs
Panel cites need for individualized, patient-centered approach to treat and monitor chronic pain - NIH
An independent panel convened by the National Institutes of Health concluded that individualized, patient-centered care is needed to treat and monitor the estimated 100 million Americans living with chronic pain. To achieve this aim, the panel recommends more research and development around the evidence-based, multidisciplinary approaches needed to balance patient perspectives, desired outcomes, and safety."Persons living with chronic pain have often been grouped into a single category, and treatment approaches have been generalized with little evidence to support this practice," said Dr. David B. Reuben, panel chair and p...
Source: Psychology of Pain - January 17, 2015 Category: Psychiatrists and Psychologists Source Type: blogs
From Interprofessionalism Lite to the Real Thing
By: Jessica Early, a nurse practitioner fellow at the West Haven Veterans Affairs Center of Excellence in Primary Care Education (CoEPCE)
During my time in nursing school, the constant refrain was that interprofessional teamwork is the foundation of patient-centered care. In lectures and seminars, we were told that, as nurse practitioners (NPs), our effectiveness depended on collaboration with all members of the health care team—social workers, RNs, physicians, and specialty providers. Ironically, we were encouraged to develop the communication and teamwork skills needed for this collaboration in a classroom full of ...
Source: Academic Medicine Blog - January 15, 2015 Category: Universities & Medical Training Authors: Guest Author Tags: Featured Guest Perspective Center of Excellence in Primary Care Education health care teams interprofessionalism patient centered care Source Type: blogs
A (Global) Cornucopia Of Clues To Optimize Medication Use
The most common patient care intervention, issuing a prescription, is fraught with continuing challenges for patients, their caregivers, and practitioners. Patients rely on medications across a continuum of care, with expectations for self-management; some experience unintended problems along the way. For older patients, such problems often result in emergency hospitalizations, many of which could be prevented.
Historically, integration to support safe and appropriate medicine use across the U.S. health care ecosystem has been sporadic, including within our siloed Medicare Part D benefit. Other countries, however, are well...
Source: Health Affairs Blog - January 6, 2015 Category: Health Management Authors: N. Lee Rucker, Michael Holden, Parisa Aslani, and Rana Ahmed Tags: All Categories Global Health Health Care Costs Health Care Delivery Pharma Policy Public Health Source Type: blogs
Are You Reaping The Rewards After Implementing EHR Software?
Conclusion
The stories published on the HIT Web site reflect the endless possibilities of EHR technology. Practices are using EHRs to improve healthcare quality, engage patients, reduce costs, provide more comprehensive care, and even save lives. By addressing the barriers and challenges of implementation, physician practices can tap into the benefits of this innovative technology.
If your medical office is in need of efficiency, organization or better & innovative solutions, contact us for a live demo and consultations.
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Source: EMR EHR Blog for Physicians - January 6, 2015 Category: Technology Consultants Authors: Alok Prasad Tags: Patient Engagement EHR Implementation EMR cost EHR Training Source Type: blogs
