Resources for Care Coordination and the Health Workforce
Resources (507)
Key Resources
Care Coordination & Older Adults Issue Brief by Eldercare Workforce Alliance (EWA) & National Coalition on Care Coordination (N3C)
Document
Discusses models of care coordination, the health care providers involved in each care team, target populations for each model and more. Covers the benefits of care coordination.
Organization: Eldercare Workforce Alliance
Date: 2013
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Tagged keywords: Behavioral Health Occupations, Best Practices and Model Programs, Care Coordination, Certified Registered Nurse Anesthetists, Clinical Nurse Specialists, National, Nurse Practitioners, Nursing Occupations, Physician Assistants, Physicians, Primary Care, Registered Nurses, Social Workers
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State Health Policy Options: Work Redesign
Document
Provides resources related to workforce models to help states respond to growing health workforce demand. Lists reports, case studies, federal grant efforts, and workforce experts. Addresses health care teams, community health workers, community paramedics, frontline workers, and medical assistants.
Organization: National Governors Association
Date: 2012
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Tagged keywords: Care Coordination, Community Health Workers, Emergency Medical Technicians and Paramedics, Health Care Access, Medical Assistants, National, Nurse Practitioners, Physician Assistants, Physicians, Policy, Trends and Emerging Issues
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The Patient Centered Medical Home: 2011 Status and Needs Study
Document
Highlights factors organizations face in transforming to a patient-centered medical home (PCMH). Includes accreditation, staffing, and PCMH demographics. Available for free download by logging into MGMA site.
Organization: MGMA-ACMPE
Date: 2011
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Tagged keywords: Care Coordination, National, Recruitment and Retention
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Patient-Centered Medical Home: AHA Research Synthesis Report
Document
Presents an overview of the Patient-Centered Medical Home (PCMH), including workforce involved, key features, discussion of federal, state, and private sector medical home models, and considerations for hospitals interested in developing a PCMH.
Organization: American Hospital Association
Date: 9/2010
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Tagged keywords: Care Coordination, Hospitals, National
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Integrative Medicine and the Health of the Public: A Summary of the February 2009 Summit
Document
Presents the results of a summit held on February 25-27, 2009, by the Institute of Medicine on Integrative Medicine and the Health of the Public in Washington, DC. Examines the practice of integrative medicine, its scientific basis, and its potential for improving health. The Summit sessions covered visions for integrative medicine, care coordination, models of care, workforce and education needs, and economic and policy implications.
Organization: Institute of Medicine
Author: Schultz A, Chao S, McGinnis J
Date: 11/2009
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Tagged keywords: Care Coordination, Interprofessional Training and Education, National, Physicians, Public Health
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Obtaining Patient-Centered Medical Home Recognition: A How-To Manual
Document
Offers a step-by-step guide to help organizations obtain recognition as a medical home by the National Committee for Quality Assurance (NCQA) Physician Practice Connections Patient-Centered Medical Home (PPC-PCMH) program.
Organizations: Primary Care Development Corporation, The New York Community Trust
Author: Reiner C, Sacks R, Neal R
Date: 11/2009
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Tagged keywords: Care Coordination, National, Primary Care
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Coordination of Care by Primary Care Practices: Strategies, Lessons and Implications
Document
Examines strategies physicians use to coordinate care for their patients.
Organizations: Center for Studying Health System Change, Changes in Health Care Financing and Organization
Author: O'Malley AS, Tynan A, Cohen G, Kemper NM, Davis MM
Date: 4/2009
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Tagged keywords: Care Coordination, National, Physicians, Primary Care
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PubMed Search: Care Coordination and the Health Workforce
Literature search
Searches PubMed's collection of journal article
citations on the topic of care coordination and the health workforce.
Organization: National Library of Medicine
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Tagged keywords: Care Coordination, National
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The Safety Net Medical Home Initiative
Web site
Helps primary care safety net clinics become high-performing patient-centered medical homes. Offers documents and webinars to help clinics implement medical home practices such as coordinated and team-based care under "Change Concepts."
Organization: The Commonwealth Fund
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Tagged keywords: Care Coordination, Clinics, Health Care Quality, National
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Additional Resources
2013 9th Annual Physician Workforce Research Conference
Document
Provides the agenda for the AAMC physician research conference held May 2-3, 2013 in Alexandria, Virginia. Includes presentation slides if you sign in at the top of the screen and then click on "Agenda." Addresses health workforce analysis, building workforce diversity, non-physician providers, factors affecting primary care career choice, rural workforce supply and productivity, graduate medical education, student debt, team-based care, HRSA's new simulation model, and health equity.
Organization: Association of American Medical Colleges Center for Workforce Studies
Date: 5/2013
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Tagged keywords: Care Coordination, Community Health Workers, Diversity, Family Medicine Physicians, National, Nurse Practitioners, Obstetricians and Gynecologists, Physician Assistants, Physicians, Primary Care, Research and Data Collection Methods, Residency Programs, Rural, Specialty Choice, Student Debt Load, Supply and Demand
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A Blueprint for a More Effective, Physician-Directed Health System
Document
Offers a perspective on how to redesign the health care system to strengthen the physician-patient relationship and help physicians manage patient care while spending less money. Identifies six core principles. Supports simplifying insurance payments.
Organization: The Physicians Foundation
Author: Goldsmith J
Date: 5/2013
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Tagged keywords: Care Coordination, Compensation, Health Reform, Medicare and Medicaid, National, Physicians
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National Healthcare Disparities Report, 2012
Document
Presents a national overview of disparities in health care. Describes the quality of and access to care for specific populations. Includes sections on care coordination and health systems infrastructure. Addresses physician race/ethnicity on pages 193-5.
Organization: Agency for Healthcare Research and Quality
Date: 5/2013
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Tagged keywords: Care Coordination, Diversity, Health Care Access, Health Care Quality, National, Physicians
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National Healthcare Quality Report, 2012
Document
Discusses health care quality in the United States. Covers care effectiveness, patient safety, timeliness of care, patient centeredness, care coordination, efficiency of care, the health system infrastructure, and access to care. Addresses the geographic distribution of primary care physicians on pages 191-4.
Organization: Agency for Healthcare Research and Quality
Date: 5/2013
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Tagged keywords: Care Coordination, Family Medicine Physicians, General Internal Medicine Physicians, General Pediatricians, Health Care Access, Health Care Quality, National, Obstetricians and Gynecologists, Physicians, Primary Care
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Physician Extender Roles in a Patient-Centered Future
Document
Offers an issue brief on the role of advanced practice nurses and physician assistants in meeting primary care demand in Arkansas. Addresses state scope of practice laws and changes made by other states, patient-centered medical homes, and more.
Organization: Arkansas Center for Health Improvement
Date: 5/2013
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Tagged keywords: Arkansas, Care Coordination, Nursing Occupations, Physician Assistants, Registered Nurses, Scope of Practice, Trends and Emerging Issues
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Ten Principles of Good Interdisciplinary Team Work
Document
Reports on a literature review and a study to identify the attributes of a good interdisciplinary team. Offers a framework and proposes ten competencies that support effective interdisciplinary team work.
Author: Nancarrow SA, Booth A, Ariss S, et al
Location: Human Resources for Health, 11:19
Date: 5/2013
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Tagged keywords: Care Coordination, International, National
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There Is No 'I' in Teamwork in the Patient-Centered Medical Home: Defining Teamwork Competencies for Academic Practice
Document
Link: Abstract
Reviews a set of teamwork competencies for high-functioning teams and suggests how they might be used for interprofessional team training and patient-centered medical home (PCMH) standards.
Author: Leasure EL, Jones RR, Meade LB, et al
Location: Academic Medicine, 88(5), 585-92
Date: 5/2013
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Tagged keywords: Care Coordination, Health Care Quality, Interprofessional Training and Education, National
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Facts about The Joint Commission’s Behavioral Health Home
Document
Highlights the Behavioral Health Home Certification option, available on January 1, 2014, to organizations accredited under the Joint Commission's Behavioral Health Care Accreditation program.
Organization: The Joint Commission
Date: 4/2013
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Tagged keywords: Behavioral Health Occupations, Care Coordination, Licensure and Certification, National
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The Promise of Care Coordination: Transforming Health Care Delivery
Document
Describes the role of care coordinators. Addresses changes that can promote care coordination, such as quality incentives and a team-based, patient-centered culture of care. Highlights pilot programs. Identifies the role of advocates.
Organization: Families USA
Date: 4/2013
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, Health Care Quality, National, Trends and Emerging Issues
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Care Across Settings: Challenges, Successes, and Opportunities
Document
Discusses coordination across health care settings to improve care transitions. Covers relationships between providers. Offers steps, models, and case studies to demonstrate opportunities for improvement.
Organization: Robert Wood Johnson Foundation
Date: 3/2013
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Tagged keywords: Best Practices and Model Programs, California, Care Coordination, National, Ohio, Pennsylvania
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Consortium Recommendations for Advancing Pharmacists' Patient Care Services and Collaborative Practice Agreements
Document
Link: Abstract
Provides seven recommendations regarding the role of pharmacists in team-based, patient-centered care based on a roundtable consortium held January 2012 in Washington DC. One recommendation addresses education.
Organization: American Pharmacists Association
Location: Journal of the American Pharmacists Association, 53(2), e132-41
Date: 3/2013
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Tagged keywords: Care Coordination, Interprofessional Training and Education, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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Early Adopters of the Accountable Care Model: A Field Report on Improvements in Health Care Delivery
Document
Describes experiences from seven accountable care organizations (ACOs). Covers health workforce issues such as shortages, coordination, compensation, and more. Offers recommendations for successful ACO implementation.
Organization: The Commonwealth Fund
Date: 3/2013
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Tagged keywords: Arizona, Care Coordination, Compensation, Massachusetts, Medicare and Medicaid, Nebraska, New York, Ohio, Physicians, Policy, Supply and Demand, Trends and Emerging Issues, Wyoming
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Generalist plus Specialist Palliative Care — Creating a More Sustainable Model
Document
Offers a perspective on the supply and demand of palliative care specialists. Supports a coordinated palliative care model where primary palliative care can be delivered by primary care physicians and specialists with consultation by palliative care specialists.
Author: Quill TE, Abernethy AP
Location: New England Journal of Medicine, 368(13), 1173-5
Date: 3/2013
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Tagged keywords: Care Coordination, National, Physicians, Primary Care, Supply and Demand, Trends and Emerging Issues
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Improving Care Through Workforce Innovation
Video or multimedia
Offers a webinar recording focused on the Grand Aides model, a health care professional trained to help connect the patient and health care team.
Organization: California Healthcare Foundation
Date: 3/2013
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Aides, Assistants and Guides, National, Primary Care
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Inseparable: Mental Health and Primary Care
Video or multimedia
Provides a recording of a webinar focused on integrating mental health, behavioral health, substance use and primary care. Highlights a model program in Colorado. Addresses teamwork.
Organization: Primary Care Progress
Date: 3/2013
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Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, Colorado, National, Primary Care
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Pharmacist Engagement in Medical Home Practices: Report of the APHA-AAPM Medical Home Workgroup
Document
Link: Abstract
Identifies ten key findings important to pharmacist integration in patient-centered medical home (PCMH) practices.
Author: Hogue MD, Bugdalski-Stutrud C, Smith M, et al
Location: Journal of the American Pharmacists Association, 53(2), e118-24
Date: 3/2013
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Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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Promoting a Culture of Safety as a Patient Safety Strategy: A Systematic Review
Document
Reviews the literature on studies examining change in patient safety culture or climate after a targeted health care worker intervention. Includes studies on team training or communication initiatives and interdisciplinary rounds.
Author: Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM
Location: Annals of Internal Medicine, 158(5 Pt 2), 369-74
Date: 3/2013
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Tagged keywords: Care Coordination, Education and Training, Health Care Quality, National
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AHECs and Implementation of the Affordable Care Act: State by State Activities 2012-13
Document
Identifies activities and programs Area Health Education Centers (AHECs) are doing in each state that relate to Affordable Care Act priorities. Covers primary care training, workforce diversity activities, rotations in underserved areas, community-based training, and new models of care.
Organization: National Area Health Education Center Organization
Date: 2/2013
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Tagged keywords: Area Health Education Centers, Care Coordination, Diversity, Education and Training, Health Reform, National, Primary Care, Residency Programs, Rural, State-by-State, Workforce Pipeline
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National Consensus Conference on Community Paramedicine: Summary of an Expert Meeting
Document
Summarizes a conference held October 1-2, 2012 in Atlanta, Georgia regarding community paramedicine, a workforce model that expands the role of emergency medical service (EMS) providers. Addresses training, practice, regulation, medical oversight, reimbursement, integration, and evaluation.
Organization: WWAMI Rural Health Research Center
Author: Patterson DG, Skillman SM
Date: 2/2013
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Tagged keywords: Care Coordination, Compensation, Education and Training, Emergency Medical Technicians and Paramedics, Licensure and Certification, National, Trends and Emerging Issues
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The Patient-Centered Medical Home: A Brief Educational Agenda for Teachers of Family Medicine
Document
Provides an update of the educational agenda for the patient-centered medical home (PCMH).
Author: Kruse J
Location: Family Medicine, 45(2), 132-6
Date: 2/2013
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Tagged keywords: Care Coordination, Education and Training, Family Medicine Physicians, National, Physicians
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Planning Guidance to Expand Blueprint Community Health Teams with 'Spoke Staffing' for Treatment of Opioid Dependence
Document
Describes a Hub and Spoke approach based on Patient Centered Medical Homes used in Vermont. Discusses how Vermont plans to expand the model to address opioid dependence as part of a Medicaid State Plan Amendment. Addresses the Health Home team staffing, how the program will work, and program implementation.
Organization: Vermont Department of Health Access
Date: 2/2013
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, Medicare and Medicaid, Nursing Occupations, Physicians, Policy, Social Workers, Vermont
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Clinic First: The Group Health Residency’s Initiative to Train Primary Care Physicians of the Future
Video or multimedia
Offers a webinar recording highlighting a family medicine residency program preparing its residents to practice in patient-centered medical homes. Addresses teaching skills in chronic disease management and e-medicine (EMR training, electronic communication, telephone visits).
Organization: Primary Care Progress
Date: 1/2013
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Family Medicine Physicians, Health Information Technology and Telehealth, Physicians, Residency Programs, Washington
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Educating Future Doctors: Tomorrow's Doctors, Tomorrows Cures, Yesterday's Prices
Video or multimedia
Offers Dr. Mark Smith's presentation at the 2012 meeting of the Association of American Medical Colleges on reforming medical education. Addresses rising health care and education costs, changes for academic medical centers, provider shortages, the role of non-physician providers, team-based care, new uses for technology, scope of practice issues and more.
Organization: Association of American Medical Colleges
Date: 1/2013
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Tagged keywords: Academic Health Centers, Care Coordination, Education and Training, Health Care Quality, Health Reform, National, Physicians, Primary Care, Scope of Practice, Student Debt Load, Supply and Demand, Technology in Education and Training
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Enhancing the Primary Care Team to Provide Redesigned Care: The Roles of Practice Facilitators and Care Managers
Document
Addresses the roles of two members of the primary care team, the practice facilitator and care manager. Discusses how practice facilitators help with quality improvement efforts and how care managers help coordinate care.
Author: Taylor EF, Machta RM, Meyers DS, Genevro J, Peikes DN
Location: Annals of Family Medicine, 11(1), 80-3
Date: 1/2013
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Tagged keywords: Care Coordination, Health Aides, Assistants and Guides, Health Care Quality, National, Patient Navigators, Primary Care
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Primary Care Physician Shortages Could Be Eliminated Through Use of Teams, Nonphysicians, and Electronic Communication
Document
Link: Abstract
Introduces a method for measuring and forecasting physician supply based on new models of care such as patient-centered medical homes. Discusses the impact of team-based care, non-physician providers and electronic health records on increasing access and reducing primary care physician shortages.
Author: Green LV, Savin S, Lu Y
Location: Health Affairs, 32(1), 11-19
Date: 1/2013
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Tagged keywords: Care Coordination, Health Care Access, Health Information Technology and Telehealth, National, Nurse Practitioners, Nursing Occupations, Physician Assistants, Physicians, Primary Care, Research and Data Collection Methods, Supply and Demand
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Provider Workload and Quality of Care in Primary Care Settings: Moderating Role of Relational Climate
Document
Link: Abstract
Reports on a survey of Veterans Health Administration (VHA) primary care clinics regarding workload and quality of care. Concludes that clinics with a better relational climate have higher quality of care rankings even if they have a higher workload. Highlights the importance of relational climate as a teamwork factor.
Author: Mohr DC, Benzer JK, Young GJ
Location: Medical Care, 51(1), 108-14
Date: 1/2013
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Tagged keywords: Care Coordination, Clinics, Health Care Quality, National, Primary Care, Supply and Demand
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Workforce Roles in a Redesigned Primary Care Model
Document
Reports on a roundtable discussion addressing effective primary care models and workforce roles. Covers facilitators and barriers, emerging roles, information technology, and rural primary care. Offers a continuum of care model. Provides recommendations and identifies best practices.
Organization: American Hospital Association
Date: 1/2013
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Hospitals, Interprofessional Training and Education, National, Primary Care, Rural, Trends and Emerging Issues
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Education 2 Practice (E2P)
Web site
Offers resources to help health educators and professionals work together to increase the number of high-functioning health care teams.
Organizations: Michigan Department of Community Health, Michigan Health Council
Date: 2013
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Tagged keywords: Care Coordination, Education and Training, Interprofessional Training and Education, Michigan
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Transforming Patient Care: Aligning Interprofessional Education with Clinical Practice Redesign
Document
Additional Link: Web Conference Recording
Offers recommendations from a conference focused on interprofessional education and collaborative practice held January 17-20, 2013 in Atlanta, Georgia.
Organization: Josiah Macy, Jr. Foundation
Date: 2013
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Tagged keywords: Care Coordination, Interprofessional Training and Education, National, Trends and Emerging Issues
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Advisory Committee on Interdisciplinary, Community-Based Linkages - Meeting, December 7, 2012
Document
Provides committee meeting minutes. Offers an update on behavioral health activities of the Health Resources and Services Administration. Introduces potential topics for the annual committee report including allied health in interprofessional care, oral health, and interprofessional teams.
Organization: Advisory Committee on Interdisciplinary Community-Based Linkages
Date: 12/2012
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Tagged keywords: Allied Health, Behavioral Health, Care Coordination, National, Primary Care, Public Health
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Roadmap to a Healthier Minnesota: Recommendations of the Minnesota Health Reform Task Force
Document
Summarizes recommendations for improving health care in Minnesota. Addresses care coordination, behavioral health and primary care integration, increasing workforce supply, workforce education and training, scope of practice restrictions for nurses, loan repayment programs, Medicare reimbursement, diversity of the workforce and more.
Organization: Minnesota Department of Health
Date: 12/2012
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Tagged keywords: Behavioral Health, Care Coordination, Diversity, Education and Training, Health Care Access, Health Reform, Loan Repayment and Forgiveness, Medicare and Medicaid, Minnesota, Policy, Primary Care, Scope of Practice, Supply and Demand
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TeamSTEPPS: Primary Care Version
Curricula
Offers materials for medical offices that wish to apply TeamSTEPPS principles. Updates the core concepts of the TeamSTEPPS program to reflect the environment of primary care office-based teams. Includes examples, discussions, and exercises.
Organization: Agency for Healthcare Research and Quality
Date: 12/2012
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Tagged keywords: Care Coordination, Clinics, National, Primary Care
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After-Hours Care and Its Coordination with Primary Care in the U.S.
Document
Links: Abstract, Key Findings
Identifies and describes models of after-hours care that are delivered in primary care sites or coordinated with a patient's usual primary care provider. Addresses clinician buy-in, communication, continuity of care, and more.
Organization: Center for Studying Health System Change
Author: O'Malley AS, Samuel D, Bond AM, Carrier E
Location: Journal of General Internal Medicine, 27(11), 1406-15
Date: 11/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Access, National, Physicians, Primary Care
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Building New York's Medical Homes: Learning from Eight Pioneers to Move the Model Forward
Document
Provides an overview of eight medical home models. Covers implementation, payment models, data collection and analysis, and sustainability. Addresses some care coordination and staffing challenges. Highlights the importance of physician leadership and nurse care managers.
Organization: Primary Care Development Corporation
Author: Lowenstein D, Wetterman T, Dougherty C
Date: 11/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, Health Care Quality, New York, Primary Care, Trends and Emerging Issues
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The Evolution of Patient-Centered Medical Homes in New York State: Current Status and Trends as of September 2012
Document
Updates the status of patient-centered medical home (PCMH) adoption in New York State. Identifies the total number of providers working in medical homes, which includes physicians, nurse practitioners, and physician assistants. Covers distribution, practice type, providers per population, and NCQA level.
Author: Burke G, United Hospital Fund
Date: 11/2012
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Tagged keywords: Care Coordination, New York, Nurse Practitioners, Physician Assistants, Physicians, Primary Care, Trends and Emerging Issues
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NHPCO Facts and Figures: Hospice Care in America
Document
Highlights the number of people receiving hospice care in the U.S. Discusses the coordination of care amongst hospice personnel, physicians, nurses, volunteers, spiritual counselors, therapists, home health aides, social workers, and bereavement counselors.
Organization: National Hospice and Palliative Care Organization
Date: 11/2012
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Tagged keywords: Care Coordination, Health Aides, Assistants and Guides, Health Care Quality, Home Health Aides and Home Care Aides, National, Nursing Occupations, Physicians
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Rethinking the Mental Health Treatment Skills of Primary Care Staff: A Framework for Training and Research
Document
Link: Abstract
Provides a framework describing mental health skills for primary care receptionists, medical assistants, nurses, nurse practitioners, and physicians. Discusses the importance of building the mental health treatment capacity of primary care through the primary care team and related funding from the Affordable Care Act.
Author: Brown JD, Wissow LS
Location: Administration and Policy in Mental Health, 39(6), 489-502
Date: 11/2012
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Tagged keywords: Behavioral Health, Care Coordination, Education and Training, Health Reform, Medical Assistants, National, Nurse Practitioners, Nursing Occupations, Physicians, Primary Care
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Team-based Primary Care in an Academic Clinic - Lessons from the General Medical Clinic at San Francisco General Hospital
Video or multimedia
Provides a recording of a webinar offering lessons from a residency clinic that became a patient-centered medical home. Describes the creation of multidisciplinary teams. Addresses role definition, communication practices, and challenges faced.
Organization: Primary Care Progress
Date: 11/2012
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Tagged keywords: Best Practices and Model Programs, California, Care Coordination, Clinics, Primary Care, Residency Programs
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TeamSTEPPS: Long-Term Care Version
Curricula
Offers an instructor guide and curricula for training staff in teamwork skills and for leading teamwork improvement initiatives in long-term care settings. Includes case studies, videos, evaluation tools, and more.
Organization: Agency for Healthcare Research and Quality
Date: 11/2012
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Tagged keywords: Care Coordination, Education and Training, Health Care Quality, National
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Core Principles & Values of Effective Team-Based Health Care
Document
Offers a discussion paper on basic principles and expectations for health care teams. Addresses values, roles, trust, communication, evaluation, areas for further research, and more. Highlights model programs. Lists team measurement tools in the appendix.
Organization: Institute of Medicine
Author: Mitchell P, Wynia M, Golden R, et al
Date: 10/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Interprofessional Training and Education, National
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High-Intensity Primary Care: Lessons for Physician and Patient Engagement
Document
Discusses models of high-intensity primary care. Covers the role of physicians, care coordinators, and other primary care teams members in various models of care. Offers six example programs.
Organizations: Center for Studying Health System Change, National Institute for Health Care Reform
Author: Yee R, Lechner AE, Carrier E,
Date: 10/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, National, Nursing Occupations, Physicians, Primary Care
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Order from Chaos: Accelerating Care Integration
Document
Discusses the importance of care coordination. Covers barriers to implementing coordinated care including lack of leadership, the culture of physician independence, ineffective provider reimbursement, lack of training in the development and management of models for coordination and more.
Organization: National Patient Safety Foundation
Author: Lucian Leape Institute Roundtable On Care Integration
Date: 10/2012
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Tagged keywords: Care Coordination, Health Care Quality, National
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TeamSTEPPS Enhancing Safety for Patients with Limited English Proficiency Module
Curricula
Provides handouts, presentations, instructional guides and other materials to help train staff in teamwork skills. Focuses on how the concepts of teamwork apply to work with patients with limited English language skills.
Organization: Agency for Healthcare Research and Quality
Date: 10/2012
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Tagged keywords: Care Coordination, Cultural and Linguistic Competence, Education and Training, National
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Estimating a Reasonable Patient Panel Size for Primary Care Physicians with Team-Based Task Delegation
Document
Examines how delegation to nonphysician team members can allow primary care physicians to provide recommended preventive and chronic care visits despite the physician shortage. Offers panel size recommendations for primary care teams.
Author: Altschuler J, Margolius D, Bodenheimer T, Grumbach K
Location: Annals of Family Medicine, 10(5), 396-400
Date: 9/2012
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Tagged keywords: Care Coordination, Health Care Quality, National, Physicians, Primary Care, Supply and Demand
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The Future of the Health Care Workforce
Document
Summarizes discussion from the seventh Thought Leader Forum on September 22, 2012. Addresses the impact of changes in health care, including health care reform, on the workforce. Covers the changing roles for health professionals, education and training, and recruitment and retention. Offers advice for health care human resource leaders.
Organization: American Society for Healthcare Human Resources Administration
Date: 9/2012
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Tagged keywords: Allied Health, Care Coordination, Education and Training, Health Reform, National, Nursing Occupations, Physicians, Recruitment and Retention, Scope of Practice, Technology in Education and Training
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Health Affairs September 2012: Payment Reform to Achieve Better Health Care
Document
Thematic issue addressing payment reforms intended to improve health care and lower costs. Includes examples of paying primary care teams to support medical home pilots, analyses of various payment arrangements such as pay-for-performance, and lessons learned from previous experiments.
Location: Health Affairs, 31(9)
Date: 9/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, Health Care Quality, Health Reform, National, Physicians, Policy, Trends and Emerging Issues
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Prevention and Public Health Fund: Activities Funded in Fiscal Years 2010 and 2011
Document
Additional Link: Highlights
Identifies Prevention and Public Health Funds awarded due to the Affordable Care Act. Lists health workforce related grantees pages 70-4, 120-1, and Appendix III. Covers the public health workforce, primary care training, advanced nursing education, nurse managed clinics, state health workforce grants, and primary and behavioral health care integration.
Organization: Government Accountability Office
Date: 9/2012
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Tagged keywords: Behavioral Health, Care Coordination, Clinics, Education and Training, Health Reform, Midwives, National, Nurse Practitioners, Nursing Occupations, Physician Assistants, Physicians, Policy, Primary Care, Public Health, Residency Programs
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Primary Care for the 21st Century: Ensuring a Quality Physician-Led Team for Every Patient: Full Report
Document
Additional Link: Additional Resources
Discusses the role of physicians in patient centered medical homes. Compares the education and training of physicians and nurse practitioners. Advocates for a physician-led model and expresses the American Academy of Family Physicians opinion on limiting unsupervised practice by nurse practitioners.
Organization: American Academy of Family Physicians
Date: 9/2012
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Tagged keywords: Care Coordination, Education and Training, Family Medicine Physicians, National, Nurse Practitioners, Nursing Occupations, Physicians, Primary Care
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Vermont Blueprint for Health: Working Together for Better Care
Video or multimedia
Provides videos highlighting a program in Vermont that uses community health teams to link primary care, public health, and clinical resources.
Organization: Agency for Healthcare Research and Quality
Date: 9/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Vermont
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Advancing Primary Care: Opportunities to Support Care Delivery Redesign in Practices Serving Medicaid and Racially and Ethnically Diverse Patients
Document
Reports on a survey of primary care practices serving a high percentage of Medicaid beneficiaries regarding barriers and facilitators for advanced primary care. Identifies understaffing and reimbursement policies as barriers to improvement. Addresses training needs.
Organizations: Center for Health Care Strategies, Robert Wood Johnson Foundation
Date: 8/2012
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Tagged keywords: Care Coordination, Health Care Quality, Medicare and Medicaid, National, Physicians, Primary Care, Trends and Emerging Issues
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Community Health Worker Model for Care Coordination: A Promising Practice for Frontier Communities
Document
Describes a model that uses community health workers to help coordinate patient care in frontier areas. Highlights how several states have applied this model. Addresses workforce development, regulation, funding, and policy issues.
Organization: National Center for Frontier Communities
Author: Wilger S
Date: 8/2012
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Tagged keywords: Alaska, Best Practices and Model Programs, Care Coordination, Community Health Workers, Health Aides, Assistants and Guides, Minnesota, Montana, National, New Mexico, Oregon, Rural, Texas
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Improving Care Transitions: Current Practice and Future Opportunities for Pharmacists
Document
Describes the roles and responsibilities of pharmacists during care transitions in regards to drug therapy. Addresses communication, care coordination, reimbursement, education, and health information technology. Highlights care transition models and national initiatives.
Organization: American College of Clinical Pharmacy
Date: 8/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, Education and Training, Health Care Quality, National, Pharmacists, Pharmacy Occupations, Technology in Education and Training, Trends and Emerging Issues
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Taking Integration to the Next Level: The Role of New Service Delivery Models in Behavioral Health
Document
Addresses the implications of health homes and accountable care organizations for state behavioral health agencies. Highlights the workforce impacts of different delivery models on pages 10-12.
Organization: National Association of State Mental Health Program Directors
Author: Miller J
Date: 8/2012
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Best Practices and Model Programs, Care Coordination, National, Physicians, Primary Care, Trends and Emerging Issues
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Closing the Quality Gap Series: The Patient-Centered Medical Home
Document
Reviews the literature on primary care-based patient-centered medical home (PCMH) interventions and effects. Addresses the impact on staff and patient experiences. Supports additional research on the impact of the PCMH on staff retention.
Organization: Agency for Healthcare Research and Quality
Author: Williams JW, Jackson GL, Powers BJ, et al
Date: 7/2012
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Tagged keywords: Care Coordination, Health Care Quality, National, Primary Care, Trends and Emerging Issues
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Implementing the IOM Future of Nursing Report–Part III: How Nurses Are Solving Some of Primary Care’s Most Pressing Challenges
Document
Presents the third of a four-part mini-series on the IOM report, The Future of Nursing: Leading Change, Advancing Health. Highlights innovative care models and policies that take advantage of nursing's strengths in primary care.
Organization: Robert Wood Johnson Foundation
Author: Fauteux N
Location: Charting Nursing's Future, 18, 1-8
Date: 7/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, National, Nurse Practitioners, Nursing Occupations, Pennsylvania, Primary Care, Trends and Emerging Issues, Vermont
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The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands?
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Additional Links: Recommendations, Report Brief
Examines the adequacy of the geriatric mental health and substance use (MH/SU) workforce. Identifies professions involved; available data on workforce supply; education, training and certifications related to MH/SU; and model programs. Reviews nine models of care delivery and their workforce requirements. Offers consensus recommendations.
Organization: Institute of Medicine
Author: Eden J, Maslow K, Le M, Blazer D
Date: 7/2012
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Best Practices and Model Programs, Care Coordination, Community Health Workers, Cultural and Linguistic Competence, Education and Training, Geriatrics, Health Aides, Assistants and Guides, Home Health Aides and Home Care Aides, Interprofessional Training and Education, Marriage and Family Therapists, Mental Health Counselors, National, Nursing Aides, Nursing Occupations, Occupational Therapy Occupations, Pharmacists, Physicians, Policy, Profession-by-Profession, Psychiatrists, Psychologists, Registered Nurses, Social Workers, Substance Abuse and Behavioral Disorder Counselors, Supply and Demand
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Best Care at Lower Cost: The Path to Continuously Learning Health Care in America
Document
Additional Links: Recommendations, Report Brief
Reports conclusions and recommendations from an Institute of Medicine committee that addressed increasing health care complexity and costs. Covers technology, health care quality, payment incentives, patient-provider relationships and more. Pages 10-11 and 10-12 summarize the recommendations for providers and medical education.
Organization: Institute of Medicine
Date: 6/2012
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Tagged keywords: Academic Health Centers, Care Coordination, Compensation, Continuing Education, Education and Training, Health Care Quality, Health Reform, Medicare and Medicaid, National, Nursing Occupations, Physicians, Policy, Technology in Education and Training
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Best Principles for Integration of Child Psychiatry into the Pediatric Health Home
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Outlines the best principles for integrating child and adolescent psychiatry into the pediatric health home to provide access to high quality mental health care.
Organization: American Academy of Child and Adolescent Psychiatry
Date: 6/2012
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Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, General Pediatricians, National, Physicians, Primary Care, Psychiatrists
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System
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Includes chapters on care coordination, fee-for-service, Medicare Advantage, dual-eligibility, home infusion therapy, and rural Medicare beneficiaries. Discusses health care workforce throughout.
Organization: Medicare Payment Advisory Commission
Date: 6/2012
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Tagged keywords: Care Coordination, Health Care Access, Health Care Quality, Medicare and Medicaid, National, Primary Care, Rural
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West Baltimore Primary Care Access Assessment & Strategic Planning Project: Final Report
Document
Examines the primary care safety net in West Baltimore and community health needs, particularly the impact of the Affordable Care Act. Offers recommendations. Addresses workforce shortages and access to dental, primary and behavioral health care providers.
Organization: Mid-Atlantic Association of Community Health Centers
Date: 6/2012
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Tagged keywords: Behavioral Health, Care Coordination, Health Care Access, Health Reform, Maryland, Primary Care
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Interdisciplinary Research That Demonstrates the Role of Nurses in Improving the Quality of Care: The Interdisciplinary Nursing Quality Research Initiative (INQRI)
Document
Reports on a program that identified how nurses affect patient care quality and outcomes and that supported interdisciplinary teams involving scholars.
Organization: Robert Wood Johnson Foundation
Date: 5/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, National, Nursing Occupations
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Patient-Centered Outcomes Research Institute: National Priorities for Research and Research Agenda
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Identifies national priorities for patient-centered clinical effectiveness research. Includes a section on how to improve the health care system addressing care coordination, use of non-physician providers, and technology.
Organization: Patient-Centered Outcomes Research Institute
Date: 5/2012
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Tagged keywords: Care Coordination, Health Care Access, Health Care Quality, Health Information Technology and Telehealth, National, Research and Data Collection Methods, Trends and Emerging Issues
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Arkansas Health Workforce Strategic Plan: A Roadmap to Change
Document
Provides recommendations to expand the capacity and effectiveness of Arkansas's health workforce using technology, care coordination, and system navigation. Addresses workforce education, training, recruitment, retention, distribution, coordination, incentives, and structure.
Organization: Arkansas Center for Health Improvement
Author: Arkansas Health Workforce Initiative
Date: 4/2012
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Tagged keywords: Arkansas, Care Coordination, Compensation, Dentists, Education and Training, Family Medicine Physicians, General Internal Medicine Physicians, General Pediatricians, Obstetricians and Gynecologists, Pharmacists, Physician Assistants, Physicians, Policy, Recruitment and Retention, Registered Nurses, Supply and Demand, Technology in Education and Training
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The Building Blocks of High-Performing Primary Care: Lessons from the Field
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Examines how high-performing practices are adopting the patient-centered medical home model. Addresses empanelment; keys to successful team-based care; the role of medical assistants, registered nurses, and other providers; panel management; care continuity; and prompt access to care.
Organization: California Healthcare Foundation
Author: Willard R, Bodenheimer T
Date: 4/2012
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Tagged keywords: Behavioral Health Occupations, Best Practices and Model Programs, California, Care Coordination, Colorado, Health Aides, Assistants and Guides, Health Care Access, Health Care Quality, Medical Assistants, Nursing Occupations, Oregon, Physicians, Primary Care, Registered Nurses, Trends and Emerging Issues, Washington
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The Importance of Direct Patient Care in Advanced Pharmacy Practice Experiences
Document
Offers recommendations for integrating direct care into pharmacy students' advanced pharmacy practice experiences (APPE) to support their role in the health care team. Discusses the benefits, addresses practical issues related to the delivery of effective APPE, and provides examples.
Organization: American College of Clinical Pharmacy
Author: 2010 ACCP Educational Affairs Committee
Location: Pharmacotherapy, 32(4), e88-e97
Date: 4/2012
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Tagged keywords: Care Coordination, Education and Training, Interprofessional Training and Education, National, Pharmacists, Pharmacy Occupations
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National Healthcare Disparities Report, 2011
Document
Presents a national overview of disparities in health care. Describes the quality of and access to care for specific populations. Includes sections on care coordination and health systems infrastructure.
Organization: Agency for Healthcare Research and Quality
Date: 4/2012
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Tagged keywords: Care Coordination, Diversity, Health Care Access, Health Care Quality, National
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The Changing Role of Nurses
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Discusses the expanding role of nurses in helping provide coordinated, team-based care. Addresses the report, "The Future of Nursing: Leading Change, Advancing Health."
Author: Howell WLJ
Location: Hospitals & Health Networks
Date: 3/2012
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Tagged keywords: Care Coordination, Education and Training, National, Nurse Practitioners, Nursing Occupations, Primary Care, Registered Nurses, Scope of Practice, Trends and Emerging Issues
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Community Health Centers: Workforce Challenges and Innovations
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Provides a Q&A with Dr. Donald Weaver, Chief Medical Officer for the National Association of Community Health Centers (NACHC), regarding workforce issues in community health centers, model residency programs, and programs developed by NACHC.
Organization: Health Workforce Information Center
Location: Health Workforce News
Date: 3/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Federally Qualified Health Centers, National, Residency Programs
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Innovations in Care Coordination: Rethinking the Role of Home Care Workers
Document
Discusses the opportunities for home care workers in care coordination models. Addresses the challenges with scope of practice, compensation, and training.
Organization: PHI: Paraprofessional Healthcare Institute
Date: 3/2012
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Tagged keywords: Care Coordination, Compensation, Health Aides, Assistants and Guides, Home Health Aides and Home Care Aides, National, Nursing Aides, Scope of Practice
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The Myth of the Lone Physician: Toward a Collaborative Alternative
Document
Addresses the transition from physician-centered practices to primary care teams. Lists questions to help define team members' roles and tasks. Discusses changes in physicians' roles and other changes needed to support their new roles.
Author: Saba GW, Villela TJ, Chen E, Hammer H, Bodenheimer T
Location: Annals of Family Medicine, 10(2), 169-73
Date: 3/2012
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Tagged keywords: Care Coordination, Education and Training, National, Physicians, Primary Care, Trends and Emerging Issues
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Primary Care and Public Health: Exploring Integration to Improve Population Health
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Examines the interactions between public health and primary care and offers a set of core principles to guide their integration. Addresses the workforce primarily on pages 19, 50-1, 101-9, and 123-6. Discusses the Affordable Care Act, policy levers, case studies, and more.
Organization: Institute of Medicine
Author: Board on Population Health and Public Health Practice
Date: 3/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, National, Policy, Primary Care, Public Health, Trends and Emerging Issues
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Teamswork!
Document
Addresses the trend towards team-based models of care and its impact on care quality. Highlights model programs. Discusses training barriers and the roles of team members.
Author: Butcher L
Location: Hospitals & Health Networks
Date: 3/2012
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Tagged keywords: Care Coordination, Health Aides, Assistants and Guides, Health Care Quality, National, New Jersey, Nursing Occupations, Pharmacists, Physicians, Social Workers, Trends and Emerging Issues
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Care Coordination Accountability Measures for Primary Care Practice
Document
Offers measures for evaluating or recognizing care coordination as it is carried out by primary care practices. Presents measures selected from the "Care Coordination Measures Atlas."
Organization: Agency for Healthcare Research and Quality
Date: 2/2012
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Tagged keywords: Care Coordination, National, Primary Care
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Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes
Document
Additional Link: Executive Summary
Describes changes most medical practices would need to make to become patient-centered medical homes based on a literature review. Includes sections on building team relationships, care coordination, creating provider panels, and improving access to care.
Organization: The Commonwealth Fund
Author: Wagner EH, Coleman K, Reid RJ et al
Date: 2/2012
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Tagged keywords: Care Coordination, Health Care Access, National, Physicians, Primary Care, Trends and Emerging Issues
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The Impact of Primary Care on Healthcare Cost and Population Health: A Literature Review
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Reviews the literature on the impact of primary care on population health, costs, and disparities. Focuses on primary care supply, use, and architecture. Includes a number of reports related to Medicare and Medicaid programs.
Organization: Rhode Island Department of Health
Date: 2/2012
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Tagged keywords: Care Coordination, Health Care Quality, Medicare and Medicaid, National, Physicians, Primary Care, Supply and Demand
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One Payer’s Attempt to Spur Primary Care Doctors to Form New Medical Homes
Document
Link: Abstract
Provides a Q&A with president of CareFirst BlueCross BlueShield on a program encouraging primary care providers to form virtual medical homes. Addresses physician workforce trends, how the program incentivizes providers and works for small practices, how nurses help manage the medical care panels, and more.
Author: Dentzer S
Location: Health Affairs, 31(2), 341-9
Date: 2/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, District of Columbia, Maryland, Nursing Occupations, Physicians, Primary Care, Trends and Emerging Issues
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Oral Health and the Patient-Centered Health Home: Action Guide
Document
Identifies promising practices and barriers from health centers that integrated medical and dental health care in the Patient Centered Health Home. Addresses integration of the executive team, staff buy-in, and training issues. Includes the survey instrument used.
Organization: National Network for Oral Health Access
Date: 2/2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Dentists, Federally Qualified Health Centers, National, Physicians
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Residency Redesign to Accommodate Trends in Geriatrics: An RC-FM Variance to Establish a Patient-Centered Medical Home in an Assisted Living Facility
Document
Describes the development and evaluation of a nursing home longitudinal experience that emphasizes principles from the patient-centered medical home and an interprofessional team.
Author: Saffel-Shrier S, Gunning K, Van Hala S, Farrell T, Lehmann W, Egger M, Miniclier N
Location: Family Medicine, 44(2), 128-31
Date: 2/2012
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Tagged keywords: Care Coordination, Education and Training, Family Medicine Physicians, Geriatrics, Interprofessional Training and Education, Physicians, Residency Programs, Utah
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Ten-year Trends in Family Medicine Residency Productivity and Staffing: Impact of Electronic Health Records, Resident Duty Hours, and the Medical Home
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Examines changes in faculty and residency productivity and staffing models of University of Washington Family Medicine Network residency training clinics. Addresses the impact of electronic health records, duty hour restrictions, and the patient-centered medical home.
Author: Lesko S, Hughes L, Fitch W, Pauwels J
Location: Family Medicine, 44(2), 83-9
Date: 2/2012
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Tagged keywords: Care Coordination, Family Medicine Physicians, Health Information Technology and Telehealth, Physicians, Residency Programs, Trends and Emerging Issues, Washington
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Vermont Blueprint for Health: 2012 Annual Report
Document
Provides an update on Vermont's Blueprint for Health initiative, which supports patient centered medical home recognition (PCMH) of primary care practices and uses Community Health Teams (CHTs) to coordinate care. Includes sections describing CHTs, integration of behavioral health and primary care, payment reforms, and more.
Organization: Vermont Department of Health Access
Date: 2/2012
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Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, Compensation, Health Care Quality, Health Reform, Policy, Primary Care, Vermont
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Designing Education to Improve Care
Document
Link: Abstract
Discusses defining and developing quality improvement competency for physicians, nurses, and other members of an interprofessional team.
Author: Armstrong G, Headrick L, Madigosky W, Ogrinc G
Location: Joint Commission Journal on Quality and Patient Safety, 38(1), 5-14
Date: 1/2012
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Tagged keywords: Care Coordination, Education and Training, National, Nursing Occupations, Physicians
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Four Health Care Organizations' Efforts to Improve Patient Care and Reduce Costs
Document
Offers four case studies of accountable care organizations (ACOs). Includes a section on provider organizational capabilities. Identifies the number of primary care physicians and specialists in each ACO and payment models used.
Organization: The Commonwealth Fund
Date: 1/2012
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Tagged keywords: Arizona, California, Care Coordination, Compensation, Health Care Quality, Kentucky, Physicians, Trends and Emerging Issues
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HRSA's Wakefield on CHCs, ACOs and Strengthening the Health Workforce
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Provides a transcript of an interview with Dr. Mary Wakefield, administrator of the Health Resources and Services Administration (HRSA), on the impact of the Affordable Care Act. Focuses on community health centers, the health workforce, teaching health centers, accountable care organizations, and more.
Date: 1/2012
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Tagged keywords: Care Coordination, Federally Qualified Health Centers, Health Reform, Loan Repayment and Forgiveness, National, Primary Care, Residency Programs
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Improving Care Coordination in the Specialty Referral Process Between Primary and Specialty Care
Document
Summarizes evidence of sub-optimal care coordination between specialists and primary care providers. Offers strategies for improving care coordination.
Author: Lin CY
Location: North Carolina Medical Journal, 73(1), 61-2
Date: 1/2012
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Tagged keywords: Care Coordination, National, Physicians, Primary Care
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Nurses' Clinical Reasoning: Processes and Practices of Medication Safety
Document
Link: Abstract
Analyzes the knowledge and skills used by nurses to make decisions related to administering medication. Includes a section on coordinating care. Addresses how this could be applied to develop policies for safe medication administration and to develop patient safety curricula.
Author: Dickson GL, Flynn L
Location: Qualitative Health Research, 22(1), 3-16
Date: 1/2012
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Tagged keywords: Care Coordination, Health Care Quality, Hospitals, National, Nursing Occupations
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Patient-Centered Medical Home Characteristics and Staff Morale in Safety-Net Clinics
Document
Links: Abstract, Surveys and Scoring Algorithms
Examines the impact of patient-centered medical homes on health care providers and clinical staff part of the Federally Qualified Health Center Advanced Primary Care Practice Demonstration. Focuses on morale, job satisfaction, and workload.
Organization: The Commonwealth Fund
Author: Lewis SE, Nocon RS, Tang H, et al.
Location: Archives of Internal Medicine, 172(1), 23-31
Date: 1/2012
view details
Tagged keywords: Care Coordination, Federally Qualified Health Centers, National, Recruitment and Retention
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Primary Care 2025: A Scenario Exploration
Document
Additional Link: Toolkit and Slides
Describes several possible futures for primary care based on new models of care, new technologies, politics, the economy, and other trends. Addresses the impact on the health workforce. Provides recommendations for health professional education and more from a 2011 workshop of the same title.
Author: Institute for Alternative Futures
Date: 1/2012
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Tagged keywords: Care Coordination, Education and Training, National, Policy, Primary Care, Supply and Demand, Trends and Emerging Issues
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Advancing the Hospital and Physician Partnership: Physician Engagement and Integration
Document
Summarizes the discussions from the American Society for Healthcare Human Resources Administration's sixth Thought Leader Forum on July 19, 2012. Discusses the role of human resource leaders in physician engagement and integration. Highlights the challenges involved in developing integrated care.
Organization: American Hospital Association
Date: 2012
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Tagged keywords: Care Coordination, Hospitals, National, Physicians
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Care Coordination Agreements: Barriers, Facilitators, and Lessons Learned
Document
Addresses the use of care coordination agreements (CCAs) by primary care physicians. Covers their formation, facilitators and barriers, replication, and implications for policies intending to improve care coordination. Offers selected CCA agreements upon request to the authors.
Organization: Center for Studying Health System Change
Author: Carrier E, Dowling MK, Pham HH
Location: American Journal of Managed Care, 18(11), e398-404
Date: 2012
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Tagged keywords: Care Coordination, National, Physicians, Primary Care, Trends and Emerging Issues
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Connecticut Office of Health Reform & Innovation: Delivery System Innovation Work Group
Document
Lists meeting minutes, presentations, and recommendations from Connecticut's Delivery System Innovation Work Group. Supports team-based care; payment reform; quality improvement; and integration of medical, dental, and behavioral health care.
Organization: Connecticut Department of Public Health
Date: 2012
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Tagged keywords: Care Coordination, Compensation, Connecticut, Health Reform, Policy
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Entry-Level Competencies Needed for Community Pharmacy Practice
Document
Identifies competencies to prepare pharmacy students for practice in community pharmacies. Addresses pharmacist-delivered patient care, public health, communication skills, dispensing systems management, business management, leadership, and legal issues.
Organizations: Accreditation Council for Pharmacy Education, National Community Pharmacists Association
Author: Joint NACDS Foundation-NCPA-ACPE Task Force
Date: 2012
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Tagged keywords: Care Coordination, Education and Training, National, Pharmacists, Pharmacy Occupations, Public Health, Trends and Emerging Issues
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An Evaluation of the Collaborative Care Model of Integrated Health Care in Texas: An Executive Summary
Document
Reports the progress in implementing a collaborative care model between primary care and behavioral health treatment in Texas. Covers the importance of linguistic competent care and physician leadership.
Organization: Hogg Foundation for Mental Health
Date: 2012
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, Cultural and Linguistic Competence, Primary Care, Texas
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HealthLeaders Media Industry Survey 2012
Document
Reports results from a survey of health care industry leaders in senior services, finance, and physician and nurse professions. Covers leader's opinions and experiences in the health care industry. Includes care coordination efforts, impact of expanding scope of practice for nurses, data on the number of physicians at their facility and more.
Author: HealtLeaders Media
Date: 2012
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Tagged keywords: Care Coordination, Health Administrators, National, Nursing Occupations, Physicians, Scope of Practice, Supply and Demand
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In Situ Simulation in Continuing Education for the Health Care Professions: A Systematic Review
Document
Link: Abstract
Review the literature on the use of simulation-based training in the workplace. Addresses its role in continuing education for individual, team, unit-level, and organizational learning. Identifies themes in approaches to design, delivery, and evaluation.
Author: Rosen MA, Hunt EA, Pronovost PJ, Federowicz MA, Weaver SJ
Location: Journal of Continuing Education in the Health Professions, 32(4), 243-54
Date: 2012
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Tagged keywords: Care Coordination, Continuing Education, Health Care Quality, Health Information Technology and Telehealth, National
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Local Programs Help Patients Navigate Medical Care
Document
Highlights several patient navigator (PN) programs across the country. Addresses several roles PNs fill, including cancer care navigation, care coordination, and chronic disease management.
Organization: Rural Assistance Center
Author: Helseth C
Location: The Rural Monitor
Date: 2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Georgia, Kentucky, Patient Navigators, Texas, Vermont
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Pharmacy Forecast 2013-2017
Document
Addresses trends related to pharmacy practice. Includes sections on pharmacy practice models, the pharmacy workforce, and team-based patient care. Offers recommendations for pharmacy practice leaders.
Organization: American Society of Health-System Pharmacists
Date: 2012
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Tagged keywords: Care Coordination, Health Information Technology and Telehealth, National, Pharmacists, Pharmacy Occupations, Pharmacy Technicians and Aides, Supply and Demand, Trends and Emerging Issues
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Team-Based Chronic Care Management: Guided Care and ProvenHealth Navigator Offer Models of Interdisciplinary Team-Based Care
Document
Introduces two models of care that utilize nurses in a patient navigator role to coordinate care: guided care nurse and a registered nurse case manager. Discusses how both models improve care quality.
Organization: Commission for Case Manager Certification
Date: 2012
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Tagged keywords: Care Coordination, Health Aides, Assistants and Guides, Health Care Quality, National, Nursing Occupations, Patient Navigators, Registered Nurses
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Teams Forming in New Jersey Expanding the Pharmacist’s Role in Direct Patient Care
Document
Highlights a health center in New Jersey that secured grants to begin using clinical pharmacists to improve patient care. Summarizes their involvement in the Health Resources and Services Administration (HRSA) Patient Safety and Clinical Pharmacy Services Collaborative (PSPC) and its benefits.
Author: Skyer-Brandwene N
Location: The New Jersey Journal of Pharmacy, 86(1), 6-7
Date: 2012
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Tagged keywords: Care Coordination, Health Care Quality, New Jersey, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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What Works in Care Coordination? Activities to Reduce Spending in Medicare Fee-for-Service
Document
Discusses best practices in care coordination including new roles for primary care providers. Introduces the Care Transitions Intervention Program that utilizes primary care providers as transition coaches for patients. Summarizes provisions in the Affordable Care Act (ACA) that support improvements in care coordination.
Organization: AcademyHealth
Date: 2012
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Reform, Medicare and Medicaid, National, Physicians, Policy
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Allied Health Workforce and Services: Workshop Summary
Document
Reports on an Institute of Medicine workshop held May 9-10, 2011 focused on the allied health workforce. Addresses allied health supply and demand, changes related to health reform, education and training including challenges for rural areas, team-based care, and more.
Organization: Institute of Medicine
Date: 12/2011
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Tagged keywords: Allied Health, Care Coordination, Education and Training, Health Reform, National, Policy, Rural, Supply and Demand, Trends and Emerging Issues
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Community Partners as Co-Teachers in Resident Continuity Clinics
Document
Link: Abstract
Describes a residency training program initiative that used partners from community-based organizations to teach residents and faculty about community resources and cross-disciplinary collaboration. Provides lessons learned to guide future application of this model.
Author: Sturm LA, Shultz J, Kirby R, Stelzner SM
Location: Academic Medicine, 86(12), 1535-8
Date: 12/2011
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Indiana, Physicians, Residency Programs
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Improving Oregon’s Health: Recommendations for Building a Healthcare Workforce for New Systems of Care; Brief Report from the Oregon Healthcare Workforce Committee to the Oregon Health Policy Board, Draft
Document
Discusses recommendations for developing a set of competencies for health care professionals in Oregon. Covers care coordination, interprofessional training, health information technology and more. Provides recommendations for policy, education, and practice. Offers expert contacts and a consultant's report in appendices.
Organization: Oregon Health Policy Board
Author: Oregon Healthcare Workforce Committee
Date: 12/2011
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Tagged keywords: Care Coordination, Education and Training, Interprofessional Training and Education, Oregon, Policy, Technology in Education and Training
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Improving Patient and Health System Outcomes through Advanced Pharmacy Practice: A Report to the U.S. Surgeon General 2011
Document
Discusses how pharmacists can help meet demand for primary care care providers and improve access to care. Covers physician-pharmacist collaboration models, policy barriers, payment models, and the literature supporting pharmacist-delivered patient care.
Organization: U.S. Public Health Service Commissioned Corps
Author: Giberson S, Yoder S, Lee MP
Date: 12/2011
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Tagged keywords: Care Coordination, Compensation, Health Care Access, National, Pharmacists, Pharmacy Occupations, Policy, Primary Care
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Is There a Benefit to Having a Clinical Oncology Pharmacist on Staff at a Community Oncology Clinic?
Document
Link: Abstract
Analyzes the benefits of having a clinical oncology pharmacist as part of the community oncology clinic team. Addresses care quality, patient satisfaction, and costs.
Author: Ruder AD, Smith DL, Madsen MT, Kass FH 3rd
Location: Journal of Oncology Pharmacy Practice, 17(4), 425-32
Date: 12/2011
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Tagged keywords: Care Coordination, Clinics, Health Care Quality, Maryland, Pharmacists, Pharmacy Occupations
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Matching Supply to Demand: Addressing the U.S. Primary Care Workforce Shortage
Document
Discusses the shortage of primary care providers and the impact of the Affordable Care Act. Identifies policy options for addressing the primary care shortage, such as expanding the scope of practice for advanced practice nurses and paying for team-based care.
Organization: National Institute for Health Care Reform
Author: Carrier ER, Yee T, Stark L
Date: 12/2011
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Tagged keywords: Care Coordination, Compensation, Health Reform, National, Nursing Occupations, Physicians, Policy, Primary Care, Scope of Practice, Supply and Demand
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Transforming the Delivery of Care in the Post-Health Reform Era: What Role Will Community Health Workers Play?
Document
Link: Abstract
Examines the role of community health workers (CHWs) as part of interdisciplinary, interprofessional health care teams in accountable care organizations and health homes.
Author: Martinez J, Ro M, Villa NW, Powell W, Knickman JR
Location: American Journal of Public Health, 101(12), e1-5
Date: 12/2011
view details
Tagged keywords: Care Coordination, Community Health Workers, Health Reform, Interprofessional Training and Education, National
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Applying Health Information Technology and Team-Based Care to Residency Education
Document
Describes an effort to integrate patient-centered medical home principles into a university-based residency setting. Focuses on taking into consideration the integration of team-based care and use of health information technology.
Author: Brown KK, Master-Hunter TA, Cooke JM, Wimsatt LA, Green LA
Location: Family Medicine, 43(10), 726-30
Date: 11/2011
view details
Tagged keywords: Care Coordination, Education and Training, Family Medicine Physicians, Interprofessional Training and Education, Michigan, Physicians, Technology in Education and Training
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Assessing Teamwork: A Reliable Five-Question Survey
Document
Analyzes whether a smaller subset of items from the Practice Environment Checklist (PEC) would represent a reliable set of questions for team members to report on team functioning. Highlights how improving teamwork can help improve patient outcomes.
Author: Lurie SJ, Schultz SH, Lamanna G
Location: Family Medicine, 43(10), 731-4
Date: 11/2011
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Tagged keywords: Care Coordination, Health Care Quality, New York, Physicians
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The Effect of Hospital Electronic Health Record Adoption on Nurse-Assessed Quality of Care and Patient Safety
Document
Link: Abstract
Examines the effect of basic electronic health record (EHR) implementation in hospitals on efficiency in nursing care, care coordination, and patient safety.
Author: Kutney-Lee A, Kelly D
Location: Journal of Nursing Administration, 41(11), 466-472
Date: 11/2011
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Tagged keywords: Care Coordination, Health Care Quality, Health Information Technology and Telehealth, Hospitals, National, Nursing Occupations
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Effective Use of Physician Extenders in an Outpatient Otolaryngology Setting
Document
Link: Abstract
Discusses five different practice models for including advanced practice providers in an outpatient otolaryngology practice. Examines the literature on the cost effectiveness of physician extenders used in an outpatient setting.
Author: Norris B, Harris T, Stringer S
Location: Laryngoscope, 121(11), 2317-21
Date: 11/2011
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Tagged keywords: Care Coordination, Health Care Quality, National, Nurse Practitioners, Physician Assistants, Physicians
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Family Medicine November-December 2011: Dedicated Issue on Education and Patient-Centered Medical Home
Document
Thematic issue focused on medical education to prepare physicians for the patient-centered medical home (PCMH).
Location: Family Medicine, 43(10)
Date: 11/2011
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Tagged keywords: Care Coordination, Education and Training, Family Medicine Physicians, National, Physicians, Residency Programs
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Gaps in Residency Training Should Be Addressed to Better Prepare Doctors for a Twenty-First-Century Delivery System
Document
Link: Abstract
Examines how well medical residents are trained to work in a reformed health care system. Covers care coordination, interdisciplinary teamwork, ability to use information technology, quality improvement, Medicare reimbursement policies, and more. Identifies training gaps and policy considerations.
Author: Crosson FJ, Leu J, Roemer BM, Ross MN
Location: Health Affairs, 30(11), 2142-8
Date: 11/2011
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Tagged keywords: Care Coordination, Education and Training, Health Reform, Medicare and Medicaid, National, Physicians, Policy, Residency Programs
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Implementing the IOM Future of Nursing Report-Part II: The Potential of Interprofessional Collaborative Care to Improve Safety and Quality
Document
Presents the second of a four-part mini-series on the IOM report, The Future of Nursing: Leading Change, Advancing Health. Discusses the educational transformation needed to prepare health professionals to provide collaborative care. Examines policies that support its delivery.
Organization: Robert Wood Johnson Foundation
Author: Fauteux N
Location: Charting Nursing's Future, 17, 1-8
Date: 11/2011
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Tagged keywords: Care Coordination, National, Nursing Occupations, Trends and Emerging Issues
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The New American Pharmacist
Document
Provides an address from the president of the American Association of Colleges of Pharmacy regarding future priorities. Addresses inclusion of pharmacists in health care teams, allowing pharmacists to participate in the National Health Service Corps loan repayment program, and educating pharmacists for new models of care.
Author: Carter RA
Location: American Journal of Pharmaceutical Education, 75(9), 172
Date: 11/2011
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Tagged keywords: Care Coordination, Education and Training, Loan Repayment and Forgiveness, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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The Physician as Team Leader: New Job Skills Are Required
Document
Discusses the need to teach physicians skills like business practices so they can manage health care teams.
Author: Snyderman CH, Eibling DE, Johnson JT
Location: Academic Medicine, 86(11), 1348
Date: 11/2011
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Tagged keywords: Care Coordination, Education and Training, National, Physicians, Trends and Emerging Issues
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Primary Care, Everywhere: Connecting the Dots across the Emerging Health Landscape
Document
Provides an overview of the innovations in primary care including team practice, the medical home, retail and worksite clinics, and telehealth. Addresses the mismatch between primary care supply and demand. Discusses barriers to innovations.
Organization: California Healthcare Foundation
Author: Sarasohn-Kahn J
Date: 11/2011
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Tagged keywords: Care Coordination, Clinics, Health Care Access, Health Information Technology and Telehealth, National, Primary Care, Supply and Demand, Trends and Emerging Issues
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CHCS Webinar: Coordination with Primary Care
Video or multimedia
Offers a webinar recording focusing on the experiences of two care management entities in their efforts to engage primary care providers, coordinate physical and behavioral health care, and ensure that children have a medical home.
Organization: Center for Health Care Strategies
Date: 10/2011
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Tagged keywords: Behavioral Health, Care Coordination, Massachusetts, Primary Care, Wisconsin
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Delivering Specialized Palliative Care in the Community: A New Role for Nurse Practitioners
Document
Link: Abstract
Advocates for an expanded role for nurse practitioners in palliative care. Discusses four pillars of a collaborative model for advanced nursing care: care coordination, medical management, psychosocial support, and education.
Author: Deitrick LM, Rockwell EH, Gratz N, et al
Location: Advances in Nursing Science, 34(4), 23-36
Date: 10/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, National, Nurse Practitioners
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Electronic Consultations Between Primary and Specialty Care Clinicians: Early Insights
Document
Discusses electronic consultation and how it can improve coordination of care between specialty and primary care physicians. Addresses payment models and reimbursement strategies.
Organization: The Commonwealth Fund
Author: Horner K, Wagner E, Tufano J
Date: 10/2011
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Tagged keywords: Care Coordination, Compensation, National, Physicians, Primary Care
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Evaluating Communication between Pediatric Primary Care Physicians and Hospitalists
Document
Link: Abstract
Examines communication between pediatric primary care physicians and hospitalists. Identifies communication preferences and qualities of communication that can support successful transitions from the hospital to primary care.
Author: Ruth JL, Geskey JM, Shaffer ML, Bramley HP, Paul IM
Location: Clinical Pediatrics, 50(10), 923-8
Date: 10/2011
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Tagged keywords: Care Coordination, General Pediatricians, Health Care Quality, Hospitals, National, Pennsylvania, Physicians, Primary Care
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Impact of Interprofessional Activities on Health Professions Students’ Knowledge of Community Pharmacists’ Role and Services
Document
Examines the impact of health professions students' participation in an Interprofessional Day program on their knowledge of the roles of community pharmacists. Surveyed students at the Medical University of South Carolina.
Author: Vrontos EB, Kuhn CH, Brittain KL
Location: American Journal of Pharmaceutical Education, 75(8), 152
Date: 10/2011
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Tagged keywords: Care Coordination, Interprofessional Training and Education, Pharmacists, Pharmacy Occupations, South Carolina
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Improving Internal Medicine Residents' Falls Assessment and Evaluation: An Interdisciplinary, Multistrategy Program
Document
Link: Abstract
Evaluates a program intended to improve medical residents' knowledge, skills, decisions, and interventions regarding falls as part of a larger project to improve assessment and care for older adults.
Author: Caton C, Wiley MK, Zhao Y, Moran WP, Zapka J
Location: Journal of the American Geriatrics Society, 59(10), 1941-6
Date: 10/2011
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Tagged keywords: Care Coordination, Education and Training, General Internal Medicine Physicians, Geriatrics, Physicians, Residency Programs, South Carolina
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Primary Health Care Teams’ Experience of Electronic Medical Record Use After Adoption
Document
Examines team behavior in relation to electronic medical record (EMR) use. Identifies elements of team behavior that promoted EMR adoption.
Author: Denomme LB, Terry AL, Brown JB, Thind A, Stewart M
Location: Family Medicine, 43(9), 63-42
Date: 10/2011
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Tagged keywords: Care Coordination, Health Information Technology and Telehealth, International, Primary Care
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Professionalism: A Necessary Ingredient in a Culture of Safety
Document
Link: Abstract
Reports on how an academic hospital developed a multidisciplinary Code of Professionalism accompanied by a dedicated hotline for reporting unprofessional behavior. Results of the code and reporting system included significant improvement in teamwork and communication.
Author: DuPree E, Anderson R, McEvoy MD, Brodman M
Location: Joint Commission Journal on Quality and Patient Safety, 37(10), 447-455
Date: 10/2011
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Tagged keywords: Care Coordination, Health Care Quality, Hospitals, National
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Rethinking Resident Supervision to Improve Safety: From Hierarchical to Interprofessional Models
Document
Link: Abstract
Examines hierarchical and interprofessional supervision of residents in the intensive care unit (ICU). Offers that improving interprofessional supervision can potentially improve medication safety in high-risk settings.
Author: Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H
Location: Journal of Hospital Medicine, 6(8), 448-456
Date: 10/2011
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Tagged keywords: Care Coordination, Health Care Quality, Hospitals, National, Physicians
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Coordination of Health Behavior Counseling in Primary Care
Document
Examines how primary care practices implement coordinated care to address patient's health behavior change needs. Identifies factors that facilitate coordination, such as an expanded medical assistant role, electronic health record prompts, and referral with outreach.
Author: Cohen DJ, Balasubramanian BA, Isaacson NF, Clark EC, Etz RS, Crabtree BF
Location: Annals of Family Medicine, 9(5), 406-15
Date: 9/2011
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Tagged keywords: Behavioral Health, Care Coordination, Medical Assistants, National, Primary Care
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Finding Dr. Right: What PAs Should Look for in a Physician Partner
Document
Discusses team medicine, qualities physicians want in a physician assistant (PA) practice partner, and questions for PAs to ask physicians during an interview.
Organization: American Academy of Physician Assistants
Author: Kent A
Date: 9/2011
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Tagged keywords: Care Coordination, National, Physician Assistants, Physicians, Recruitment and Retention
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Fostering Cultural and Interdisciplinary Awareness with 'Low-Tech' Simulation in a Fundamentals Nursing Course to Prepare Student Nurses for Critical Care Clinical Rotations
Document
Link: Abstract
Discusses the benefits of implementing "low-tech" simulation in a fundamentals nursing course. Highlights scope of practice and interdisciplinary teamwork and collaboration.
Author: Ruth-Sahd LA, Schneider MA, Strouse A
Location: Dimensions of Critical Care Nursing, 30(5), 263-268
Date: 9/2011
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Tagged keywords: Care Coordination, Education and Training, National, Nursing Occupations, Scope of Practice
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Great Minds Don't Think Alike: Collaborative Maternity Care at San Francisco General Hospital
Document
Link: Abstract
Describes a model of collaboration between obstetrician–gynecologists and certified nurse–midwives at San Francisco General Hospital. Identifies factors contributing to the success of this thirty-year partnership.
Author: Hutchinson MS, Ennis L, Shaw-Battista J, Delgado A, Myers K, Cragin L, Jackson RA
Location: Obstetrics & Gynecology, 118(3), 678-82
Date: 9/2011
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Tagged keywords: Best Practices and Model Programs, California, Care Coordination, Hospitals, Midwives, Obstetricians and Gynecologists, Physicians
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High Performance Rural Health Care System of the Future
Document
Describes a future rural system that would be built on foundations of affordability, accessibility, community focus, high quality, and patient centeredness. Discusses rural health care teams, consisting of well-trained professionals practicing at the optimum of their license and experience.
Organization: RUPRI Center for Rural Health Policy Analysis
Author: Mueller K, Coburn A, Lundblad J, MacKinney A, McBride T, Watson S
Date: 9/2011
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Tagged keywords: Care Coordination, Health Care Access, Health Care Quality, National, Policy, Primary Care, Rural
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How Can We Improve Cancer Care? A Review of Interprofessional Collaboration Models and Their Use in Clinical Management
Document
Link: Abstract
Reviews the literature on models of collaboration and how they have been applied to the clinical management of cancer patients. Identifies how much the health care professionals interact and share decision making, the team structure, team processes, and outcomes.
Author: Gagliardi AR, Dobrow MJ, Wright FC
Date: 9/2011
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Tagged keywords: Care Coordination, National
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Indicators for Follow-Up of Multidisciplinary Teamwork in Care Processes: Results of an International Expert Panel
Document
Link: Abstract
Examines the impact of interventions on multidisciplinary teamwork in care processes. Highlights the following team indicators: team relations, quality of team leadership, culture/climate for teamwork, team perceived coordination of the care process, and team vision.
Author: Deneckere S, Robyns N, Vanhaecht K, Euwema M, Panella M, Lodewijckx C, Leigheb F, Sermeus W; EQCP-studygroup
Location: Evaluation & the Health Professions, 34(3), 258-277
Date: 9/2011
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Tagged keywords: Care Coordination, International, Interprofessional Training and Education
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Innovative Medicaid Initiatives to Improve Service Delivery and Quality of Care: A Look at Five State Initiatives
Document
Highlights care coordination efforts in Alabama, Oklahoma, Oregon, Pennsylvania, and Washington. Addresses their implementation of the patient-centered medical home, payment methods, strategies to strengthen primary care capacity and skills, and health information technology.
Organizations: Kaiser Family Foundation, Urban Institute
Author: Devers K, Berenson R, Coughlin T, Macri J
Date: 9/2011
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Tagged keywords: Alabama, Best Practices and Model Programs, Care Coordination, Compensation, Health Care Quality, Health Information Technology and Telehealth, Medicare and Medicaid, Oklahoma, Oregon, Pennsylvania, Primary Care, Washington
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Making It Work: Successful Collaborative Practice
Document
Link: Abstract
Highlights three examples of collaborative programs between certified nurse-midwives and obstetrician-gynecologists at a Massachusetts medical center. Identifies keys for successful collaboration.
Author: DeJoy S, Burkman RT, Graves BW, Grow D, Sankey HZ, Delk C, Feinland J, Kaplan J, Hallisey A
Location: Obstetrics & Gynecology, 118(3), 683-6
Date: 9/2011
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Tagged keywords: Academic Health Centers, Best Practices and Model Programs, Care Coordination, Massachusetts, Midwives, Obstetricians and Gynecologists, Physicians
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A Northwest Collaborative Practice Model
Document
Link: Abstract
Identifies factors contributing to the success of a collaborative practice between obstetrician–gynecologists and certified nurse-midwives at Group Health's obstetric unit in Washington state.
Author: Darlington A, McBroom K, Warwick S
Location: Obstetrics & Gynecology, 118(3), 673-7
Date: 9/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Midwives, Obstetricians and Gynecologists, Physicians, Washington
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Oral Health Presentation and Recommendations to Arkansas Health Workforce Strategic Planning Workgroup Meeting
Document
Discusses the recommendations for the state strategic plan for addressing dental workforce issues in Arkansas. Covers the use of electronic health records, the development of a dental personnel team model for dental care, and the importance of preventive care.
Organization: Arkansas Center for Health Improvement
Date: 9/2011
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Tagged keywords: Arkansas, Care Coordination, Dental Hygienists, Dental Occupations, Dentists, Health Care Access, Health Care Quality, Health Information Technology and Telehealth
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Role-Modelling in the Operating Room: Medical Student Observations of Exemplary Behaviour
Document
Link: Abstract
Discusses the importance of modeling positive professional behaviors to medical students and residents. Examines and defines exemplary professional actions by theme based on observations by medical students of the operating room (OR) team.
Author: Curry SE, Cortland CI, Graham MJ
Location: Medical Education, 45(9), 946-57
Date: 9/2011
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Tagged keywords: Care Coordination, Education and Training, New York, Physicians
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Teaching Operating Room Conflict Management to Surgeons: Clarifying the Optimal Approach
Document
Link: Abstract
Evaluates conflict transformation in operating room (OR) teams to identify the best approach for an educational conflict management program for surgeons.
Author: Rogers D, Lingard L, Boehler ML, Espin S, Klingensmith M, Mellinger JD, Schindler N
Location: Medical Education, 45(9), 939-45
Date: 9/2011
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Tagged keywords: Care Coordination, Continuing Education, Physicians
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The Veterans Health Administration: Implementing Patient-Centered Medical Homes in the Nation’s Largest Integrated Delivery System
Document
Examines the Veterans Health Administration's patient-centered medical home model. Identifies steps for establishing a successful medical home. Addresses team composition, staffing ratios, care coordination, training, and more. Includes case examples.
Organization: The Commonwealth Fund
Author: Klein S
Date: 9/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Education and Training, National, Nebraska, Primary Care, Tennessee, Trends and Emerging Issues
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Building Collaborative Capacity: Promoting Interdisciplinary Teamwork in the Absence of Formal Teams
Document
Link: Abstract
Examines collaborative capacity among interdisciplinary providers in health care units in New York. Identifies measures for team structure and collaboration, structural features that enable team effectiveness, and provider composition of teams.
Author: Weinberg DB, Cooney-Miner D, Perloff JN, Babington L, Avgar AC
Location: Medical Care, 49(8), 716-23
Date: 8/2011
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Tagged keywords: Care Coordination, Hospitals, New York
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Dentist-Technician Collaboration in the Digital Age: Enhancing Outcomes Through Photography, Teamwork, and Technology
Document
Discusses the importance of communication between dentists and dental technicians. Addresses how technology can minimize the potential for miscommunication and remakes and improve collaboration.
Author: Schoenbaum TR, Chang YY
Location: Journal of the California Dental Association, 39(8), 559-67
Date: 8/2011
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Tagged keywords: Care Coordination, Dental Occupations, Dentists, Health Information Technology and Telehealth, National
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Effective Physician-Nurse Communication: A Patient Safety Essential for Labor and Delivery
Document
Link: Abstract
Reviews principles of communication and conflict management in maternity care. Provides a clinical scenario to demonstrate how communication can improve trust and patient safety.
Author: Lyndon A, Zlatnik MG, Wachter RM
Location: American Journal of Obstetrics and Gynecology, 205(2), 91-6
Date: 8/2011
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Tagged keywords: Care Coordination, Health Care Quality, National, Nursing Occupations, Obstetricians and Gynecologists, Physicians
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Evolution of the Role of the Transplant Pharmacist on the Multidisciplinary Transplant Team
Document
Link: Abstract
Describes the training and role of a transplant pharmacist on the patient care team. Addresses how to integrate the transplant pharmacist into the transplant care team.
Author: Alloway RR, Dupuis R, Gabardi S, Kaiser TE, Taber DJ, Tichy EM, Weimert-Pilch NA
Location: American Journal of Transplantation, 11(8), 1576-83
Date: 8/2011
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Tagged keywords: Care Coordination, Education and Training, National, Pharmacists, Pharmacy Occupations
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Impact of Pharmacist Intervention on Clinical Outcomes in the Palliative Care Setting
Document
Link: Abstract
Identifies factors that affect whether physicians accept the recommendations of pharmacists who are part of the palliative care team. Examines whether such acceptance significantly predicts clinical outcomes.
Author: Wilson S, Wahler R, Brown J, Doloresco F, Monte SV
Location: American Journal of Hospice and Palliative Care, 28(5), 316-20
Date: 8/2011
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Tagged keywords: Care Coordination, Health Care Quality, National, Pharmacists, Pharmacy Occupations, Physicians
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Making the Business Case for Interprofessional Education and Training
Document
Supports interprofessional education and practice in academic health centers. Discusses the importance of collaboration in light of several trends in the health care system. Identifies a need for collaborative placement settings.
Organization: Association of Academic Health Centers
Author: Knettel A
Date: 8/2011
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Tagged keywords: Academic Health Centers, Care Coordination, Education and Training, Interprofessional Training and Education, National, Trends and Emerging Issues
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Small and Medium-Size Physician Practices Use Few Patient-Centered Medical Home Processes
Document
Link: Abstract
Examines the adoption of medical home processes by physician practices. Addresses the use of primary care teams, care coordination and integration, quality and safety, and enhanced access. Discusses how to support medical home development in small practices and implementation challenges for these practices related to staff size.
Author: Rittenhouse DR, Casalino LP, Shortell SM, McClellan SR, Gillies RR, Alexander JA, Drum ML
Location: Health Affairs, 30(8), 1575-1584
Date: 8/2011
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Tagged keywords: Care Coordination, National, Physicians, Trends and Emerging Issues
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Using High-Fidelity Simulation to Develop Nurse-Physician Teams
Document
Link: Abstract
Examines whether interdisciplinary high-fidelity simulation training improves group cohesion in nurse-physician teams. Addresses generational differences.
Author: Klipfel JM, Gettman MT, Johnson KM, Olson ME, Derscheid DJ, Maxson PM, Arnold JJ, Moehnke DE, Nelson EA, Vierstraete HT
Location: Journal of Continuing Education in Nursing, 42(8), 347-57
Date: 8/2011
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Tagged keywords: Care Coordination, Continuing Education, Interprofessional Training and Education, Minnesota, Nursing Occupations, Physicians
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Workforce Issues Related to Physical and Behavioral Healthcare Integration Specifically Substance Use Disorders and Primary Care: A Framework
Document
Offers a discussion framework for the joint ONDCP/SAMHSA/HRSA meeting August 10th, 2011. Addresses practice strategies and training and education focused on integrating substance abuse treatment into primary care. Includes workforce and education statistics.
Author: Dilonardo J
Date: 8/2011
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, Education and Training, National, Physician Assistants, Physicians, Primary Care, Psychiatrists, Psychologists, Registered Nurses, Social Workers, Substance Abuse and Behavioral Disorder Counselors
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Workforce Issues: Integrating Substance Use Services into Primary Care
Document
Summarizes the key themes from the "Workforce Issues: Integrating Substance Abuse Services into Primary Care Summit" on August 10-11, 2011. Addresses Medicaid financing, model programs, workforce issues related to integration, the use of teams, and workforce development programs.
Organizations: Health Resources and Services Administration, Substance Abuse and Mental Health Services Administration
Date: 8/2011
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Best Practices and Model Programs, Care Coordination, Education and Training, National, Policy, Primary Care
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Achieving Efficiency: Lessons from Four Top-Performing Hospitals
Document
Identifies lessons from four Leapfrog Group-designated "Highest Value Hospitals." Addresses workforce issues like team composition, use of hospitalists, communication, motivating staff involvement, and more.
Organization: The Commonwealth Fund
Date: 7/2011
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Tagged keywords: Care Coordination, Health Care Quality, Hospitals, Minnesota, Mississippi, Oregon
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Community Health Workers '101' for Primary Care Providers and Other Stakeholders in Health Care Systems
Document
Link: Abstract
Provides basic guidance to integrate community health workers (CHWs) into multidisciplinary health care teams to help prevent and manage diseases, especially among medically underserved and disparate populations. Addresses patient- and system-related barriers currently experienced in ambulatory care practices.
Author: Brownstein JN, Hirsch GR, Rosenthal EL, Rush CH
Location: The Journal of Ambulatory Care Management, 34(3), 210-220
Date: 7/2011
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Tagged keywords: Care Coordination, Community Health Workers, Health Care Quality, National, Primary Care
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Creating Interprofessional Clinical Learning Units: Developing an Acute-Care Model
Document
Link: Abstract
Discusses an acute-care model in Canada. Highlights interprofessional teaching, teamwork and communication.
Author: Sommerfeldt SC, Barton SS, Stayko P, Patterson SK, Pimlott J
Location: Nurse Education in Practice, 11(4), 273-277
Date: 7/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, International, Nursing Occupations
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An Evaluation of the Use of Smartphones to Communicate Between Clinicians: A Mixed-Methods Study
Document
Describes how smartphones were adopted for clinical communication within general internal medical wards and examines their impact on team effectiveness and communication.
Author: Wu R, Rossos P, Quan S, Reeves S, Lo V, Wong B, Cheung M, Morra D
Location: Journal of Medical Internet Research, 13(3), e59
Date: 7/2011
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Tagged keywords: Care Coordination, General Internal Medicine Physicians, Health Information Technology and Telehealth, International, Nursing Occupations, Physicians
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Family Medicine July-August 2011: Dedicated Issue on Residency Redesign
Document
Thematic issue highlighting innovations in family medicine residency education. Provides information about and findings from the Preparing the Personal Physician for Practice (P4) Project. Discusses the I3 PCMH Collaborative and other efforts to support the patient-centered medical home and team care through residency programs.
Location: Family Medicine, 43(7)
Date: 7/2011
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Tagged keywords: Care Coordination, Education and Training, Family Medicine Physicians, National, Physicians, Residency Programs
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Implementation and Preliminary Outcomes of the Nation's First Comprehensive 4-Year Residency in Family Medicine
Document
Describes the transition to a four-year curriculum in family medicine by a residency program in Connecticut that adopted the patient-centered medical home (PCMH) model.
Author: Douglass AB, Rosener SE, Stehney MA
Location: Family Medicine, 43(7), 510-3
Date: 7/2011
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Tagged keywords: Care Coordination, Connecticut, Family Medicine Physicians, Physicians, Residency Programs
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Importance of the Geriatrics Team
Document
Discusses the importance of interdisciplinary teamwork in geriatric care.
Date: 7/2011
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Tagged keywords: Care Coordination, Geriatrics, Health Care Quality, National
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Lessons from the Trenches — A High-Functioning Primary Care Clinic
Document
Describes how a community health center in Colorado redesigned its care model to become a patient-centered medical home using care continuity, prompt access to care, and health care teams. Addresses the transition to team-based care and roles of team members.
Author: Bodenheimer T
Location: New England Journal of Medicine, 365(1), 5-8
Date: 7/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Clinics, Colorado, Federally Qualified Health Centers, Health Care Access, Medical Assistants, Nurse Practitioners, Physician Assistants, Physicians, Primary Care, Registered Nurses, Trends and Emerging Issues
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Modernizing Rural Health Care: Coverage, Quality and Innovation
Document
Provides an in-depth overview of the challenges facing rural health care and possible solutions. Addresses the role of primary care, the impact of health reform, teamwork, telemedicine, health information technology, and more. Appendix 4 includes state by state rural primary care capacity estimates.
Author: UnitedHealth Center for Health Reform & Modernization
Date: 7/2011
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Tagged keywords: Care Coordination, Health Care Access, Health Care Quality, Health Information Technology and Telehealth, Health Reform, National, Nurse Practitioners, Nursing Occupations, Physician Assistants, Physicians, Policy, Primary Care, Rural, Supply and Demand, Trends and Emerging Issues
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Overcoming Early Barriers to PCMH Practice Improvement in Family Medicine Residencies
Document
Describes how a family residency program in Colorado improved their ability to transform into a patient-centered medical home by identifying and addressing early barriers to change.
Author: Fernald DH, Deaner N, O'Neill C, Jortberg BT, deGruy FV, Dickinson WP
Location: Family Medicine, 43(7), 503-9
Date: 7/2011
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Tagged keywords: Care Coordination, Colorado, Family Medicine Physicians, Physicians, Residency Programs
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Pacesetter Case Study: Family Services of Western Pennsylvania Pittsburgh, Pennsylvania 2011 Pacesetter Award Winner
Document
Describes the workforce investment made in Allegheny County to focus mental health services on recovery. Addresses care coordination training and strategies used to reduce turnover.
Organizations: Hitachi Foundation, The Annapolis Coalition on the Behavioral Health Workforce
Date: 7/2011
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Best Practices and Model Programs, Care Coordination, Education and Training, Pennsylvania, Recruitment and Retention
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Patient-Reported Care Coordination: Associations with Primary Care Continuity and Specialty Care Use
Document
Identifies the need for better strategies to coordinate care between specialists and primary care providers for patients with a high number of specialty visits. Reports on a study of elderly patients with chronic conditions in Washington.
Author: Liss DT, Chubak J, Anderson ML, Saunders KW, Tuzzio L, Reid RJ
Location: Annals of Family Medicine, 9(4), 323-9
Date: 7/2011
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Tagged keywords: Care Coordination, Physicians, Primary Care, Washington
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Preparing the Personal Physician for Practice (P⁴): Site-Specific Innovations, Hypotheses, and Measures at Baseline
Document
Describes the innovations, hypotheses tested, and measures used in 14 family medicine residencies in the Preparing the Personal Physician for Practice (P4) Project. Innovations address the patient-centered medical home, team-based care, and individualized curricula.
Author: Carney PA, Eiff MP, Green LA, Lindbloom E, Jones SE, Osborn J, Saultz JW
Location: Family Medicine, 43(7), 464-71
Date: 7/2011
view details
Tagged keywords: California, Care Coordination, Colorado, Connecticut, Delaware, Family Medicine Physicians, Interprofessional Training and Education, Iowa, Massachusetts, Missouri, New York, North Carolina, Pennsylvania, Physicians, Primary Care, Residency Programs, Texas, West Virginia, Wisconsin
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Primary Care Health Workforce in the United States
Document
Additional Link: Policy Brief
Reviews the published literature and data on the primary care workforce. Addresses distribution, supply, demand, need, scope of practice, payment policies, market forces, and pressures encouraging change in primary care including the Affordable Care Act. Discusses the policy implications. Appendices address nurse practitioner scope of practice laws and several supply and demand models.
Organization: Robert Wood Johnson Foundation
Author: Dower C, O'Neil E
Date: 7/2011
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Tagged keywords: Care Coordination, Compensation, Health Reform, National, Nurse Practitioners, Physician Assistants, Physicians, Policy, Primary Care, Scope of Practice, Supply and Demand, Trends and Emerging Issues
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Promoting Interprofessional Collaboration: Pharmacy Students Teaching Current and Future Prescribers about Medicare Part D
Document
Describes and evaluates the impact of a statewide peer education program on Medicare Part D, including pharmacists' roles on the health care team.
Author: Lai CJ, Smith AR, Stebbins MR, Cutler TW, Lipton HL
Location: Journal of Managed Care Pharmacy, 17(6), 439-48
Date: 7/2011
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Tagged keywords: California, Care Coordination, Interprofessional Training and Education, Medicare and Medicaid, Nurse Practitioners, Pharmacists, Pharmacy Occupations, Physicians
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Psychiatric Pharmacist and Primary Care Collaboration at a Skid-Row Safety-Net Clinic
Document
Link: Abstract
Addresses how psychiatric pharmacist and primary care provider collaboration can improve access to mental health services. Describes the establishment of the medication management service, the types of interventions provided, and patient and provider satisfaction.
Author: Chung B, Dopheide JA, Gregerson P
Location: Journal of the National Medical Association, 103(7), 567-74
Date: 7/2011
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Tagged keywords: Behavioral Health, California, Care Coordination, Clinics, Health Care Access, Pharmacists, Pharmacy Occupations, Physicians, Primary Care
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Qualitative Evaluation of Provider and Practice Staff & Blueprint-Related Team Members and Patient Perceptions Related to Adoption of the Blueprint for Health in Two Vermont Communities
Document
Reports on interviews with health care providers, staff, team members, and patients related to Vermont's patient-centered medical home based initiative, Blueprint for Health. Addresses facilitators and barriers to Blueprint adoption, changes in workflow, roles of the community health team, challenges, and recommendations.
Organization: Vermont Department of Health Access
Author: Krulewitz J, Tolmie EC, Shaw J
Date: 7/2011
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Tagged keywords: Behavioral Health, Care Coordination, Dietitians and Nutritionists, Health Aides, Assistants and Guides, Health Care Quality, Health Educators, Nursing Occupations, Physicians, Primary Care, Vermont
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Supporting Self and Others: From Staff Nurse to Nurse Consultant. Part 5: Clinical Supervision
Document
Link: Abstract
Examines the use of clinical supervision within nursing.
Author: Fowler J
Location: British Journal of Nursing, 20(13), 830
Date: 7/2011
view details
Tagged keywords: Care Coordination, International, Nursing Occupations, Recruitment and Retention
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The ASCO Study of Collaborative Practice Arrangements funded by Susan G. Komen for the Cure
Document
Examines collaborative oncology practice models that include nonphysician practitioners (NPPs) to address the shortage of oncologists.
Organization: American Society of Clinical Oncology
Author: Towle EL, Barr TR
Date: 6/2011
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Tagged keywords: Care Coordination, National, Nurse Practitioners, Physician Assistants, Physicians, Supply and Demand
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Coordinating Care in the Medical Neighborhood: Critical Components and Available Mechanisms
Document
Discusses barriers to and strategies for creating a medical neighborhood. Addresses its relationship to the patient-centered medical home, the roles of various types of health care providers, care coordination agreements, workflow, care transitions, payment reforms including accountable care organizations, and more.
Organization: Agency for Healthcare Research and Quality
Date: 6/2011
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Tagged keywords: Care Coordination, Compensation, National, Pharmacists, Physicians, Primary Care, Trends and Emerging Issues
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Improving Hospital Patient Safety through Teamwork: The Use of TeamSTEPPS in Critical Access Hospitals
Document
Reviews how TeamSTEPPS, a team training program, can be used by critical access hospitals to improve patient safety. Discusses the importance of teamwork and communication in reducing errors. Offers lessons for others considering the program.
Organizations: Flex Monitoring Team, Maine Rural Health Research Center
Author: Coburn AF, Gage-Croll Z
Date: 6/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, Hospitals, National, Rural
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Integrated Primary Care and Behavioral Health: A Case Study Report
Document
Provides an overview of primary care and behavioral health integration based on a literature review. Reports on a pilot program in Grand Rapids, Michigan. Addresses health workforce team issues, facilitators, and barriers to integration.
Organization: Altarum Institute
Author: Lindly O, Skaff L, Ahmadi H, Fantacone J
Date: 6/2011
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Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, Federally Qualified Health Centers, Michigan, National, Primary Care
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A National Agenda for Research in Collaborative Care: Papers from the Collaborative Care Research Network Research Development Conference
Document
Provides three papers developed from the Collaborative Care Research Network Research Development Conference in October 2009. Outlines a research agenda for examining care coordination between primary care and mental health treatment. Discusses the factors involved in studying care integration.
Organization: Agency for Healthcare Research and Quality
Author: Miller BF, Kessler R, Peek CJ, Kallenberg G
Date: 6/2011
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, National, Primary Care, Research and Data Collection Methods
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Physician Assistants and the Patient-Centered Medical Home
Document
Identifies how physician assistants can contribute to the patient-centered medical home in an issue brief.
Organization: American Academy of Physician Assistants
Date: 6/2011
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Tagged keywords: Care Coordination, National, Physician Assistants
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Supporting Self and Others: From Staff Nurse to Nurse Consultant. Part 4: Mentoring
Document
Link: Abstract
Examines how the principles of mentoring, as practiced in the business world, can be applied to nursing.
Author: Fowler J
Location: British Journal of Nursing, 20(12), 765
Date: 6/2011
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Tagged keywords: Care Coordination, International, Nursing Occupations
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Development and Pilot Testing of the Collaborative Practice Assessment Tool
Document
Link: Abstract
Describes the development of a collaborative practice assessment tool, which enables interprofessional teams to identify professional development needs. Addresses the pilot testing of the tool, the validation process, and tool's limitations.
Author: Schroder C, Medves J, Paterson M, Byrnes V, Chapman C, O'Riordan A, Pichora D, Kelly C
Location: Journal of Interprofessional Care, 25(3), 189-95
Date: 5/2011
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Tagged keywords: Care Coordination, Education and Training, International
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An Educational Program to Promote Positive Communication and Collaboration Between Nurses and Medical Staff
Document
Link: Abstract
Outlines a program for nurses and medical residents to improve communication and collaboration and its outcomes. Supports that communication and collaboration between members of the healthcare team improves patient outcomes and job satisfaction among nurses.
Author: McCaffrey RG, Hayes R, Stuart W, Cassel A, Farrell C, Miller-Reyes S, Donaldson A
Location: Journal for Nurses in Staff Development, 27(3), 121-127
Date: 5/2011
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Tagged keywords: Care Coordination, National, Nursing Occupations, Recruitment and Retention
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Five Prescriptions for Ensuring the Future of Primary Care: Proceedings from the Health Education Summit
Document
Reports on the Health Education Summit held in October, 2010 which focused on the future of primary care. Addresses education, team-based care, integration of behavioral health into primary care, and other issues. Identifies key obstacles and offers five specific recommendations.
Organizations: American College of Physicians, United Health Foundation
Date: 5/2011
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Tagged keywords: Behavioral Health, Care Coordination, Education and Training, National, Primary Care
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Implications of Nurse-Physician Relations: Report of a Successful Intervention
Document
Link: Abstract
Examines the effect of collaborative intervention on improving communication patterns between nurses and physicians.
Author: Tschannen D, Keenan G, Aebersold M, Kocan MJ, Lundy F, Averhart V
Location: Nursing Economic$, 29(3), 127-135
Date: 5/2011
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Tagged keywords: Care Coordination, National, Nursing Occupations, Physicians
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PeaceHealth’s Team Fillingame Uses Patient Activation Measure to Customize the Medical Home
Document
Highlights a medical group in Oregon that transitioned to a patient-centered medical home. Addresses the team composition, staff roles (including medical office assistants), training, lessons learned, and more.
Organization: Center for the Health Professions
Author: Blash L, Dower C, Chapman S
Date: 5/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Medical Assistants, Oregon, Primary Care
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Physician ''Costs'' in Providing Behavioral Health in Primary Care
Document
Link: Abstract
Examines the time pediatricians spent and the reimbursement for addressing behavioral health issues in rural primary care practices. Supports integrating behavioral health services into pediatric primary care settings.
Author: Meadows T, Valleley R, Haack MK, Thorson R, Evans J
Location: Clinical Pediatrics, 50(5), 447-55
Date: 5/2011
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Tagged keywords: Behavioral Health, Care Coordination, General Pediatricians, Physicians, Primary Care
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Physician Assistants in the ICU: A Critical Presence
Document
Provides an issue brief on how physician assistants can contribute to the health care team in the ICU. Includes examples from various medical centers.
Organization: American Academy of Physician Assistants
Date: 5/2011
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Tagged keywords: Care Coordination, Hospitals, National, Physician Assistants
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A Policy-Based Intervention for the Reduction of Communication Breakdowns in Inpatient Surgical Care: Results from a Harvard Surgical Safety Collaborative
Document
Link: Abstract
Discusses communications failures between residents and attendings. Highlights a study that implemented a set of policy and education initiatives at 4 teaching hospitals to increase communication and promote attending visits with surgical patients.
Author: Arriaga AF, Elbardissi AW, Regenbogen SE, Greenberg CC, Berry WR, Lipsitz S, Moorman D, Kasser J, Warshaw AL, Zinner MJ, Gawande AA
Location: Annals of Surgery, 253(5), 849-854
Date: 5/2011
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Tagged keywords: Care Coordination, Health Care Quality, Hospitals, National, Physicians, Policy
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A Scoping Review to Improve Conceptual Clarity of Interprofessional Interventions
Document
Link: Abstract
Reviews the literature on interprofessional activities to identify key concepts, theories, and sources of evidence. Examines the studies by their conceptualization approach, implementation, and assessment. Identifies a framework of three main types of interprofessional interventions.
Author: Reeves S, Goldman J, Gilbert J, Tepper J, Silver I, Suter E, Zwarenstein M
Location: Journal of Interprofessional Care, 25(3), 167-74
Date: 5/2011
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Tagged keywords: Care Coordination, Education and Training, International, Interprofessional Training and Education, Trends and Emerging Issues
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A Strategic Plan for Integrating the Work of New Hampshire’s Public Health and Medical Care Systems
Document
Provides a strategic plan for coordinating health care between New Hampshire's public health and medical care systems. Identifies stakeholders that should be involved in the integration effort, barriers and facilitators, evaluation criteria, and more.
Organization: New Hampshire Citizens Health Initiative
Date: 5/2011
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Tagged keywords: Care Coordination, New Hampshire, Public Health
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Surgical Teams: Role Perspectives and Role Dynamics in the Operating Room
Document
Link: Abstract
Discusses surgical teams in the operating room (OR). Highlights the importance of leadership, team member competencies and an enacted environment that encourages feelings of competence and cooperation.
Author: Leach LS, Myrtle RC, Weaver FA
Location: Health Services Management Research, 24(2), 81-90
Date: 5/2011
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Tagged keywords: Care Coordination, General Surgeons, Hospitals, National, Physicians, Registered Nurses
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A Systematic Review of Curricular Interventions Teaching Transitional Care to Physicians-in-Training and Physicians
Document
Link: Abstract
Reviews the literature on educational interventions teaching transitional care. Provides a comprehensive resource for educators designing transitional care curricula for medical professionals.
Author: Buchanan IM, Besdine RW
Location: Academic Medicine, 86(5), 628-39
Date: 5/2011
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Tagged keywords: Care Coordination, Education and Training, National, Physicians
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Unit-Based Care Teams and the Frequency and Quality of Physician-Nurse Communications
Document
Link: Abstract
Examines whether reorganizing pediatric residents into unit-based teams increased communication between physicians and nurses at Children's Hospital Boston. Discusses the implications for patient safety.
Author: Gordon MB, Melvin P, Graham D, Fifer E, Chiang VW, Sectish TC, Landrigan CP
Location: Archives of Pediatrics and Adolescent Medicine, 165(5), 424-8
Date: 5/2011
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Tagged keywords: Care Coordination, Health Care Quality, Massachusetts, Nursing Occupations, Physicians
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Vermont Primary Care Workforce Development Strategic Plan
Document
Offers a plan to attain and retain a sufficient primary care workforce to provide quality health care for Vermonters. Estimates Vermont's primary care workforce supply and offers recommendations. Addresses state health reforms and medical home programs. Lists workforce needs in Appendix 1.
Organization: Vermont Department of Health
Date: 5/2011
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Tagged keywords: Care Coordination, Dentists, Health Reform, Licensed Practical Nurses and Licensed Vocational Nurses, Medicare and Medicaid, Nursing Occupations, Physician Assistants, Physicians, Policy, Primary Care, Recruitment and Retention, Registered Nurses, Supply and Demand, Vermont
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Incivility in Nursing: The Connection Between Academia and Clinical Settings
Document
Link: Abstract
Examines incivility and bullying in nursing. Offers that conversations regarding how to address incivility and bullying should include specific aspects of nursing academia and the preparation of new nurses.
Author: Luparell S
Location: Critical Care Nurse, 31(2), 92-95
Date: 4/2011
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Tagged keywords: Care Coordination, Education and Training, National, Nursing Occupations
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Intergroup Relationships and Quality Improvement in Healthcare
Document
Additional Link: Abstract
Reviews three types of dynamics that affect intergroup relationships in healthcare settings - social identity, communities of practice, and socialization into particular professional identities.
Author: Bartunek JM
Location: BMJ Quality & Safety, 20(1), 62-66
Date: 4/2011
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Tagged keywords: Care Coordination, Health Administrators, Health Care Quality, National, Nursing Occupations, Physicians
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Interventions to Improve Teamwork and Communications among Healthcare Staff
Document
Link: Abstract
Reviews the literature on the effects of teamwork training for clinical staff on staff attitudes, teamwork skills, technical performance, efficiency, and clinical outcomes.
Author: McCulloch P, Rathbone J, Catchpole K
Location: British Journal of Surgery, 98(4), 469-79
Date: 4/2011
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Tagged keywords: Care Coordination, Education and Training, Health Care Quality, International, National
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The Medical Home Model: What is It and How Do Social Workers Fit In?
Document
Discusses the role of social workers in the medical home model.
Organization: National Association of Social Workers
Author: Collins S
Date: 4/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, National, Social Workers
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A Model of Collaboration and Efficiency Between Neonatal Nurse Practitioner and Neonatologist: Application of Collaboration Theory
Document
Link: Abstract
Presents a model of clinical practice involving neonatal nurse practitioners (NNP) and neonatologists through the application of collaboration theory. Describes a successful practice supporting an autonomous NNP role, appropriate NNP education, licensure, certification, and institutional support.
Author: Bosque E
Location: Advances in Neonatal Care, 11(2), 108-113
Date: 4/2011
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Tagged keywords: Care Coordination, National, Nurse Practitioners, Physicians
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Multidisciplinary Teamwork and Communication Training
Document
Link: Abstract
Discusses the benefit to patient safety and outcomes during labor of implementing a multidisciplinary teamwork training program in hospitals. Highlights communication, role clarification, and simulation training.
Author: Deering S, Johnston LC, Colacchio K
Location: Seminars in Perinatology, 35(2), 89-96
Date: 4/2011
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Tagged keywords: Care Coordination, Health Technologists and Technicians, Hospitals, Interprofessional Training and Education, Midwives, National, Nursing Occupations, Physicians
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Perspectives on Communication in Labor and Delivery: A Focus Group Analysis
Document
Link: Abstract
Reports on a study intended to improve communication in a labor and delivery setting. Concludes that focus group methodology can help identify barriers to and potential solutions for improving interdisciplinary communication.
Author: Grobman WA, Holl J, Woods D, Gleason KM, Wassilak B, Szekendi MK
Location: Journal of Perinatology, 31(4), 240-5
Date: 4/2011
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Tagged keywords: Care Coordination, Hospitals, Illinois
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UC Davis Family Practice Center—Medical Assistants Anchor Residency-based Medical Home
Document
Describes a residency program that expands the role of medical assistants and teaches residents how to work in a patient-centered medical home.
Organization: Center for the Health Professions
Author: Blash L, Dower C, Chapman S
Date: 4/2011
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Tagged keywords: Best Practices and Model Programs, California, Care Coordination, Interprofessional Training and Education, Medical Assistants, Physicians, Residency Programs
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University of Utah Community Clinics - Medical Assistant Teams Enhance Patient-Centered, Physician-Efficient Care
Document
Describes a team-based model of care that increased the ratio of medical assistants per provider and expanded their roles. Provides information to help other organizations replicate this model.
Organization: Center for the Health Professions
Author: Blash L, Dower C, Chapman S
Date: 4/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Clinics, Medical Assistants, Utah
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Advancing Patient Safety in the U.S. Department of Veterans Affairs
Document
Describes initiatives used by the U.S. Department of Veterans Affairs to improve safety in its hospitals and outpatient clinics. Addresses team training, patient-centered care, checklists, and nursing crew resource management training.
Organization: The Commonwealth Fund
Author: McCarthy D, Chase D
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, National
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At Martin’s Point in Maine, Primary Care Teams for Chronic Disease Patients
Document
Link: Abstract
Describes how a primary care practice used teams to help patients control their blood pressure.
Author: Feder JL
Location: Health Affairs 30(3), 394-6
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, Maine, Primary Care
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Better to Best: Value-Driving Elements of the Patient Centered Medical Home and Accountable Care Organizations
Document
Provides a consensus document on how new care models can improve access, care coordination, health information technology, and payment models. Offers policy recommendations. Reports on a Consensus Meeting held September 2010.
Organizations: Patient-Centered Primary Care Collaborative, The Commonwealth Fund, The Dartmouth Institute for Health Policy and Clinical Practice
Date: 3/2011
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Tagged keywords: Care Coordination, Compensation, Health Care Access, Health Information Technology and Telehealth, National, Policy, Primary Care, Trends and Emerging Issues
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Defining and Integrating Informatics Competencies into a Hospital Nursing Department
Document
Link: Abstract
Discusses integrating informatics competencies into nursing practice. Describes one initiative to develop nursing practice that ensures use of system tools to manage patient information, support clinical decision making, optimize workflow, and communicate with members of the care team.
Author: Schleyer RH, Burch CK, Schoessler MT
Location: Computers, Informatics, Nursing, 29(3), 167-173
Date: 3/2011
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Tagged keywords: Care Coordination, Education and Training, Hospitals, National, Nursing Occupations
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Driving Value in Medicaid Primary Care: The Role of Shared Support Networks for Physician Practices
Document
Identifies how states can support primary care transformation by purchasing shared practice supports using Medicaid. Addresses medical homes, health teams, leadership development, accountable care organizations and more.
Organization: The Commonwealth Fund
Author: Highsmith N, Berenson J
Date: 3/2011
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Tagged keywords: Care Coordination, Medicare and Medicaid, National, Physicians, Policy, Primary Care
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The 'GRACE' Model: In-Home Assessments Lead To Better Care For Dual Eligibles
Document
Link: Abstract
Describes a care coordination program for low-income seniors that uses a team consisting of a nurse practitioner and a social worker to develop an individualized care plan. Highlights improved care quality and reductions in hospitalizations.
Author: Bielaszka-DuVernay C
Location: Health Affairs, 30(3), 431-4
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Geriatrics, Health Care Quality, Indiana, Nurse Practitioners, Social Workers
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A Health Plan Spurs Transformation of Primary Care Practices into Better-Paid Medical Homes
Document
Link: Abstract
Describes how a health plan in New York helped practices become medical homes, reduce costs, and increase primary care physician salaries in order to promote interest in primary care.
Author: Feder JL
Location: Health Affairs, 30(3), 397-9
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, New York, Physicians, Primary Care
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How to Talk to Doctors -- A Guide for Effective Communication
Document
Link: Abstract
Provides a four point practical guide for more effective verbal communication between nurses and doctors.
Author: Curtis K, Tzannes A, Rudge T
Location: International Nursing Review, 58(1), 13-20
Date: 3/2011
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Tagged keywords: Care Coordination, National, Nursing Occupations, Physicians
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Improving the Coordination of Care for Medicaid Beneficiaries in Pennsylvania
Document
Link: Abstract
Describes a team model that uses care managers and outreach teams to address barriers to better health, improve care transitions, and reach out to the community.
Author: Bielaszka-DuVernay C
Location: Health Affairs, 30(3), 426-30
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Hospitals, Pennsylvania, Primary Care
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Integrating Care through Bundled Payments — Lessons from the Netherlands
Document
Examines a bundled payment system in the Netherlands where general practitioners are given a lump sum for providing diabetes care. Concludes that making groups responsible for the entire diabetes care process improved care coordination. Identifies lessons learned that could be applied to accountable care organizations.
Author: Struijs JN, Baan CA
Location: New England Journal of Medicine, 364(11), 990-1
Date: 3/2011
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Tagged keywords: Care Coordination, Compensation, International, Policy, Trends and Emerging Issues
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Interprofessional Care Teams: The Role of the Healthcare Administrator
Document
Link: Abstract
Identifies changes needed in the role expectations and education of healthcare administrators to help them effectively influence the organizational conditions for collaborative interprofessional exchange.
Author: Begun JW, White KR, Mosser G
Location: Journal of Interprofessional Care, 25(2), 119-123
Date: 3/2011
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Tagged keywords: Care Coordination, Education and Training, Health Administrators, National
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Is Your Rapid-Response Team on the Right Track?
Document
Provides examples of hospitals that have created teams to respond to patient crises. Addresses barriers to their implementation, quality of care improvements, and alternatives.
Author: Huff C
Location: Hospitals & Health Networks
Date: 3/2011
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Tagged keywords: Care Coordination, Health Care Quality, Hospitals, National
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Nurse Staffing Levels and Teamwork: A Cross-Sectional Study of Patient Care Units in Acute Care Hospitals
Document
Link: Abstract
Examines the relationship between higher levels of nurse staffing and better teamwork. Concludes greater skill mix also increases the level of overall teamwork on the unit.
Author: Kalisch BJ, Lee KH
Location: Journal of Nursing Scholarship, 43(1), 82-88
Date: 3/2011
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Tagged keywords: Care Coordination, Hospitals, National, Nursing Occupations, Supply and Demand
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Performance Feedback: An Exploratory Study to Examine the Acceptability and Impact for Interdisciplinary Primary Care Teams
Document
Examines how performance feedback may engage interdisciplinary team members in improving the quality of primary care and related challenges.
Author: Johnston S, Green M, Thille P, Savage C, Roberts L, Russell G, Hogg W
Location: BMC Family Practice, 12, 14
Date: 3/2011
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Tagged keywords: Care Coordination, Health Care Quality, International, Primary Care
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Primary Care’s (New) Pressures and Possibilities
Audio
Provides an hour-long podcast on new primary care models. Includes guests from Canada and the United States such as Dr. Wasson from Dartmouth and the Institute for Healthcare Improvement president, Karen Boudreau.
Organization: Institute for Healthcare Improvement
Author: Boudreau K, Davis C, Wasson JH, Allison S
Date: 3/2011
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Tagged keywords: Care Coordination, Health Reform, National, Primary Care
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Progress of Ontario’s Family Health Team Model: A Patient-Centered Medical Home
Document
Describes the development, implementation, reimbursement plan, and current status of Ontario's Family Health Team (FHT) model. Addresses challenges for implementing a similar model in the United States.
Author: Rosser WW, Colwill JM, Kasperski J, Wilson L
Location: Annals of Family Medicine, 9(2), 165-71
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Family Medicine Physicians, International, Physicians
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Sharing Resources: Opportunities for Smaller Primary Care Practices to Increase Their Capacity for Patient Care
Document
Highlights the benefits of small- and medium-sized physician practices sharing resources. Addresses health information technology and care coordination, after-hours care, and quality improvement efforts. Identifies successful shared-resource models.
Organization: The Commonwealth Fund
Author: Fryer A, Doty MM, Audet AJ
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Clinics, Health Care Quality, Health Information Technology and Telehealth, National, Physicians, Primary Care
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Swiss Experiment Shows Physicians, Consumers Want Significant Compensation To Embrace Coordinated Care
Document
Link: Abstract
Describes a study that examined how much Swiss general practitioners would have to be compensated to participate in a coordinated care plan. Addresses the implications for provisions of health reform in the United States that encourage care coordination like accountable care organizations and medical homes.
Author: Zweifel P
Location: Health Affairs, 30(3), 510-8
Date: 3/2011
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Tagged keywords: Care Coordination, Compensation, Health Reform, International, Physicians
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Tapping the Unmet Potential of Health Information Technology
Document
Addresses barriers to clinicians using health information technology (HIT) to its full potential. Summarizes how HIT can facilitate care coordination and teamwork.
Organization: Center for Studying Health System Change
Author: O'Malley AS
Location: New England Journal of Medicine, 364(12), 1090-1
Date: 3/2011
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Tagged keywords: Care Coordination, Health Information Technology and Telehealth, National, Physicians
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Transforming Physician Practices To Patient-Centered Medical Homes: Lessons From The National Demonstration Project
Document
Link: Abstract
Discusses the achievements and challenges faced by organizations participating in the national medical home demonstration project. Covers care teams, information technology, payment reform, and health care neighborhoods.
Author: Nutting PA, Crabtree BJ, Miller WL, Stange KC, Stewart E, Jaen C
Location: Health Affairs, 30(3), 439-45
Date: 3/2011
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Tagged keywords: Care Coordination, National, Physicians, Primary Care
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Using Teams, Real-Time Information, and Teleconferencing to Improve Elders’ Hospital Care
Document
Link: Abstract
Describes how a health care system in Wisconsin improved access to geriatric care in hospitals using technology and teams.
Author: Meyer H
Location: Health Affairs, 30(3), 408-11
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Geriatrics, Health Information Technology and Telehealth, Hospitals, Wisconsin
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Vermont’s Blueprint for Medical Homes, Community Health Teams, and Better Health at Lower Cost
Document
Link: Abstract
Describes the Vermont Blueprint for Health, a public-private initiative that uses community health teams to coordinate care.
Author: Bielaszka-DuVernay C
Location: Health Affairs, 30(3), 383-6
Date: 3/2011
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Policy, Vermont
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Coordination between Emergency and Primary Care Physicians
Document
Reports on a qualitative study of emergency and primary care physicians' ability and willingness to communicate and coordinate care. Identifies barriers and policy implications.
Organizations: Center for Studying Health System Change, National Institute for Health Care Reform
Date: 2/2011
view details
Tagged keywords: Care Coordination, National, Physicians, Policy, Primary Care
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Family Physicians and Physician Assistants: Team-Based Family Medicine
Document
Offers a joint policy statement regarding the relationship between physician assistants and family medicine physicians. Addresses PA education, certification, scope of practice, supervision and team practice, payment, and roles particularly in relation to the patient-centered medical home.
Organizations: American Academy of Family Physicians, American Academy of Physician Assistants
Date: 2/2011
view details
Tagged keywords: Care Coordination, Family Medicine Physicians, National, Physician Assistants, Physicians
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Guidelines for Patient-Centered Medical Home (PCMH) Recognition and Accreditation Programs
Document
Recommends guidelines for recognition and/or accreditation programs to help assess whether a given practice is delivering care based on the Patient-Centered Medical Home (PCMH) model.
Organizations: American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association
Date: 2/2011
view details
Tagged keywords: Care Coordination, National, Physicians, Primary Care
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National Healthcare Disparities Report, 2010
Document
Presents a national overview of disparities in health care. Describes the quality of and access to care for specific populations. Includes sections on care coordination and health system infrastructure.
Organization: Agency for Healthcare Research and Quality
Date: 2/2011
view details
Tagged keywords: Care Coordination, Diversity, Health Care Access, Health Care Quality, National
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Residents' and Nurses' Perceptions of Team Function in the Medical Intensive Care Unit
Document
Link: Abstract
Compares residents' views of intensive care unit (ICU) team function to nurses' views. Addresses communication, collaboration, and coordination.
Author: Adler-Milstein J, Neal K, Howell MD
Location: Journal of Critical Care, 26(1), 104.e7-15
Date: 2/2011
view details
Tagged keywords: Academic Health Centers, Care Coordination, Massachusetts, Nursing Occupations, Physicians, Residency Programs
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Successful Reorganization of an Interdisciplinary Underserved Practice
Document
Link: Abstract
Discusses the practice structure of an interdisciplinary underserved practice that was reorganized in 2008. Describes the interdisciplinary care model which includes pharmacy, social work, and nursing staff.
Author: Campbell KM, Hayes DS, Wielgos C, Theoktisto K, Taylor JR
Location: Journal of Health Care for the Poor and Underserved, 22(1), 226-31
Date: 2/2011
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Florida, Nursing Occupations, Pharmacists, Physicians, Social Workers
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Care Coordination Measures Atlas
Document
Examines measures of patient and caregiver experiences with care coordination, as well as experiences of health care professionals and health system managers.
Organization: Agency for Healthcare Research and Quality
Author: McDonald KM, Schultz E, Albin L, Pineda N, Lonhart J, Sundaram V, Smith-Spangler C, Brustrom J, Malcolm E
Date: 1/2011
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Tagged keywords: Care Coordination, National
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Collaboration and Autonomy: Perceptions Among Nurse Practitioners
Document
Link: Abstract
Discusses the relationship between nurse practitioners' (NPs) perceptions of collaboration with physician colleagues and level of autonomy NP practice. Suggesets that collaboration can improve the quality and cost of health outcomes and also leads to professional satisfaction.
Author: Maylone MM, Ranieri L, Quinn Griffin MT, McNulty R, Fitzpatrick JJ
Location: Journal of the American Academy of Nurse Practitioners, 23(1), 51-57
Date: 1/2011
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Tagged keywords: Care Coordination, Health Care Quality, National, Nurse Practitioners, Physicians, Recruitment and Retention
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Evaluation of Patient Centered Medical Home Practice Transformation Initiatives
Document
Link: Abstract
Reviews lessons learned by Patient-Centered Medical Home (PCMH) demonstration projects to guide PCMH evaluations. Addresses the need to evaluate role changes for health care providers and training gaps.
Organization: The Commonwealth Fund
Author: Crabtree BF, Chase SM, Wise CG, Schiff GD, Schmidt LA, Goyzueta JR, Malouin RA, Payne SM, Quinn MT, Nutting PA, Miller WL, Jaén CR
Location: Medical Care, 49(1), 10-16
Date: 1/2011
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Tagged keywords: Care Coordination, National, Primary Care
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Initiatives to Improve Access to Behavioral Health Services in the Veterans Affairs Health System
Document
Discusses efforts by the Department of Veterans Affairs to improve access to care for veterans, particularly in behavioral health. Stresses the importance of care coordination with VA and non-VA clinicians.
Organization: U.S. Department of Veterans Affairs
Author: Kudler H, Straits-Tröster K, Brancu M
Location: North Carolina Medical Journal, 72(1), 40-42
Date: 1/2011
view details
Tagged keywords: Behavioral Health, Care Coordination, Health Care Access, National, Rural
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Integrating Service, Quality, and Cost: What Do We Know About What Works?
Document
Summarizes information on accountable care organizations, patient-centered medical homes, and integrating primary care and behavioral health care. Highlights bundled payments, pay-for-performance, and gain sharing.
Organization: Altarum Institute
Author: Eldridge GN, Korda H, Walke T, Turner A
Date: 1/2011
view details
Tagged keywords: Care Coordination, Compensation, Health Care Quality, National
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Medicaid’s New “Health Home” Option
Document
Describes the Medicaid health home services option, which allows designated providers or health teams to coordinate behavioral and mental health care for people with multiple chronic illnesses.
Organization: Kaiser Family Foundation
Date: 1/2011
view details
Tagged keywords: Behavioral Health, Care Coordination, Medicare and Medicaid, National, Primary Care
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A Model for Integrating Independent Physicians into Accountable Care Organizations
Document
Link: Abstract
Describes how Advocate Physician Partners in Illinois allowed many independent physician practices to partner with hospitals and develop an accountable care organization. Highlights improved health care outcomes and cost savings.
Author: Shields MC, Patel PH, Manning M, Sacks L
Location: Health Affairs, 30(1), 161-72
Date: 1/2011
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, Hospitals, Illinois, Physicians, Trends and Emerging Issues
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NACHC 2010 Assessment of Behavioral Health Services in Federally Qualified Health Centers
Document
Examines the level of coordination between primary care and behavioral health services in community health centers. Reports the number of behavioral health staff employed at community health centers by provider type. Identifies training needs.
Organization: National Association of Community Health Centers
Author: Lardiere MR, Jones E, Perez M
Date: 1/2011
view details
Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, Federally Qualified Health Centers, National, Primary Care
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The Palliative Care Interdisciplinary Team: Where Is the Community Pharmacist?
Document
Link: Abstract
Discusses how community pharmacists can contribute to the community palliative care interdisciplinary team. Addresses barriers to their involvement.
Author: O'Connor M, Pugh J, Jiwa M, Hughes J, Fisher C
Location: Journal of Palliative Medicine, 14(1), 7-11
Date: 1/2011
view details
Tagged keywords: Care Coordination, International, Pharmacists, Pharmacy Occupations
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Patient Care Outside of Office Visits: A Primary Care Physician Time Study
Document
Link: Abstract
Examines patient care provided by general internists outside of office visits. Concludes that policies supporting activities outside of office visits may reduce care costs, save time, and increase care coordination.
Author: Chen MA, Hollenberg JP, Michelen W, Peterson JC, Casalino LP
Location: Journal of General Internal Medicine, 26(1),58-63
Date: 1/2011
view details
Tagged keywords: Care Coordination, General Internal Medicine Physicians, New York, Physicians, Supply and Demand
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The Patient-Centered Medical Home Neighbor: A Primary Care Physician's View
Document
Link: Abstract
Offers a perspective on the patient-centered medical home neighbor model from a primary care physician.
Author: Sinsky CA
Location: Annals of Internal Medicine, 154(1), 61-2
Date: 1/2011
view details
Tagged keywords: Care Coordination, National, Physicians
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The Patient-Centered Medical Home Neighbor: A Subspecialty Physician's View
Document
Link: Abstract
Offers a subspecialist's perspective on the patient-centered medical home neighbor.
Author: Yee HF Jr
Location: Annals of Internal Medicine, 154(1), 63-4
Date: 1/2011
view details
Tagged keywords: Care Coordination, National, Physicians
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Pharmacists’ Role in Accountable Care Organizations
Document
Describes what accountable care organizations (ACOs) are and how pharmacists can get involved. Highlights the importance of including pharmacists' clinical services in ACOs.
Organization: American Society of Health-System Pharmacists
Author: Daigle L
Date: 1/2011
view details
Tagged keywords: Care Coordination, National, Pharmacists, Trends and Emerging Issues
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Referral and Consultation Communication Between Primary Care and Specialist Physicians: Finding Common Ground
Document
Link: Abstract
Examines communication between primary care physicians and specialists. Identifies practice supports that can help improve care coordination.
Author: O'Malley AS, Reschovsky JD
Location: Archives of Internal Medicine, 171(1), 56-65
Date: 1/2011
view details
Tagged keywords: Care Coordination, National, Physicians
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Specialty Care and the Patient-Centered Medical Home
Document
Link: Abstract
Estimates the workload implications if primary care physicians provided more follow-up care than specialists after adult ambulatory visits. Supports medical neighborhoods where primary care physicians and specialists collaborate in care provision.
Author: Hollingsworth JM, Saint S, Hayward RA, Rogers MA, Zhang L, Miller DC
Location: Medical Care, 49(1), 1-3
Date: 1/2011
view details
Tagged keywords: Care Coordination, National, Physicians, Primary Care
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STFM Podcasts: Episode 12, Dr. Perry Dickinson
Audio
Discusses teams and their importance in the patient-centered medical home in a thirty minute podcast. Dr. Perry Dickinson is the president of STFM.
Organization: Society of Teachers of Family Medicine
Date: 1/2011
view details
Tagged keywords: Care Coordination, Education and Training, National, Physicians
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Acute Care Clinical Pharmacy Practice: Unit- vs. Service-Based Models
Document
Compares the unit-based and service-based clinical pharmacist within an acute care pharmacy practice model. Discusses how service-based clinical pharmacists function as part of the interprofessional team. Addresses challenges to implementing this practice model.
Organization: American College of Clinical Pharmacy
Author: 2010 ACCP Task Force on Acute Care Care Practice Model
Date: 2011
view details
Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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Applications and Tools for Creating and Sustaining Healthy Teams
Document
Provides a collection of articles and essays to support the effective creation and work of teams, particularly in public health. Addresses workflow, problem solving, team charter, roles and responsibilities, coaching, meetings and communication, and quality improvement.
Organization: Public Health Foundation
Author: Duffy GL, Moran JW
Date: 2011
view details
Tagged keywords: Care Coordination, Health Care Quality, National, Public Health
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Center Stage in the Revolution: A Health Care Reform Action Guide for the Professional Case Manager
Document
Discusses the role of case managers in the new models of care created by the Affordable Care Act (ACA). Highlights care coordination. Includes accountable care organizations, patient-centered medical homes, community-based care and more.
Organization: Commission for Case Manager Certification
Date: 2011
view details
Tagged keywords: Care Coordination, Health Aides, Assistants and Guides, Health Reform, National, Patient Navigators
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Characterizing the Structure of Operating Room Staffing Using Social Network Analysis
Document
Link: Abstract
Analyzes the interdisciplinary staffing characteristics of operating room teams at a large university hospital. Addresses social interactions such as how often a team works together using Social Network Analysis.
Author: Anderson C, Talsma A
Location: Nursing Research, 60(6), 378-85
Date: 2011
view details
Tagged keywords: Care Coordination, Hospitals, Michigan, Physicians, Registered Nurses
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Collaborative Practice: Matching Staff Skills to Patient Needs and Checking Baseline Staffing Levels
Document
Link: Abstract
Examines a collaborative model of practice at Vancouver Coastal Health that allows proactive nursing units to be able to adapt quickly to changing patient needs.
Author: Harvey A, Priddy C
Location: Healthcare Management Forum, 24(4), 184-187
Date: 2011
view details
Tagged keywords: Care Coordination, International, Nursing Occupations
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College/School Involvement with Partnerships Contributing to the Implementation of Pharmacists' Services for Team-Based, Patient-Centered Care
Document
Describes successful practices between pharmacy schools and health care facilities that integrate pharmacists into the health care team.
Organization: American Association of Colleges of Pharmacy
Date: 2011
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Education and Training, National, Pharmacists, Pharmacy Occupations
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Comparison of Communication Outcomes in Traditional versus Simulation Strategies in Nursing and Medical Students
Document
Link: Abstract
Compares the communication outcomes for a traditional roundtable model including medical and nursing students and a simulation model. Addresses their view of the role of the clinical team.
Author: Reising DL, Carr DE, Shea RA, King JM
Location: Nursing Education Perspectives, 32(5), 323-7
Date: 2011
view details
Tagged keywords: Care Coordination, Education and Training, Interprofessional Training and Education, National, Nursing Occupations, Physicians, Technology in Education and Training
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Core Value, Community Connections: Care Coordination in the Medical Home
Document
Discusses the coordination of care in medical homes. Includes expert opinions, case studies of model programs, and responses from a survey of experiences with implementing coordinated care in patient-centered medical homes.
Organization: Patient-Centered Primary Care Collaborative
Date: 2011
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, National
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Exploring Stages of Pharmacist-Physician Collaboration Using the Model of Collaborative Working Relationship
Document
Link: Abstract
Examines factors affecting pharmacist-physician collaboration. Highlights the importance of role specification.
Author: Liu Y, Doucette WR
Location: Journal of the American Pharmacists Association, 51(3), 412-7
Date: 2011
view details
Tagged keywords: Care Coordination, Pharmacists, Physicians
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Integration of Pharmacists into a Patient-Centered Medical Home
Document
Link: Abstract
Describes the role of pharmacists as part of a patient-centered medical home in a family medicine residency training program in North Carolina.
Organization: North Carolina AHEC Program
Author: Scott MA, Hitch B, Ray L, Colvin G
Location: Journal of the American Pharmacists Association, 51(2), 161-6
Date: 2011
view details
Tagged keywords: Care Coordination, Family Medicine Physicians, North Carolina, Pharmacists
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Journal of the American Pharmacists Association: Pharmacists and the Medical Home
Document
Thematic issue examining pharmacist integration into the patient-centered medical home.
Location: Journal of the American Pharmacists Association, 51(2)
Date: 2011
view details
Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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The PACE Program: Home-Based Care for Nursing Home–Eligible Individuals
Document
Describes the North Carolina PACE model which uses an interdisciplinary team to care for older adults.
Author: Fretwell MD, Old JS
Location: North Carolina Medical Journal, 72(3), 209-11
Date: 2011
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, North Carolina
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Patient Safety and Clinical Pharmacy Services Collaborative Change Package
Document
Provides a catalog of best practices to help teams change their delivery system to provide patient-centered clinical pharmacy services and improve patient safety. Addresses how to integrate pharmacists into the health care team. Includes a supplement on cultural competency.
Organization: Health Resources and Services Administration
Author: Patient Safety and Clinical Pharmacy Services Collaborative
Date: 2011
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Cultural and Linguistic Competence, Health Care Quality, National, Pharmacists, Primary Care
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Patient-Centered Medical Homes: Primer for Pharmacists
Document
Link: Abstract
Provides basic background information, key terms, and examples of success stories related to patient-centered medical homes with a focus on pharmacists.
Author: Abrons JP, Smith M
Location: Journal of the American Pharmacists Association, 51(3), e38-48
Date: 2011
view details
Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations
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Position Statement on Interdisciplinary Team Training in Geriatrics: An Essential Component of Quality Healthcare for Older Adults
Document
Addresses the development and expansion of academic and continuing education programs in interdisciplinary team (IDT) training for geriatric care.
Organization: The American Geriatrics Society
Author: Partnership for Health in Aging
Date: 2011
view details
Tagged keywords: Care Coordination, Continuing Education, Education and Training, Geriatrics, National
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Practice Transformation in Teaching Settings: Lessons From the I³ PCMH Collaborative
Document
Describes the design, implementation, and initial outcomes of an academic patient-centered medical home (PCMH) collaborative. Examines the feasibility of a collaborative of primary care residency programs.
Author: Reid A, Baxley E, Stanek M, Newton W
Location: Family Medicine, 43(7), 487-94
Date: 2011
view details
Tagged keywords: Care Coordination, Education and Training, Family Medicine Physicians, General Internal Medicine Physicians, General Pediatricians, North Carolina, Physicians, Primary Care, Residency Programs, South Carolina, Virginia
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Quality Matters Case Study: Legacy Clinic Emanuel -- Increasing Access and Efficiency through Team-Based Primary Care
Document
Describes a model program for building interdisciplinary care teams as part of a medical home model. Evaluates the effectiveness of the program and identifies lessons learned.
Organization: The Commonwealth Fund
Author: Hostetter M
Date: 2011
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Clinics, Oregon, Primary Care
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Quality Matters: Strengthening the Primary Care Workforce to Meet Population Needs
Document
Reviews primary care workforce trends. Addresses workforce shortages, the use of teams, scope of practice laws related to nurse practitioners and physician assistants, Medicaid reimbursement, and graduate medical education.
Organization: The Commonwealth Fund
Author: Klein S
Date: 2011
view details
Tagged keywords: Care Coordination, Health Reform, Medicare and Medicaid, National, Nurse Practitioners, Physician Assistants, Physicians, Policy, Primary Care, Residency Programs, Scope of Practice, Supply and Demand, Trends and Emerging Issues
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Report of the 2010-2011 Professional Affairs Committee: Effective Partnerships to Implement Pharmacists’ Services in Team-Based, Patient-Centered Healthcare
Document
Discusses various models of pharmacy practice, related challenges and opportunities, successful practices, and recommendations. Addresses the future of pharmacy practice and pharmacists' role as a member of the patient care team.
Author: Rodriguez de Bittner M, Adams AJ, Burns AL, Ha C, Hilaire ML, Letendre DE, Scheckelhoff DJ, Schwinghammer TL, Traynor A, Zgarrick DP, Bradley-Baker LR
Location: American Journal of Pharmaceutical Education, 75(10), S11
Date: 2011
view details
Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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Roles of the Pharmacy Academy in Informing Consumers about the New American Pharmacist: 2010-2011 Argus Commission Report
Document
Examines how the American Association of Colleges of Pharmacy (AACP) can increase awareness of "the new American pharmacist" and the pharmacists' role and value in patient-centered care. Offers recommendations.
Organization: American Association of Colleges of Pharmacy
Author: Beck DE, Baldwin JN, Raehl CL, Speedie MK, Yanchick VA, Kerr RA
Location: American Journal of Pharmaceutical Education, 75(10), S5
Date: 2011
view details
Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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The Schizophrenia of Physician Extender Utilization
Document
Link: Abstract
Examines the evolution and structure of Patient Centered Medical Home (PCMHs) and how they are regulated. Discusses retail medical clinics and medical liability issues for nonphysician providers. Offers recommendations for tort reform.
Author: McLean TR
Location: Annals of Health Law, 20(2), 205-51
Date: 2011
view details
Tagged keywords: Care Coordination, Clinics, National, Nurse Practitioners, Physician Assistants, Scope of Practice, Trends and Emerging Issues
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TeamSTEPPS: Better Hospital Teamwork Increases Patient Safety
Document
Provides examples of hospitals that implemented Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) to improve patient safety by strengthening health care professionals' communication and teamwork skills.
Organization: Rural Assistance Center
Author: Helseth C
Location: Rural Monitor
Date: 2011
view details
Tagged keywords: Care Coordination, Health Care Quality, Hospitals, Missouri, Oregon
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Toward Interdisciplinary Team Development: A Policy Paper of the National Academies of Practice
Document
Discusses interdisciplinary health care and team-based care. Covers barriers to increasing interdisciplinary care and offers recommendations.
Organization: National Academies of Practice
Date: 2011
view details
Tagged keywords: Care Coordination, Health Reform, Interprofessional Training and Education, National
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Exploring Successful Community Pharmacist-Physician Collaborative Working Relationships Using Mixed Methods
Document
Identifies factors that promote successful teamwork between pharmacists and physicians. Addresses the initial contact, relationship building, role specification, and communication.
Author: Snyder ME, Zillich AJ, Primack BA, Rice KR, Somma McGivney MA, Pringle JL, Smith RB
Location: Research in Social and Administrative Pharmacy, 6(4), 307-23
Date: 12/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, National, Pharmacists, Physicians
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Guidance on Practice Agreements
Document
Identifies issue to consider when developing a practice agreement between a physician and physician assistant. Provides a sample practice agreement.
Organization: American Academy of Physician Assistants
Date: 12/2010
view details
Tagged keywords: Care Coordination, National, Physician Assistants, Physicians
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The Health Workforce Dream Team: Who Will Provide the Care?
Video or multimedia
Additional Link: Supplemental Materials
Archived webinar from the Kaiser Family Foundation explores the question, "How will we ensure enough health care workers for a growing, aging population with ever-increasing chronic care needs?"
Organizations: Alliance for Health Reform, Kaiser Family Foundation
Date: 12/2010
view details
Tagged keywords: Care Coordination, Geriatrics, National, Nursing Occupations
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Improving the Lives of Young Children: Opportunities for Care Coordination and Case Management for Children Receiving Services for Developmental Delay
Document
Identifies care coordination and case management options for state Medicaid and CHIP programs. Describes current programs and discusses challenges and future opportunities.
Organization: Urban Institute
Author: Hanlon C
Date: 12/2010
view details
Tagged keywords: Care Coordination, Medicare and Medicaid, National, Policy
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Joint Principles for the Medical Education of Physicians as Preparation for Practice in the Patient-Centered Medical Home
Document
Identifies principles for educating physicians that correlate to the Joint Principles of the Patient-Centered Medical Home (PCMH). Supports providing a foundation in primary care medicine for all medical students.
Organizations: American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association
Date: 12/2010
view details
Tagged keywords: Care Coordination, Education and Training, National, Physicians
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The Anatomy of Health Care Team Training and the State of Practice: A Critical Review
Document
Link: Abstract
Reviews the literature on health care team training. Addresses training design, implementation, and evaluation.
Author: Weaver SJ, Lyons R, Diazgranados D, Rosen MA, Salas E, Oglesby J, Augenstein JS, Birnbach DJ, Robinson D, King HB
Location: Academic Medicine, 85(11), 1746-1760
Date: 11/2010
view details
Tagged keywords: Care Coordination, Education and Training, Interprofessional Training and Education, National
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Care Coordination: A Priority for Health Reform
Document
Link: Abstract
Examines nurses central role in care coordination. Presents policy recommendations to enhance care coordination.
Author: Robinson KM
Location: Policy, Politics & Nursing Practice, 11(4), 266-274
Date: 11/2010
view details
Tagged keywords: Care Coordination, National, Nursing Occupations, Policy
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Comprehensive Primary Care for Older Patients with Multiple Chronic Conditions
Document
Link: Abstract
Reviews the literature on primary care models that manage patients with many chronic conditions, focusing on the case of an older woman. Compares three promising models that use health care teams.
Date: 11/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Geriatrics, National, Primary Care
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Evolution of the Chronic Care Role of the Registered Nurse in Primary Care
Document
Link: Abstract
Discusses implementation of five initiatives at a large academic health center to improve the care of chronically ill patients through the expanded role of RNs in the context of the health care team.
Author: Laughlin CB, Beisel M
Location: Nursing Economic$, 28(6), 409-414
Date: 11/2010
view details
Tagged keywords: Care Coordination, Education and Training, National, Nursing Occupations, Primary Care
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Interprofessional Primary Care Protocols: A Strategy to Promote an Evidence-Based Approach to Teamwork and the Delivery of Care
Document
Link: Abstract
Reports on a qualitative study examining the development of interprofessional protocol and pilot implementation. Focuses on the transition to team-based care in Family Health Teams in Canada.
Author: Goldman J, Meuser J, Lawrie L, Rogers J, Reeves S
Location: Journal of Interprofessional Care, 24(6), 653-65
Date: 11/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, International, Primary Care
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Moving the Medical Home Forward: Innovations in Primary Care Training and Delivery
Document
Highlights how various academic medical practices have incorporated elements of the Patient-Centered Medical Home.
Organization: Association of American Medical Colleges
Date: 11/2010
view details
Tagged keywords: Academic Health Centers, Best Practices and Model Programs, California, Care Coordination, General Internal Medicine Physicians, Louisiana, North Carolina, Ohio, Physicians, Primary Care, Residency Programs, Rhode Island, Texas
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Scaling Up: Bringing the Transitional Care Model into the Mainstream
Document
Describes two projects that used the Transitional Care Model to improve health care quality and reduce costs. Identifies the roles of each member of the health care team used in this model. Outlines policy changes that would promote widespread adoption of this care model.
Organization: The Commonwealth Fund
Author: Naylor MD, Sochalski JA
Date: 11/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, Medicare and Medicaid, Pennsylvania, Policy
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The Special Care Center — A Joint Venture to Address Chronic Disease
Document
Describes coordinated care management for patients with multiple chronic illnesses where a new center recruited and trained a group of frontline health workers to serve the functions of both health coaches and medical assistants.
Organization: Center for the Health Professions
Author: Blash L, Chapman S, Dower C
Date: 11/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Education and Training, Medical Assistants, New Jersey
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Transdisciplinary Care: Opportunities and Challenges for Behavioral Health Providers
Document
Additional Link: Preview
Discusses integrated and transdisciplinary care as it pertains to behavioral health providers.
Author: Little V
Location: Journal of Health Care for the Poor and Underserved, 21(4), 1103-1107
Date: 11/2010
view details
Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, National
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Association Between Implementation of a Medical Team Training Program and Surgical Mortality
Document
Link: Abstract
Evaluates the effectiveness of the VHA Medical Team Training program in improving patient outcomes. Concludes that teamwork training can reduce patient mortality.
Author: Neily J, et al
Location: Journal of the American Medical Association, 304(15), 1693-1700
Date: 10/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Education and Training, Health Care Quality, National, Physicians
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Interprofessional Collaboration in Family Health Teams: An Ontario-Based Study
Document
Examines the views and experiences of family health team (FHT) members regarding interprofessional collaboration. Identifies challenges to implementing team-based primary care and its benefits.
Author: Goldman J, Meuser J, Rogers J, Lawrie L, Reeves S
Location: Canadian Family Physician, 56(10), e368-74
Date: 10/2010
view details
Tagged keywords: Care Coordination, International, Primary Care, Scope of Practice
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Knowledge Systems, Health Care Teams, and Clinical Practice: A Study of Successful Change
Document
Examines how teams in three Wisconsin hospitals produced, obtained, and used knowledge and information to improve care quality.
Author: Olson CA, Tooman TR, Alvarado CJ
Location: Advances in Health Sciences Education, 15(4), 491-516
Date: 10/2010
view details
Tagged keywords: Care Coordination, Continuing Education, Health Care Quality, Hospitals, Wisconsin
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The Patient-Centered Medical Home Neighbor: The Interface of the Patient-Centered Medical Home with Specialty/Subspecialty Practices
Document
Additional Link: Issue Brief
Offers a position paper on the relationship between the Patient-Centered Medical Home (PCMH) and specialty/subspecialty practices. Defines the Patient-Centered Medical Home Neighbor (PCMH-N) and highlights the importance of care coordination.
Organization: American College of Physicians
Date: 10/2010
view details
Tagged keywords: Care Coordination, National
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Preferred Practices and Performance Measures for Measuring and Reporting Care Coordination: A Consensus Report
Document
Link: Abridged Report
Identifies preferred practices and performance measures for care coordination. Lists specific measures for evaluation. Full report available to National Quality Forum members or for purchase.
Organization: National Quality Forum
Date: 10/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, National
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Site Visits to Selected Institutions with Innovations in Residency Training
Document
Highlights several internal medicine and family medicine residency training programs' innovations and challenges. Covers ambulatory training, the Patient-Centered Medical Home, multidisciplinary teams, primary care career choice, and more.
Organizations: Medicare Payment Advisory Commission, Rand Corporation
Author: Cordasco KM, Wynn BO
Date: 10/2010
view details
Tagged keywords: Best Practices and Model Programs, California, Care Coordination, Family Medicine Physicians, General Internal Medicine Physicians, National, Oklahoma, Pennsylvania, Physicians, Primary Care, Residency Programs, Specialty Choice, Wisconsin
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Call to Action: Expansion of Pharmacy Primary Care Services in a Reformed Health System
Document
Supports including pharmacists as part of the primary care team to improve access to primary care services and patient safety. Offers recommendations.
Organization: American Association of Colleges of Pharmacy
Author: Argus Commission
Date: 9/2010
view details
Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations, Primary Care, Trends and Emerging Issues
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The Efficacy of Medical Team Training: Improved Team Performance and Decreased Operating Room Delays: A Detailed Analysis of 4863 Cases
Document
Link: Abstract
Discusses teamwork training programs. Presents a study done with operating room personnel involving team performance and operating room delays.
Author: Wolf F, Way L, Stewart L
Location: Annals of Surgery, 252(3), 477-485
Date: 9/2010
view details
Tagged keywords: Care Coordination, General Surgeons, Health Care Quality, Hospitals, National, Physicians
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Evaluating the Patient-Centered Medical Home: Potential and Limitations of Claims-Based Data
Document
Provides information on how to use claims-based data to evaluate medical homes. Highlights Oklahoma's and Rhode Island's medical home initiatives.
Organization: National Academy for State Health Policy
Author: Stanek M, Takach M
Date: 9/2010
view details
Tagged keywords: Care Coordination, National, Oklahoma, Rhode Island
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How to Build a Medical Home in Your Residency Program
Document
Identifies some key points for starting the process of transforming a residency program into a medical home.
Author: Dickinson WP
Location: Family Medicine, 42(8), 577-9
Date: 9/2010
view details
Tagged keywords: Care Coordination, Education and Training, National, Physicians, Residency Programs
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Making Connections: Medicaid, CHIP, and Title V Working Together on State Medical Home Initiatives
Document
Examines interagency partnerships in state medical home initiatives. Includes a section on engaging health care providers and practices in the medical home. Outlines the provider participation incentives offered by various states.
Organization: National Academy for State Health Policy
Author: Buxbaum J
Date: 9/2010
view details
Tagged keywords: Care Coordination, Compensation, National, Policy
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Medication Adherence and Care Teams: A Call for Demonstration Projects
Document
Supports demonstration projects focusing on the use of health care teams to improve medication adherence. Identifies several key objectives for these demonstration projects.
Organization: NEHI
Date: 9/2010
view details
Tagged keywords: Care Coordination, National, Nursing Occupations, Pharmacists, Pharmacy Occupations, Physician Assistants, Physicians
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Systems of Care Coordination for Children: Lessons Learned Across State Models
Document
Analyzes innovative models of care coordination from five states and discusses shared features.
Organization: The Commonwealth Fund
Author: Silow-Carroll S, Hagelow G
Date: 9/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Colorado, Connecticut, Iowa, North Carolina, Rhode Island
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Team Huddles: The Role of the Primary Care Educator
Document
Link: Abstract
Discusses the role of team huddles in out-patient care and offers teaching strategies to help learners adopt this communication strategy. Supports using the team huddle to improve teamwork and clinical care.
Author: Fogarty CT, Schultz S
Location: Clinical Educator, 7(3), 157-60
Date: 9/2010
view details
Tagged keywords: Care Coordination, Education and Training, National, Primary Care
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Medical Home 101: The Pharmacist’s Role in This Growing Patient-Centered Care Model
Document
Discusses the growth of the medical home model and pharmacists' role in it. Includes several examples.
Author: Kaldy J
Location: The Consultant Pharmacist, 25(8), 468-74
Date: 8/2010
view details
Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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Medical Home Infrastructure: Effect of the Environment and Practice Characteristics on Adoption in Virginia
Document
Link: Abstract
Identifies environmental and organizational factors associated with patient-centered medical home (PCMH) infrastructure in family practices in Virginia. Examines the influence of third party payers, patient and stakeholder expectations, primary care physician supply, organizational relationships, and practice size.
Author: Goldberg DG, Mick SS
Location: Medical Care Research and Review, 67(4), 431-49
Date: 8/2010
view details
Tagged keywords: Care Coordination, Family Medicine Physicians, Physicians, Virginia
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Sharing Resources to Improve Care
Audio
Offers a ten-minute podcast on how primary care practices are sharing technical and clinical services to provide 24-hour coordinated care and become certified as medical homes. Related to the article "How Physician Practices Could Share Personnel And Resources To Support Medical Homes."
Organization: The Commonwealth Fund
Author: Hausman S
Date: 8/2010
view details
Tagged keywords: Care Coordination, Clinics, National, Primary Care
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CareOregon: Transforming the Role of a Medicaid Health Plan from Payer to Partner
Document
Describes a Medicaid health plan that partners with health care providers to improve primary care delivery. Supports care coordination and teams. Offers examples of innovations, such as a nurse-focused medical home model.
Organization: The Commonwealth Fund
Author: Klein S, McCarthy D
Date: 7/2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Federally Qualified Health Centers, Medicare and Medicaid, Oregon, Primary Care
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Expanding Scope of Practice: Inter-professional Collaboration or Conflict?
Document
Link: Abstract
Discusses scope of practice (SOP) expansion to meet the health care provider needs with the implementation of the Patient Protection and Affordable Care Act.
Author: Gardner D
Location: Nursing Economic$, 28(4), 264-266
Date: 7/2010
view details
Tagged keywords: Care Coordination, Certified Registered Nurse Anesthetists, Clinical Nurse Specialists, National, Nurse Practitioners, Nursing Occupations, Registered Nurses, Scope of Practice
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High-Quality Wraparound and the Roles of Supervision, Training and Coaching in Care Management Entities
Video or multimedia
Offers an ninety minute webinar recording on intensive care coordination, the importance of supervision, training considerations, monitoring outcomes, and statewide implementation of high-quality wraparound. Highlights Care Management Entity (CME) models in Maryland, Georgia, and Wyoming.
Organization: Center for Health Care Strategies
Date: 7/2010
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Tagged keywords: Behavioral Health, Care Coordination, Education and Training, Georgia, Maryland, National, Wyoming
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Integrating Appropriate Services for Substance Use Conditions in Health Care Settings: An Issue Brief on Lessons Learned and Challenges Ahead
Document
Reports on a forum that addressed the lack of coordination between specialty and general health care professionals who treat patients with substance use conditions. Summarizes challenges and themes from model programs. Includes a section on the workforce.
Organization: Treatment Research Institute
Date: 7/2010
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Tagged keywords: Behavioral Health, Care Coordination, National
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Aligning Incentives in Medicare
Document
Additional Link: Testimony to Congress
Identifies how changing Medicare payments could transform graduate medical education through supporting care coordination, primary care, and more. Discusses the restrictions Medicare faces in its ability to change payment policies.
Organization: Medicare Payment Advisory Commission
Date: 6/2010
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Tagged keywords: Care Coordination, Compensation, Interprofessional Training and Education, Medicare and Medicaid, National, Physicians, Policy, Primary Care, Residency Programs
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Colorado Children’s Healthcare Access Program: Helping Pediatric Practices Become Medical Homes for Low-Income Children
Document
Highlights a program that helps private practices coordinate care for children. Identifies barriers to private physician participation in government programs and explains how the program works.
Organization: The Commonwealth Fund
Author: Silow-Carroll S, Bitterman J
Date: 6/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Colorado, Medicare and Medicaid, Physicians
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Communication and Co-management Between Specialty Providers
Tutorial or training
Offers CME for a recording of a teleconference on coordinating specialty and primary care in the medical home for a registration fee.
Organization: National Center for Medical Home Implementation
Date: 6/2010
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Tagged keywords: Care Coordination, Education and Training, National, Physicians
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Defining and Measuring the Patient-Centered Medical Home
Document
Link: Abstract
Defines a medical home. Outlines principles for measuring patient centered medical homes.
Organization: The Commonwealth Fund
Author: Stange K, Nutting P, Miller W
Location: Journal of General Internal Medicine, 25(6), 601–612
Date: 6/2010
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Tagged keywords: Care Coordination, Health Care Quality, National
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Engaging Patients and Families in the Medical Home
Document
Offers policymakers and researchers insights into opportunities to engage patients and families in the medical home.
Organization: Agency for Healthcare Research and Quality
Author: Scholle S, Torda P, Peikes D, Han E, Genevro J
Date: 6/2010
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Tagged keywords: Care Coordination, National
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A Guide to Building Collaborative Mental Health Care Partnerships in Pediatric Primary Care
Document
Outlines the components of partnerships between child and adolescent psychiatrists and primary care clinicians. Identifies steps to creating an effective collaborative mental health care partnership.
Organization: American Academy of Child and Adolescent Psychiatry
Date: 6/2010
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Tagged keywords: Behavioral Health, Care Coordination, General Pediatricians, National, Physicians, Primary Care, Psychiatrists
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How Physician Practices Could Share Personnel and Resources to Support Medical Homes
Document
Link: Synopsis
Discusses how using shared resources could allow small, nonaffiliated practices to provide medical home services at a manageable cost, resulting in shared accountability, improved quality of care for patients, and, better health outcomes.
Organization: The Commonwealth Fund
Author: Abrams M, Schor E, Schoenbaum S
Location: Health Affairs, 29(6), 1194-1199
Date: 6/2010
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Tagged keywords: Care Coordination, National, Physicians
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How to Buy a Medical Home? Policy Options and Practical Questions
Document
Describes the strengths and weaknesses of various payment options for supporting the medical home.
Organizations: Mathematica Policy Research, Urban Institute
Author: Berenson RA, Rich EC
Location: Journal of General Internal Medicine, 25(6), 619-24
Date: 6/2010
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Tagged keywords: Care Coordination, Compensation, National, Physicians, Policy
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Innovations in Preventing and Managing Chronic Conditions: What's Working in the Real World?
Document
Highlights strategies used to decrease health care costs and improve care quality, including care coordination and medical home incentive payments for physicians.
Organization: Center for Studying Health System Change
Author: Cassil A
Date: 6/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, Health Care Quality, National, Physicians
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The Integrated Case Management Manual: Assisting Complex Patients Regain Physical and Mental Health
Document
Link: Description and Ordering Information
Offers tools and resources for developing an Integrated Health Model, complexity assessment grids, methods for building collaborative partnerships, strategies for using integrated case management, and guidance on connecting multi-disciplinary teams in a book for purchase.
Author: Kathol RG, Perez R, Cohen J
Date: 6/2010
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Tagged keywords: Care Coordination, National
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Integrating Mental Health and Substance Use Treatment in the Patient-Centered Medical Home
Document
Identifies the conceptual similarities in and differences between the Patient Centered Medical Home (PCMH) and strategies used to deliver mental health treatment in primary care.
Organization: Agency for Healthcare Research and Quality
Author: Croghan T, Brown J
Date: 6/2010
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Tagged keywords: Behavioral Health, Care Coordination, Health Care Quality, National, Primary Care
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Leveraging Health IT to Achieve Ambulatory Quality: The Patient-Centered Medical Home (PCMH)
Document
Offers practices interested in becoming recognized as patient-centered medical homes. Highlights a set of standards known as the Physician Practice Connections – Patient Centered Medical Home (PPC-PCMH). Provides an informational overview of PCMH from the healthcare practice viewpoint. Highlights the beneficial use of health IT and how health IT helps practices in the function of PCMH.
Organization: Healthcare Information and Management Systems Society
Date: 6/2010
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Tagged keywords: Care Coordination, Health Informaticians, Health Information Technology and Telehealth, National
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Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods
Document
Link: Abstract
Reports on a survey of primary care practices in Massachusetts to determine whether incentives related to medical home elements would increase disparities for practices serving poorer populations.
Author: Friedberg MW, Coltin KL, Safran DG, Dresser M, Schneider EC
Location: Archives of Internal Medicine, 170(11), 938-44
Date: 6/2010
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Tagged keywords: Care Coordination, Massachusetts, Policy, Primary Care
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Medical Student Exposure to Components of the Patient-Centered Medical Home During Required Ambulatory Clerkship Rotations: Implications for Education
Document
Additional Link: Abstract
Examines third-year medical students' exposure to patient-centered medical home elements in their family medicine clerkships from a sample of nine medical schools.
Author: Saultz JW, OʼNeill P, Gill JM, Biagioli FE, Blanchard S, OʼMalley JP, Brown D, Rogers JC, Carney PA
Location: Academic Medicine, 85(6), 965-973
Date: 6/2010
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Tagged keywords: Care Coordination, Education and Training, National, Physicians, Technology in Education and Training
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US Approaches to Physician Payment: The Deconstruction of Primary Care
Document
Link: Abstract
Examines primary care payment models, discusses why former approaches did not adequately support primary care, and addresses how new models support the medical home.
Organizations: Mathematica Policy Research, Urban Institute
Author: Berenson RA, Rich EC
Location: Journal of General Internal Medicine, 25(6), 613-8
Date: 6/2010
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Tagged keywords: Care Coordination, Compensation, National, Physicians, Primary Care
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12th International Medical Workforce Collaborative 2010
Document
Provides papers, presentations, and posters from an international conference on the health workforce held in New York City on May 2-5, 2010. Addresses team-based care, the social mission of medical schools, workforce productivity, and more.
Date: 5/2010
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Tagged keywords: Care Coordination, Education and Training, International, Interprofessional Training and Education, Physicians
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The 2010 Report to the Secretary: Rural Health and Human Services Issues
Document
Examines three key topics in health and human services and their effects in rural areas: home and community based care for rural seniors, rural primary care workforce, and rural health care provider integration.
Organization: National Advisory Committee on Rural Health and Human Services
Date: 5/2010
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Tagged keywords: Care Coordination, Geriatrics, Health Care Access, Health Care Quality, National, Policy, Primary Care, Rural, Supply and Demand
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A 21st Century Roadmap for Advancing America's Health: The Path from Peril to Progress
Document
Discusses some of the challenges related to implementing health reform and offers recommendations. Covers team-based medicine, primary care, comparative effectiveness research, value-based payment methods, public health, research, global health, and health information technology.
Organization: Center for the Study of the Presidency and Congress
Author: Commission on U.S. Federal Leadership in Health and Medicine: Charting Future Directions
Date: 5/2010
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Tagged keywords: Care Coordination, Compensation, Health Information Technology and Telehealth, Health Reform, National, Policy, Primary Care
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8th Annual Report to the Secretary DHHS and to Congress: The Redesign of Primary Care with Implications for Training
Document
Provides recommendations for federal policies to support primary care with a focus on Title VII, section 747. Addresses the importance of primary care, the medical-dental home, community-based residency training, the National Health Service Corps, reimbursement, and more.
Organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
Date: 5/2010
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Tagged keywords: Care Coordination, Dentists, Education and Training, Interprofessional Training and Education, Loan Repayment and Forgiveness, Medicare and Medicaid, National, Physician Assistants, Physicians, Policy, Primary Care, Residency Programs
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The ABCs of ACOs
Document
Provides an overview of accountable care organizations, which seek to coordinate care between physicians and hospitals. Highlights several health systems piloting ACO programs. Identifies relevant health reform incentives encouraging ACO development.
Author: Taylor M
Location: Hospitals & Health Networks
Date: 5/2010
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Tagged keywords: Care Coordination, Health Reform, National
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Academic Health Centers as Accountable Care Organizations
Document
Provides a commentary on how academic health centers can serve as accountable care organizations, promote medical homes, and lead health reform efforts.
Author: Tallia AF, Amenta PS, Jones SK
Location: Academic Medicine, 85(5), 766-7
Date: 5/2010
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Tagged keywords: Academic Health Centers, Care Coordination, Health Reform, National
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Coaching’s the Thing for Primary Care Practice
Audio
Discusses challenges facing primary care, the medical home, and primary care coaches, who help physicians transform their practices into medical homes.
Organization: Institute for Healthcare Improvement
Date: 5/2010
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Tagged keywords: Care Coordination, National, Primary Care
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Group Health’s Move To The Medical Home: For Doctors, It’s Often A Hard Journey
Document
Link: Extract
Describes a medical home model and its implementation. Addresses some of the workforce challenges faced in implementing the model and how roles have changed. Highlights how the model improves health care quality, supports primary care, and has improved physician recruitment.
Author: Meyer H
Location: Health Affairs, 29(5), 844-51
Date: 5/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, Idaho, Physicians, Primary Care, Washington
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Louisiana's Vision for Access to Primary Care in the New Orleans Region
Document
Addresses the need for additional funding to support primary care access in the New Orleans area. Supports using a Section 1115 Medicaid Demonstration Waiver to allow the region to build on the patient-centered medical home.
Organization: Louisiana Bureau of Primary Care and Rural Health
Date: 5/2010
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Tagged keywords: Care Coordination, Health Care Access, Louisiana, Medicare and Medicaid, Policy, Primary Care
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Managing the New Primary Care: The New Skills that Will Be Needed
Document
Link: Abstract
Supports leadership training for physicians in primary care practices in order to prepare them to lead new models of primary care.
Author: Bohmer RM
Location: Health Affairs, 29(5), 1010-4
Date: 5/2010
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Tagged keywords: Care Coordination, National, Physicians, Primary Care
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Medicaid-Funded Long-Term Supports and Services: Snapshots of Innovation
Document
Highlights innovations in long-term support and services, including a geriatric medicine rotation for medical students, a home-like long-term care facility that reduces staff turnover, a geriatrics team model, and telehealth initiatives funded by Medicaid.
Organization: Center for Studying Health System Change
Author: Engquist G, Johnson C, Johnson WC
Date: 5/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Education and Training, Geriatrics, Medicare and Medicaid, National, Technology in Education and Training
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Prospects For Rebuilding Primary Care Using The Patient-Centered Medical Home
Document
Link: Abstract
Examines barriers to implementing the medical home such as new payment models, infrastructure requirements, and more.
Author: Landon BE, Gill JM, Antonelli RC, Rich EC
Location: Health Affairs, 29(5), 827-34
Date: 5/2010
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Tagged keywords: Care Coordination, Compensation, National, Primary Care
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Quality Collaboration: TeamSTEPPS Program Emphasizes Teamwork on Many Levels
Document
Highlights TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety), a unique course developed by the Department of Defense and adapted for usage in health care settings by the Agency for Healthcare Research and Quality and the U.S. Department of Defense.
Organization: Health Workforce Information Center
Author: McEllistrem-Evenson A
Location: Health Workforce News
Date: 5/2010
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Tagged keywords: Care Coordination, Health Care Quality, National
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Structuring Payment for Medical Homes
Document
Links: Abstract, Highlights
Examines the strengths and weaknesses of four payment approaches for paying medical home practices and some of the practical challenges of implementing them.
Author: Merrell K, Berenson RA
Location: Health Affairs, 29(5), 852–58
Date: 5/2010
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Tagged keywords: Care Coordination, Compensation, National
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A Tale of Two Systems: A Look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings
Document
Describes how two states approached the integration of community health centers and community mental health centers and offers lessons for other states. Discusses workforce issues such as a lack of interdisciplinary education.
Organization: National Academy for State Health Policy
Author: Takach M, Purington K, Osius E
Date: 5/2010
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Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, Federally Qualified Health Centers, Missouri, Primary Care, Tennessee
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The Vermont Accountable Care Organization Pilot: A Community Health System to Control Total Medical Costs and Improve Population Health
Document
Additional Link: Executive Summary
Describes the efforts of three health care provider organizations in Vermont that are planning to pilot accountable care organizations.
Organization: The Commonwealth Fund
Author: Hester J, Lewis J, McKethan A
Date: 5/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Vermont
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Why Pharmacists Belong in the Medical Home
Document
Link: Abstract
Identifies how pharmacists can contribute to the medical home model through medication therapy management.
Author: Smith M, Bates DW, Bodenheimer T, Cleary PD
Location: Health Affairs, 29(5), 906-13
Date: 5/2010
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Tagged keywords: Care Coordination, National, Pharmacists, Pharmacy Occupations, Trends and Emerging Issues
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Working Together - Team-Based Models of Primary Medical Care: What’s Working in Complex Care Management?
Document
Provides team-based models of primary care from four countries: Australia, Canada, the United States, and the United Kingdom. Discusses policy levers and research priorities. From a series of papers presented at the 12th International Medical Workforce Collaborative.
Author: Naccarella L, Nasmith L, Michener L, et al
Date: 5/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, International, National, Policy, Primary Care
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ASHP National Survey of Pharmacy Practice in Hospital Settings: Monitoring and Patient Education—2009
Document
Link: Abstract
Reports on a survey of pharmacy practice in hospitals and whether hospitals use an integrated pharmacy practice model. Covers medication therapy monitoring, medication education, technology use, and more.
Author: Pedersen CA, Schneider PJ, Scheckelhoff DJ
Location: American Journal of Health-System Pharmacy, 67(7), 542-58
Date: 4/2010
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Tagged keywords: Care Coordination, Hospitals, National, Pharmacists
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The Future Of Health Information Technology In The Patient-Centered Medical Home
Document
Link: Abstract
Discusses electronic health records and the need for further development of features that patient-centered medical homes require to improve their efficiency, quality, safety, and team care.
Author: Bates D, Bitton A
Location: Health Affairs, 29(4), 614-621
Date: 4/2010
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Tagged keywords: Care Coordination, Health Care Quality, Health Information Technology and Telehealth, National
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The Group Employed Model as a Foundation for Health Care Delivery Reform
Document
Highlights lessons from organizations with salaried or contracted physicians that can be applied to the development of accountable care organizations (ACOs). Identifies elements of their success such as physician leadership, challenges, and recommendations for policymakers.
Organization: The Commonwealth Fund
Author: Minott J, Helms D, Luft H, Guterman S, Weil H
Date: 4/2010
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Tagged keywords: Care Coordination, Compensation, Health Administrators, Health Care Quality, Health Reform, National, Policy
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Health Centers and Health Care Reform: Accountable Care Organizations and Medical Homes
Document
Offers a fact sheet on provisions in the health care reform legislation related to accountable care organizations and medical homes.
Organization: National Association of Community Health Centers
Date: 4/2010
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Tagged keywords: Care Coordination, Health Reform, National, Policy
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The Patient-Centered Medical Home Movement
Document
Link: Extract
Offers a viewpoint on how medical homes can be effective primary care models and the challenges faced in creating such a model.
Author: Larson EB, Reid R
Location: Journal of the American Medical Association, 303(16), 1644-5
Date: 4/2010
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Tagged keywords: Care Coordination, National, Physicians, Primary Care
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Redesigning Specialty Care in Community Clinics: A California Case Study
Document
Reports on strategies used to increase access to specialty care for patients of safety-net clinics.
Organization: California Healthcare Foundation
Date: 4/2010
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Tagged keywords: Best Practices and Model Programs, California, Care Coordination, Clinics, Federally Qualified Health Centers, Health Care Access
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Specialist Physician Practices as Patient-Centered Medical Homes
Document
Link: Extract
Discusses whether specialists can serve as primary care physicians in certain cases and offers a perspective on specialist-based medical homes.
Author: Casalino LP, Rittenhouse DR, Gillies RR, Shortell SM
Location: New England Journal of Medicine, 362(17), 1555-8
Date: 4/2010
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Tagged keywords: Care Coordination, National, Physicians
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Are Electronic Medical Records Helpful for Care Coordination? Experiences of Physician Practices
Document
Additional Links: Abstract, Highlights
Identifies how policymakers can reform payment policy to support care coordination facilitated by electronic medical records.
Organization: Center for Studying Health System Change
Author: O'Malley AS, Grossman JM, Cohen GR, Kemper NM, Pham HH
Location: Journal of General Internal Medicine, 25(3), 177-85
Date: 3/2010
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Tagged keywords: Care Coordination, Health Information Technology and Telehealth, National, Physicians, Policy
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Availability and Integration of Palliative Care at US Cancer Centers
Document
Link: Abstract
Reports on a survey of center executives and palliative program leaders to examine the access to and integration of palliative care in cancer centers. Identifies the need for greater care integration to improve oncology care.
Author: Hui D, Elsayem A, De La Cruz M, Berger A, Zhukovsky DS
Location: Journal of the American Medical Association, 303(11), 1054-1061
Date: 3/2010
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Tagged keywords: Care Coordination, Health Care Quality, National, Physicians
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A High-Touch Approach to Improving Oral Health for Newark Children
Document
Highlights the New Jersey Smiles program which increased access to dental care for children in Medicaid and Head Start through dental homes and coordination with primary care providers.
Organization: Center for Health Care Strategies
Date: 3/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Dentists, Health Care Access, New Jersey, Physicians, Primary Care
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The Massachusetts Child Psychiatry Access Project: Supporting Mental Health Treatment in Primary Care
Document
Describes a program in Massachusetts that addresses the shortage of child psychiatrists through providing assistance to primary care providers. Offers care coordination services, consultation, and referrals for health care providers as needed.
Organization: The Commonwealth Fund
Author: Holt W
Date: 3/2010
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Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, Health Care Access, Massachusetts, Physicians, Primary Care, Psychiatrists, Social Workers
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Substance Use Disorders and the Person-Centered Healthcare Home
Document
Discusses why substance use treatment should be integrated in the the patient-centered medical home and how to do so. Identifies providers' roles.
Organization: National Council for Community Behavioral Healthcare
Date: 3/2010
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Tagged keywords: Behavioral Health, Care Coordination, National, Primary Care
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Team - Based Care
Document
Discusses the importance of team-based care and highlights the TeamSTEPPS program.
Author: Weinstock M
Location: HHN Magazine
Date: 3/2010
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Tagged keywords: Care Coordination, National
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Evaluation of Integration Initiative: Year One Report
Document
Reports on a pilot program in Maine to integrate behavioral and physical health services. Covers staffing models, impact of workforce shortages, compensation, provider communication, training, and patient-centered care.
Organization: Maine Health Access Foundation
Date: 2/2010
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, Education and Training, Maine, Physicians, Primary Care
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Lessons That Patient-Centered Medical Homes Can Learn From the Mistakes of HMOs
Document
Link: Abstract
Reviews the mistakes and lessons learned from health maintenance organizations (HMOs) and that can be applied to patient-centered medical homes (PCMHs).
Author: Mirabito AM, Berry LL
Location: Annals of Internal Medicine, 152(3), 182-5
Date: 2/2010
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Tagged keywords: Care Coordination, National, Primary Care
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Meta-analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists
Document
Reviews the literature on collaboration between primary care physicians and specialists and outcomes for patients with cancer, psychiatric conditions, and diabetes.
Author: Foy R, Hempel S, Rubenstein L, Suttorp M, Seelig M, Shanman R, Shekelle PG
Location: Annals of Internal Medicine, 152(4), 247-58
Date: 2/2010
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Tagged keywords: Care Coordination, Health Care Quality, National, Physicians, Primary Care, Psychiatrists
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Pediatric Primary Care as a Component of Systems of Care
Document
Link: Abstract
Supports changing the definition of systems of care to include primary care. Highlights pediatric primary care's provision of mental health services and the need to facilitate collaboration between primary care and mental health care providers.
Author: Brown JD
Location: Evaluation and Program Planning, 33(1), 36-8
Date: 2/2010
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, General Pediatricians, National, Physicians, Primary Care
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Rebuilding Primary Care in New Orleans
Audio
Examines the safety-net clinic network developed in New Orleans following Hurricane Katrina in a twelve-minute podcast. Highlights the clinics that became medical homes.
Organization: The Commonwealth Fund
Author: Hausman S
Date: 2/2010
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Tagged keywords: Care Coordination, Clinics, Federally Qualified Health Centers, Louisiana, Primary Care
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State Multi-Payer Medical Home Initiatives and Medicare’s Advanced Primary Care Demonstration
Document
Provides examples of multi-payer medical home initiatives with significant state support, and compares them to the criteria proposed by the Centers for Medicare & Medicaid Services.
Organization: National Academy for State Health Policy
Author: Buxbaum J, Takach M
Date: 2/2010
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Tagged keywords: Care Coordination, Medicare and Medicaid, National, Primary Care
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Transdisciplinary Health Care Education: Training Team Players
Document
Link: Abstract
Discusses the importance of interprofessional training, summarizes some programs that incorporate it, identifies alternative models of interdisciplinary training such as student-run free clinics, and considers the future of transdisciplinary medical education.
Author: Nandiwada DR, Dang-Vu C
Location: Journal of Health Care for the Poor and Underserved, 21(1), 26-34
Date: 2/2010
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Tagged keywords: Care Coordination, Clinics, Interprofessional Training and Education, National, Primary Care
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The Unsung Heroes of Health Care
Document
Discusses pharmacists expanding role in primary care and the medical home.
Organization: Health Workforce Information Center
Author: McEllistrem-Evenson A
Location: Health Workforce News
Date: 2/2010
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Tagged keywords: Care Coordination, National, Pharmacists, Primary Care
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The Challenges and Opportunities for Osteopathic Medical Education
Document
Offers a presentation on osteopathic medical education from the UMDNJ-SOM Strategic Planning Session. Covers the current health care environment, the medical home, anticipated physician shortages, osteopathic medical school growth, average MCAT scores and grade point averages, graduate medical education, student debt, primary care, diversity, and more. Includes numerous charts.
Organization: American Association of Colleges of Osteopathic Medicine
Author: Shannon SC
Date: 1/2010
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Tagged keywords: Care Coordination, Diversity, Education and Training, National, Osteopathic Physicians, Primary Care, Trends and Emerging Issues
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Coming Out of Crisis: Patient Experiences in Primary Care in New Orleans, Four Years Post-Katrina—Findings from The Commonwealth Fund 2009 Survey of Clinic Patients in New Orleans
Document
Reports on efforts to reorganize New Orleans primary care infrastructure. Examines how community clinics in New Orleans serve high-need populations. Covers patient access, care coordination, preventative care, management of chronic diseases, and clinician patient relationships. Includes the survey used and survey results.
Organization: The Commonwealth Fund
Author: Doty MM, Abrams MK, Mika S, Rustgi S, Lawlor G
Date: 1/2010
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Tagged keywords: Care Coordination, Clinics, Health Care Access, Louisiana, Physicians, Primary Care
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Episode-Based Payments: Charting a Course for Health Care Payment Reform
Document
Addresses issues related to creating an episode-based payment system, which could facilitate care coordination and decrease health care costs. Covers defining episodes of care, establishing payment rates, identifying providers to receive the payments, compatibility with other payment reforms, and implementation.
Organization: National Institute for Health Care Reform
Author: Pham HH, Ginsburg PB, Lake TK, Maxfield MM
Date: 1/2010
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Tagged keywords: Care Coordination, Compensation, Health Reform, National, Physicians, Policy
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Improving the Health of Maine People: Getting Down to Basics
Document
Offers recommendations to improve the health of Maine's citizens, including a number of practical solutions to improve access to health providers. Also supports the use of health educators and System Navigation Specialists. Includes the survey instrument used.
Organization: Maine Health Access Foundation
Date: 1/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Access, Health Educators, Maine, Patient Navigators, Research and Data Collection Methods
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The Physician-PA Team
Document
Discusses the similarities between physician and physician assistant (PA) training, the PA profession's commitment to team practice, and how PAs and physicians work together.
Organization: American Academy of Physician Assistants
Date: 1/2010
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Tagged keywords: Care Coordination, National, Physician Assistants, Physicians
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Rhode Island's Pediatric Practice Enhancement Project: Parents Helping Parents and Practitioners
Document
Examines a medical home model administered by the Rhode Island Department of Health. Identifies key elements of a successful medical home, challenges Rhode Island faced, and lessons learned.
Organization: The Commonwealth Fund
Author: Silow-Carroll S
Date: 1/2010
view details
Tagged keywords: Care Coordination, Rhode Island
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Scott & White Healthcare: Opening Up and Embracing Change to Improve Performance
Document
Provides a case study of a physician-led nonprofit health care system in Texas. Covers information continuity, care coordination, accountability, innovation, and access to appropriate care.
Organization: The Commonwealth Fund
Author: McCarthy D, Mueller K
Date: 1/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, Texas
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Specialty Practice Issue Brief: PAs in Rheumatology
Document
Describes how physician assistants contribute to rheumatology practices. Includes a section on teamwork.
Organization: American Academy of Physician Assistants
Date: 1/2010
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Tagged keywords: Care Coordination, Geriatrics, National, Physician Assistants
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STFM Podcasts: Episode 9, Dr. William Miller
Audio
Contains an interview with Dr. William Miller on his experiences as an evaluator for the American Academy of Family Physicians National Demonstration project. Discusses the patient-centered medical home, family medicine, payment systems, and the implications for health care policies.
Organization: Society of Teachers of Family Medicine
Author: Miller W
Date: 1/2010
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Tagged keywords: Care Coordination, Compensation, Family Medicine Physicians, National, Pennsylvania, Physicians, Policy
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Teaching Primary Care in Community Health Centers: Addressing the Workforce Crisis for the Underserved
Document
Introduces a model of graduate medical education that would address the need for more primary care physicians for underserved areas and Medicaid patients.
Author: Rieselbach RE, Crouse BJ, Frohna JG
Location: Annals of Internal Medicine, 152(2), 118-22
Date: 1/2010
view details
Tagged keywords: Care Coordination, Federally Qualified Health Centers, Loan Repayment and Forgiveness, National, Physicians, Primary Care, Residency Programs
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Western Baptist Hospital: Problem-Solving with Pneumonia Care Performance Improvement Teams
Document
Offers a case study on how a hospital improved pneumonia care through proactive multidisciplinary teams. Outlines the process used.
Organization: The Commonwealth Fund
Author: Lashbrook A
Date: 1/2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, Hospitals, National
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Workforce 2015: Strategy Trumps Shortage
Document
Offers recommendations for hospitals to address health workforce challenges despite provider shortages. Identifies anticipated changes in health care delivery, including the increased use of teams, and trends in the workforce, such as the characteristics of the new generation of health care providers.
Organization: American Hospital Association
Date: 1/2010
view details
Tagged keywords: Care Coordination, Hospitals, National, Physicians, Recruitment and Retention, Supply and Demand, Trends and Emerging Issues
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Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units
Document
Additional Link: Summary
Examines teamwork-improvement initiatives in hospital labor and delivery units such as Team STEPPS and MedTeams. Addresses the conditions and actions that support teamwork. Analyzes how teamwork affects staff experiences and patient outcomes.
Organization: Rand Corporation
Author: Farley DO, Sorbero ME, Lovejoy SL, Salisbury M
Date: 2010
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Tagged keywords: Care Coordination, Education and Training, Health Care Quality, Hospitals
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Behavioral Health in the District of Columbia: Assessing Need and Evaluating the Public System of Care
Document
Additional Link: Summary
Examines the District of Columbia's public behavioral health system. Identifies gaps in care and care coordination issues. Provides recommendations based on priority areas.
Organizations: District of Columbia Department of Mental Health, Rand Corporation
Author: Gresenz CR, Blanchard JC, Timbie JW, Acosta J, Pollack CE, Ruder T, Saloner B, Benjamin-Johnson R, Weinick RM, Adamson DM, Hair B
Date: 2010
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Tagged keywords: Behavioral Health, Care Coordination, District of Columbia, Public Health
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Care Coordination: Case Managers Connect the Dots in New Delivery Models
Document
Highlights the roles of case managers in coordinating patient care. Includes examples of how they are used in medical homes, accountable care organizations, and chronic care models.
Organization: Commission for Case Manager Certification
Date: 2010
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Tagged keywords: Care Coordination, National, Patient Navigators
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Case Study: Aetna's Embedded Case Managers Seek to Strengthen Primary Care
Document
Highlights a program sponsored by Aetna that uses nurse case managers in primary care practices to help manage patients' conditions.
Organization: The Commonwealth Fund
Author: Hostetter M
Date: 2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, National, Nursing Occupations, Primary Care
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Center for Medicare and Medicaid Innovation
Web site
The Innovation Center web site is a platform for collaboration and information sharing as CMS develops new care and payment models. Areas of focus include coordinated care, quality of care, and community care models.
Organization: Centers for Medicare & Medicaid Services
Date: 2010
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, Health Care Quality, Medicare and Medicaid, National
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The Clinical Nurse Leader and Rural Hospital Safety and Quality
Document
Discusses how the Clinical Nurse Leader can help address quality and safety issues in rural hospitals.
Author: Jukkala A, Greenwood R, Ladner K, Hopkins L
Location: Online Journal of Rural Nursing and Health Care, 10(2), 38-44
Date: 2010
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Tagged keywords: Care Coordination, Health Administrators, Health Care Quality, Hospitals, National, Nursing Occupations, Rural
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Connecticut 2009 Primary Care Survey: Adoption of the Medical Home in Connecticut
Document
Additional Link: Executive Summary
Reports on adoption of key features of the medical home by primary care practices in Connecticut. Covers use of nurse managers and teams, open access scheduling, electronic medical records, and more. Identifies decreased wait times for practices using open access scheduling.
Organization: Connecticut State Medical Society
Author: Aseltine RH Jr, Katz MC, Geragosian AH
Location: Connecticut Medicine, 74(10), 601-7
Date: 2010
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Tagged keywords: Care Coordination, Connecticut, Health Care Access, Physicians, Primary Care
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Education & Training: Meeting the Needs of Older Adults
Document
Advocates for education and training of the geriatrics workforce to meet the unique needs of older adults and provide quality coordinated care.
Organization: Eldercare Workforce Alliance
Date: 2010
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Tagged keywords: Care Coordination, Education and Training, Geriatrics, National
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Enhancing the Continuum of Care: Integrating Behavioral Health and Primary Care through Affiliations with FQHCs
Document
Offers examples of requirements and recommendations that federally qualified health centers and community mental health centers should consider when creating affiliation agreements.
Organization: National Council for Community Behavioral Healthcare
Date: 2010
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Tagged keywords: Behavioral Health, Care Coordination, Federally Qualified Health Centers, National, Primary Care
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Evolving Models of Behavioral Health Integration in Primary Care
Document
Summarizes the evidence and state experiences in integrating behavioral health into primary care. Provides eight models of coordinating physical and mental health care. Discusses integrated care models, including medical homes.
Organization: Milbank Memorial Fund
Author: Collins C, Hewson DL, Munger R, Wade T
Date: 2010
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Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, National, Primary Care
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Federally Qualified Health Centers: A Medical Home Model That Works!
Document
Discusses how community health centers in New Jersey are adopting the medical home model. Includes a section addressing health workforce challenges on pages 8-9.
Organization: New Jersey Primary Care Association
Date: 2010
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Tagged keywords: Care Coordination, Federally Qualified Health Centers, New Jersey, Recruitment and Retention
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Framework for Action on Interprofessional Education and Collaborative Practice
Document
Provides policymakers with ideas on how to implement interprofessional education and collaborative practice. Reports on the current status of interprofessional education and identifies mechanisms that support collaborative teamwork.
Organization: World Health Organization
Date: 2010
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Tagged keywords: Care Coordination, International, Interprofessional Training and Education, Policy
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In Focus: Using Pharmacists, Social Workers, and Nurses to Improve the Reach and Quality of Primary Care
Document
Discusses how the use of teams can improve primary care capacity. Highlights the successful use of teams in several health care systems.
Organization: The Commonwealth Fund
Author: Klein S
Date: 2010
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Tagged keywords: Care Coordination, National, Nurse Practitioners, Nursing Occupations, Physicians, Primary Care
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Internists and Physician Assistants: Team-Based Primary Care
Document
Reports on the physician assistant workforce, education, licensure and certification, scope of practice, reimbursement, and roles in primary care and the medical home. Offers position statements.
Organizations: American Academy of Physician Assistants, American College of Physicians
Date: 2010
view details
Tagged keywords: Care Coordination, Compensation, Education and Training, General Internal Medicine Physicians, Licensure and Certification, National, Physician Assistants, Physicians, Primary Care, Scope of Practice, Supply and Demand
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Preparing the Adult Mental Health Workforce to Succeed in a Transformed System of Care
Curricula
Offers training modules for mental health care providers. Provides a description, slides, test, test answers, and references for each section. Includes a section on cultural and linguistic competence and one on coordinating care.
Organization: Delaware Division of Substance Abuse and Mental Health
Date: 2010
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Tagged keywords: Behavioral Health Occupations, Care Coordination, Cultural and Linguistic Competence, Delaware, Education and Training
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Principles of the Patient-Centered Medical Home and Preventive Services Delivery
Document
Examines whether patient-centered medical home principles increase preventative care in primary care offices. Supports an alternative model of primary care that decreases the burden on primary care physicians.
Author: Ferrante JM, Balasubramanian BA, Hudson SV, Crabtree BF
Location: Annals of Internal Medicine, 8(2), 108-16
Date: 2010
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Tagged keywords: Care Coordination, National, Physicians, Primary Care
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The Role of Human Factors in Home Health Care: Workshop Summary
Document
Provides a summary of the presentations and discussions from the Workshop on the Role of Human Factors in Home Health Care. Describes informal and formal caregiver characteristics and challenges in chapter 2. Discusses prevalence, roles and responsibilities of informal caregivers in chapter 7.
Author: National Research Council, Olson S
Date: 2010
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Tagged keywords: Care Coordination, Home Health Agencies, Home Health Aides and Home Care Aides, National, Nurse Practitioners, Nursing Occupations, Occupational Therapy Occupations, Physical Therapy Occupations, Physician Assistants, Physicians, Scope of Practice, Speech-Language Pathologists
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State Roles in Delivery System Reform
Document
Outlines opportunities for policymakers to lead health system reform efforts and the evidence supporting various initiatives. Addresses the health workforce in chapters on care coordination strategies, primary care, health care payment systems, health care quality, and more.
Organization: National Governors Association
Date: 2010
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Tagged keywords: Care Coordination, Compensation, Health Care Quality, National, Policy, Primary Care
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Using Evaluation to Enhance Educational Support for Dental Teams in the UK
Document
Reviews literature on continuing education and the role of evaluation. Analyzes five educational evaluations to identify best practices for improving educational support for the primary care dental team.
Author: Firmstone VR, Bullock AD, Jackson D, Manning R, Davies-Slowik J, Frame JW
Location: Journal of Dental Education, 74(8), 892-901
Date: 2010
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Continuing Education, Dental Occupations, Dentists, International, National
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Closing the Health Care Workforce Gap: Reforming Federal Health Care Workforce Policies to Meet the Needs of the 21st Century
Document
Discusses health workforce issues from a progressive perspective and offers policy recommendations to help balance the distribution, supply, and mix of health professionals needed to support the United States health care system. Supports the creation of a National Health Workforce Commission.
Organization: Center for American Progress
Author: Derksen DJ, Whelan E
Date: 12/2009
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Tagged keywords: Care Coordination, Compensation, Diversity, Health Reform, Medicare and Medicaid, National, Nurse Practitioners, Nursing Occupations, Physicians, Policy, Primary Care, Supply and Demand
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From Staff-Mix to Skill-Mix and Beyond: Towards a Systemic Approach to Health Workforce Management
Document
Reviews the literature on human resources management, with a focus on the optimization of the health workforce, which is one strategy for addressing shortages. Considers skill development and flexibility, collaboration, scope of practice, staffing ratios, compensation, and more.
Author: Dubois CA, Singh D
Location: Human Resources for Health, 7(87)
Date: 12/2009
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Tagged keywords: Care Coordination, International, National, Nursing Occupations, Physicians, Primary Care, Scope of Practice, Supply and Demand
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Interdependence of General Surgeons and Primary Care Physicians in Rural Communities
Document
Link: Abstract
Describes the interactions between primary care physicians and general surgeons in rural communities. Covers care coordination and scope of practice.
Author: Pathman DE, Ricketts TC 3rd
Location: Surgical Clinics of North America, 89(6), 1293-302, vii-viii
Date: 12/2009
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Tagged keywords: Care Coordination, Family Medicine Physicians, General Internal Medicine Physicians, General Pediatricians, General Surgeons, National, Physicians, Primary Care, Rural, Scope of Practice
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Primary Care and Accountable Care — Two Essential Elements of Delivery-System Reform
Document
Compares the patient-centered medical home and the accountable care organization and identifies elements important for their success.
Author: Rittenhouse DR, Shortell SM, Fisher ES
Location: New England Journal of Medicine, 361(24), 2301-03
Date: 12/2009
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Tagged keywords: Care Coordination, National, Policy, Primary Care
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Public Mental Health Care in Louisiana: An Analysis of Louisiana's Fragmented System of Care and Options for Reform
Document
Provides an overview of Louisiana's public behavioral health system. Supports the integration of primary care and behavioral health services, patient-centered medical homes, and payment reforms to increase access to behavioral health care in the state. Highlights the Capital Area Human Services District (CAHSD) program as a model to replicate in other parts of the state.
Organization: Public Affairs Research Council of Louisiana
Date: 12/2009
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Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, Louisiana, Medicare and Medicaid, Policy, Primary Care
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Research Insights: Medical Homes and Accountable Care Organizations: If We Build It, Will they Come?
Document
Highlights the challenges likely to develop as medical homes and accountable care organizations emerge in the care delivery landscape. Discusses solutions to resolve those challenges.
Organization: AcademyHealth
Date: 11/2009
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Tagged keywords: Care Coordination, National, Primary Care
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Aspects of the Patient-Centered Medical Home Currently in Place: Initial Findings From Preparing the Personal Physician for Practice
Document
Examines residency programs that are part of the Preparing the Personal Physicians for Practice (P4) program to determine how many features of the Patient-Centered Medical Home (PCMH) they have established.
Author: Carney PA, Eiff MP, Saultz JW, Douglass AB, Tillotson CJ, Crane SD, Jones SM, Green LA
Location: Family Medicine, 41(9), 632-9
Date: 10/2009
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Tagged keywords: Care Coordination, Family Medicine Physicians, National, Physicians, Residency Programs
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Incremental Cost Estimates for the Patient-Centered Medical Home
Document
Additional Link: Executive Summary
Analyzes the costs involved with creating and running a medical home.
Organization: The Commonwealth Fund
Author: Zuckerman S, Merrell K, Bereson R, Gans DN, Underwood WS
Date: 10/2009
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Tagged keywords: Care Coordination, National, Primary Care
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Partners in Health: Primary Care / County Mental Health Collaboration Tool Kit
Document
Offers a tool kit for mental health agencies, primary care clinics, and substance abuse programs to help them coordinate care. Includes information, sample agreements, forms, evaluation and screening instruments, and resources.
Organizations: National Council for Community Behavioral Healthcare, The California Endowment
Author: Lurie BD
Date: 10/2009
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Tagged keywords: Behavioral Health, Care Coordination, Clinics, National, Primary Care
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State Strategies for Care Coordination, Case Management, and Linkages for Young Children: A Scan of State Medicaid, Title V, and Part C Agencies
Document
Reports on a scan of state programs intended to link primary care practices, family and child service providers, and state systems. Summarizes initiatives that could improve care coordination for children.
Organizations: National Academy for State Health Policy, The Commonwealth Fund
Author: Purington K
Date: 10/2009
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Tagged keywords: Care Coordination, Health Care Quality, Medicare and Medicaid, National, Policy, Primary Care
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Building the Medical Home
Document
Discusses primary care shortages, the medical home concept, and how they relate to hospitals.
Author: Huff C
Location: Hospitals & Health Networks, 83(9), 25-7, 1
Date: 9/2009
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Tagged keywords: Care Coordination, Hospitals, National, Physicians, Primary Care
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Enhanced Medical Home for Medi-Cal's SPD Population
Document
Reviews possible medical home models for people with chronic illnesses and disabilities in California's Medi-Cal program. Reports on stakeholder interviews and lessons from other state-operated programs.
Organizations: California Healthcare Foundation, Center for Health Care Strategies
Author: Somers SA, Bella M, Lind AR
Date: 9/2009
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Tagged keywords: California, Care Coordination, Primary Care
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Enhanced Primary Care Case Management Programs in Medicaid: Issues and Options for States
Document
Additional Link: Report Overview
Examines how five state Medicaid programs have used primary care case management (PCCM) programs to improve care coordination and management of chronic illnesses. Addresses staffing and care coordination.
Organization: Center for Health Care Strategies
Author: Verdier JM, Byrd V, Stone C, Mathematica Policy Research
Date: 9/2009
view details
Tagged keywords: Arkansas, Care Coordination, Indiana, Medicare and Medicaid, North Carolina, Oklahoma, Pennsylvania, Primary Care
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The Grandparents Corps: A New Primary Care Model
Document
Offers a perspective on how retirees can train as community health workers for federally qualified health centers to improve health care access and free up nurses' and physicians' time.
Author: Garson A
Location: Health Affairs Blog
Date: 9/2009
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Tagged keywords: Care Coordination, Community Health Workers, Federally Qualified Health Centers, Health Care Access, National, Primary Care
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Controlling Health Care Spending in Massachusetts: An Analysis of Options
Document
Additional Link: Research Highlights
Models policy options to determine how much they might reduce health care costs in Massachusetts. Examines bundled payments, adoption of health information technology, expanding NP and PA scope of practice, medical homes, pay-for-performance, non-economics damage caps, and more.
Organizations: Massachusetts Office of Health and Human Services, Rand Corporation
Author: Eibner CE, Hussey PS, Ridgely MS, McGlynn EA
Date: 8/2009
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Tagged keywords: Care Coordination, Compensation, Malpractice Insurance, Massachusetts, Nurse Practitioners, Physician Assistants, Physicians, Policy, Scope of Practice
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Measuring Collaboration and Integration Activities in Criminal Justice and Substance Abuse Treatment Agencies
Document
Link: Abstract
Examines collaboration between substance abuse treatment providers, correctional agencies, and the judiciary for drug-involved offenders.
Author: Fletcher B, Lehman W, Wexler H, Melnick G, Taxman F, Young D
Location: Drug and Alcohol Dependence, 103 Suppl 1, S54-S64
Date: 8/2009
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Tagged keywords: Behavioral Health, Care Coordination, National, Substance Abuse and Behavioral Disorder Counselors
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The Outcomes of Implementing Patient-Centered Medical Home Interventions: A Review of the Evidence on Quality, Access and Costs from Recent Prospective Evaluation Studies
Document
Summarizes key findings from recent Patient-Centered Medical Home evaluation studies, which investigated PCMH models. Addresses workforce investments and the impact on staff.
Organization: George Washington University School of Public Health and Health Services
Author: Grumbach K, Bodenheimer T, Grundy P
Date: 8/2009
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Tagged keywords: Care Coordination, Health Care Access, Health Care Quality, National
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Strategies to Support the Integration of Mental Health into Pediatric Primary Care
Document
Highlights how frequently primary care providers manage mental health issues. Discusses strategies for coordinating children's mental health care in the primary care setting. Identifies policies that can support mental health integration.
Organization: National Institute for Health Care Management Foundation
Date: 8/2009
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Tagged keywords: Behavioral Health, Care Coordination, General Pediatricians, National, Physicians, Policy, Primary Care
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Maine Barriers to Integration Study: The View from Maine on the Barriers to Integrated Care and Recommendations for Moving Forward
Document
Identifies barriers to the integration of health care services in Maine. Reports on interviews with stakeholders on how those barriers can be overcome. Summarizes the findings and recommendations.
Organization: Maine Health Access Foundation
Author: Gale JA, Lambert D
Date: 7/2009
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Tagged keywords: Behavioral Health, Care Coordination, Maine, Primary Care
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Pharmacists’ Contributions to Primary Care in the U.S. — Collaborating to Address Unmet Patient Care Needs: The Emerging Role for Pharmacists to Address the Shortage of Primary Care Providers
Document
Discusses how pharmacists can address the growing primary care medication management needs by being part of the primary care team. Provides examples of care models. Identifies regulatory barriers for pharmacists.
Organization: American Association of Colleges of Pharmacy
Author: Manolakis PG, Skelton JB
Date: 7/2009
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Tagged keywords: Best Practices and Model Programs, Care Coordination, National, Pharmacists, Pharmacy Occupations, Primary Care, Scope of Practice, Supply and Demand
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Recommendations of the Special Commission on the Health Care Payment System
Document
Compares various health care payment methods, such as fee-for-service and episode-based payment. Addresses the impact on demand and interest in primary care. Provides recommendations for how to reform Massachusetts' payment system.
Organization: Massachusetts Department of Public Health
Author: Special Commission on the Health Care Payment System
Date: 7/2009
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Tagged keywords: Care Coordination, Compensation, Health Care Quality, Health Reform, Massachusetts, Physicians, Policy, Primary Care
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The National Advisory Committee on Rural Health & Human Services, Meeting Minutes - June 9-11, 2009
Document
Provides minutes from the NACRHHS, which provides recommendations on rural health and human services issues to the Secretary of the Department of Health and Human Services. Covers the following topics: rural primary care provider workforce, home and community based care for rural seniors, and health care provider integration.
Organization: National Advisory Committee on Rural Health and Human Services
Date: 6/2009
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Tagged keywords: Care Coordination, National, Policy, Primary Care, Rural
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The Role of Federally Qualified Health Centers in State-Led Medical Home Collaboratives
Document
Reports on several state pilot chronic care coordination, medical home initiatives that support the primary care workforce. Describes opportunities for federally qualified health centers and other who may want to engage in similar state-led efforts in their states.
Organization: National Academy for State Health Policy
Author: Takach M
Date: 6/2009
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Tagged keywords: Care Coordination, Federally Qualified Health Centers, Pennsylvania, Rhode Island, Vermont
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Building Primary Care Medical Homes within the Community Care of North Carolina Program
Document
Highlights Community Care of North Carolina (CCNC), a statewide partnership between primary care physicians and the North Carolina Medicaid program, and their success with the medical home concept.
Author: Willson C
Location: North Carolina Medical Journal, 70(3), 231-236
Date: 5/2009
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Tagged keywords: Care Coordination, National, North Carolina, Physicians, Primary Care
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Findings from the 16th Princeton Conference, Sponsored by the Council on Health Care Economics and Policy, May 20-21, 2009: How Will We Meet the Health Service Needs of an Aging America?
Document
Summarizes findings from the 16th Princeton Conference, May 2009, on health care for the aging population. Covers workforce supply and demand, innovative models of care including team-based care and the use of technology, comparisons to other countries' care models, and diversity of the workforce. Offers recommended solutions.
Organization: Council on Health Care Economics and Policy
Author: Sussman J, Altman S,
Date: 5/2009
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Cultural and Linguistic Competence, Geriatrics, Health Aides, Assistants and Guides, Home Health Aides and Home Care Aides, National, Nurse Practitioners, Nursing Occupations, Physicians, Supply and Demand
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Making Care Coordination a Critical Component of the Pediatric Health System: A Multidisciplinary Framework
Document
Offers a framework for coordinating pediatric health care and defines care coordination.
Organization: The Commonwealth Fund
Author: Antonelli RC, McAllister JW, Popp J
Date: 5/2009
view details
Tagged keywords: Care Coordination, Health Care Quality, Interprofessional Training and Education, National, Primary Care
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Medical Homes Information Guide
Document
Provides information on rural medical homes.
Organization: Rural Assistance Center
Author: Madler A
Date: 5/2009
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Tagged keywords: Care Coordination, National, Rural
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Behavioral Health / Primary Care Integration and the Person-Centered Healthcare Home
Document
Examines the patient-centered medical home as it relates to people with serious mental illnesses. Discusses the importance of integrating behavioral health and primary care in order to address mental health disparities.
Organization: National Council for Community Behavioral Healthcare
Date: 4/2009
view details
Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, Interprofessional Training and Education, National, Primary Care
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Improving Care Coordination, Case Management, and Linkages to Service for Young Children: Opportunities for States
Document
Discusses how states can improve primary care coordination for children. Identifies five main barriers and offers strategies states can use to overcome them.
Organization: The Commonwealth Fund
Author: Johnson K, Rosenthal J
Date: 4/2009
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Tagged keywords: Care Coordination, National, Primary Care
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Reforming Physician Payments to Achieve Greater Value in Health Care Spending: A Position Paper of the American College of Physicians
Document
Analyzes the primary care payment system. Discusses the gap between primary care and specialty compensation and its affect on physician specialty choice on pages 18-25. Addresses the patient-centered medical home.
Organization: American College of Physicians
Date: 4/2009
view details
Tagged keywords: Care Coordination, Compensation, Medicare and Medicaid, National, Physicians, Policy, Primary Care, Recruitment and Retention, Specialty Choice
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Beyond 50.09 Chronic Care: A Call to Action for Health Reform
Document
Discusses chronic illness from the consumer perspective as well as barriers in health care. Addresses workforce issues like communication between providers, transitional care, and compensation. Ninth volume of the Beyond 50 series.
Organization: AARP Public Policy Institute
Date: 3/2009
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Tagged keywords: Care Coordination, Health Care Quality, Health Reform, National, Policy
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CARE Vital Signs Supports Patient-Centered, Collaborative Care
Document
Additional Link: Abstract
Offers a method to screen patients to improve care efficiency and quality. Provides suggestions for how to implement the program and sample tools, including a patient self-assessment for geriatric care.
Organization: The Commonwealth Fund
Author: Wasson JH, Bartels S
Location: Journal of Ambulatory Care Management, 32(1), 56–71
Date: 3/2009
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Tagged keywords: Care Coordination, Geriatrics, National
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Child and Adolescent Psychiatry for the Future: Challenges and Opportunities
Document
Link: Abstract
Examines challenges facing the field of child and adolescent psychiatry, including recruitment challenges, scope of practice, training, and more. Highlights the importance of collaborating with other health care practitioners.
Author: McCarthy M, Abenojar J, Anders TF
Location: Psychiatric Clinics of North America,;32(1), 213-26
Date: 3/2009
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Tagged keywords: Care Coordination, National, Psychiatrists, Scope of Practice, Trends and Emerging Issues
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Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration
Document
Identifies key issues for pediatricians and psychiatrists related to improving access to mental health services for children and adolescents. Highlights the increase in primary care physicians seeing people with mental health needs, the shortage of child and adolescent psychiatrists, and care coordination.
Organizations: American Academy of Child and Adolescent Psychiatry, American Academy of Pediatrics
Date: 3/2009
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Tagged keywords: Behavioral Health, Care Coordination, General Pediatricians, Health Care Access, National, Physicians, Policy, Primary Care, Psychiatrists
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Promoting Patient Safety: The Culture and Team STEPPS in the Hospital
Video or multimedia
Offers a presentation by Dr. James Battles about how to promote patient safety in a hospital. Highlights the Team STEPPS program.
Organization: Long Island Geriatric Education Center
Author: Battles JB
Date: 3/2009
view details
Tagged keywords: Care Coordination, Health Care Quality, Hospitals, National
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Promoting Patient Safety: The Culture and Team Work in the Nursing Home
Video or multimedia
Offers a presentation by Dr. James Battles on how to promote patient safety in the nursing home.
Organization: Long Island Geriatric Education Center
Author: Battles JB
Date: 3/2009
view details
Tagged keywords: Care Coordination, Health Care Quality, National
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Reforming Provider Payment: Essential Building Block for Health Reform
Document
Examines the Commonwealth Fund Commission's payment reform recommendations that seek to support primary care, improve care coordination, and make primary care a more attractive choice for physicians, partially through an increase in Medicaid payments.
Organization: The Commonwealth Fund
Author: Guterman S, Davis K, Schoen C, Stremikis K
Date: 3/2009
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Tagged keywords: Care Coordination, Health Reform, Medicare and Medicaid, National, Physicians, Policy, Primary Care
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The National Advisory Committee on Rural Health & Human Services, Meeting Minutes - February 18-20, 2009
Document
Provides meeting minutes from the National Advisory Committee on Rural Health and Human Services. Covers the following topics: health care provider integration, health workforce, and home-based care for seniors.
Organization: National Advisory Committee on Rural Health and Human Services
Date: 2/2009
view details
Tagged keywords: Care Coordination, National, Policy, Rural
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Workforce Development in Geriatric Home Care
Document
Link: Abstract
Discusses workforce development for home care workers, including nurses, therapists, pharmacists, and physicians. Highlights the need for geriatric education, increased compensation including loan repayment programs for geriatric care, and care coordination.
Author: Hayashi J, DeCherrie L, Ratner E, Boling PA
Location: Clinics in Geriatric Medicine, 25(1), 109-20, vii
Date: 2/2009
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Tagged keywords: Care Coordination, Compensation, Geriatrics, Home Health Aides and Home Care Aides, National, Nursing Occupations, Physical Therapy Occupations, Physician Assistants, Physicians
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Health Workforce Shortage Study Report: Report to the Minnesota Legislature 2009
Document
Provides an overview of Minnesota's primary care workforce. Discusses health care homes and primary care. Compares the state's licensing and regulatory environment to other states and nationally.
Organization: Minnesota Office of Rural Health and Primary Care
Date: 1/2009
view details
Tagged keywords: Care Coordination, Certified Registered Nurse Anesthetists, Clinical Nurse Specialists, Midwives, Minnesota, Nursing Occupations, Pharmacists, Physician Assistants, Physicians, Primary Care, Registered Nurses, Scope of Practice, Supply and Demand
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Rural Health Care: New Delivery Model Recommendations
Document
Provides recommendations pertaining to health care homes
in rural Minnesota, and those relating to rural health care delivery coordination and systems integration.
Organizations: Minnesota Department of Health, Minnesota Office of Rural Health and Primary Care
Date: 1/2009
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Minnesota
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Confronting the Growing Burden of Chronic Disease: Can the U.S. Health Care Workforce Do the Job?
Document
Additional Link: Abstract
Supports an interdisciplinary primary care workforce to prepare for the increase in chronic disease.
Author: Bodenheimer T, Chen E, Bennett HD
Location: Health Affairs, 28(1), 64-74
Date: 2009
view details
Tagged keywords: Care Coordination, Community Health Workers, National, Nurse Practitioners, Pharmacists, Physician Assistants, Physicians, Primary Care, Public Health, Registered Nurses
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Effective Interventions to Reduce Rehospitalizations: A Compendium of 15 Promising Interventions
Document
Highlights 15 programs that are using approaches to reduce rehospitalizations including improving discharge planning and transition; improving care coordination; and enhancing education and support for patient self-management using nurses or case managers.
Organizations: Institute for Healthcare Improvement, The Commonwealth Fund
Author: Boutwell A, Griffin F, Hwu S, Shannon D
Date: 2009
view details
Tagged keywords: Care Coordination, Education and Training, Health Aides, Assistants and Guides, Health Care Quality, Hospitals, National, Nursing Occupations
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From the Field: Examples of Primary Care and Behavioral Healthcare Integration
Document
Presents case studies of behavioral health and primary care integration. Includes descriptions and contact information.
Organization: National Council for Community Behavioral Healthcare
Date: 2009
view details
Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, National, Primary Care
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A Medical Home for Children with Special Health Care Needs in Rural Locations
Document
Explores ways to ensure that rural children with special health care needs have access to a medical home.
Author: McClune A
Location: Online Journal of Rural Nursing and Health Care, 9(2) 41-47
Date: 2009
view details
Tagged keywords: Care Coordination, Health Care Access, National, Rural
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Models of Accountable, Coordinated Health Care: A Policy Paper of the National Academies of Practice
Document
Discusses what a coordinated health care system is, why it is needed, how to afford it, and evidence of impact. Highlights The Chronic Care Model, The Medical Home Model, The Home-Based Primary Care Model, and The Community-Based Model.
Organization: National Academies of Practice
Date: 2009
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, National
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Reimbursement and Workforce Issues Hamper Medical Home Implementation
Document
Addresses issues facing medical homes such as the declining number of primary care providers available to coordinate the patient's care and the lower-level reimbursements to primary care providers.
Date: 2009
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Tagged keywords: Care Coordination, Compensation, National, Primary Care
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Strengthening Physician-Nurse Partnerships to Improve Quality and Patient Safety
Document
Highlights a teamwork pilot project at Pennsylvania Hospital that improved patient safety, health care quality, physician-nurse collaboration, and job satisfaction.
Organization: American College of Physician Executives
Author: Buckley M, Laursen J, Otarola V
Date: 2009
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Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, Hospitals, Nursing Occupations, Pennsylvania, Physicians
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7th Annual Report to the Secretary DHHS and to Congress: Coming Home: The Patient-Centered Medical-Dental Home in Primary Care Training
Document
Provides recommendations regarding the Patient-Centered Medical and Dental Home (PCM-DH) to serve as this new primary care practice environment. Defines the key role that Title VII, section 747 must play in its development and implementation.
Organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
Date: 12/2008
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Tagged keywords: Care Coordination, Dentists, Education and Training, Interprofessional Training and Education, National, Physicians, Policy, Primary Care
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Connecting Body and Mind: A Resource Guide to Integrated Health Care in Texas and the United States
Document
Discusses the integration of primary care and behavioral health treatment. Addresses the barriers to coordination of care between providers. Highlights the challenges and successes with care integration in Texas.
Organization: Hogg Foundation for Mental Health
Author: Lopez M, Coleman-Beattie B, Jahnke L, Sanchez K,
Date: 12/2008
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, Physicians, Primary Care, Psychiatrists, Texas
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Recommendations for Improving Access to Pediatric Subspecialty Care through the Medical Home
Document
Identifies five main causes of inadequate access to pediatric subspecialty care and proposes goals and action steps based on the recommendations of an expert work group on how to increase access through the medical home.
Organization: HRSA Maternal and Child Health Bureau
Date: 12/2008
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Tagged keywords: Care Coordination, Health Care Access, National, Physicians
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The Schism Between Medical and Public Health Education: A Historical Perspective
Document
Link: Abstract
Reviews the history of public health and medical education. Identifies attempts to integrate their curriculum, including the University of Wisconsin School of Medicine and Public Health. Supports integration efforts to improve health care quality.
Author: Ruis AR, Golden RN
Location: Academic Medicine, 83(12), 1153-7
Date: 12/2008
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Tagged keywords: Care Coordination, Education and Training, Interprofessional Training and Education, Physicians, Public Health, Wisconsin
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School Mental Health Services for the 21st Century: Lessons from the District of Columbia School Mental Health Program
Document
Examines school mental health programs in the District of Columbia and recommends best practices, especially for strengthening school and community mental health care coordination. Identifies the schools in the District with mental health professionals and compares staff requirements in appendixes c and d.
Organization: District of Columbia Department of Mental Health
Author: Price OA, Lear JG
Date: 12/2008
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Tagged keywords: Behavioral Health, Behavioral Health Occupations, Best Practices and Model Programs, Care Coordination, District of Columbia
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Advisory Committee on Training in Primary Care Medicine and Dentistry Minutes of Meeting - November 17-18, 2008
Document
Provides committee meeting minutes. Addresses chronic care, physician assistant trends, pediatric residency redesign, a supply and demand model, the patient-centered medical-dental home, and Title VII, section 747. Discusses recommendations for the 7th and 8th annual reports.
Organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
Date: 11/2008
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Tagged keywords: Care Coordination, Dentists, General Pediatricians, National, Physician Assistants, Policy, Primary Care, Residency Programs
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The Impact of Title VII on General and Pediatric Dental Education and Training
Document
Link: Abstract
Discusses the history of Title VII, section 747 as related to dentistry, and the history of dental education, highlighting its differences from medical education. Assesses the impact of Title VII on the growth of dental training capacity, diversity in dentistry, care for underserved populations, and interdisciplinary collaboration. Advocates for an expansion of Title VII to include dental student education and faculty development.
Author: Ng MW, Glassman P, Crall J
Location: Academic Medicine, 83(11):1039-48
Date: 11/2008
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Tagged keywords: Care Coordination, Dental Occupations, Diversity, Education and Training, Interprofessional Training and Education, National
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Integration of Mental Health/Substance Abuse and Primary Care
Document
Describes how mental health services can be integrated into primary care, barriers, and use of reimbursement structures and health information technology.
Organization: Agency for Healthcare Research and Quality
Author: Butler M, Kane RL, McAlpine D, Kathol, RG, Fu SS, Hagedorn H, Wilt TJ
Date: 10/2008
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Tagged keywords: Behavioral Health, Care Coordination, Interprofessional Training and Education, National, Primary Care
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Maine Barriers to Integration Study: Environmental Scan
Document
Reports on an environmental scan of barriers to integrating health care services in Maine. Reviews the literature, analyzes various approaches to care integration, and examines integration initiatives in other states. Addresses reimbursement.
Organization: Maine Health Access Foundation
Author: Gale JA, Lambert D
Date: 10/2008
view details
Tagged keywords: Behavioral Health, Care Coordination, Compensation, Maine, Minnesota, Primary Care
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The National Accreditation Program for Breast Centers: Quality Improvement through Interdisciplinary Evaluation and Management
Document
Introduces the National Accreditation Program for Breast Centers and discusses how multidisciplinary breast centers improve care coordination and care for breast cancer.
Author: Winchester DP, Kaufman C, Anderson B, El-Tamer M, Kurtzman SH, Masood S, Kim P
Location: Bulletin of the American College of Surgeons, 93(10), 13-7
Date: 10/2008
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Tagged keywords: Care Coordination, Health Care Quality, National
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Enhancing Health Care for Rural Populations through Interdisciplinary Training and Quality Improvement
Document
Addresses the health workforce training and practice implications of rural health care trends. Highlights the importance of quality improvement and interdisciplinary team care. Part of the Advisory Committee's Eighth Annual Report.
Organization: Advisory Committee on Interdisciplinary Community-Based Linkages
Author: Wakefield MK, Moulton P
Date: 9/2008
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Tagged keywords: Care Coordination, Health Care Quality, Interprofessional Training and Education, National, Rural
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A Process and Outcome Evaluation of Two Integrated Behavioral Health Care Models: People’s Community Clinic and Lone Star Circle of Care, Year-Two Report
Document
Describes two behavioral health care programs that coordinate mental health services with primary care providers.
Organization: St. David's Community Health Foundation
Author: Watt T
Date: 8/2008
view details
Tagged keywords: Behavioral Health, Care Coordination, Clinics, Primary Care, Texas
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Mayor's Task Force on Improving Access to Primary Care in Boston: Final Report
Document
Offers specific recommendations, examples, and a timeframe for improving access to primary care in Boston. Supports the use of non-physician clinicians, reducing chronic disease, financial incentives to recruit people into primary care and to support initiatives like care coordination, and establishing a primary care task force to monitor and improve access.
Date: 7/2008
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Tagged keywords: Care Coordination, Compensation, Health Care Access, Massachusetts, Nurse Practitioners, Physician Assistants, Physicians, Primary Care, Recruitment and Retention
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Will Patients Find Diversity in the Medical Home?
Document
Suggests policies for increasing physician diversity. Includes a chart showing the percentage of minority medical students that chose primary care instead of other specialties from 1999 to 2004.
Organization: Robert Graham Center
Author: Turner EJ, Bazemore AW, Phillips RL Jr, Green LA
Location: American Family Physician, 78(2):183
Date: 7/2008
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Tagged keywords: Care Coordination, Diversity, National, Physicians, Policy, Specialty Choice
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Promoting the Use of Primary Care
Document
Supports a review of the relative value of physician services, changes to Medicare payments for primary care services, and a Medicare medical home pilot program in a report to Congress.
Organization: Medicare Payment Advisory Commission
Date: 6/2008
view details
Tagged keywords: Care Coordination, Compensation, Medicare and Medicaid, National, Physicians, Policy, Primary Care
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Advisory Committee on Training in Primary Care Medicine and Dentistry Minutes of Meeting – May 7-8, 2008
Document
Provides committee meeting minutes. Summarizes discussions on the meetings 7th annual report regarding the medical/dental home. Addresses Title VII, section 747, primary care shortages, and the need to redesign primary care.
Organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
Date: 5/2008
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Tagged keywords: Care Coordination, Dentists, National, Policy, Primary Care
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Patient Safety and Quality: An Evidence-Based Handbook for Nurses
Document
Addresses the role of nurses in improving the safety and quality of patient care. Covers staffing in chapter 25, burnout in chapter 26, workload in chapter 30, communication and team collaboration in chapter 33, advanced practice registered nurses in chapter 43, and nursing education through patient simulation in chapter 51.
Organization: Agency for Healthcare Research and Quality
Date: 4/2008
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Tagged keywords: Care Coordination, Health Care Quality, National, Nursing Occupations, Recruitment and Retention, Registered Nurses, Supply and Demand, Technology in Education and Training
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Emergency Medicine Services: Interprofessional Care Trends
Document
Link: Abstract
Analyzes how physicians, nurse practitioners, and physician assistants share emergency room visits. Highlights the need for workforce planning to address increasing demand for emergency medicine and physician shortages.
Author: Hooker RS, Cipher DJ, Cawley JF, Herrmann D, Melson J
Location: Journal of Interprofessional Care, 22(2), 167-78
Date: 3/2008
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Tagged keywords: Care Coordination, Hospitals, National, Nurse Practitioners, Physician Assistants, Physicians, Supply and Demand
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What is a Medical Home?
Document
Describes the medical home as a model of delivering primary care that is accessible, continuous, comprehensive, family-centered, coordinated, compassionate, and culturally effective.
Organization: American Academy of Pediatrics
Date: 3/2008
view details
Tagged keywords: Care Coordination, National
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The Influence of Teamwork Culture on Physician and Nurse Resignation Rates in Hospitals
Document
Link: Abstract
Examines whether teamwork culture affects employee turnover.
Author: Mohr DC, Burgess JF Jr, Young GJ
Location: Health Services Management Research, 21(1), 23-31
Date: 2/2008
view details
Tagged keywords: Care Coordination, Hospitals, National, Nursing Occupations, Physicians, Recruitment and Retention
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Compendium of Primary Care and Mental Health Integration Activities across Various Participating Federal Agencies
Document
Briefly describes integrated care initiatives for primary care and behavioral health care funded by federal agencies. Includes contact information.
Date: 1/2008
view details
Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, National, Primary Care
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An Innovative Approach to Student Internships on American Indian Reservations
Document
Link: Abstract
Discusses the benefits of Project CRISTAL (Collaborative Rural Interdisciplinary Service Training and Learning), where students work on an American Indian reservation to increase access to health care and cultural competency. Overviews health professional shortages, the lack of diversity in health careers, the benefits of an interprofessional team, and community-academic collaboration.
Author: Amundson ML, Moulton PL, Zimmerman SS, Johnson BJ
Location: Journal of Interprofessional Care, 22(1), 93–101
Date: 1/2008
view details
Tagged keywords: Care Coordination, Cultural and Linguistic Competence, Education and Training, Health Care Access, Interprofessional Training and Education, North Dakota
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Third Report to Congress on the Evaluation of the Medicare Coordinated Care Demonstration
Document
Gathers findings from more than four years of the demonstration programs’ operations, and provides estimates on the effectiveness of care coordination interventions in a Medicare fee-for-service setting.
Organization: Mathematica Policy Research
Author: Peikes D, Brown R, Chen A, Schore J
Date: 1/2008
view details
Tagged keywords: Care Coordination, National
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15-Site Randomized Trial of Coordinated Care in Medicare FFS
Document
Discusses the results of a study which randomly assigned Medicare fee-for-service beneficiaries who had chronic illnesses and volunteered to participate in 15 care coordination programs to treatment or control status.
Author: Brown R, Peikes D, Chen A, Schore J
Location: Health Care Financing Review, 30(1), Document PP08-73
Date: 2008
view details
Tagged keywords: Care Coordination, National
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Medical Family Therapy: A Model for Addressing Mental Health Disparities Among Latinos
Document
Discusses the unmet needs of Latinos with a focus on mental health care. Suggests use of medical family therapy.
Organization: American Psychological Association
Author: Willerton E, Dankoski M, Sevilla Martir JF
Location: Families, Systems, & Health, 26(2), 196-206
Date: 2008
view details
Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, Cultural and Linguistic Competence, Health Care Access, Marriage and Family Therapists, National
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The Medical Home: Disruptive Innovation for a New Primary Care Model
Document
Examines medical home models, costs, and implications for primary care physicians.
Organization: Deloitte Center for Health Solutions
Date: 2008
view details
Tagged keywords: Care Coordination, National, Primary Care
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Proof in Practice: A Compilation of Patient Centered Medical Home Pilot and Demonstration Projects
Document
Offers a state-by-state guide to medical home pilots with contact information for each program. Includes related documents, such as National Committee for Quality Assurance (NCQA) scoring criteria, the demonstration/pilot program guidelines, and PCMH outcomes for particular programs such as quality improvements and savings.
Organization: Patient-Centered Primary Care Collaborative
Date: 2008
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Quality, National
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Transitions of Care Measures: Paper by the NTOCC Measures Work Group, 2008
Document
Discusses the need for transitions of care coordination measures on structure, process, outcomes, definition, and conceptual models.
Organization: National Transitions of Care Coalition
Date: 2008
view details
Tagged keywords: Care Coordination, National
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Advisory Committee on Training in Primary Care Medicine and Dentistry Minutes of Meeting – September 6-7, 2007
Document
Provides committee meeting minutes. Summarizes speeches on primary care as a medical/dental home and the implications for training. Addresses the committee's 7th annual report.
Organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
Date: 12/2007
view details
Tagged keywords: Care Coordination, Dentists, Education and Training, Interprofessional Training and Education, National, Policy, Primary Care
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The Medical Home Model of Primary Care: Implications for the Healthy Oregon Act
Document
Describes a new model of primary care in order to increase access to health care. Overviews the primary care workforce shortage in Oregon. Includes maps of Oregon's Health Professional Shortage Areas and Medically Underserved Areas and Populations.
Date: 12/2007
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Tagged keywords: Care Coordination, Oregon, Primary Care
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Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies, Volume 7 - Care Coordination
Document
Defines care coordination, reviews literature, identifies theoretical frameworks and their influence in the health care setting, and indentifies programs in the private and public sector.
Organizations: Agency for Healthcare Research and Quality, Stanford University
Author: Shojania K, McDonald K, Wachter R, Owens D, Sundaram V, Bravata D, Lewis R, Lin N, Kraft S, McKinnon M, Paguntalan H
Date: 6/2007
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Tagged keywords: Care Coordination, Health Care Quality, National
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A Critical Analysis of Care Coordination Strategies for Children With Special Health Care Needs
Document
Examines care coordination for children with special health care needs (CSHCN), particularly those aspects that are of greatest importance to current practice and policy challenges.
Organization: Agency for Healthcare Research and Quality
Author: Wise P, Huffman L, Brat G
Date: 6/2007
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Tagged keywords: Care Coordination, Health Care Quality, National
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The Evaluation of the Medicare Coordinated Care Demonstration: Findings for the First Two Years
Document
Details findings from 15 programs during the first two years of Mathematica’s study. Findings include program-specific estimates of impacts on survey-based measures of patients’ health status, knowledge, behavior, satisfaction with their health care, quality of care, and quality of life; and claims-based measures of patients’ Medicare service use and expenditures, and the quality of care received.
Organization: Mathematica Policy Research
Author: Brown R, Peikes D, Chen A, Ng J, Schore J, Soh C
Date: 3/2007
view details
Tagged keywords: Care Coordination, National
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The Role of Patient Care Teams in Chronic Disease Management
Document
Reviews the literature on the patient care team. Discusses team composition for effective management of chronic diseases. From a series of papers presented at the 10th International Medical Workforce Collaborative.
Author: Wagner EH
Date: 3/2007
view details
Tagged keywords: Care Coordination, Community Health Workers, National, Nursing Occupations, Pharmacists, Physicians, Registered Nurses, Social Workers
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Blueprint for Change: A Comprehensive Model for the Identification and Treatment of Youth with Mental Health Needs in Contact with the Juvenile Justice System
Document
Provides a mental health care model for youth in the juvenile justice system. Identifies the need for care coordination, cross-training, and access to mental health services.
Organization: National Center for Mental Health and Juvenile Justice
Author: Skowyra KR, Cocozza JJ
Date: 2007
view details
Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, National
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Patient Safety through Teamwork and Communication Toolkit
Web site
Offers a toolkit to help health care providers and organizations improve patient safety and team communication. Provides teaching resources, education concepts, and communication tools.
Organization: Agency for Healthcare Research and Quality
Author: Denver Health Medical Center
Date: 2007
view details
Tagged keywords: Care Coordination, Education and Training, Health Care Quality, National
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Proposed Redesign of West Virginia's Behavioral Health Service System: Final Report
Document
Reviews West Virginia's behavioral health system, discusses its strengths and weaknesses, and outlines changes to improve it, such as support for coordinating care.
Organization: West Virginia Bureau for Behavioral Health and Health Facilities
Date: 12/2006
view details
Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, Policy, West Virginia
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Second Report to Congress on the Evaluation of the Medicare Coordinated Care Demonstration
Document
Gathers findings from the first 2 years of the demonstration programs’ operations, focusing on program impacts over the first year after enrollment for
beneficiaries who enrolled during the first year, and over the first 25 months of operations for all
enrollees.
Organization: Mathematica Policy Research
Author: Brown R, Peikes D, Chen A, Ng J, Schore J, Soh C
Date: 12/2006
view details
Tagged keywords: Care Coordination, National
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That's Not His Only Problem... Clinical Teamwork in a Psychiatric Emergency Room
Document
Link: Abstract
Addresses the complexities of teamwork between various health care providers in a psychiatric emergency room setting. Offers a historical perspective and describes the challenges observed in coordinating the care of a particular patient.
Author: Messinger SD
Location: Culture, Medicine and Psychiatry, 30(3), 363-87
Date: 9/2006
view details
Tagged keywords: Behavioral Health Occupations, Care Coordination, New York, Psychiatrists, Psychologists, Social Workers, Substance Abuse and Behavioral Disorder Counselors
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6th Annual Report to the Secretary, Best Practices for Improving Access to Quality Care for the Medically Underserved: An Interdisciplinary Approach
Document
Provides recommendations regarding the interdisciplinary, community-based grant programs for training of health professionals. Focuses on best practices in providing interdisciplinary education and training for improved access to and quality of care for medically underserved populations.
Organization: Advisory Committee on Interdisciplinary Community-Based Linkages
Date: 2006
view details
Tagged keywords: Area Health Education Centers, Best Practices and Model Programs, Care Coordination, Community Health Workers, Federally Qualified Health Centers, Health Care Access, Interprofessional Training and Education, National, Policy
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Coordinating Care for Medicare Fee-for-Service Beneficiaries: An Early Look
Document
Presents early descriptive findings from 15 programs participating in the first year of the demonstration.
Organization: Mathematica Policy Research
Author: Brown R, Peikes D, Schore J
Date: 12/2005
view details
Tagged keywords: Care Coordination, National
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Dentistry, Nursing, and Medicine: A Comparison of Core Competencies
Document
Analyzes learning objectives for dentists, physicians, and nurses to find areas of overlap. Examines a collaborative education model for these fields as a method of improving interdisciplinary primary care. Discusses how nurse practitioners could work in a dental office.
Author: Spielman AI, Fulmer T, Eisenberg ES, Alfano MC
Location: Journal of Dental Education, 69(11), 1257-71
Date: 11/2005
view details
Tagged keywords: Care Coordination, Dentists, Interprofessional Training and Education, National, Nurse Practitioners, Physicians
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Evaluation of a Required Statewide Interdisciplinary Rural Health Education Program: Student Attitudes, Career Intents and Perceived Quality
Document
Link: Abstract
Examines a program in West Virginia intended to increase health care providers working in rural areas. Focuses on ten health professions: clinical psychology, social work, medicine, physician assistant, dentistry, dental hygiene, pharmacy, nursing, occupational therapy, and physical therapy.
Organization: West Virginia Area Health Education Centers
Author: Shannon CK, Baker H, Jackson J, Roy A, Heady H, Gunel E
Location: Education for Health, 18(3), 395-404
Date: 11/2005
view details
Tagged keywords: Care Coordination, Recruitment and Retention, Rural, West Virginia
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Advanced Practice: Doctorate in Clinical Laboratory Science Classification: Position Paper
Document
Supports the development of a Doctorate in Clinical Laboratory Science. Addresses how this new role could contribute to interdisciplinary health care teams.
Organization: American Society for Clinical Laboratory Science
Date: 7/2005
view details
Tagged keywords: Care Coordination, Clinical Laboratory Technologists and Technicians, Laboratory Professionals, National, Trends and Emerging Issues
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Agency for Healthcare Research and Quality (AHRQ) Health Care Innovations Exchange: Browse by Subject
Web site
Includes model programs and tools to help organizations improve health care quality. Provides examples related to staffing, team building, training, pay for performance incentives, and workflow under "Organizational Process."
Organization: Agency for Healthcare Research and Quality
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Compensation, Health Care Quality, National
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Building Your Medical Home
Web site
Supports the development and/or improvement of a pediatric medical home. Provides links to downloadable tools organized into six building blocks. Site requires registration.
Organization: National Center for Medical Home Implementation
view details
Tagged keywords: Care Coordination, Education and Training, General Pediatricians, National, Physicians
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Coordinated Care
Web site
Highlights the goals of coordinated care with Alzheimer's patients.
view details
Tagged keywords: Care Coordination, National
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Educating Medical Students and Residents on Medical Home
Document
Lists resources related to training medical students and residents to practice in patient-centered medical homes (PCMH). Identifies promising practices.
Organization: National Center for Medical Home Implementation
view details
Tagged keywords: Care Coordination, Education and Training, National, Physicians, Residency Programs
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Evaluating the Medicare Coordinated Care Demonstration
Web site
Describes the Medicare Coordinated Care Demonstration project which tested whether care coordination and disease management programs lowered costs for and improved the health of beneficiaries with chronic illnesses covered by fee-for-service Medicare.
Organization: Mathematica Policy Research
view details
Tagged keywords: Care Coordination, National
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IHI Open School for Health Professions
Tutorial or training
Interprofessional educational community focused on skills like quality improvement, patient safety, teamwork, leadership, and patient-centered care. Free access to case studies, podcasts, videos, featured articles, and discussion boards.
Organization: Institute for Healthcare Improvement
view details
Tagged keywords: Care Coordination, Continuing Education, Education and Training, Health Care Quality, Interprofessional Training and Education, National
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Interdisciplinary Service Learning: Covenant Soup Kitchen Interdisciplinary Clinic
Document
Describes a program in Connecticut that promotes interdisciplinary care through serving underserved populations.
Organization: Eastern Connecticut AHEC
view details
Tagged keywords: Care Coordination, Connecticut, Interprofessional Training and Education
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Joint Principles for Accountable Care Organizations
Document
Describes principles of structure and payment in Accountable Care Organizations supported by the American Academy of Family Physicians, American Academy of
Pediatrics, American College of Physicians and the American Osteopathic Association.
Organizations: American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association
view details
Tagged keywords: Care Coordination, National
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Mid Level Providers
Web site
Offers sample job descriptions and employment agreements for physician assistants, nurse practitioners, and advanced registered nurse practitioners. Includes sample provider protocols.
Organization: American College of Cardiology
view details
Tagged keywords: Care Coordination, National, Nurse Practitioners, Physician Assistants, Recruitment and Retention, Registered Nurses, Scope of Practice
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National Center for Interprofessional Practice and Education Blog
Web site
Offers a blog related to interprofessional practice and education. Supports shared conversation between educators and practices regarding team-based care efforts.
Organization: National Center for Interprofessional Practice and Education
view details
Tagged keywords: Care Coordination, Education and Training, Interprofessional Training and Education, National
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Patient Centered Medical Home (PCMH) Resource Center
Web site
Provides policymakers and researchers with access to evidence-based resources about the medical home and its potential to transform primary care. Includes resources related to care coordination and workforce development.
Organization: Agency for Healthcare Research and Quality
view details
Tagged keywords: Care Coordination, Health Care Quality, National, Primary Care, Trends and Emerging Issues
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Patient-Centered Medical Home Links & Resources
Web site
Offers links to documents and websites with resources on the medical home. Includes information on medical home principles and how to obtain recognition as a medical home.
Organization: Primary Care Development Corporation
view details
Tagged keywords: Care Coordination, National
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Patient-Centered Primary Care Collaborative Webinars
Web site
Provides access to webinars on various topics relating to patient centered medical homes and coordinated care.
Organization: Patient-Centered Primary Care Collaborative
view details
Tagged keywords: Care Coordination, Continuing Education, National
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Physician Practice Connections Patient-Centered Medical Home
Web site
Discusses nine standards which emphasize the use of systematic, patient-centered, coordinated care management processes.
Organization: National Committee for Quality Assurance
view details
Tagged keywords: Care Coordination, Health Care Quality, Licensure and Certification, National, Physicians
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Policy Issues & Resources: Collaborative Care
Web site
Offers resources related to the integration of behavioral health and primary care services. Includes recent news, state activities, fact sheets, and other resources.
Organization: National Council for Community Behavioral Healthcare
view details
Tagged keywords: Behavioral Health, Behavioral Health Occupations, Care Coordination, National, Physicians
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Primary Care Medical Home Resource Center (PCMH)
Web site
Provides access to evidence-based resources about the medical home. Includes items on health care quality, patient safety, and the effectiveness of the U. S. health care.
Organization: Agency for Healthcare Research and Quality
view details
Tagged keywords: Care Coordination, Health Care Quality, National, Primary Care
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Publications from the Medicare Coordinated Care Demonstration
Web site
Lists the programs involved in the Medicare Coordinated Care Demonstration, including evaluation reports, reports to Congress, and issue briefs.
Organization: Mathematica Policy Research
view details
Tagged keywords: Care Coordination, National
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Quality/Equality: Promising Practices
Web site
Provides a library of resources that offer guidance and model programs for addressing issues in health care quality and equality. Includes health care workforce topics such as employee retention, care coordination, and medical interpreters.
Organization: Robert Wood Johnson Foundation
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Health Care Access, Health Care Quality, Medical Interpreters, National, Nursing Occupations, Recruitment and Retention
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Redesigning Primary Care: A Strategic Vision To Improve Value By Organizing Around Patients’ Needs
Document
Link: Abstract
Presents recommendations for reforming primary care by designing coordinated care teams that target patient needs. Discusses changes in scheduling, patient interaction, facility layouts, physician compensation, and more.
Author: Porter ME, Pabo EA, Lee TH
Location: Health Affairs, 32 (3), 516-525
view details
Tagged keywords: Care Coordination, Compensation, Health Care Quality, National, Physicians, Primary Care
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Rural Health IT Adoption Toolbox
Web site
Provides an overview of telehealth with a focus on rural settings. Includes a section on project management and staffing. Addresses skills needed, project team set-up, and strategies for overcoming limited staff.
Organizations: Health Resources and Services Administration, HRSA Office for the Advancement of Telehealth, HRSA Office of Rural Health Policy
view details
Tagged keywords: Care Coordination, Education and Training, Health Information Technology and Telehealth, National, Rural
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SAMHSA-HRSA Center for Integrated Health Solutions
Web site
Supports integration between primary and behavioral health services. Provides technical assistance, model programs, and other tools. Includes workforce training opportunities and resources in the workforce section.
Organizations: Health Resources and Services Administration, Substance Abuse and Mental Health Services Administration
view details
Tagged keywords: Behavioral Health, Best Practices and Model Programs, Care Coordination, Education and Training, National, Primary Care
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TeamStepps Dental Module
Video or multimedia
Provides videos showing how dental staff can use TeamSTEPPS's teamwork, leadership, mutual support, communication, and situation monitoring skills in their practices.
Organization: Agency for Healthcare Research and Quality
view details
Tagged keywords: Best Practices and Model Programs, Care Coordination, Dental Occupations, Dentists, National
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Page last updated May 17, 2013
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