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North Carolina Medical Journal

Mari Moss
No abstract text is available yet for this article.
July 2018: North Carolina Medical Journal
Maggie A Bailey
No abstract text is available yet for this article.
July 2018: North Carolina Medical Journal
Anne S Salter, George T Anderson, Joshua Gettinger, Sue Stigleman
Having an attorney on a health care team helps address patients' social determinants of health. Through a medical-legal partnership, Pisgah Legal Services provides an attorney embedded within the Mountain Area Health Education Center clinical practices. The attorney impacts the Triple Aim of reducing costs by improving health and the patient experience.
July 2018: North Carolina Medical Journal
Ashley Albers, Lindsay Bonsignore, Michelle Webb
The use of team-based models of care is widely regarded as a mechanism for enhancing the delivery of high-quality care, especially at the end of life. Active collaboration to promote effective coordination and delivery of person-centered care is an integral part of the team-based model that is the focus of this article.
July 2018: North Carolina Medical Journal
Rachel Williams, Jean Williams
No abstract text is available yet for this article.
July 2018: North Carolina Medical Journal
Eric Christian, Valerie Krall, Stephen Hulkower, Sue Stigleman
Chronic medical and common behavioral health conditions have been shown to benefit from team-based care approaches that include integrated behavioral health providers. Team-based integrated care can promote the Quadruple Aim, encompassing health care outcomes, patient satisfaction, provider work/life experience, and the cost of care.
July 2018: North Carolina Medical Journal
Nandita S Mani, Terri Ottosen, Sarah T Wright, Rebecca C McCall, Jamie L Conklin, Karthik Adapa
Interdisciplinary health care teams have numerous opportunities to investigate more efficient health care delivery mechanisms using technology that bridges information science and human-centered care. At the onset of team formation, technology can be strategically integrated to enhance health care delivery for patients and providers using multiple strategies.
July 2018: North Carolina Medical Journal
Jacob Perrin, Brie Reimann, Jeff Capobianco, Jack Todd Wahrenberger, Brian B Sheitman, Beat D Steiner
Life expectancy and other outcomes for patients with serious mental illness (SMI) are unacceptably poor, largely due to a high prevalence of poorly controlled chronic diseases, high rates of tobacco use, and low rates of preventive care services. Since many of these illnesses are effectively treated in primary care settings, integrating primary care with behavioral health care is necessary to narrow health disparities for patients with SMI.
July 2018: North Carolina Medical Journal
Gary Gunderson, Sanne Magnan, Alina Baciu
No abstract text is available yet for this article.
July 2018: North Carolina Medical Journal
Susan M Kansagra, Sally Herndon, Kelly S Kimple, Cathy Thomas, Sarah Tomlinson, Zack Moore, Mina Shehee, Marshall Tyson, Tara Lucas, Dennis R Joyner
In North Carolina, our public health infrastructure consists of a state health department and 85 local health departments representing all 100 counties. The state health department, local health departments, health systems, and clinical providers work literally and figuratively as a team to improve the health of our citizens. In this article, we provide examples of the critical role of public health practitioners as part of the broader team addressing health, specifically in the areas of chronic disease, communicable disease, oral health, environmental health, and maternal and child health...
July 2018: North Carolina Medical Journal
Jason N Mose, Cheryl B Jones
Team-based care delivery models offer opportunities to improve quality of care and outcomes for patients, providers, and communities. Because of various barriers, including disincentives in the payment system, team-based care has not reached its potential. This commentary discusses team-based care in the context of emerging value-based payment models and the potential costs of, and opportunities afforded by, these models.
July 2018: North Carolina Medical Journal
Janet G Campbell, Angela Richard-Eaglin
Team-based methods of delivering primary care were launched nationally within the US Department of Veterans Affairs (VA) through the Patient Aligned Care Teams (PACT) initiative in 2010. The most essential component of PACT is the establishment of partnerships between veterans and their health care teams. The purpose of PACT is to improve and transform the way in which veterans receive health care. This partnership is aimed at promoting efficiency and improving the quality of care and clinical outcomes by providing holistic care that embodies the whole person...
July 2018: North Carolina Medical Journal
Lisa de Saxe Zerden, Brianna Lombardi, Erica L Richman
Evaluating the capacity of the health workforce to adopt team-based health care delivery models, nationally or in North Carolina, requires a nuanced approach that explores educational and clinical environments, payment, health systems, and regulatory levers. This paper discusses workforce challenges to team-based care and how best to train, prepare, and retool an equipped health workforce to meet the needs of team-based care.
July 2018: North Carolina Medical Journal
Anne Derouin, Mary E Holtschneider, Katherine E McDaniel, Kimberly A Sanders, Diana B McNeill
Implementation of interprofessional education efforts at Duke University Health System and the University of North Carolina have enhanced teamwork, education, and mentoring for health professional learners and faculty. The IPE initiatives address the critical need for enhanced collaboration among all team members in the evolving health care arena.
July 2018: North Carolina Medical Journal
Meg Zomorodi
In this issue of the North Carolina Medical Journal we have focused on team-based care and recognized some of the innovative models of true collaboration aiming to improve patient and population health outcomes. This issue offers examples for integrating care in behavioral health, hospice, and primary care as well as strategies for creating unique partnerships with churches, legal services, and public health workers. We will also explore the role technology plays as a team member and the financial implications of team-based care...
July 2018: North Carolina Medical Journal
Peter J Morris
No abstract text is available yet for this article.
July 2018: North Carolina Medical Journal
H Swygard, Arlene C Seña, V Mobley, J Clymore, L Sampson, K Glenn, J E Keller, J Donovan, M B Berger, A Durr, E Klein, K A Sullivan, E B Quinlivan
BACKGROUND Statewide interventions are critical to meeting the goals of the National HIV/AIDS Strategy in this country. In 2012, the North Carolina Division of Public Health developed the North Carolina State Bridge Counselor program to improve linkage to and reengagement in care for newly diagnosed persons and persons living with HIV who were out-of-care. METHODS We reviewed the planning process for the North Carolina State Bridge Counselor program, which involved a review of existing strengths-based counseling models for persons living with HIV, implementation of these models, and communication strategies with other providers...
July 2018: North Carolina Medical Journal
Jessica E Morse, Samantha Charm, Amy Bryant, Shanthi Ramesh, Janie Krashin, Gretchen S Stuart
BACKGROUND In 2015, North Carolina became the 5th state to pass legislation requiring women to undergo state-mandated counseling 72 hours prior to abortion. Whether this legislation has changed the timing of abortion decision-making or receipt of care is not known. METHODS This is a cross-sectional study using anonymous survey data from women presenting for abortion at a hospital-based abortion clinic in North Carolina. Data were collected for 8 weeks immediately before and after implementation of the new waiting period...
July 2018: North Carolina Medical Journal
Alexander H Gunn, Bryce Bartlett, Grace Feng, Matthew Gayed, Katie Kanter, Erica Onuoha, Madeline Thornton, Andrew Muzyk, Nicole Schramm-Sapyta
No abstract text is available yet for this article.
May 2018: North Carolina Medical Journal
Tessie Castillo
In order to reduce disease transmission and overdose death resulting from the opioid crisis, North Carolina has recently adopted several harm reduction programs, including community based naloxone distribution and syringe exchange. Additionally, discussions are taking place about safe injection facilities as a way to further reduce the harm of opioids.
May 2018: North Carolina Medical Journal
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