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https://www.readbyqxmd.com/read/29027477/a-previsit-screening-checklist-improves-teamwork-and-access-to-preventive-services-in-a-medical-home-serving-low-income-adolescent-and-young-adult-patients
#1
Sophie H Allende-Richter, Sydney T Johnson, Mariam Maloyan, Patricia Glidden, Kerrilynn Rice, Alexandra Epee-Bounya
Publicly insured adolescents and young adults experience significant obstacles in accessing primary care services. As a result, they often present to their medical appointments with multiple unmet needs, adding time and complexity to the visit. The goal of this project was to optimize team work and access to primary care services among publicly insured adolescents and young adults attending an urban primary care clinic, using a previsit screening checklist to identify patient needs and delegate tasks within a care team to coordinate access to health services at the time of the visit...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29017366/income-disparities-in-the-association-of-the-medical-home-with-child-health
#2
Bryan Anker, Yorghos Tripodis, Webb E Long, Arvin Garg
This study was a secondary data analysis of the 2011-2012 National Survey of Children's Health. Data were available for a nationally representative sample of 81‚ÄČ090 children. Multivariable logistic regression was used to model child health with the medical home while examining the effect modification of household income and controlling for sociodemographic characteristics. Overall, the medical home was significantly associated with "excellent/very good" child health for children regardless of household income...
October 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28992154/the-patient-centered-medical-home-a-reality-for-hiv-care-in-nigeria
#3
Aima A Ahonkhai, Ifeyinwa Onwuatuelo, Susan Regan, Abdulkabir Adegoke, Elena Losina, Bolanle Banigbe, Juliet Adeola, Timothy G Ferris, Prosper Okonkwo, Kenneth A Freedberg
Objective: HIV care delivery in resource-limited settings (RLS) may serve as a paradigm for chronic disease care, but comprehensive measurement frameworks are lacking. Our objective was to adapt the patient-centered medical home (PCMH) framework for use in RLS, and evaluate the performance of HIV treatment programs within this framework. Design and setting: Cross-sectional survey administered within the AIDS Prevention Initiative in Nigeria (APIN) network. Participants: Medical directors at APIN clinics...
October 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/28990992/comparing-patient-centered-medical-home-implementation-in-urban-and-rural-vha-clinics-results-from-the-patient-aligned-care-team-initiative
#4
Victoria Johnson, Edwin Wong, Michelle Lampman, Idamay Curtis, John Fortney, Peter Kaboli, Stephan Fihn, Karin Nelson
Rural Veterans Health Administration (VHA) primary care clinics are smaller, have fewer staff, and serve more rural patients compared with urban VHA primary care clinics. This may lead to different challenges to implementation of the Patient-Centered Medical Home (PCMH) model, the Patient Aligned Care Team, in the VHAs' large integrated health system. In this cross-sectional observational study of 905 VHA primary clinics in the United States and Puerto Rico, we found overall PCMH implementation was greater in rural compared to urban primary care clinics...
October 4, 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/28990831/the-patient-centered-medical-home-model-healthcare-services-utilization-and-cost-for-non-elderly-adults-with-mental-illness
#5
Jennifer J Bowdoin, Rosa Rodriguez-Monguio, Elaine Puleo, David Keller, Joan Roche
BACKGROUND: The patient-centered medical home (PCMH) model is designed to improve health outcomes while containing the cost of care. However, the evidence is inconclusive. AIMS: The aim of this study was to examine the associations between receipt of care consistent with the PCMH and healthcare services utilization and expenditures for non-elderly adults with mental illness in the USA. METHOD: A surveillance study was conducted using self-reported data for 6908 non-elderly adults with mental illness participating in the 2007-2012 Medical Expenditure Panel Survey...
October 9, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28989994/arteriovenous-malformation-in-a-youth-with-atypical-autism-symptoms
#6
Veena Sison, Tracy Stackhouse, Robert Breeze, Terry Hall, Pamela McKenzie, Nicole Tartaglia
Cerebral arteriovenous malformations (AVMs) present a challenge to diagnose in children with developmental disability, because of the overlap in behavioral symptoms and neurologic manifestations. They have been very rarely reported in conjunction with autism spectrum disorder. This case involves a 13 year old male with a history of autism spectrum disorder and significant behavioral issues diagnosed with a thalamic AVM following lateralizing neurologic symptoms. Despite radiosurgical treatment, hemorrhage followed consequently causing extensive neurologic injury and death...
2017: J Child Dev Disord
https://www.readbyqxmd.com/read/28983551/association-of-enrollment-in-an-aerodigestive-clinic-with-reduced-hospital-stay-for-children-with-special-health-care-needs
#7
Swathi Appachi, Anne Banas, Lisa Feinberg, Douglas Henry, Diane Kenny, Nathan Kraynack, Amy Rosneck, John Carl, Paul Krakovitz
Importance: Children with special health care needs (CSHCN) have disproportionate health care utilization. Previous studies have demonstrated that a primary medical home improves health care outcomes for this population. Objective: To elucidate if enrollment in a multidisciplinary aerodigestive clinic improves outcomes and reduces health care costs by decreasing admissions and inpatient days. Design, Setting, and Participants: A retrospective medical record review of 113 patients with aerodigestive disorders enrolled in a pediatric multidisciplinary clinic from June 2009 to December 2013 was performed...
October 5, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28983431/evaluation-of-policy-options-for-increasing-the-availability-of-primary-care-services-in-rural-washington-state
#8
Mark W Friedberg, Grant R Martsolf, Chapin White, David I Auerbach, Ryan Kandrack, Rachel O Reid, Emily Butcher, Hao Yu, Simon Hollands, Xiaoyu Nie
The Washington State legislature has recently considered several policy options to address a perceived shortage of primary care physicians in rural Washington. These policy options include opening the new Elson S. Floyd College of Medicine at Washington State University in 2017; increasing the number of primary care residency positions in the state; expanding educational loan-repayment incentives to encourage primary care physicians to practice in rural Washington; increasing Medicaid payment rates for primary care physicians in rural Washington; and encouraging the adoption of alternative models of primary care, such as medical homes and nurse-managed health centers, that reallocate work from physicians to nurse practitioners (NPs) and physician assistants (PAs)...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28973067/cancer-survivorship-care-in-advanced-primary-care-practices-a-qualitative-study-of-challenges-and-opportunities
#9
Ellen B Rubinstein, William L Miller, Shawna V Hudson, Jenna Howard, Denalee O'Malley, Jennifer Tsui, Heather Sophia Lee, Alicja Bator, Benjamin F Crabtree
Importance: Despite a decade of effort by national stakeholders to bring cancer survivorship to the forefront of primary care, there is little evidence to suggest that primary care has begun to integrate comprehensive services to manage the care of long-term cancer survivors. Objective: To explain why primary care has not begun to integrate comprehensive cancer survivorship services. Design, Setting, and Participants: Comparative case study of 12 advanced primary care practices in the United States recruited from March 2015 to February 2017...
September 25, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28973064/the-impending-death-of-the-patient-centered-medical-home
#10
Edward Bujold
No abstract text is available yet for this article.
September 25, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28971306/care-coordination-and-provider-stress-in-primary-care-management-of-high-risk-patients
#11
Adeyemi Okunogbe, Lisa S Meredith, Evelyn T Chang, Alissa Simon, Susan E Stockdale, Lisa V Rubenstein
BACKGROUND: Care coordination is a critical component of managing high-risk patients, who tend to have complex and multiple medical and psychosocial problems and are typically at high risk for increased hospitalization and incur high health care expenditures. Primary care models such as the patient-centered medical homes (PCMHs) are designed to improve care coordination and reduce care fragmentation. However, little is known about how the burden of care coordination for high-risk patients influences PCMH team members' stress...
October 2, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28963077/payment-and-care-for-hematopoietic-cellular-transplant-patients-toward-a-specialized-medical-home-for-complex-care-patients
#12
James L Gajewski, Mark B McClellan, Navneet S Majhail, Parameswaran N Hari, Christopher N Bredeson, Richard T Maziarz, Charles F LeMaistre, Michael C Lill, Stephanie H Farnia, Krishna V Komanduri, Michael J Boo
Patient-centered medical home models are fundamental to the advanced alternative payment models (APM) defined in the Medicare Access and Children's Health Insurance Plan (CHIP) Reauthorization Act (MACRA). The patient-centered medical home is a model of health care delivery supported by alternative payment mechanisms and designed to promote coordinated medical care that is simultaneously patient-centric and population-oriented. This transformative care model requires shifting reimbursement to include a per-patient payment intended to cover services not previously reimbursed such as disease management over time...
September 26, 2017: Biology of Blood and Marrow Transplantation
https://www.readbyqxmd.com/read/28961641/advantages-and-disadvantages-of-the-patient-centered-medical-home-a-critical-analysis-and-lessons-learned
#13
Jacqueline Budgen, John Cantiello
This article provides a detailed examination of the pros and cons associated with patient-centered medical homes (PCMHs). Opinions and findings from those who have studied PCMHs and those who have been directly involved with this type of health care model are outlined. Key lessons from providers are detailed, and critical success factors are highlighted. This synthesized analysis serves to lend evidence to health care managers and providers who are considering implementation of the PCMH model.
September 28, 2017: Health Care Manager
https://www.readbyqxmd.com/read/28957934/patient-centered-medical-homes-have-modest-benefits-for-low-income-populations
#14
Karen Rosenberg
According to this study.
October 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28952981/reporting-from-the-front-lines-implementing-oregon-s-alternative-payment-methodology-in-federally-qualified-health-centers
#15
Erika K Cottrell, Jennifer D Hall, Glenn Kautz, Heather Angier, Sonja Likumahuwa-Ackman, Laura Sisulak, Sara Keller, David C Cameron, Jennifer E DeVoe, Deborah J Cohen
Alternative payment models have been proposed as a way to facilitate patient-centered medical home model implementation, yet little is known about how payment reform translates into changes in care delivery. We conducted site visits, observed operations, and conducted interviews within 3 Federally Qualified Health Center organizations that were part of Oregon's Alternative Payment Methodology demonstration project. Data were analyzed using an immersion-crystallization approach. We identified several care delivery changes during the early stages of implementation, as well as challenges associated with this new model of payment...
September 25, 2017: Journal of Ambulatory Care Management
https://www.readbyqxmd.com/read/28952383/are-graduating-residents-trained-and-prepared-to-engage-in-medical-home-activities-in-practice
#16
Dana Bright, Mary Pat Frintner, Aditee Narayan, Renee M Turchi
A national, random sample of 1000 graduating pediatric residents was surveyed in 2014 on receipt of training in medical home activities and preparedness to engage in same in practice. Of 602 survey respondents (60% response), 71.8% reported being very/fairly knowledgeable about medical homes. Most residents (70.0% to 91.3%) reported they received training in 6 medical home activities; more than one fourth wished for more training in 4 of 6 activities. The majority (62.5% to 77.3%) reported very good/excellent perceived preparedness...
February 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/28948450/primary-care-tasks-associated-with-provider-burnout-findings-from-a-veterans-health-administration-survey
#17
Linda Y Kim, Danielle E Rose, Lynn M Soban, Susan E Stockdale, Lisa S Meredith, Samuel T Edwards, Christian D Helfrich, Lisa V Rubenstein
BACKGROUND: The patient-centered medical home (PCMH) is a primary care delivery model predicated on shared responsibility for patient care among members of an interprofessional team. Effective task sharing may reduce burnout among primary care providers (PCPs). However, little is known about the extent to which PCPs share these responsibilities, and which, if any, of the primary care tasks performed independently by the PCPs (vs. shared with the team) are particularly associated with PCP burnout...
September 25, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28945454/review-of-integrated-behavioral-health-in-primary-care-step-by-step-guidance-for-assessment-and-intervention-second-edition
#18
Stacy A Ogbeide
Reviews the book, Integrated Behavioral Health in Primary Care: Step-By-Step Guidance for Assessment and Intervention (Second Edition) by Anne C. Dobmeyer, Mark S. Oordt, Jeffrey L. Goodie, and Christopher L. Hunter (see record 2016-59132-000). This comprehensive book is well organized and covers many of the complex issues faced within the Primary Care Behavioral Health (PCBH) model and primary care setting: from uncontrolled type II diabetes to posttraumatic stress disorder. Primary care has changed since the initial release of this book, and the second edition covers many of these changes with up-to-date literature such as population health and the patient-centered medical home...
September 2017: Families, Systems & Health: the Journal of Collaborative Family Healthcare
https://www.readbyqxmd.com/read/28935390/ask-the-question-screening-for-postpartum-mood-and-anxiety-disorders-in-pediatric-primary-care
#19
Stacy Kurtz, Jack Levine, Marcy Safyer
Postpartum mood and anxiety disorders (PMADs) are a significant source of toxic stress for young children and can disrupt developing brain architecture resulting in long-lasting deleterious effects. Thus, screening for PMADs must be considered as an essential task of a pediatric primary care provider (PCP) and the pediatric medical home. Problems in parenting capacity in mothers with PMADs can lead to disorders in attachment and a range of other emotional and developmental challenges for a young child. Therefore, all PCP office visits with mothers should include surveillance as well as formal screening at regular, pre-determined intervals...
September 18, 2017: Current Problems in Pediatric and Adolescent Health Care
https://www.readbyqxmd.com/read/28927493/review-of-patient-reported-experience-within-patient-centered-medical-homes-insights-for-australian-health-care-homes
#20
Mary O'Loughlin, Jane Mills, Robyn McDermott, Linton Harriss
Understanding patient experience is necessary to advance the patient-centred approach to health service delivery. Australia's primary healthcare model, the 'Health Care Home', is based on the 'Patient-Centered Medical Home' (PCMH) model developed in the United States. Both these models aim to improve patient experience; however, the majority of existing PCMH model evaluations have focussed on funding, management and quality assurance measures. This review investigated the scope of evidence reported by adult patients using a PCMH...
September 20, 2017: Australian Journal of Primary Health
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