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https://www.readbyqxmd.com/read/29453520/evaluation-of-a-comprehensive-oral-health-services-program-in-school-based-health-centers
#1
Tara Trudnak Fowler, Gregory Matthews, Cydny Black, Hendi Crosby Kowal, Pamella Vodicka, Elizabeth Edgerton
Objectives In 2011, the Maternal and Child Health Bureau, within the Health Resources and Services Administration, awarded a 4-year grant to increase access to and assure the delivery of quality oral health preventive and restorative services to children. The grant was awarded to organizations serving high-need communities through school-based health centers (SBHCs). This article describes an independent evaluation investigating program efficacy, integration, and sustainability. Methods Program process and outcomes data were gathered from interim and final reports...
February 16, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29452560/health-care-efficiencies-consolidation-and-alternative-models-vs-health-care-and-antitrust-regulation-irreconcilable-differences
#2
Michael W King
Despite the U.S. substantially outspending peer high income nations with almost 18% of GDP dedicated to health care, on any number of statistical measurements from life expectancy to birth rates to chronic disease, 1 the U.S. achieves inferior health outcomes. In short, Americans receive a very disappointing return on investment on their health care dollars, causing economic and social strain. 2 Accordingly, the debates rage on: what is the top driver of health care spending? Among the culprits: poor communication and coordination among disparate providers, paperwork required by payors and regulations, well-intentioned physicians overprescribing treatments, drugs and devices, outright fraud and abuse, and medical malpractice litigation...
November 2017: American Journal of Law & Medicine
https://www.readbyqxmd.com/read/29444767/patient-reported-measures-for-person-centered-coordinated-care-a-comparative-domain-map-and-web-based-compendium-for-supporting-policy-development-and-implementation
#3
Helen Lloyd, Hannah Wheat, Jane Horrell, Thavapriya Sugavanam, Benjamin Fosh, Jose M Valderas, James Close
BACKGROUND: Patient-reported measure (PRM) questionnaires were originally used in research to measure outcomes of intervention studies. They have now evolved into a diverse family of tools measuring a range of constructs including quality of life and experiences of care. Current health and social care policy increasingly advocates their use for embedding the patient voice into service redesign through new models of care such as person-centered coordinated care (P3C). If chosen carefully and used efficiently, these tools can help improve care delivery through a variety of novel ways, including system-level feedback for health care management and commissioning...
February 14, 2018: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/29443647/system-level-health-care-integration-and-the-costs-of-cancer-care-across-the-disease-continuum
#4
Deborah R Kaye, Hye Sung Min, Edward C Norton, Zaojun Ye, Jonathan Li, James M Dupree, Chad Ellimoottil, David C Miller, Lindsey A Herrel
PURPOSE: Policy reforms in the Affordable Care Act encourage health care integration to improve quality and lower costs. We examined the association between system-level integration and longitudinal costs of cancer care. METHODS: We used linked SEER-Medicare data to identify patients age 66 to 99 years diagnosed with prostate, bladder, esophageal, pancreatic, lung, liver, kidney, colorectal, breast, or ovarian cancer from 2007 to 2012. We attributed each patient to one or more phases of care (ie, initial, continuing, and end of life) according to time from diagnosis until death or end of study interval...
February 13, 2018: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29437181/quality-of-motivational-interviewing-matters-the-effect-on-participation-in-health-promotion-activities-in-a-cluster-randomized-controlled-trial
#5
Tessa A Kouwenhoven-Pasmooij, Suzan Jw Robroek, Daan Nieboer, Pieter H Helmhout, Machteld F Wery, Myriam Hunink, Alex Burdorf
Objectives This study aims to evaluate the effectiveness of a "blended" workplace health-promotion intervention, alongside identification of key components beneficial for future implementation strategies. Methods Within a cluster randomized controlled trial, 491 employees at increased risk of cardiovascular disease were allocated to the limited (N=217; 9 clusters) or extensive (N=274; 8 clusters) intervention. The extensive intervention consisted of motivational interviewing (MI) within the framework of a web-based health risk assessment (HRA), a blended care approach...
February 13, 2018: Scandinavian Journal of Work, Environment & Health
https://www.readbyqxmd.com/read/29429427/moving-beyond-depression-screening-integrating-perinatal-depression-treatment-into-ob-gyn-practices
#6
Christina Terrazas, Lisa S Segre, Cheryl Wolfe
In 2015, the American College of Obstetricians and Gynecologists issued a recommendation to screen women for depression and anxiety symptoms at least once during the perinatal period. Nevertheless, many identified women will not receive care from a behavioral health specialist. Listening Visits (LV), developed for delivery by nurses and validated in the United Kingdom, have recently been evaluated in a US-based randomized controlled trial (RCT) which recruited research participants from three home-visiting programs and an urban OB/GYN practice...
February 12, 2018: Primary Health Care Research & Development
https://www.readbyqxmd.com/read/29424039/organising-nursing-practice-into-care-models-that-catalyse-quality-a-clinical-nurse-leader-case-study
#7
Miriam Bender, LeeAnna Spiva, Wei Su, Lisle Hites
AIMS: To determine the power of a conceptual clinical nurse leader practice model to explain the care model's enactment and trajectory in real world settings. BACKGROUND: How nursing, organised into specific models of care, functions as an organisational strategy for quality is not well specified. Clinical nurse leader integrated care delivery is one emerging model with growing adoption. A recently validated clinical nurse leader practice model conceptualizes the care model's characteristics and hypothesizes their mechanisms of action...
February 9, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29422205/the-intergrowth-21st-fetal-growth-standards-toward-the-global-integration-of-pregnancy-and-pediatric-care
#8
REVIEW
Aris T Papageorghiou, Stephen H Kennedy, Laurent J Salomon, Douglas G Altman, Eric O Ohuma, William Stones, Michael G Gravett, Fernando C Barros, Cesar Victora, Manorama Purwar, Yasmin Jaffer, Julia A Noble, Enrico Bertino, Ruyan Pang, Leila Cheikh Ismail, Ann Lambert, Zulfiqar A Bhutta, José Villar
The purpose of the INTERGROWTH-21st project was to develop international, prescriptive standards for fetal growth assessed by ultrasound and fundal height, preterm postnatal growth, newborn size and body composition, maternal weight gain, and infant development at the age of 2 years. Hence, we have produced, based on World Health Organization recommendations, the first comprehensive set of international standards of optimal fetal and newborn growth that perfectly match the existing World Health Organization child growth standards...
February 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29420787/military-health-system-transformation-implications-on-health-information-technology-modernization
#9
Saad Khan
With the recent passage of the National Defense Authorization Act for Fiscal Year 2017, Congress has triggered groundbreaking Military Health System organizational restructuring with the Defense Health Agency assuming responsibility for managing all hospitals and clinics owned by the Army, Navy, and Air Force. This is a major shift toward a modern value-based managed care system, which will require much greater military-civilian health care delivery integration to be in place by October 2018. Just before the National Defense Authorization Act for Fiscal Year 2017 passage, the Department of Defense had already begun a seismic shift and awarded a contract for the new Military Health System-wide electronic health record system...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29416942/nurse-designed-care-models-and-culture-of-health-review-of-three-case-studies
#10
Martsolf Grant, Mason Diana J, Sloan Jennifer, Sullivan Cheryl G, Villarruel Antonia M
The Robert Wood Johnson Foundation (RWJF) recently made a commitment to advancing a national culture of health (COH)-an action framework developed by RWJF that focuses on well-being and equity with the goal of empowering and supporting people to lead healthier lives where they live, learn, work, and play, now and in generations to come. Nurses are well positioned to provide care that is consistent with, and contributes to, a COH in their communities. RWJF contracted with the American Academy of Nursing (the Academy) with a subcontract to the RAND Corporation to explore the ways that innovative nurse-designed models of care are currently advancing a COH...
January 2018: Rand Health Quarterly
https://www.readbyqxmd.com/read/29415749/the-impact-of-inter-organizational-alignment-ioa-on-implementation-outcomes-evaluating-unique-and-shared-organizational-influences-in-education-sector-mental-health
#11
Aaron R Lyon, Kelly Whitaker, Jill Locke, Clayton R Cook, Kevin M King, Mylien Duong, Chayna Davis, Mark D Weist, Mark G Ehrhart, Gregory A Aarons
BACKGROUND: Integrated healthcare delivered by work groups in nontraditional service settings is increasingly common, yet contemporary implementation frameworks typically assume a single organization-or organizational unit-within which system-level processes influence service quality and implementation success. Recent implementation frameworks predict that inter-organizational alignment (i.e., similarity in values, characteristics, activities related to implementation across organizations) may facilitate the implementation of evidence-based practices (EBP), but few studies have evaluated this premise...
February 7, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29412052/integrating-the-social-determinants-of-health-into-two-interprofessional-courses-findings-from-a-pilot-study
#12
Sandra D Lane, Robert H Keefe, Robert A Rubinstein, Meghan Hall, Kathleen A Kelly, Lynn Beth Satterly, Andrea Shaw, Julian Fisher
Five colleges and universities in Upstate New York, United States, created the 'Route-90 Collaborative' to support faculty implementing the Institute of Medicine's (IOM) Framework for Educating Health Professionals to Address the Social Determinants of Health. The two courses described herein used a flipped classroom approach in which students from 14 different nations were responsible for facilitating individual classes. This descriptive study used an educational intervention in two interprofessional courses - reproductive health and global health - based on the IOM Framework into two courses...
February 7, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29410951/a-review-of-the-integrated-model-of-care-an-opportunity-to-respond-to-extensive-palliative-care-needs-in-pediatric-intensive-care-units-in-under-resourced-settings
#13
REVIEW
Michelle Grunauer, Caley Mikesell
It is estimated that 6.3 million children who die annually need pediatric palliative care (PPC) and that only about 10% of them receive the attention they need because about 98% of them live in under-resourced settings where PPC is not accessible. The consultative model and the integrated model of care (IMOC) are the most common strategies used to make PPC available to critically ill children. In the consultative model, the pediatric intensive care unit (PICU) team, the patient, or their family must request a palliative care (PC) consultation with the external PC team for a PICU patient to be evaluated for special care needs...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29409502/private-sector-malaria-rdt-initiative-in-nigeria-lessons-from-an-end-of-project-stakeholder-engagement-meeting
#14
Babatunde Odugbemi, Chijioke Ezeudu, Anyiekere Ekanem, Maxwell Kolawole, Idowu Akanmu, Aderemi Olawole, Nkabono Nglass, Chinwe Nze, Edward Idenu, Bala Mohammed Audu, Godwin Ntadom, Wondimagegnehu Alemu, Rex Mpazanje, Jane Cunningham, Augustine Akubue, Tolu Arowolo, Seye Babatunde
The malaria rapid diagnosis testing (RDT) landscape is rapidly evolving in health care delivery in Nigeria with many stakeholders playing or having potential for critical roles. A recent UNITAID grant supported a pilot project on the deployment of quality-assured RDTs among formal and informal private service outlets in three states in Nigeria. This paper describes findings from a series of stakeholder engagement meetings held at the conclusion of the project. The agreed meeting structure was a combination of plenary presentations, structured facilitated discussions, and nominal group techniques to achieve consensus...
February 6, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29406837/optimization-of-medication-use-at-accountable-care-organizations
#15
Chrisanne Wilks, Erik Krisle, Kimberly Westrich, Kristina Lunner, David Muhlestein, Robert Dubois
BACKGROUND: Optimized medication use involves the effective use of medications for better outcomes, improved patient experience, and lower costs. Few studies systematically gather data on the actions accountable care organizations (ACOs) have taken to optimize medication use. OBJECTIVES: To (a) assess how ACOs optimize medication use; (b) establish an association between efforts to optimize medication use and achievement on financial and quality metrics; (c) identify organizational factors that correlate with optimized medication use; and (d) identify barriers to optimized medication use...
May 30, 2017: Journal of Managed Care & Specialty Pharmacy
https://www.readbyqxmd.com/read/29406142/a-clinical-nurse-leader-cnl-practice-development-model-to-support-integration-of-the-cnl-role-into-microsystem-care-delivery
#16
Lorraine Kaack, Miriam Bender, Michael Finch, Linda Borns, Katherine Grasham, Alice Avolio, Shawna Clausen, Nadine A Terese, Diane Johnstone, Marjory Williams
The Veterans Health Administration (VHA) Office of Nursing Services (ONS) was an early adopter of Clinical Nurse Leader (CNL) practice, generating some of the earliest pilot data of CNL practice effectiveness. In 2011 the VHA ONS CNL Implementation & Evaluation Service (CNL I&E) piloted a curriculum to facilitate CNL transition to effective practice at local VHA settings. In 2015, the CNL I&E and local VHA setting stakeholders collaborated to refine the program, based on lessons learned at the national and local level...
January 2018: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29405503/review-an-australian-model-of-care-for-co-morbid-diabetes-and-chronic-kidney-disease
#17
REVIEW
Clement Lo, Edward Zimbudzi, Helena Teede, Alan Cass, Greg Fulcher, Martin Gallagher, Peter G Kerr, Stephen Jan, Greg Johnson, Tim Mathew, Kevan Polkinghorne, Grant Russell, Tim Usherwood, Rowan Walker, Sophia Zoungas
Diabetes and chronic kidney disease (CKD) are two of the most prevalent co-morbid chronic diseases in Australia. The increasing complexity of multi-morbidity, and current gaps in health-care delivery for people with co-morbid diabetes and CKD, emphasise the need for better models of care for this population. Previously, proposed published models of care for co-morbid diabetes and CKD have not been co-designed with stake-holders or formally evaluated. Particular components of health-care shown to be effective in this population are interventions that: are structured, intensive and multifaceted (treating diabetes and multiple cardiovascular risk factors); involve multiple medical disciplines; improve self-management by the patient; and upskill primary health-care...
February 5, 2018: Nephrology
https://www.readbyqxmd.com/read/29404965/medication-profiles-of-patients-with-cognitive-impairment-and-high-anticholinergic-burden
#18
Ariel R Green, Liza M Reifler, Cynthia M Boyd, Linda A Weffald, Elizabeth A Bayliss
BACKGROUND: Drugs with anticholinergic properties are considered potentially inappropriate in patients with cognitive impairment because harms-including delirium, falls, and fractures-may outweigh benefits. OBJECTIVE: To highlight opportunities to improve clinical decision making and care for patients with cognitive impairment and multiple chronic conditions, we identified distinct subgroups of patients with mild cognitive impairment (MCI) and dementia who had high cumulative anticholinergic burden and specific patterns of anticholinergic use...
February 5, 2018: Drugs & Aging
https://www.readbyqxmd.com/read/29402234/randomised-controlled-trial-protocol-grip-study-examining-the-effect-of-involvement-of-a-general-practitioner-and-home-care-oncology-nurse-after-a-cancer-diagnosis-on-patient-reported-outcomes-and-healthcare-utilization
#19
I A A Perfors, C W Helsper, E A Noteboom, E van der Wall, N J de Wit, A M May
BACKGROUND: Due to the ageing population and improving diagnostics and treatments, the number of cancer patients and cancer survivors is increasing. Policymakers, patients and professionals advocate a transfer of (part of) cancer care from the hospital environment to the primary care setting, as this could stimulate personalized and integrated care, increase cost-effectiveness and would better meet the patients' needs and expectations. The effects of structured active follow-up from primary care after cancer diagnosis have not been studied yet...
February 5, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29401050/real-world-effectiveness-of-a-medically-supervised-weight-management-program-in-a-large-integrated-health-care-delivery-system-five-year-outcomes
#20
Ashok Krishnaswami, Rohini Ashok, Stephen Sidney, Michael Okimura, Beth Kramer, Lindsey Hogan, Michael Sorel, Sheri Pruitt, Wayne Smith
CONTEXT: There are insufficient data on the long-term, nonsurgical, nonpharmacologic treatment of obesity. OBJECTIVE: To determine changes in weight over 5 years in participants enrolled between April 1, 2007, and December 31, 2014, in a medically supervised weight management program at Kaiser Permanente Northern California Medical Centers. The program consisted of 3 phases: Complete meal replacement for 16 weeks; transition phase, 17 to 29 weeks; and lifestyle maintenance phase, 30 to 82 weeks...
2018: Permanente Journal
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