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https://www.readbyqxmd.com/read/27471415/asthma-related-emergency-department-use-current-perspectives
#1
REVIEW
Laurie H Johnson, Patricia Chambers, Judith W Dexheimer
Asthma is one of the most common chronic pediatric diseases. Patients with asthma often present to the emergency department for treatment for acute exacerbations. These patients may not have a primary care physician or primary care home, and thus are seeking care in the emergency department. Asthma care in the emergency department is multifaceted to treat asthma patients appropriately and provide quality care. National and international guidelines exist to help drive clinical care. Electronic and paper-based tools exist for both physicians and patients to help improve emergency, home, and preventive care...
2016: Open Access Emergency Medicine: OAEM
https://www.readbyqxmd.com/read/27213488/refining-reporting-mechanisms-in-oregon-s-patient-centered-primary-care-home-program-to-improve-performance
#2
Sherril Gelmon, Billie Sandberg, Nicole Merrithew, Rebekah Bally
INTRODUCTION: As part of its strategy to achieve the Triple Aim, the Oregon Health Authority implemented the Patient-Centered Primary Care Home (PCPCH) Program in 2009. In 2014, the program recognized more than 500 primary care practices and had become an essential component of Oregon's strategy for transforming health services delivery. To assist the Oregon Health Authority with evaluating practices' achievement of the PCPCH model along its 6 core attributes (access, accountability, comprehensive care, continuity, coordination, and person-centered care), the research team developed an innovative scoring method...
May 20, 2016: Permanente Journal
https://www.readbyqxmd.com/read/25881181/a-qualitative-evaluation-of-the-crucial-attributes-of-contextual-information-necessary-in-ehr-design-to-support-patient-centered-medical-home-care
#3
Charlene R Weir, Nancy Staggers, Bryan Gibson, Kristina Doing-Harris, Robyn Barrus, Robert Dunlea
BACKGROUND: Effective implementation of a Primary Care Medical Home model of care (PCMH) requires integration of patients' contextual information (physical, mental, social and financial status) into an easily retrievable information source for the healthcare team and clinical decision-making. This project explored clinicians' perceptions about important attributes of contextual information for clinical decision-making, how contextual information is expressed in CPRS clinical documentation as well as how clinicians in a highly computerized environment manage information flow related to these areas...
2015: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/25561640/the-invisible-homebound-setting-quality-of-care-standards-for-home-based-primary-and-palliative-care
#4
Bruce Leff, Charlotte M Carlson, Debra Saliba, Christine Ritchie
Approximately four million adults in the United States are homebound, and many of them cannot access office-based primary care. Home-based medical care can improve outcomes and reduce health care costs, but this care operates in a quality measurement desert, having been largely left out of the national conversation on care quality. To address this shortcoming, two of the authors created the National Home-Based Primary and Palliative Care Network, an organization whose members include exemplary home-based medical practices, professional societies, and patient advocacy groups...
January 2015: Health Affairs
https://www.readbyqxmd.com/read/25414954/building-the-foundation-for-health-system-transformation-oregon-s-patient-centered-primary-care-home-program
#5
Jill Jamison Rissi, Sherril Gelmon, Evan Saulino, Nicole Merrithew, Robin Baker, Paige Hatcher
OBJECTIVE: Health system reform is largely dependent upon the transformation of primary care in addition to the alignment of incentives that mediate the allocation of resources. The Patient-Centered Medical Home (PCMH) is a model of enhanced primary care that encourages coordination, patient-centered care, integration of public health services, and innovative methods for improving population health-all critical elements of health system reform. Because it changes the way primary care is organized and delivered, the PCMH model has been adopted as a foundational component of Oregon's health system transformation...
January 2015: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/25154830/there-is-a-mismatch-between-the-medicare-benefit-package-and-the-preferences-of-patients-with-cancer-and-their-caregivers
#6
Donald H Taylor, Marion Danis, S Yousuf Zafar, Lynn J Howie, Gregory P Samsa, Steven P Wolf, Amy P Abernethy
PURPOSE: To identify insured services that are most important to Medicare beneficiaries with cancer and their family caregivers when coverage is limited. METHODS: A total of 440 participants (patients, n = 246; caregivers, n = 194) were enrolled onto the CHAT (Choosing Health Plans All Together) study from August 2010 to March 2013. The exercise elicited preferences about what benefits Medicare should cover for patients with cancer in their last 6 months of life...
October 1, 2014: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/24863124/who-doesn-t-deserve-excellent-care
#7
Sherri Huckstep, Debra Yearwood, Judith Shamian
Discussion on implementation of the Excellent Care for all Act, 2010 (ECFA Act), Bill 46, has focused on the hospital sector in Ontario, but it also has relevance outside the hospital setting. As primary healthcare, long-term care and home care all receive public funding, these sectors should be expected to be compliant with Bill 46. But does the act also govern government-funded (i.e., by other than the Ministry of Health and Long-Term Care) community-based programs such as adult day programs, meals-on-wheels, nutrition programs for children, and more? We propose that we cannot exclude any of these essential programs...
2012: Healthcare Quarterly
https://www.readbyqxmd.com/read/23838898/local-health-department-assurance-of-services-and-the-health-of-california-s-seniors
#8
Hector P Rodriguez, Angelica P Herrera, Yueyan Wang, Dawn M Jacobson
OBJECTIVE: To examine the extent to which local health department (LHD) assurance of select services known to promote and protect the health of older adults is associated with more favorable population health indicators among seniors. DESIGN: Data from the California Health Interview Survey (CHIS: 2003, 2005, and 2007) were linked with the 2005 wave of the National Association of County and City Health Officials profile survey and the Area Resource File to assess the association of LHD assurance and senior health indicators...
November 2013: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/23759315/-replacing-percutaneous-endoscopic-gastrostomy-with-the-collaboration-of-the-endoscopy-and-the-primary-care-home-care-support-teams-an-efficient-and-safe-experience
#9
M M Yagüe-Sebastián, R Sanjuán-Domingo, M V Villaverde-Royo, M P Ruiz-Bueno, M P Elías-Villanueva
INTRODUCTION: The objective of the study is to assess the outcome of a Primary Care programme of replacing the Percutaneous Endoscopy Gastrostomy at home. MATERIAL AND METHODS: A retrospective descriptive study was conducted on all patients (n=44), of Zaragoza Health Sector III, carriers of a percutaneous endoscopy gastrostomy (PEG), who had a replacement at home by the Home Care Service (HCS), during the period from September 2008 to December 2010. Socio-demographic data, the number of PEG replacements performed on each patient, any incidents occurring with each replacement either by the Endoscopy Department or the HCS, as well as the time elapsed until the next replacement, were all recorded...
November 2013: Semergen
https://www.readbyqxmd.com/read/22997002/transforming-primary-care-training-patient-centered-medical-home-entrustable-professional-activities-for-internal-medicine-residents
#10
Anna Chang, Judith L Bowen, Raquel A Buranosky, Richard M Frankel, Nivedita Ghosh, Michael J Rosenblum, Sara Thompson, Michael L Green
INTRODUCTION: The U.S. faces a critical gap between residency training and clinical practice that affects the recruitment and preparation of internal medicine residents for primary care careers. The patient-centered medical home (PCMH) represents a new clinical microsystem that is being widely promoted and implemented to improve access, quality, and sustainability in primary care practice. AIM: We address two key questions regarding the training of internal medicine residents for practice in PCMHs...
June 2013: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/22566441/a-new-corps-of-trained-grand-aides-has-the-potential-to-extend-reach-of-primary-care-workforce-and-save-money
#11
Arthur Garson, Donna M Green, Lia Rodriguez, Richard Beech, Christopher Nye
Because the Affordable Care Act will expand health insurance to cover an estimated thirty-two million additional people, new approaches are needed to expand the primary care workforce. One possible solution is Grand-Aides®, who are health care professionals operating under the direct supervision of nurses, and who are trained and equipped to conduct telephone consultations or make primary care home visits to patients who might otherwise be seen in emergency departments and clinics. We conducted pilot tests with Grand-Aides in two pediatric Medicaid settings: an urban federally qualified health center in Houston, Texas, and a semi-rural emergency department in Harrisonburg, Virginia...
May 2012: Health Affairs
https://www.readbyqxmd.com/read/22215269/number-of-first-contact-access-components-required-to-improve-preventive-service-receipt-in-primary-care-homes
#12
Nancy Pandhi, Jennifer E DeVoe, Jessica R Schumacher, Christie Bartels, Carolyn T Thorpe, Joshua M Thorpe, Maureen A Smith
BACKGROUND: A fundamental aim of primary care redesign and the patient-centered medical home is improving access to care. Patients who report having a usual site of care and usual provider are more likely to receive preventive services, but less is known about the influence of specific components of first-contact access (e.g., availability of appointments, advice by telephone) on preventive services receipt. OBJECTIVE: To examine the relationship between number of first-contact access components and receipt of recommended preventive services...
June 2012: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/22018774/-home-nursing-care-of-a-woman-with-a-malignant-wound-in-a-primary-health-care-setting
#13
Angel Romero-Collado
The gradual increase in life expectancy in the Spanish population has led to an increase cancer episodes (the second leading cause of mortality in Spain), and an increase in wounds of neoplastic origin, which have a different healing time from other wounds. This article describes the case of an 85 year-old woman with a malignant wound, due to a recurrent skin lymphangiosarcoma, and her inclusion in the Primary Care home care program with the home care support team (PADES). The overall assessment of the person and not just "the wound", and an individualised nursing care plan led to pain control, wound healing and prevention of complications (constipation, worsening of the injury)...
March 2012: Enfermería Clínica
https://www.readbyqxmd.com/read/21872519/-joint-home-follow-up-of-a-patient-with-complicated-diabetes-mellitus-by-the-case-manager-and-the-community-nurse-ii
#14
Rosa María López-Pisa, Marta Prats-Guardiola
This is a continuation of the article published in this journal (Enfermeria Clinica), entitled "Integral approach by the case manager and the community nurse to a complex case of diabetes mellitus in the home". We present the case of a 76 year- old patient with long-term and clinically complex Diabetes Mellitus. The patient was taking part in the Primary Care home care program. This article describes the follow-up of the case in which new complications appeared in the right limb, which led to the amputation of the second limb...
January 2012: Enfermería Clínica
https://www.readbyqxmd.com/read/21737759/preventive-service-gains-from-first-contact-access-in-the-primary-care-home
#15
Nancy Pandhi, Jennifer E DeVoe, Jessica R Schumacher, Christie Bartels, Carolyn T Thorpe, Joshua M Thorpe, Maureen A Smith
BACKGROUND: The patient-centered medical home (PCMH) concept recently has garnered national attention as a means of improving the quality of primary care. Preventive services are one area in which the use of a PCMH is hoped to achieve gains, though there has been limited exploration of PCMH characteristics that can assist with practice redesign. The purpose of this study was to examine whether first-contact access characteristics of a medical home (eg, availability of appointments or advice by telephone) confer additional benefit in the receipt of preventive services for individuals who already have a longitudinal relationship with a primary care physician at a site of care...
July 2011: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/21612167/creating-a-network-of-care-healthy-san-francisco-connects-uninsured-residents-to-a-primary-care-home
#16
Delvecchio S Finley, Tangerine Brigham
No abstract text is available yet for this article.
May 2011: Healthcare Executive
https://www.readbyqxmd.com/read/21322849/no-place-like-home-primary-care-home-option-gets-praise-questions
#17
Maureen McKinney
No abstract text is available yet for this article.
September 13, 2010: Modern Healthcare
https://www.readbyqxmd.com/read/21289344/transforming-a-traditional-safety-net-into-a-coordinated-care-system-lessons-from-healthy-san-francisco
#18
Mitchell H Katz, Tangerine M Brigham
Since 2007, San Francisco, California, has transformed its traditional safety-net health care "system"-in reality, an amalgam of a public hospital, private nonprofit hospitals, public and private clinics, and community health centers-into a comprehensive health care program called Healthy San Francisco. The experience offers lessons in how other local safety-net systems can prepare for profound changes under health reform. By July 2010, 53,546 adults had enrolled (70-89 percent of uninsured adults in San Francisco), and satisfaction is high (94 percent)...
February 2011: Health Affairs
https://www.readbyqxmd.com/read/20672544/the-board-s-role-in-organizational-finance
#19
Connie R Curran
Health care reform will result in significant changes in reimbursement with much greater emphasis put on primary care, home care, and other types of non-acute care. The changes in reimbursement will necessitate significant changes in organizational structure and operations. It is essential board members keep current in their knowledge of health care finance so they can execute their responsibilities for the financial health of the organization. The board must ensure that the budget is aligned with the organization's financial objectives and monitor the financial performance...
May 2010: Nursing Economic$
https://www.readbyqxmd.com/read/19835009/primary-care-home-base-for-health-care
#20
(no author information available yet)
No abstract text is available yet for this article.
September 2009: Mayo Clinic Health Letter
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