This document proposes a study to provide bedside counseling to hospitalized patients with hazardous drinking behaviors. It notes that these patients often have longer hospital stays due to issues related to their drinking. The study aims to understand how providing counseling and referrals during hospitalization can help motivate patients to improve their health. Preliminary data from a previous study identified trends that could help address an unmet need in the community for addiction treatment. The proposed intervention would involve brief counseling using standardized screening and motivational interviewing techniques, along with referrals for after discharge.
What Do Patients Really Want Out Of Adherence Technology?Inspire
Drawing insights from the 13,000-response Inspire Annual Survey, Dave Taylor, Inspire's director of research, presented at CBI’s Patient Adherence (PAAS) conference in Philadelphia, PA, in June 2015.
Sussex Partnership NHS Foundation Trust - one of the partners working with NHS Improving Quality on the Winterbourne Medicines Programme
Presentation from the Winterbourne Medicines Programme Launch held in London on 10 September 2014
Ensuring safe, appropriate and optimised use of medication for people with learning disabilities who demonstrate behaviour that can challenge
Innovative Steps That Increase Medication Adherence Health Dialog
Learn how to improve your medication adherence strategy with help from our analytics exports. Identifying the right patients with AI machine-learning and predictive analytics are a solid foundation.
What Do Patients Really Want Out Of Adherence Technology?Inspire
Drawing insights from the 13,000-response Inspire Annual Survey, Dave Taylor, Inspire's director of research, presented at CBI’s Patient Adherence (PAAS) conference in Philadelphia, PA, in June 2015.
Sussex Partnership NHS Foundation Trust - one of the partners working with NHS Improving Quality on the Winterbourne Medicines Programme
Presentation from the Winterbourne Medicines Programme Launch held in London on 10 September 2014
Ensuring safe, appropriate and optimised use of medication for people with learning disabilities who demonstrate behaviour that can challenge
Innovative Steps That Increase Medication Adherence Health Dialog
Learn how to improve your medication adherence strategy with help from our analytics exports. Identifying the right patients with AI machine-learning and predictive analytics are a solid foundation.
Clinical standards - Celia Ingham Clark
NHS England
Presentation from the 'NHS services open seven days a week: every day counts' event on Saturday 16 November at The Metropole Hotel, Birmingham.
This event was hosted by NHS Improving Quality and NHS England to share the views and ideas of public, patients, carers, NHS England and health and social care staff on how to improve access to services for patients across the seven day week.
More information at http://www.nhsiq.nhs.uk/improvement-programmes/acute-care/seven-day-services.aspx or #7DayServices
Pittsburgh Nonprofit Summit - Health Care & Health Care Reform - Implications...GPNP
The health care act is difficult to navigate and nonprofits were written into the act under the auspices of small businesses, making it even more confusing to understand. Gain insights from experts about the intent of the act and the act in its current draft, how it will impact nonprofits as small businesses, the impact on staff, those we serve, and on society at large. Additionally, portions of the act are still being debated and amended; learn of the potential changes and points where the nonprofit sector can influence the outcome.
Star Ratings are increasingly challenging to maintain and improve upon each year. It is incredibly important to improve upon programs each year. What you were doing last year may not earn you the same Star Rating due to increasing cut points. Focusing on pharmacy measures and the patients with diabetes may be a great way to improve upon those ratings.
Patient Access Network Foundation - PV ReporterDavid Wallace
The Patient Access Network Foundation (PAN) offers help and hope to people with chronic or life-threatening illnesses for whom cost limits access to breakthrough medical treatments. Myeloproliferative Neoplasms (MPNs) are a covered illness.
Duties of a certified medical assistantNancy Higgins
Certified medical assistants perform wide-ranging duties in ambulatory healthcare settings such as doctor offices, group practices and clinics. They provide administrative, clerical as well as basic clinical support to healthcare practitioners. From greeting and registering patients to assisting doctors during a clinical procedure – the list of their duties and responsibilities is quite exhaustive.
Delivered by Dr. Gabe Kuperminc from Georgia State University, the presentation details the results of the Georgia BASICS initiative where SBIRT was implemented in emergency rooms in Georgia.
Some diseases have a fairly standard progression. For instance, patients with more advanced Alzheimer’s disease may experience changes in their ability to ambulate, to speak, or to swallow. Other illnesses, however, have less well-documented stages. Additionally, sometimes a patient’s diagnosis is not clear-cut.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Clinical standards - Celia Ingham Clark
NHS England
Presentation from the 'NHS services open seven days a week: every day counts' event on Saturday 16 November at The Metropole Hotel, Birmingham.
This event was hosted by NHS Improving Quality and NHS England to share the views and ideas of public, patients, carers, NHS England and health and social care staff on how to improve access to services for patients across the seven day week.
More information at http://www.nhsiq.nhs.uk/improvement-programmes/acute-care/seven-day-services.aspx or #7DayServices
Pittsburgh Nonprofit Summit - Health Care & Health Care Reform - Implications...GPNP
The health care act is difficult to navigate and nonprofits were written into the act under the auspices of small businesses, making it even more confusing to understand. Gain insights from experts about the intent of the act and the act in its current draft, how it will impact nonprofits as small businesses, the impact on staff, those we serve, and on society at large. Additionally, portions of the act are still being debated and amended; learn of the potential changes and points where the nonprofit sector can influence the outcome.
Star Ratings are increasingly challenging to maintain and improve upon each year. It is incredibly important to improve upon programs each year. What you were doing last year may not earn you the same Star Rating due to increasing cut points. Focusing on pharmacy measures and the patients with diabetes may be a great way to improve upon those ratings.
Patient Access Network Foundation - PV ReporterDavid Wallace
The Patient Access Network Foundation (PAN) offers help and hope to people with chronic or life-threatening illnesses for whom cost limits access to breakthrough medical treatments. Myeloproliferative Neoplasms (MPNs) are a covered illness.
Duties of a certified medical assistantNancy Higgins
Certified medical assistants perform wide-ranging duties in ambulatory healthcare settings such as doctor offices, group practices and clinics. They provide administrative, clerical as well as basic clinical support to healthcare practitioners. From greeting and registering patients to assisting doctors during a clinical procedure – the list of their duties and responsibilities is quite exhaustive.
Delivered by Dr. Gabe Kuperminc from Georgia State University, the presentation details the results of the Georgia BASICS initiative where SBIRT was implemented in emergency rooms in Georgia.
Some diseases have a fairly standard progression. For instance, patients with more advanced Alzheimer’s disease may experience changes in their ability to ambulate, to speak, or to swallow. Other illnesses, however, have less well-documented stages. Additionally, sometimes a patient’s diagnosis is not clear-cut.
Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.
Evaluating the Effectiveness of Communityand Hospital MedicaBetseyCalderon89
Evaluating the Effectiveness of Community
and Hospital Medical Record Integration
on Management of Behavioral Health
in the Emergency Department
Stephanie Ngo, MD
Mohammad Shahsahebi, MD, MBA
Sean Schreiber, MSED, LPC
Fred Johnson, MBA
Mina Silberberg, PhD
Abstract
This study evaluated the correlation of an emergency department embedded care coordinator
with access to community and medical records in decreasing hospital and emergency
department use in patients with behavioral health issues. This retrospective cohort study
presents a 6-month pre-post analysis on patients seen by the care coordinator (n=524). Looking
at all-cause healthcare utilization, care coordination was associated with a significant median
decrease of one emergency department visit per patient (p G 0.001) and a decrease of 9.5 h in
emergency department length of stay per average visit per patient (pG0.001). There was no
significant effect on the number of hospitalizations or hospital length of stay. This intervention
demonstrated a correlation with reducing emergency department use in patients with behavioral
health issues, but no correlation with reducing hospital utilization. This under-researched
approach of integrating medical records at point-of-care could serve as a model for better
emergency department management of behavioral health patients.
Address correspondence to Mohammad Shahsahebi, MD, MBA, Department of Community and Family Medicine, Duke
University, Durham, NC, USA. Phone: (919) 342-8845; Email: [email protected]
Stephanie Ngo, MD, Department of Community and Family Medicine, Duke University, Durham, NC, USA.
Fred Johnson, MBA, Department of Community and Family Medicine, Duke University, Durham, NC, USA.
Mina Silberberg, PhD, Department of Community and Family Medicine, Duke University, Durham, NC, USA.
Mohammad Shahsahebi, MD, MBA, Northern Piedmont Community Care, Durham, NC, USA. Phone: (919) 342-8845;
Email: [email protected]
Fred Johnson, MBA, Northern Piedmont Community Care, Durham, NC, USA.
Sean Schreiber, MSED, LPC, Alliance Behavioral Health, Raleigh, NC, USA.
Journal of Behavioral Health Services & Research, 2017. 651–658. c)2017 National Council for Behavioral Health. DOI
10.1007/s11414-017-9574-7
Evaluating the effectiveness of community NGO ET AL. 651
Introduction
Background
Patients with behavioral health issues often require more resource-intensive care and are more
likely to be frequent users of health services.1–7 Brennan et al. found that patients with at least one
primary psychiatric visit to the emergency department (ED) were 4.6 times more likely than those
without a primary psychiatric visit to be classified as high utilizers of health services overall, and
that on average, high utilizers with a primary psychiatric visit had a significantly higher number of
ED visits than non-psychiatric high utilizers.7
Furthermore, Bboarding^ of patients with behavioral health issues has become a serious problem
for patients who requi ...
Closing the treatment gap in alcohol dependence thessalonika 2015Antoni Gual
Lecture on the treatment gap (underdiagnose & undertreatment) of alcohol use disorders. Presented at the 5th Conference of the Greek Psychiatric society in Thessalonika, march 21st, 2015.
Advancing Team-Based Care: Complex Care Management in Primary CareCHC Connecticut
This webinar investigated the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus was on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management were presented.
This webinar was presented May 5, 2016 3:00 p.m. Eastern Time
Top 7 Insights from Years of Observing Real-world Healthcare Communication Ogilvy Health
Over the past 15 years, the Ogilvy CommonHealth Behavioral Insights team has used sociolinguistic techniques to study and improve healthcare communication. We spearheaded this research by studying dialogues between patients and healthcare providers using our proprietary methodology. Continue reading to better understand how to incite behavior change and improve healthcare communications.
A look at strategies for lowering hospital readmissions across the continuum of care.
Hospital readmissions are a multi-dimensional problem. No single player or entity is entirely responsible for reducing excess readmissions. By improving our understanding of each touch point along the patient care continuum, strategies can be developed that ultimately reduce total readmissions.
This paper explores the roles of patients and providers in reducing readmissions and reviews several strategies that each can implement to help reduce readmission rates.
-Which patients are at high risk of hospital readmission?
-Comprehensive discharge planning strategies
-The physician’s role in lowering hospital readmission rates
-Optimizing communications handoffs between providers
-Building patient-centered transitional care models
-End of life planning
The purpose of this Health Policy Study is to better understand adolescents’ views on what are considered core components of the medical home and identify barriers to promoting adolescent health in relation to the medical home.
In addition, this study sought to better understand the needs and challenges in providing adolescents with access to medical homes—from the perspective of both adolescents and experts in adolescent health and medical home policy. To accomplish these goals, researchers conducted focus groups with adolescents, presented these findings to experts, and gathered experts’ reactions to the adolescents’ perspectives. This report includes a detailed description of the methods used for this study, followed by a summary of key focus group findings and the expert reactions to these findings.
Effectiveness of rehabilitation in the treatment ofalcohol abusepatients as d...inventionjournals
Alcohol use is one of the serious social threats which need comprehensive treatment and preventive measures. The effectiveness of rehabilitation in providing psycho education and social support to the patient and their family when comparedto treatment alone in dropping relapse rate and cumulative record of follow up rates in patients of alcohol abuse has been focused in the study. Patients who came for the treatment of alcohol abuse were motivated to participate in the study and with their consent they were selected as participants for this study. They were grouped into experimental and control group for the purpose of study. Experimental group participants were made to attend the rehabilitation program and psycho education with their family weekly once for10 sessions in four months after they were discharged from the hospital whereas controlled group were asked to see their doctor only on follow-up. The main objective of the study was to study the effectiveness of rehabilitation in treatment of alcohol abuse with regard to patients follow up for the treatment and their relapse rate. The subjects selected for the study were 100 patients (50 experimental group and 50 controlled groups) with substance abuse from Kripa Deaddiction and Revival Center, Bengaluru, Karnataka India. They were selected by random sampling technique. The exclusive personalized manual recording system was used by the researcher for maintaining cumulative record of the participant patients in their follow up to treatment and also to record the participant relapse rates. The data collected were tabulated in the by variable tables and examined the property movement of variables and the relationship between the variables. The resultant analysis positively corroborated with the objective described in the study. This study paves the way for promoting the incorporation of rehabilitation in the alcohol abuse treatment centers there by curtailing this social menace at large.
Effectiveness of rehabilitation in the treatment ofalcohol abusepatients as d...
bedsidecouns.poster
1. We have identified through literature review a common challenge in many
hospitals regarding the care of patients with chronic alcohol use who are
admitted for other primary medical diagnoses. These individuals’ duration
of hospitalization can last days and, often, weeks. The reasons behind this
industry challenge are multifactorial and include objective, subjective, fi-
nancial, and regulatory issues.10
Through professional bedside counseling
we hope to provide an opportunity to begin to address these issues on an
individual basis. Admittedly, the need is challenging, but a clinical differ-
ence in even a few individuals will have a meaningful impact for that indi-
vidual and family.8
While patients are free from alcohol use and occupying a hospital bed at
our facility alcohol-related counseling and referral to outpatient services is
not consistent. We currently provide no routine counseling services for pa-
tients with hazardous drinking behaviors. The focus is generally on the pri-
mary medical diagnoses, which frequently is indirectly related to hazard-
ous drinking behavior.1, 3, 4, 6, 7
Our Community Health, Community Engagement, and Health Improvement
Department identifies one of the unmet needs in our surrounding communi-
ties as addiction treatment, interventions, or counseling. This finding is
consistent with findings in the general United States population that there
are missed opportunities for health promotion intervention in the alcohol
withdrawal in-patient population.2
We propose to describe and understand healthcare trends related to hospi-
talized patients with hazardous drinking behavior who receive bedside
counseling while they are recovering from their medical diagnoses at our
facility. Individuals who feel that their needs are being addressed and are
given healthy lifestyle choices and community referrals for additional sup-
port may feel motivated and empowered to improve their own health, as
well as positively impacting public health.
This study will add to the existing body of knowledge by describing and un-
derstanding healthcare trends related to hospitalized patients with hazard-
ous drinking behavior.
We will provide a brief assessment using the Alcohol Use Disorders Identification
Test (AUDIT), motivational interviewing techniques5
, and a list of referral options for
use after discharge.
The intervention of bedside counseling will occur for study participants from
December 6, 2016—May 25, 2017.
Preliminary data collected from December 8, 2015—May 26, 2016 for the retro-
spective 745-chart review identify these trends:
Acknowledgments
Sincere thanks to Morristown Medical Center and Lise Cooper, MSN, RN-BC for
providing me the opportunity for an internship in Public Health.
Sincere thanks to my professor Ann Marie Hill, MBA for her guidance.
References
Available upon request
