Montana Health Improvement Program: New Roles for FQHCs in State Delivery System Reform
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The document summarizes Montana's transition from an out-of-state disease management program to a new in-state care coordination program called the Health Improvement Program (HIP). The HIP uses locally-based community health centers and their nurses/health coaches to provide both disease management for high-risk patients and prevention services. It highlights lessons learned in developing the HIP and reasons why providers and health centers appreciate the new locally-focused program versus the previous out-of-state model.
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States are responsible for on the ground implementation of the Affordable Care Act (ACA), including expanding coverage options through Exchanges, Medicaid and other health insurance programs. This webinar considers different ways policymakers define affordability and draws on lessons from the Children's Health Insurance Program (CHIP), which can serve as a model for states as they implement affordability provisions in ACA. It also looks at the impact on families when coverage is not affordable and considerations for families in purchasing decisions.
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The document discusses Arkansas' AR LINKS program which aims to create efficient systems to support healthy child development. The program objectives are to create community-based systems to support quality services for children, encourage standardized developmental screening, and improve communication between providers. Intervention strategies include partnerships with child care programs and Medicaid representatives to gain insights from families and work with providers. The implications are improvements to referral processes, tracking of screenings, and quality of well-child visits to better identify and treat developmental delays. The program also aligns with Arkansas' Medicaid transformation project to emphasize prevention, coordinate episodes of care, and align incentives across payers.
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The document discusses Illinois' Healthy Beginnings II initiative which aims to coordinate care for young children. It has two goals: ensuring children receive coordinated comprehensive care through provider collaboration, and supporting at-risk children and families who are ineligible for early intervention or special education. The initiative creates a data sharing plan between agencies, trains medical homes in care coordination, and develops a statewide provider database to address non-medical needs. Early lessons indicate the importance of flexibility, engagement, collaboration, identifying changes, and synergies with other projects.
Il slides final
The document discusses Illinois' Healthy Beginnings II initiative which aims to coordinate care for young children. It has two goals: ensuring children receive coordinated comprehensive care through provider collaboration, and supporting at-risk children and families who are ineligible for early intervention or special education. The initiative creates a data sharing plan between agencies, trains medical homes in care coordination, and develops a statewide provider database to address non-medical needs. Early lessons indicate the importance of flexibility, engagement, collaboration, identifying changes, and synergies with other projects.
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The ABCD initiative aims to strengthen states' capacity to deliver preventative care and early identification services to support young children's healthy development. The goal is to identify, test, and spread policy and system changes that create efficient linkages between pediatric primary care providers and other child and family service providers. The 3-year initiative involves a learning collaborative of 5 states testing interventions at the primary care practice, community, and systems levels to improve connections between healthcare and services like early intervention, education, mental health, and family support programs.
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The document discusses lessons learned and recommendations from a five-state consortium working to improve care coordination and service linkages to support healthy child development. Key lessons included developing processes to improve provider communication, using quality improvement to test new models, and incorporating formal parent involvement. Recommendations focused on starting with primary care and early intervention programs, considering automated data integration models, and gathering stakeholder feedback to improve forms and coordination.
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This document discusses Oregon's ABCD for Healthy Kids program which provides Medicaid coverage for nearly 1 in 3 Oregon children through managed care organizations. It recommends implementing a Performance Improvement Project (PIP) using the CMS protocols to help coordinate care and connect systems. Key activities for the PIP include community engagement through parent forums and stakeholder interviews to help shape the project, as well as learning collaboratives and guidelines for providers. The goals are to understand families' healthcare experiences, improve care coordination, and rethink early education.
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The document discusses Oklahoma's ABCD III Project which aims to improve developmental screening and referral to early intervention services. It notes that many primary care physicians have not incorporated formal developmental screening. The project has four pilot sites and seeks to balance community needs, state agency partners, physicians, and families. Key interventions discussed include a web portal to facilitate screening, referrals, and care coordination, as well as local community core groups. Early lessons indicate closing referral loops between partners is complicated but partnerships have supported project goals.
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The Minnesota ABCD III Initiative aims to improve care coordination for children's health development across four pilot sites. It establishes teams of primary care, mental health, and other professionals to better link services. The initiative uses a model of iterative testing and improvement. It also develops patient databases to help care coordinators track activities and carry out follow-ups. The goal is that care coordination efforts under this initiative will help pilot sites achieve certification as Minnesota Health Care Homes for ongoing sustainability.
Ar slides final
The document discusses Arkansas' AR LINKS program which aims to create efficient systems to support healthy child development. The program objectives are to create community-based systems to support quality services for children, encourage standardized developmental screening, and improve communication between providers. Intervention strategies include partnerships with child care programs and Medicaid representatives to gain insights from families and work with providers. The implications are improvements to referral processes, tracking of screenings, and quality of well-child visits to better identify and treat developmental delays. The program also aligns with Arkansas' Medicaid transformation project to emphasize prevention, coordinate episodes of care, and align incentives across payers.
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Moriba A. Karamoko, Director of the Louisiana Consumer Healthcare Coalition discusses how build and maintain relationships with state officials in reference to health care systems.
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This document summarizes Medicaid medical home initiatives across multiple states. It describes initiatives led by NASHP to inform state plan amendments for health homes under the Affordable Care Act. It provides details on how states define eligible populations, standards for provider infrastructure and payment methodologies. Key challenges for states include integrating care for dual eligibles, behavioral health, and long-term care. The document aims to share promising practices across states.
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The document discusses integrating behavioral health and general medical care. It notes that many patients have co-occurring behavioral and medical conditions, resulting in poor health outcomes and high costs. While evidence-based integration models exist, they have not been widely adopted due to structural barriers. The Health Home option could help by providing incentives and flexibility to implement integrated care models. The document outlines strategies for integrating care through the primary care or behavioral health settings using coordinated teams and services.
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The document describes the case of Anna C., a 55-year-old Medicaid beneficiary with multiple chronic conditions including multiple sclerosis and depression. Under her previous care arrangement, Anna experienced frequent hospitalizations and declining health. After enrolling in Commonwealth Care Alliance's health home program, Anna received a comprehensive in-home assessment and individualized care plan. This led to improved care coordination, engagement in treatment, and significantly better health outcomes over the past year with only a few emergency department visits.
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The document discusses Oklahoma's online enrollment system for uninsured residents to access healthcare. It aimed to empower members, expand access, improve effectiveness and efficiency by allowing enrollment from any computer or with partner assistance. The online system provided real-time eligibility determinations and information sharing between agencies. Over 500,000 Oklahomans were uninsured. Lessons were learned and next steps would be considered.
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TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptx
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
ABDOMINAL TRAUMA in pediatrics part one.
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeProf. Marcus Renato de Carvalho
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Montana Health Improvement Program: New Roles for FQHCs in State Delivery System Reform
- 1. Montana Health Improvement Program: New Roles for FQHCs in State Delivery System Reform Janice Gomersall, MD, FAAFP Medical Advisor, HIP, Montana Medicaid NASHP Conference October 4-6, 2010
- 10. Northwest CHC Libby Flathead CHC Kalispell Partnership CHC Missoula Cooperative Health Center Helena Cascade CHC Great Falls Bullhook CHC Havre Butte CHC Community Health Partners – Livingston Sweet Medical Center Chinook Central Montana CHC Lewistown RiverStone CHC Billings Ashland CHC Custer Co. CHC Miles City Fort Peck Tribal Health Center Poplar
- 17. Janice Gomersall
- 22. For questions, (or to avoid a really bad time) please contact Wendy Sturn at (406) 444-1292 or [email_address] or Janice Gomersall, MD at jgomers@bresnan.net Montana Medicaid Health Improvement Program Janice Gomersall
Editor's Notes
- Rattlesnake
- Flathead Lake looking at Glacier
- Predictive modeling software is purchased by the state.
- All sites have access, learn how to profile, sort through care opportunities; phone training for everyone who has been hired, plus end user training sessions through webinars (i.e. care managers)
- Data collection was to cost $230,000 with a contract company; CMS did not consider it a benefit so would not match it 70/30; MT state would not let the cost go through at only 50/50 match. When Mck was contracted, the IT was part of the contract and the whole contract was matched 70/30. SF-12 could be administered at 3 months or 6 months depending on how long we expect pt to be in the program.
- It is a subprogram of Passport; we separated out the advice line; just renamed from our DM program. Passport is a waiver program as it requires Native American participation; considered a ‘benefit’ so has to be an opt out program. No Caroline does a SPA (state plan), Idaho only does a telephonic/education program so is only matched 50/50.
- Current program is $2.8 to 2.9 million/yr; previous program was $3.1 million/yr. Eventually will have 35 FTE care managers. 17 are RN, 1 NP (Poplar, WolfePoint School Health), rest are a combo of LPN, MSW, Health Educator
- Flathead Lake