Title and Citation

Summary

Format

Arkansas Health Workforce Strategic Plan: A Roadmap to Change

This report provides recommendations to expand the capacity and effectiveness of Arkansas's health workforce using technology, care coordination, and system navigation. Addresses workforce education, training, recruitment, retention, distribution, coordination, incentives, and structure.

PDF
(3.2 MB)

Building the Person-Centered Healthcare Home of the Future

This training presentation was part of a SAMHSA-funded Mental Health Transformation State Incentive project. The training seeks to build a knowledge base within state government regarding the integration of mental health and substance use services in primary care and the integration of primary care into specialty mental health and substance use settings. Desired outcomes of the training are for state agency programs, policies and financing options be shaped by a consistent vision of how integrated services are delivered, and how program, policy and financing decisions align to this vision.

PDF
(1 MB)

Certified Peer Specialist Roles and Activities: Results From a National Survey

A synthesis of the results of an online survey of 291 certified peer specialists from 28 states. Factors addressed include variability in context in which CPSs work and the types of issues they typically provided support around, along with those they do not. Concluding remarks touch on the challenges faced by CPSs, among them a lack of acknowledgment of the value of experiential knowledge versus traditional credentialing; the field is moving, somewhat controversially, towards nationally standardized training.

PDF
(70 KB)

Challenges and Opportunities in a Changing Health Care Environment

This slide presentation explores the challenges in meeting the behavioral health needs of the nation and reviews some of the opportunities that health reform will bring to enhance access and services. The presentation considers provider readiness, workforce challenges, and emergency preparedness.

PDF
(3 MB)

Changes Involved in Patient-Centered Medical Home Transformation

The patient-centered medical home model has been proposed by the major primary care professional societies as a way to achieve more effective, less costly care. Commonwealth Fund-supported researchers reviewed the professional literature and convened a panel of experts to identify characteristics of fully transformed medical homes and the necessary changes to infrastructure, organization, and care delivery that practices and clinicians must make to get there. (Only the abstract is in the public domain.)

Web Access

Creation of the Pillars of Peer Support Services: Transforming Mental Health Systems of Care Transforming Mental Health Systems of Care

The Pillars of Peer Support Services Summit convened in November 2009, to examine the multiple levels of state support necessary for a strong peer support workforce. Summit participants developed and agreed upon a set of Pillars of Peer Support Services. Twenty five "pillars" of peer support services propose a framework for states interested in developing or expanding peer support programs. (Online only.)

Web Access

Developing a Mental Health Peer Specialist Workforce in Massachusetts

This position paper describes the deficiencies in the behavioral health system that more recent national legislation is meant to address: insufficient patient involvement and few and inadequate formal patient support systems. In specific, the CHPR argues for the development of a mental health peer specialist workforce to meet the needs of the more patient-centered behavioral health system that calls for transformation envision.

PDF
(60 KB)

Developing and Running a Primary Care Practice Facilitation Program: A How-to Guide

This how-to guide was developed by the AHRQ to support organizations interested in starting a practice facilitation program for primary care transformation in light of the growing consensus that the U.S. primary care system must be redesigned in fundamental ways to improve health and patient experience and lower costs.

PDF
(3 MB)

Ensuring Equity: A Post-Reform Framework to Achieve High Performance Health Care for Vulnerable Populations

This report examines the problems facing vulnerable populations and offers a framework for moving forward. It features three overarching strategies to close the health care divide: ensuring that health coverage provides adequate access and financial protection; strengthening the care delivery systems serving vulnerable populations; and coordinating care delivery with other community resources, including public health services.

PDF
(3.5 MB)

Guiding Transformation: How Medical Practices can Become Patient-Centered Medical Homes

This report provide an assessment of the changes that most medical practices would need to make to become PCMHs. The broad changes include: engaged leadership; a quality improvement strategy; empanelment to ensure the continuity of the patient-provider relationship; continuous and team-based healing relationships; evidence-based care; increased patient involvement in their own care; enhanced access; and care coordination.

PDF
(330 KB)

Impact of Medical Cost Offset on Practice and Research: Making It Work for You (Healthcare Utilization and Cost Series, V. 5)

The United States is facing a healthcare crisis. Costs are escalating and yet few seem satisfied with the current state of healthcare delivery. What can be done to contain costs? If restricting the supply of medical services is not an acceptable answer, then what is? Can demand be legitimately reduced? If so, how? How can we have more quality in our healthcare system? This volume, the result of a national conference sponsored by The Nicholas and Dorothy Cummings Foundation and the University of Nevada, Reno, examines these and attempts to provide empirically-supported answers.

Web Access to Purchase

Integrated Behavioral Healthcare: A Guide To Effective Intervention

Integrated behavioural health care is a health-care service delivery system in which behavioural health care is co-ordinated with primary medical care. Integrated care recognises that many patients present to medical professionals with behavioural problems. In this comprehensive, step-by-step guide, a team of national experts in integrated behavioural health care discusses the economic, clinical, administrative, and procedural issues involved in designing, implementing, and maintaining a successful integrated care delivery system.

Web Access to Purchase

Integrated Behavioral Healthcare: Prospects, Issues, and Opportunities (Practical Resources for the Mental Health Professional)

Healthcare is practiced in a different financial and delivery system than it was two decades ago. Currently managed care defines what is treated, how, by whom and for what reimbursement. Mental health professionals have been greatly impacted by these changes. The present volume explores these issues, prospects and opportunities from the vantage of mental health /medical professionals and managed care executives who are in the very process of implementing changes to the existing system of managed care.

Web Access to Purchase

Integrating Mental Health Treatment into the Patient Centered Medical Home

A discussion of the PCMH model for improving quality and efficiency of primary in the context of mental health services integration, including a review of PCMH and current strategies used to deliver mental health treatment in primary care. The authors outline programmatic and policy changes that can facilitate integration of high-quality mental health treatment within a PCMH.

PDF
(200 KB)

Introduction to Integrated Physical and Mental Health Care

This APNA webpage offers a basic but well-developed overview of integrated care, especially behavioral specialists in primary care settings. Information is offered in the context of health care reform and mental health parity laws that have led to today's sector-wide adaptive changes towards greater integration and collaboration between disciplines.

Web Access

Patient-Centered Innovation in Health Care Organizations: A Conceptual Framework and Case Study Application

Patient-centered innovation is spreading at the federal and state levels. The authors propose a framework for understanding the process of initiating patient-centered innovations. The study identifies elements that will lead to implementation success: effective leadership, motivation to change; organizational mission, strategy, and capacity, continuous feedback and organizational learning. (Only the abstract is in the public domain.)

Web Access

Peer Delivered Services and Programs Within Managed Care

This webinar provides a review of the role consumers and their families are playing in transforming Managed Care Organization staff and processes. The presentation outlines the types of services that peers deliver, reviews findings from recent field applications of peer-delivered services, and discusses mechanics related to contracting and financing this new model.

PDF
(2 MB)

Preparing the Workforce for a Reformed Health Care System: Toward a Research Agenda

Rutgers Center for State Health Policy and the John J. Heldrich Center for Workforce Development convened a meeting of senior experts in the health care policy and workforce arenas to identify key research questions regarding the impact of health care reform on the health care workforce. A principal objective of the session was development of a health care workforce research agenda. The group identified areas where additional research will assist key decision-makers: regulations, education policy, corporate training policy, and labor policy.

PDF
(900 KB)

Primary and Behavioral Healthcare Integration: Guiding Principles for Workforce Development

This concise fact sheet identifies barriers to workforce integration; sets out CIHS' goals and the principles that will inform its workforce development planning efforts; and includes Recommended Strategies for Training and Education, Recruitment and Retention, Leadership, Persons in Recovery, Community, Infrastructure Development, and Research and Evaluation.

PDF
(1 MB)

Primary Care and Healthcare Reform

This AAFP annual scientific assembly presentation provides a review of the main issues facing primary care physicians, practices and networks: payment issues, health delivery systems reforms, coverage changes, cost containment provisions, and workforce development.

PDF
(500 KB)

Psychological Approaches to Chronic Disease Management: A Report of the Fifth Reno Conference on the Integration of Behavioral Health in Primary Care (Healthcare Utilization and Cost Series)

Health care has undergone a significant shift during the past century from targeting primarily acute diseases such as small pox, influenza, and tuberculosis, to managing more costly chronic conditions that include diabetes, asthma, Alzheimer's disease, arthritis, and somatization. Although western medicine has evolved to effectively curb the incidence of acute conditions, it has not had similar success with chronic diseases. The astronomical costs associated with the current management of chronic diseases have resulted in a health care crisis that underscores the imperative for effective treatment and management protocols.

Web Access to Purchase

Sentara Healthcare: Making Patient Safety an Enduring Organizational Value

Sentara Healthcare, an integrated health care delivery system serving parts of Virginia and North Carolina, has developed a systematic program to foster a culture of safety throughout its member hospitals, with the aim of reducing the potential for patient harm. During the past five years, Sentara has intensified and expanded the program. The initiative has helped to reduce the measured rate of serious safety events at Sentara hospitals by 80 percent over seven years.

PDF
(700 KB)

Service User and Carer Involvement in the National Mental Health Development Unit

This report highlights the findings of an evaluation of service user and carer (peer specialist and health navigator) involvement within Britain's National Mental Health Development Unit and its predecessor, and the National Institute for Mental Health in England. The report concludes that effective peer specialist and navigator involvement is needed at a national level across all Government departments. The aim is to ensure that the advice of peer specialists and navigators is taken on board when developing and implementing decisions, particularly in relation to decisions about policy and practice within the field of mental health.

PDF
(500 KB)

Transformation of Health and Health Care Delivery: A Conversation with Barbara Spurrier, Administrative Director of the Mayo Clinic Center for Innovation

The AHRQ Innovations Exchange Team interviewed Barbara Spurrier to explore lessons learned from experience of the Mayo Clinic's Center for Innovation. The Center was launched in 2008 with a goal to deliver health care in ways that are accessible, affordable, and sustainable.

Web Access

Transforming the Delivery of Care in the Post-Health Reform Era: What Role Will Community Health Workers Play?

The Patient Protection and Affordable Care Act (PPACA) affords opportunities to sustain the role of community health workers (CHWs). Strategies encouraged by PPACA are prevention and care coordination, functions that have been performed by CHWs for decades, particularly among underserved populations. The two key delivery models promoted in the PPACA are accountable care organizations and health homes. Payment structures encouraged by PPACA to support these delivery models offer the vehicles to sustain the role of these valued workers. (Only the abstract is in the public domain.)

Web Access

Understanding the Behavioral Healthcare Crisis: The Promise of Integrated Care and Diagnostic Reform

The book offers a review what reforms are needed in healthcare and provides specific recommendations. Some of the serious concerns about the healthcare system that Cummings, O'Donohue, and their contributors address include access problems, safety problems, costs problems, the uninsured, and problems with efficacy.

Web Access to Purchase