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Roles and Responsibilities of Community Health Workers in Louisiana Medicaid Managed Care Organizations. 路易斯安那州医疗补助管理医疗机构社区卫生工作者的角色和责任
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-01-01 Epub Date: 2023-11-01 DOI: 10.1097/JAC.0000000000000483
Ashley Wennerstrom, Meredith Sugarman, Catherine G Haywood, Dakshu Jindal, Gala True
{"title":"Roles and Responsibilities of Community Health Workers in Louisiana Medicaid Managed Care Organizations.","authors":"Ashley Wennerstrom, Meredith Sugarman, Catherine G Haywood, Dakshu Jindal, Gala True","doi":"10.1097/JAC.0000000000000483","DOIUrl":"10.1097/JAC.0000000000000483","url":null,"abstract":"<p><p>We explored the roles of community health workers (CHWs) working in Medicaid Managed Care Organizations in Louisiana by conducting 10 interviews with CHWs, supervisors, and administrators. We identified 6 themes: CHWs' backgrounds and training; roles as they related to nationally recognized competencies; team integration; who CHWs serve and how members are identified; metrics for success; and the effects of COVID. CHWs are hired for their community connections. CHWs generally do not receive core competency training, and they focus primarily on improving individual-level health outcomes. Administrators and supervisors may need training and support on CHW competencies, supervision, and using common evaluation indicators.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"47 1","pages":"22-32"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adverse Social Determinants of Health and Gaps in Care Coordination Among Children. 健康的不利社会决定因素和儿童护理协调方面的差距。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-01-01 Epub Date: 2023-10-19 DOI: 10.1097/JAC.0000000000000481
Mangala Rajan, Laura C Pinheiro, Erika L Abramson, Lisa M Kern
{"title":"Adverse Social Determinants of Health and Gaps in Care Coordination Among Children.","authors":"Mangala Rajan, Laura C Pinheiro, Erika L Abramson, Lisa M Kern","doi":"10.1097/JAC.0000000000000481","DOIUrl":"10.1097/JAC.0000000000000481","url":null,"abstract":"<p><p>Gaps in care coordination (CC) can have detrimental impacts on children's health. It is unclear how much adverse social determinants of health (SDoH) may affect CC gaps. We determined whether exposure to adverse SDoH is associated with experiencing more gaps in CC using a representative national sample of children. Children with inadequate or no health insurance (adjusted odds ratio [aOR] = 2.41; 95% confidence interval [CI], 2.19-2.66) and living in disadvantaged neighborhoods (aOR = 1.53; 95% CI, 1.33-1.75) have a higher likelihood of having gaps in CC, as do those with higher counts of adverse SDoH (aOR = 2.17; 95% CI, 1.85-2.53). Thus, interventions to improve CC for children should consider adverse SDoH.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"47 1","pages":"3-13"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Editorial: Meeting the Needs of Federally Qualified Health Center Patients Following the Public Health Emergency Unwinding. 社论:在公共卫生紧急事件解除后，满足联邦合格医疗中心患者的需求。
IF 1.6
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-01-01 Epub Date: 2023-11-03 DOI: 10.1097/JAC.0000000000000485
Kevin H Nguyen, Megan B Cole
{"title":"Editorial: Meeting the Needs of Federally Qualified Health Center Patients Following the Public Health Emergency Unwinding.","authors":"Kevin H Nguyen, Megan B Cole","doi":"10.1097/JAC.0000000000000485","DOIUrl":"10.1097/JAC.0000000000000485","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"47 1","pages":"43-47"},"PeriodicalIF":1.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Standardization of Home Blood Pressure Monitoring in Primary Care: A Quality Improvement Project. 初级保健家庭血压监测标准化:一项质量改进工程。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2024-01-01 Epub Date: 2023-10-19 DOI: 10.1097/JAC.0000000000000482
Lisa Knoll, Joy Elwell, Jill Arcari-Couture, Nanette Alexander
{"title":"The Standardization of Home Blood Pressure Monitoring in Primary Care: A Quality Improvement Project.","authors":"Lisa Knoll, Joy Elwell, Jill Arcari-Couture, Nanette Alexander","doi":"10.1097/JAC.0000000000000482","DOIUrl":"10.1097/JAC.0000000000000482","url":null,"abstract":"<p><p>Current guidelines recommend the use of home blood pressure monitoring (HBPM) to screen for and manage hypertension. In this study, a quality improvement project was designed to standardize the use of HBPM in a primary care setting and demonstrate improved blood pressure outcomes. Initial systolic and diastolic values were compared to averages from patient logs. Patient and provider feedback was collected. Only 40% of patients enrolled presented to follow-up with actionable HBPM data. Patients encountered logistical challenges in obtaining and presenting HBPM data. Interprofessional collaboration and improved information technology systems would improve outcomes. This will require increased policy and insurer support to make this possible in small settings.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"47 1","pages":"14-21"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Patient Activation Associated With Outcomes of Care for Adults With Chronic Conditions? 患者的激活与患有慢性疾病的成年人的护理结果有关吗？
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-10-01 DOI: 10.1097/JAC.0000000000000477
David M Mosen, Julie Schmittdiel, Judith Hibbard, David Sobel, Carol Remmers, Jim Bellows
{"title":"Is Patient Activation Associated With Outcomes of Care for Adults With Chronic Conditions?","authors":"David M Mosen, Julie Schmittdiel, Judith Hibbard, David Sobel, Carol Remmers, Jim Bellows","doi":"10.1097/JAC.0000000000000477","DOIUrl":"10.1097/JAC.0000000000000477","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 4","pages":"306-314"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10128049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From the Editors. 来自编辑器。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-10-01 DOI: 10.1097/JAC.0000000000000480
Megan B Cole Brahim, E Lee Rosenthal, Durrell J Fox
{"title":"From the Editors.","authors":"Megan B Cole Brahim, E Lee Rosenthal, Durrell J Fox","doi":"10.1097/JAC.0000000000000480","DOIUrl":"10.1097/JAC.0000000000000480","url":null,"abstract":"","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 4","pages":"263-264"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10501950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Appointment Pathways: Yield Management via Cause-and-Effect Modeling in the Outpatient Setting at Mayo Clinic. 预约途径：梅奥诊所门诊环境中通过因果模型进行产量管理。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-10-01 Epub Date: 2023-08-07 DOI: 10.1097/JAC.0000000000000473
Adrian C Keister, Derek R Munden, Brian S Bailey
{"title":"Appointment Pathways: Yield Management via Cause-and-Effect Modeling in the Outpatient Setting at Mayo Clinic.","authors":"Adrian C Keister, Derek R Munden, Brian S Bailey","doi":"10.1097/JAC.0000000000000473","DOIUrl":"10.1097/JAC.0000000000000473","url":null,"abstract":"<p><p>Patients have multiple outpatient appointments for various reasons. Analyzing patients' related appointments provides insight into referral patterns, leading to recommendations for ideal care and more efficient planning. We model these appointments with causal graphs via Judea Pearl's causal graph approach. Once we define the causal relationships in the appointment data, we leverage a graph database and visualization software to investigate valuable patterns and relationships in patient care over time. The Pathways tool allows yield management at specialty, provider, or appointment levels. Leaders use this tool to anticipate a patient's downstream appointments; the tool provides insights into staffing and the impact of growing demand.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 4","pages":"298-305"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Training Community Health Workers to Address Disparities in Dementia Care: A Case Study From Oklahoma With National Implications. 培训社区卫生工作者解决痴呆症护理差异：俄克拉荷马州的一项全国性案例研究。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-10-01 Epub Date: 2023-03-21 DOI: 10.1097/JAC.0000000000000470
Kerstin M Reinschmidt, Timothy J Philip, Zahra A Alhay, Tamara Braxton, Lee A Jennings
{"title":"Training Community Health Workers to Address Disparities in Dementia Care: A Case Study From Oklahoma With National Implications.","authors":"Kerstin M Reinschmidt, Timothy J Philip, Zahra A Alhay, Tamara Braxton, Lee A Jennings","doi":"10.1097/JAC.0000000000000470","DOIUrl":"10.1097/JAC.0000000000000470","url":null,"abstract":"<p><p>The projected increase of dementia in the diverse aging US population calls for a well-prepared public health workforce. Community health workers (CHWs) can address dementia in culturally appropriate ways. Collaborating with stakeholders, we developed a train-the-trainer curriculum for CHWs and used a virtual training platform to test its feasibility with 77 CHWs. Pre-/post-evaluation data demonstrated modestly increased dementia knowledge scores. Training participants valued the resources shared and interacting with peers. Disseminating this training could contribute to closing gaps in dementia care in diverse communities, along with policies supporting CHWs as a workforce that reduces age-related disparities and promotes health equity.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 4","pages":"272-283"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10121464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An "Engage to Sustain" Intervention to Improve Process Performance Measures in Ambulatory Care. “持续参与”干预，以改善门诊护理过程绩效措施。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-10-01 Epub Date: 2023-08-07 DOI: 10.1097/JAC.0000000000000474
Angela Miller, Allen K Skoranski, Barbara Prior, Rebecca Fitzpatrick, Cindy Morgan, Philynn Hepschmidt, Beth A Smith, Michael Cella, Dawn Brown McGlotten, Kenya Pitt, Rosemary C Polomano
{"title":"An \"Engage to Sustain\" Intervention to Improve Process Performance Measures in Ambulatory Care.","authors":"Angela Miller, Allen K Skoranski, Barbara Prior, Rebecca Fitzpatrick, Cindy Morgan, Philynn Hepschmidt, Beth A Smith, Michael Cella, Dawn Brown McGlotten, Kenya Pitt, Rosemary C Polomano","doi":"10.1097/JAC.0000000000000474","DOIUrl":"10.1097/JAC.0000000000000474","url":null,"abstract":"<p><p>In ambulatory care, monitoring process performance measures (PPMs) is essential to meet regulatory requirements, establish targets for care, seek reimbursement, and evaluate patient care responsibilities. We implemented a comprehensive program, \"Engage to Sustain,\" for licensed practical nurses (LPNs) and certified medical assistants (CMAs) to practice at the top of their licensure/certification. Screening rates for 4 key PPMs (depression screening, fall risk screening, and tobacco use screening and counseling) markedly increased following this intervention across 18 ambulatory departments with more than 2 million patient visits. These results suggest that shifting responsibilities for patient screening from physicians and advanced practitioners to LPNs and CMAs may improve screening rates.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 4","pages":"284-297"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Provider and Staff Burnout in Federally Qualified Community Health Centers. 联邦合格社区卫生中心的儿科服务提供者和工作人员精疲力竭。
IF 2.3
JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-10-01 Epub Date: 2023-08-07 DOI: 10.1097/JAC.0000000000000472
Cameron Hill, Stacy Justo, Hannah Park, Megan Bair-Merritt, Anita Morris, Emily Feinberg, R Christopher Sheldrick
{"title":"Pediatric Provider and Staff Burnout in Federally Qualified Community Health Centers.","authors":"Cameron Hill, Stacy Justo, Hannah Park, Megan Bair-Merritt, Anita Morris, Emily Feinberg, R Christopher Sheldrick","doi":"10.1097/JAC.0000000000000472","DOIUrl":"10.1097/JAC.0000000000000472","url":null,"abstract":"<p><p>This study examined changes in provider and staff burnout in 4 Boston-area federally qualified community health centers (FQHCs) participating in a pediatric behavioral health integration project. Utilizing the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSSMP), the study found that emotional exhaustion among primary care providers ( M = 20.5; confidence interval [CI], 17.8-23.2) was higher ( P = .001) than that among behavioral health clinicians ( M = 13.6; CI, 10.4-16.8) and ( P = .00005) community health workers ( M = 10.8; CI, 7.3-14.2). Emotional exhaustion among staff increased ( P = .04) from baseline ( M = 16.8; CI, 15.0-18.6) to follow-up ( M = 20.8; CI, 17.5-24.2), but burnout at follow-up was lower than national averages. FQHCs are integral in caring for marginalized patients; therefore, supporting a stable workforce by minimizing burnout is essential.</p>","PeriodicalId":46654,"journal":{"name":"JOURNAL OF AMBULATORY CARE MANAGEMENT","volume":"46 4","pages":"265-271"},"PeriodicalIF":2.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10126736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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