71.4 Building Bridges With Primary Care Providers Across the State: The Michigan Child Collaborative Care Program (MC3)

2017 ◽  
Vol 56 (10) ◽  
pp. S106
Author(s):  
Nasuh Malas
Keyword(s):  
Primary Care ◽  
Collaborative Care ◽  
Care Program ◽  
Primary Care Providers ◽  
The State ◽  
Care Providers

Lamotrigine and lithium in primary care psychiatric consultation: adoption and adverse effects

2020 ◽  
Author(s):  
James R Phelps ◽  
Olivia R Pipitone ◽  
Kenneth Squires ◽  
Jonathan D Bale
Keyword(s):  
Primary Care ◽  
Weight Gain ◽  
Adverse Effects ◽  
Collaborative Care ◽  
Bipolar Depression ◽  
Care Program ◽  
Primary Care Providers ◽  
Thyroid Stimulating Hormone ◽  
Care Providers ◽  
Psychiatric Consultation

Abstract Background The Collaborative Care Model of psychiatric consultation in primary care has improved outcomes for unipolar depression, but bipolar depressions are challenging for providers and consultants. Although lamotrigine and lithium are both first line medications for bipolar depression, their use in primary care has been declining over the last decade. Objective Our project aimed to quantify the frequency of and adoption of recommendations for lamotrigine and lithium, and their adverse effects, in a Collaborative Care program. Methods Chart review. Results For 620 depressed adult patients (Public Health Questionnaire, 9-item ≥10), lamotrigine and lithium were recommended by psychiatric consultant for 35% and 26% of patients, respectively; and when recommended, were prescribed by primary care providers 50% and 32% of the time, respectively. Eighty-four percent of lithium dosages were 600 mg or less; average serum level 0.32 mEq/l. In follow-up up to 6 months, lithium was associated with no more weight gain than lamotrigine; but 12% of patients receiving lithium had thyroid stimulating hormone increases exceeding the upper limit of normal, occurring in an average of 32 days after the initial prescription. Conclusions (i) In a Collaborative Care program of psychiatric consultation, recommendations for lamotrigine and lithium were very frequent. (ii) Adoption of these recommendations is variable, warranting further investigation. (iii) Like higher doses, low doses of lithium induced hypothyroidism (rapidly)—but not weight gain.

Economic Grand Rounds: Incentives for Primary Care Providers to Participate in a Collaborative Care Program for Depression

2005 ◽  
Vol 56 (11) ◽  
pp. 1344-1346 ◽  
Author(s):  
Mitchell D. Feldman ◽  
Patricia A. Areán ◽  
Michael K. Ong ◽  
Deborah L. Lee ◽  
Saul Feldman
Keyword(s):  
Primary Care ◽  
Collaborative Care ◽  
Care Program ◽  
Primary Care Providers ◽  
Care Providers ◽  
Grand Rounds

The Experience of Primary Care Providers With an Integrated Mental Health Care Program in Safety-Net Clinics

2015 ◽  
Vol 38 (2) ◽  
pp. 158-168 ◽  
Author(s):  
Wayne D. Bentham ◽  
Anna Ratzliff ◽  
David Harrison ◽  
Ya-Fen Chan ◽  
Steven Vannoy ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Care Program ◽  
Primary Care Providers ◽  
Safety Net ◽  
Care Providers ◽  
Health Care Program ◽  
Safety Net Clinics ◽  
Integrated Mental Health

Engaging a statewide network to expand survivorship care to rural and urban cancer survivors.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 23-23
Author(s):  
Jennifer R. Klemp ◽  
Carol Bush ◽  
Ashley Spaulding ◽  
Hope Krebill ◽  
Gary C. Doolittle
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Technical Assistance ◽  
Community Support ◽  
Primary Care Providers ◽  
Educational Needs ◽  
The State ◽  
Survivorship Care ◽  
Care Providers ◽  
Care Plans

23 Background: Advances have been made in elevating cancer survivorship as a public health priority and defining elements needed to deliver high-quality follow-up care to survivors. However, a lack of research on how best to care for survivors and the most effective and efficient strategies for delivering survivorship care in the community setting still exists. We report our assessment of the current state of practice, knowledge and professional development, and plan to increase access to care of urban and rural practices across the state of Kansas. Methods: In 2014, the Midwest Cancer Alliance (MCA), a membership-based outreach arm of The University of Kansas Cancer Center, convened an educational summit and survey to assess the survivorship landscape in Kansas. Post-summit, individual interviews were conducted. Survey and interviews included questions regarding health records, treatment summaries, survivorship care plans (SCP), availability of survivorship programs and resources, access to primary care and specialists, distress screening, community support, and educational needs. Results: Ten MCA member health systems were invited to participate and 7 indicated interest in participating in the project. Only one organization provided an SCP to survivors. Barriers included lack of an integrated approach and knowledge. A majority of survivorship care could be delivered close to home, however, services including fertility preservation, genetic counseling, oncology rehab, sexual health, and second opinions, required travel of more than 50 miles. Identified educational needs focused on comprehensive survivorship care across the health care team. Conclusions: Survivorship care remains fragmented across the state of Kansas. Based on this project, we have secured a CDC survivorship grant that will facilitate clinical and technical assistance related to process improvement and electronic health record integration focused on survivorship care and delivery of an SCP. Next steps include engaging primary care providers and survivors to assure the SCP meets the needs of stakeholders. This work will focus on a translational process to meet the growing needs of the survivors and complex health care organizations.

scholarly journals Do Telemedicine Wound Care Specialist Consults Meet the Needs of the Referring Physician? A Survey of Primary Care Providers

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Marek K. Dobke ◽  
Dhaval Bhavsar ◽  
Fernando Herrera
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Wound Care ◽  
Care Program ◽  
Primary Care Providers ◽  
Care Providers ◽  
Face To Face ◽  
Telemedicine Consultation ◽  
Number Of Patients ◽  
One Year

The purpose of our study was to determine the factors that influence the use of telemedicine consultation by primary care physicians (PCPs) in the management of patients with problem wounds. A short questionnaire was administered to thirty-six PCPs who referred to our Wound Care Program within one year. Participants were asked to rate the importance of specific concerns and benefits regarding the role of wound care surgical specialist (WCSS) and the use of telemedicine consults prior to possible face-to-face consultation. Sixty percent of respondents felt comfortable with telemedicine consultation based on recommendations alone. The total number of patients referred for telemedicine consult was 230, and face-to-face consultation with a WCSS was offered and arranged for 30% of patients. The perception of shared decision making, streamlining patient care, and an opportunity for followup were all highly ranked benefits. The majority of PCPs (93%) agreed that telemedicine wound care consult is a useful tool in their practice and would continue to use the telemedicine consult service.

scholarly journals Erratum to: Collaborative Care: a Pilot Study of a Child Psychiatry Outpatient Consultation Model for Primary Care Providers

2016 ◽  
Vol 44 (3) ◽  
pp. 515-515 ◽  
Author(s):  
Elise M. Fallucco ◽  
Emma Robertson Blackmore ◽  
Carolina M. Bejarano ◽  
Chelsea B. Kozikowski ◽  
Steven Cuffe ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Child Psychiatry ◽  
Collaborative Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Outpatient Consultation ◽  
Consultation Model

Collaborative Care: a Pilot Study of a Child Psychiatry Outpatient Consultation Model for Primary Care Providers

2016 ◽  
Vol 44 (3) ◽  
pp. 386-398 ◽  
Author(s):  
Elise M. Fallucco ◽  
Emma Robertson Blackmore ◽  
Carolina M. Bejarano ◽  
Chelsea B. Kozikowksi ◽  
Steven Cuffe ◽  
...  
Keyword(s):  
Primary Care ◽  
Pilot Study ◽  
Child Psychiatry ◽  
Collaborative Care ◽  
Primary Care Providers ◽  
Care Providers ◽  
Outpatient Consultation ◽  
Consultation Model

scholarly journals Evaluation of a Pilot Asthma Care Program for Electronic Communication between School Health and a Healthcare System’s Electronic Medical Record

2016 ◽  
Vol 07 (04) ◽  
pp. 969-982 ◽  
Author(s):  
Yhenneko Taylor ◽  
Hazel Tapp ◽  
Thomas Ludden ◽  
Lindsay Shade ◽  
Beth Burton ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
School Health ◽  
Electronic Communication ◽  
Care Program ◽  
Primary Care Providers ◽  
School Nurse ◽  
School Nurses ◽  
Care Providers

SummaryObjective Asthma is a common childhood chronic lung disease affecting greater than 10% of children in the United States. School nurses are in a unique position to close gaps in care. Indeed, effective asthma management is more likely to result when providers, family, and schools work together to optimize the patient’s treatment plan. Currently, effective communication between schools and healthcare systems through electronic medical record (EMR) systems remains a challenge. The goal of this feasibility pilot was to link the school-based care team with primary care providers in the healthcare system network via electronic communication through the EMR, on behalf of pediatric asthma patients who had been hospitalized for an asthma exacerbation. The implementation process and the potential impact of the communication with providers on the reoccurrence of asthma exacerbations with the linked patients were evaluated.Methods By engaging stakeholders from the school system and the healthcare system, we were able to collaboratively design a communication process and implement a pilot which demonstrated the feasibility of electronic communication between school nurses and primary care providers. Outcomes data was collected from the electronic medical record to examine the frequency of asthma exacerbations among patients with a message from their school nurse. The percent of exacerbations in the 12 months before and after electronic communication was compared using McNemar’s test.ResultsThe pilot system successfully established communication between the school nurse and primary care provider for 33 students who had been hospitalized for asthma and a decrease in hospital admissions was observed with students whose school nurse communicated through the EMR with the primary care provider.Conclusions Findings suggest a collaborative model of care that is enhanced through electronic communication via the EMR could positively impact the health of children with asthma or other chronic illnesses.Citation: Reeves KW, Taylor Y, Tapp H, Ludden T, Shade LE, Burton B, Courtlandt C, Dulin M. Evaluation of a pilotasthma care program for electronic communication between school health and a healthcare system’s electronic medicalrecord.

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