What do health coaches do? Direct observation of health coach activities during medical and patient-health coach visits at 3 federally qualified health centers

2018 ◽  
Vol 101 (5) ◽  
pp. 900-907 ◽  
Author(s):  
Christopher Johnson ◽  
George Saba ◽  
Jessica Wolf ◽  
Heather Gardner ◽  
David H. Thom
Keyword(s):  
Direct Observation ◽  
Health Centers ◽  
Health Coach ◽  
Federally Qualified Health Centers ◽  
Patient Health ◽  
Health Coaches

scholarly journals Variation in brief treatment for substance use disorder: a qualitative investigation of four federally qualified health centers with SBIRT services

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Dennis P. Watson ◽  
Monte D. Staton ◽  
Michael L. Dennis ◽  
Christine E. Grella ◽  
Christy K. Scott
Keyword(s):  
Substance Use ◽  
Substance Use Disorder ◽  
Low Cost ◽  
Health Centers ◽  
Qualitative Investigation ◽  
Brief Treatment ◽  
Federally Qualified Health Centers ◽  
Implementation Quality ◽  
Cost Treatment ◽  
Future Work

Abstract Background Brief treatment (BT) can be an effective, short-term, and low-cost treatment option for many people who misuse alcohol and drugs. However, inconsistent implementation is suggested to result in BT that often looks and potentially costs similar to regular outpatient care. Prior research is also rife with inconsistent operationalizations regarding the measurement of BT received by patients. As such, there is a need to more explicitly identify and document variations in BT practice. Methods A qualitative investigation of BT in four Federally Qualified Health Centers (FQHC) was undertaken as a sub study of a larger clinical trial. Researchers interviewed 12 staff (administrators and clinicians) involved in BT oversight, referral, or delivery within the four FQHCs. Data were analyzed following an inductive approach guided by the primary research questions. Results Findings demonstrate considerable differences in how BT was conceptualized and implemented within the FQHCs. This included a variety of ways in which BT was presented and described to patients that likely impacts how they perceive the BT they receive, including potentially not understanding they received substance use disorder treatment at all. Conclusions The findings raise questions regarding the validity of prior research, demonstrating more objective definitions of BT and fidelity checklists are needed to ensure integrity of results. Future work in this area should seek to understand BT as practiced among a larger sample of providers and the direct experiences and perspectives of patients. There is also a need for more consistent implementation, quality assurance guidelines, and standardized stage of change assessments to aid practitioners.

Implementation of a Lung Cancer Screening Program in Two Federally Qualified Health Centers

2021 ◽  
pp. 003335492097171
Author(s):  
Lesley Watson ◽  
Megan M. Cotter ◽  
Shauna Shafer ◽  
Kara Neloms ◽  
Robert A. Smith ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Cancer Screening ◽  
Screening Program ◽  
Lung Cancer Screening ◽  
Pilot Project ◽  
Health Centers ◽  
Smoking History ◽  
Federally Qualified Health Centers ◽  
Cancer Society ◽  
Improved Outcomes

Using low-dose computed tomography (LDCT) to screen for lung cancer is associated with improved outcomes among eligible current and former smokers (ie, aged 55-77, at least 30-pack–year smoking history, current smoker or former smoker who quit within the past 15 years). However, the overall uptake of LDCT is low, especially in health care settings with limited personnel and financial resources. To increase access to lung cancer screening services, the American Cancer Society partnered with 2 federally qualified health centers (FQHCs) in Tennessee and West Virginia to conduct a pilot project focused on developing and refining the LDCT screening referral processes and practices. Each FQHC was required to partner with an American College of Radiology–designated lung cancer screening center in its area to ensure high-quality patient care. The pilot project was conducted in 2 phases: 6 months of capacity building (January–June 2016) followed by 2 years of implementation (July 2016–June 2018). One site created a sustainable LDCT referral program, and the other site encountered numerous barriers and failed to overcome them. This case study highlights implementation barriers and factors associated with success and improved outcomes in LDCT screening.

Federally qualified health centers reduce the primary care provider gap in health professional shortage counties

2018 ◽  
Vol 66 (3) ◽  
pp. 263-272 ◽  
Author(s):  
Ying Xue ◽  
Elizabeth Greener ◽  
Viji Kannan ◽  
Joyce A. Smith ◽  
Carol Brewer ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Professional ◽  
Care Provider ◽  
Primary Care Provider ◽  
Health Centers ◽  
Federally Qualified Health Centers
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