Mental Health Care in the Accountable Care Organization

2013 ◽  
Vol 64 (9) ◽  
pp. 908-910 ◽  
Author(s):  
Donovan T. Maust ◽  
David W. Oslin ◽  
Steven C. Marcus
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Accountable Care Organization ◽  
Care Organization ◽  
Accountable Care

scholarly journals Facilitating Eudaimonic Well-Being in Mental Health Care Organizations: The Role of Servant Leadership and Workplace Civility Climate

2020 ◽  
Vol 17 (4) ◽  
pp. 1173 ◽  
Author(s):  
Susan der Kinderen ◽  
Amber Valk ◽  
Svetlana N. Khapova ◽  
Maria Tims
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Servant Leadership ◽  
Mental Health Care ◽  
Health Care Organizations ◽  
Well Being ◽  
Care Organization ◽  
Psychological Well Being ◽  
Workplace Civility

Demanding and complex work within mental health care organizations places employee well-being at risk and raises the question of how we can positively influence the psychological well-being and functioning of these employees. This study explores the role of servant leadership and workplace civility climate in shaping eudaimonic well-being among 312 employees in a Dutch mental health care organization. The findings showed that servant leadership had a stronger relationship with eudaimonic well-being when workplace civility climate was high. Furthermore, the results showed that servant leadership was positively related to workplace outcomes, partially through eudaimonic well-being, and that this mediating process varied across different levels of workplace civility climate. This study contributes to the scholarly understanding of the role of servant leadership and a positive work climate in shaping psychological well-being at work.

A Survey of Mental Health Care Provider’s and Managed Care Organization Attitudes Toward, Familiarity with, and Use of Group Interventions

2001 ◽  
Vol 51 (2) ◽  
pp. 243-263 ◽  
Author(s):  
Nicolas T. Taylor ◽  
Gary M. Burlingame ◽  
Kristoffer B. Kristensen ◽  
Addie Fuhriman ◽  
Justin Johansen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Managed Care ◽  
Mental Health Care ◽  
Care Organization ◽  
Group Interventions ◽  
Managed Care Organization

scholarly journals Morehouse Choice Accountable Care Organization and Education System (MCACO-ES): Integrated Model Delivering Equitable Quality Care

2019 ◽  
Vol 16 (17) ◽  
pp. 3084 ◽  
Author(s):  
Michelle Brown ◽  
Elizabeth O. Ofili ◽  
Debbie Okirie ◽  
Priscilla Pemu ◽  
Cheryl Franklin ◽  
...  
Keyword(s):  
Health Care ◽  
Education System ◽  
Care Delivery ◽  
Accountable Care Organization ◽  
Performance Outcomes ◽  
Care Organization ◽  
Business Practices ◽  
Accountable Care ◽  
Medicare Beneficiaries ◽  
Integration Model

Accountable Care Organizations (ACOs) seek sustainable innovation through the testing of new care delivery methods that promote shared goals among value-based health care collaborators. The Morehouse Choice Accountable Care Organization and Education System (MCACO-ES), or (M-ACO) is a physician led integrated delivery model participating in the Medicare Shared Savings Program (MSSP) offered through the Centers for Medicare and Medicaid Services (CMS) Innovation Center. The MSSP establishes incentivized, performance-based payment models for qualifying health care organizations serving traditional Medicare beneficiaries that promote collaborative efficiency models designed to mitigate fragmented and insufficient access to health care, reduce unnecessary cost, and improve clinical outcomes. The M-ACO integration model is administered through participant organizations that include a multi-site community based academic practice, independent physician practices, and federally qualified health center systems (FQHCs). This manuscript aims to present a descriptive and exploratory assessment of health care programs and related innovation methods that validate M-ACO as a reliable simulator to implement, evaluate, and refine M-ACO’s integration model to render value-based performance outcomes over time. A part of the research approach also includes early outcomes and lessons learned advancing the framework for ongoing testing of M-ACO’s integration model across independently owned, rural, and urban health care locations that predominantly serve low-income, traditional Medicare beneficiaries, (including those who also qualify for Medicaid benefits (also referred to as “dual eligibles”). M-ACO seeks to determine how integration potentially impacts targeted performance results. As a simulator to test value-based innovation and related clinical and business practices, M-ACO uses enterprise-level data and advanced analytics to measure certain areas, including: 1) health program insight and effectiveness; 2) optimal implementation process and workflows that align primary care with specialists to expand access to care; 3) chronic care management/coordination deployment as an effective extender service to physicians and patients risk stratified based on defined clinical and social determinant criteria; 4) adoption of technology tools for patient outreach and engagement, including a mobile application for remote biometric monitoring and telemedicine; and 5) use of structured communication platforms that enable practitioner engagement and ongoing training regarding the shift from volume to value-based care delivery.

scholarly journals Organizational cultural competence consultation to a mental health institution

2012 ◽  
Vol 49 (2) ◽  
pp. 165-184 ◽  
Author(s):  
Kenneth Fung ◽  
Hung-Tat (Ted) Lo ◽  
Rani Srivastava ◽  
Lisa Andermann
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Cultural Competence ◽  
Mental Health Care ◽  
Care Delivery ◽  
Care Service ◽  
Health Care Organization ◽  
Health Care Service ◽  
Care Organization ◽  
Organizational Cultural Competence

Cultural competence is increasingly recognized as an essential component of effective mental health care delivery to address diversity and equity issues. Drawing from the literature and our experience in providing cultural competence consultation and training, the paper will discuss our perspective on the foundational concepts of cultural competence and how it applies to a health care organization, including its programs and services. Based on a recent consultation project, we present a methodology for assessing cultural competence in health care organizations, involving mixed quantitative and qualitative methods. Key findings and recommendations from the resulting cultural competence plan are discussed, including core principles, change strategies, and an Organizational Cultural Competence Framework, which may be applicable to other health care institutions seeking such changes. This framework, consisting of eight domains, can be used for organizational assessment and cultural competence planning, ultimately aiming at enhancing mental health care service to the diverse patients, families, and communities.

Health Care Utilization Following Vagus Nerve Stimulation Therapy in Pediatric Epilepsy Patients From a Pediatric Accountable Care Organization

2017 ◽  
Vol 33 (2) ◽  
pp. 136-139
Author(s):  
Anup Patel ◽  
Ling Wang ◽  
Satyanarayana Gedela
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Vagus Nerve ◽  
Nerve Stimulation ◽  
Vagus Nerve Stimulation ◽  
Accountable Care Organization ◽  
Care Utilization ◽  
Pediatric Epilepsy ◽  
Care Organization ◽  
Accountable Care

Background: Vagus nerve stimulation has been a therapy for epilepsy approved by the US Food and Drug Administration (FDA) for patients 4 and older and shown efficacy and safety in younger pediatric patients. Methods: The authors performed a retrospective analysis utilizing Medicaid claims from an accountable care organization to measure the intervention of vagus nerve stimulation therapy in regard to unplanned health care utilization. Thirteen unique patients were included who had vagus nerve stimulation therapy who had at least 6 months of continuous enrollment in a managed Medicaid health plan. Comparison with 12 months of data before and after vagus nerve stimulation implantation was performed. Results: Patients had statistically significant fewer unplanned inpatient visits per patient per enrollment month after vagus nerve stimulation implantation. Conclusion: Utilizing claims data, vagus nerve stimulation implantation demonstrates a reduction in unplanned hospitalizations.

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