scholarly journals Community Care of North Carolina—: An Enhanced Medical Home Model

2009 ◽  
Vol 70 (3) ◽  
pp. 219-224
Author(s):  
L. Allen Dobson ◽  
Denise Levis Hewson
Keyword(s):  
North Carolina ◽  
Medical Home ◽  
Community Care ◽  
Medical Home Model

Community Care of North Carolina – A statewide initiative for innovative pharmacy practice with a behavioral health focus

2014 ◽  
Vol 4 (6) ◽  
pp. 271-275 ◽  
Author(s):  
Theodore Pikoulas ◽  
Jerry McKee ◽  
Carlos Jackson ◽  
Troy Trygstad ◽  
Amelia Mahan ◽  
...  
Keyword(s):  
North Carolina ◽  
Behavioral Health ◽  
Community Care ◽  
Transitional Care ◽  
Medication Management ◽  
Pharmacy Practice ◽  
Care Facility ◽  
Leadership Role ◽  
Clinical Pharmacists ◽  
Medical Home Model

Community Care of North Carolina (CCNC) is a state-wide public/private partnership, primarily serving North Carolina (NC) Medicaid recipients, which focuses on the Primary Care Medical Home model of care. The CCNC Behavioral Health Pharmacy Coordinator has a leadership role for the direction and management of Behavioral Health Initiative (BHI) pharmacy projects, while other CCNC clinical pharmacists work in a variety of settings and help to implement and support those BHI projects. CCNC clinical pharmacists also perform medication management in all settings, help to implement the NC Medicaid Preferred Drug List (PDL), support the care managers, and are involved with the transitional care (TC) process. Transitional care medication management focuses on the identification of medication list discrepancies after discharge from an acute care facility. Patients receiving TC were 20% less likely to return to the hospital in the coming year. We observed the same trend even when looking specifically at those patients who were discharged from a psychiatric unit (Wilcoxon-Gehan statistic = 21.22, p<.0001). It is the goal of the CCNC behavioral health team to provide practicing pharmacists (those directly supported by CCNC and those collaborating with CCNC) with the tools to continue serving populations with behavioral health issues.

scholarly journals Why Parents Use the Emergency Department Despite Having a Medical Home

2018 ◽  
Vol 58 (1) ◽  
pp. 95-99 ◽  
Author(s):  
Kalpana Pethe ◽  
Allison Baxterbeck ◽  
Susan L. Rosenthal ◽  
Melissa S. Stockwell
Keyword(s):  
Emergency Department ◽  
Low Income ◽  
Medical Home ◽  
Medical Problem ◽  
Community Based ◽  
Phone Line ◽  
Medical Homes ◽  
Medical Home Model ◽  
After Hours ◽  
Publicly Insured

Despite having a medical home, pediatric patients continue emergency department (ED) utilization for various reasons. This study examines parental reasons associated with the decision to seek ED care in a group of low-income, inner-city, publicly insured children. Surveys were conducted with parents of children (age = 0-19 years) presenting to a community-based clinic, which has an established medical home model with enhanced access. Most patients (88.3%) had a pediatrician, and nearly all (93.3%) reported a visit to the ED; most (75.7%) were aware of clinic walk-in hours, but less than half (42.6%) were aware of an after-hours phone line. There was no difference in those who were aware of walk-in hours or an after-hours phone line and a reported ED visit. Half of the parents (52.5%) thought their child’s medical problem was serious. In addition to providing enhanced efforts, medical homes should strive to make families aware of increased access.

scholarly journals Nikki’s Story Shows the Success of Community Care of North Carolina

2013 ◽  
Vol 74 (Suppl) ◽  
pp. s19-s20
Author(s):  
William A. Pully ◽  
Robert W. Seligson
Keyword(s):  
North Carolina ◽  
Community Care
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