A Process Evaluation of Primary Care Behavioral Health Integration in the Military Health System

2021 ◽  
Keyword(s):  
Primary Care ◽  
Health System ◽  
Behavioral Health ◽  
Process Evaluation ◽  
Military Health System ◽  
Military Health ◽  
Primary Care Behavioral Health ◽  
Behavioral Health Integration ◽  
The Military

scholarly journals Patient-Centered Medical Home: An Emerging Primary Care Model and the Military Health System

2011 ◽  
Vol 176 (11) ◽  
pp. 1253-1259 ◽  
Author(s):  
Robert C. Marshall ◽  
Martin Doperak ◽  
Michelle Milner ◽  
Charles Motsinger ◽  
Terry Newton ◽  
...  
Keyword(s):  
Primary Care ◽  
Health System ◽  
Medical Home ◽  
Patient Centered Medical Home ◽  
Military Health System ◽  
Care Model ◽  
Patient Centered ◽  
Military Health ◽  
Primary Care Model ◽  
The Military

Child, Family, and School Behavioral Health Care in the Military Health System

2020 ◽  
Vol 8 (3) ◽  
pp. 315-326
Author(s):  
Michael E. Faran ◽  
Patti L. Johnson ◽  
Paul K. Ban ◽  
James C. Sarver ◽  
Lindaya J. Brown ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Military Health System ◽  
Military Health ◽  
The Military

scholarly journals Impact of a Service Line Management Model on Behavioral Health Care in the Military Health System

2019 ◽  
Vol 70 (6) ◽  
pp. 522-525 ◽  
Author(s):  
Christopher G. Ivany ◽  
Kelly W. Bickel ◽  
Tari Rangel ◽  
James Sarver ◽  
Joann Dinkel-Holzer ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Management Model ◽  
Military Health System ◽  
Military Health ◽  
Service Line ◽  
The Military ◽  
Line Management

scholarly journals Characterization and Comparison of Primary Care Appointment Utilization Patterns Among Military Health System Beneficiaries

2020 ◽  
Vol 185 (11-12) ◽  
pp. e2137-e2142
Author(s):  
Amanda Self ◽  
Munziba Khan ◽  
Amanda Banaag ◽  
Tracey Koehlmoos
Keyword(s):  
Primary Care ◽  
Health System ◽  
Active Duty ◽  
Fiscal Year ◽  
Primary Care Clinician ◽  
Military Health System ◽  
Military Health ◽  
Care Appointment ◽  
The Military ◽  
Primary Care Appointment

Abstract Introduction The role of primary care in the United States is vitally important to improving health outcomes, minimizing waste, and controlling cost. The Military Health System is tasked with both caring for its beneficiaries and ensuring the medical readiness of active duty service members, who often have needs unique to those in the civilian population. Balancing the number of individuals assigned to a primary care clinician with the clinician’s capacity to meet their medical needs and anticipated appointment demand is a fundamental cornerstone of effective primary care clinic management in any setting. Materials and methods Using the Military Health System Data Repository, this cross-sectional study utilized descriptive statistics and Poisson regression to describe crude and adjusted primary care appointment utilization trends among Military Health System beneficiaries during fiscal year 2016. Results The primary care appointment utilization rate of the study population was 3.3 visits per person-year. The youngest and oldest age groups, women, active duty, and those enrolled to Army clinics had the highest utilization rates within each of the respective covariates. Active duty women had the highest utilization of any group in the data set, with a crude rate of 4.7 visits per person-year. Conclusions Primary care utilization trends are different among different demographic subgroups within the Military Health System (MHS). Unmet demand, patient acuity, clinician continuity, robustness of team support, and other important factors that influence appointment utilization were not incorporated in this study. Superficially, these data suggest that the MHS enrollment target of 1,100–1,300 patients per full-time primary care clinician is roughly appropriate, though this should be interpreted with caution given the limitations.

scholarly journals Curricular Change and Resiliency in the Era of Coronavirus (COVID-19): The Uniformed Services University of the Health Sciences (USU) Experience

2020 ◽  
Author(s):  
Arnyce R Pock ◽  
Pamela M Williams ◽  
Ashley M Maranich ◽  
Ryan R Landoll ◽  
Catherine T Witkop ◽  
...  
Keyword(s):  
Health System ◽  
Health Sciences ◽  
Lessons Learned ◽  
Organizational Response ◽  
Educational Goals ◽  
Military Health System ◽  
Military Health ◽  
Health Crisis ◽  
Core Curricula ◽  
The Military

ABSTRACT Introduction The Coronavirus (COVID-19) pandemic has presented a myriad of organizational and institutional challenges. The Uniformed Services University of the Health Sciences, like many other front line hospitals and clinics, encountered a myriad of challenges in fostering and sustaining the education of students enrolled at the nation’s only military medical school. Critical to the function of any academic medical institution, but particularly one devoted to the training of future physicians for the Military Health System, was the ability to rapidly adapt, modify, and create new means of keeping medical students engaged in their core curricula and progressing toward full and timely attainment of established educational goals and objectives. Methods This article highlights some of the particular challenges faced by faculty and students during the first 6 months of the COVID-19 pandemic and describes how they were managed and/or mitigated. Results Six key “lessons learned” were identified and summarized in this manuscript. These lessons may be applicable to other academic institutions both within and outside of the Military Health System. Conclusions Recognizing and embracing these key tenets of academic change management can accelerate the generation of a cohesive, organizational response to the next pandemic or public health crisis.

Comparison of Nurse-Midwife and Physician Birth Outcomes in the Military Health System

2021 ◽  
pp. 152715442199407
Author(s):  
Lynette Hamlin ◽  
Lindsay Grunwald ◽  
Rodney X. Sturdivant ◽  
Tracey P. Koehlmoos
Keyword(s):  
Health System ◽  
Birth Outcomes ◽  
Health Care Systems ◽  
Vaginal Birth ◽  
Data Repository ◽  
Military Health System ◽  
Provider Type ◽  
Pregnancy Risk ◽  
Military Health ◽  
The Military

The purpose of this study is to identify the socioeconomic and demographic characteristics of women cared for by Certified Nurse-Midwives (CNMs) versus physicians in the Military Health System (MHS) and compare birth outcomes between provider types. The MHS is one of America’s largest and most complex health care systems. Using the Military Health System Data Repository, this retrospective study examined TRICARE beneficiaries who gave birth during 2012–2014. Analysis included frequency of patients by perinatal services, descriptive statistics, and logistic regression analysis by provider type. To account for differences in patient and pregnancy risk, odds ratios were calculated for both high-risk and general risk population. There were 136,848 births from 2012 to 2014, and 30.8% were delivered by CNMs. Low-risk women whose births were attended by CNMs had lower odds of a cesarean birth, induction/augmentation of labor, complications of birth, postpartum hemorrhage, endometritis, and preterm birth and higher odds of a vaginal birth, vaginal birth after cesarean, and breastfeeding than women whose births were attended by physicians. These results have implications for the composition of the women’s health workforce. In the MHS, where CNMs work to the fullest scope of their authority, CNMs attended almost 4 times more births than our national average. An example to other U.S. systems and high-income countries, this study adds to the growing body of evidence demonstrating that when CNMs practice to the fullest extent of their education, they provide quality health outcomes to more women.

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