Wk 7&8 Flashcards
What is the Collaborative Care model?
Integrated behavioral health in primary care.
Started by primary care and population health.
Brief psychotherapy; Medication consultation; Registry based tracking; Treatment to target
Population health
brings significant health concerns into focus and addresses ways that resources can be allocated to overcome the problems that drive poor health conditions in the population.
What is PRIME?
Public Hospital Redesign and Incentives in Medi-Cal
Pay-for-performance program
Key Elements of Collaborative Care
Team-Driven
Population-Focused
Measurement-guided
Evidence-based
AIMS center
80 randomized trials
Improved outcomes
Improved satisfaction
Reduced costs: $1 spent on C.C saves $6.50 in health care costs
Most common illicit drug 2018:
- Marijuana
2. Pain relief misuse (mostly prescribed)
Most common SUD:
- Alcohol (most initiates of substances)
- Illicit drugs
- Marijuana (2nd most initiates of substances)
Most drug overdose
Opioid (synthetic prescribed opiods)
Largest reason for not getting Substance Use Treatment:
Did not feel they needed treatment
risk factor for opioid OD:
male, non-hispanic white, rural area, 45-55.; High opioid doses, co-prescription, illnesses (pancreatitis, liver, metastatic solid tumor); illicit drug use; ETOH use;
Treatments for opioid OD:
Methadone (full opiate agonist, licensed clinics only); Buprenorphine (partial opiate agonist); Natrexone (Opiate antagonist)
Root causes of climate change
Global population
Fossil fuels, green house gases
Market failure
Population health macrofactors
Income and wealth Education Employment and occupation Family and social support The built environment The food environment Community safety and culture Media/information environment Environmental pollution Geography
Population health management
maintain and improve health of a group of people, usually already known to a system.
Payment around metrics in that population.
Data systems designed to track panel size, demographics, quality metrics of interest, teams share the care and support patients (tracks them too),
Ex of population health management
Veterans Health Patient Aligned Care Teams