HealthcareBehavioral - The NIC Collaboration Hub2024-03-29T05:27:51Zhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/feed/category/HealthcareBehavioralExecutive Order Saving Lives Through Increased Support for Mental and Behavioral Health Needs Reporthttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/executive-order-saving-lives-through-increased-support-for-mental2021-01-05T18:16:40.000Z2021-01-05T18:16:40.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Executive Summary:</p>
<p>On October 5, 2020, President Trump signed Executive Order (EO) 13594, Saving Lives Through Increased Support for Mental and Behavioral Health Needs. It reflects the Administration’s dedication to preventing the tragedy of suicide, ending the opioid crisis, and improving mental and behavioral health. As such, the Administration has placed a great emphasis on helping those individuals who are most susceptible, from a mental health standpoint, to prolonged state and local COVID-19 restrictions. Since mental illnesses and substance use disorders (SUDs) can be a risk for all Americans equally, helping people with these vulnerabilities has broad bipartisan support. The EO highlights the exacerbation of emotional needs stemming from interpersonal and environmental stressors caused by the COVID-19 pandemic and the subsequent disruption of services, and provides a blueprint to alleviate these ongoing challenges.</p>
<p>The goal is to reduce the number of immediate life-threatening situations related to mental illness and SUDs through increased education, crisis intervention, follow-up and support services, and increased telehealth and online behavioral health services (i.e. services for a broad range of supports for people with mental illness, SUDs, and other conditions and across the age spectrum from youth to older adults), while utilizing both public and private resources. The EO orders the creation of a Coronavirus Mental Health Working Group (Working Group) to examine existing protocols and programs, and outline a plan for improving mental health functioning by assisting public and private stakeholders and agencies to maximize therapeutic support, including face-toface in-person services, to reduce the negative impact of COVID-19. This Report sets forth actions to date, as well as recommendations for future activity to address these critical issues.</p>
<p><a href="https://www.samhsa.gov/sites/default/files/saving-lives-mental-behavioral-health-needs.pdf" target="_blank">Read the report >></a></p></div>Behavioral Health Workforce Reporthttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/behavioral-health-workforce-report2020-12-21T17:53:14.000Z2020-12-21T17:53:14.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>About:</p>
<p>SAMHSA has released the “Behavioral Health Workforce Report,” which documents effective mental and substance use disorder treatment models and pertinent staffing needs – as part of the agency’s goal to increase access to evidence-based mental and substance use disorder care.</p>
<p><a href="https://www.samhsa.gov/sites/default/files/behavioral-health-workforce-report.pdf" target="_blank">Read the report >></a></p></div>Strategies for Engaging Vulnerable Populations in Healthcarehttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/strategies-for-engaging-vulnerable-populations-in-healthcare2020-12-21T17:50:04.000Z2020-12-21T17:50:04.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>"Connecting and communicating with members is an important part of effective healthcare. When providers and members work as a team, health outcomes improve.¹ Members who have access to factual and high-quality health information,² guidance from a qualified healthcare provider, and who can connect and share information with their clinicians can better manage their health.³ Effective communication can help prevent medical errors, too.⁴"</p>
<p>"Reaching out to and engaging members may be a challenge. In this paper we’ll share strategies to help health plans engage vulnerable populations to improve healthcare and disease management."</p>
<p><a href="https://fiercehealthcare.tradepub.com/free/w_defa684/" target="_blank">Read the whitepaper >></a></p></div>UNDERSTANDING HEALTH REFORM AS JUSTICE REFORM: MEDICAID, CARE COORDINATION, AND COMMUNITY SUPERVISIONhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/understanding-health-reform-as-justice-reform-medicaid-care-coord2020-12-17T17:18:31.000Z2020-12-17T17:18:31.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Overview:</p>
<p>Justice reform strategies to reduce mass incarceration will not be successful without healthcare and social supports for persons with chronic health conditions. This intersection of health and justice holds the potential for smarter spending, better health outcomes, reduced incarceration, and fewer persons with mental illness and substance use disorders under correctional control. </p>
<p>The United States’ current community supervision system does not effectively serve people with chronic health conditions. Moving away from the overly punitive model of community supervision and towards expanding and building upon Medicaid in all 50 states will improve health outcomes and help end mass incarceration.</p>
<p><a href="https://squareonejustice.org/wp-content/uploads/2020/11/Final-Understanding-Health-reform-WEB-201103.pdf" target="_blank">Read the report >></a></p></div>Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Carehttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/artificial-intelligence-in-health-care-benefits-and-challenges-of2020-12-17T17:13:19.000Z2020-12-17T17:13:19.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Executive Summary</p>
<p>This report is being jointly published by the Government Accountability Office (GAO) and the National Academy of Medicine (NAM). Part One of this joint publication is the full presentation of GAO’s Technology Assessment: Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Part Two is the full presentation of NAM’s Special Publication: Advancing Artificial Intelligence in Health Settings Outside the Hospital and Clinic. Although GAO and NAM staff consulted with and assisted each other throughout this work, reviews were conducted by GAO and NAM separately and independently, and authorship of the text of Part One and Part Two of this Executive Summary and the following report lies solely with GAO and NAM, respectively.</p>
<p><a href="https://www.gao.gov/assets/720/710920.pdf" target="_blank">Read the report >></a></p></div>Crisis Services: Meeting Needs, Saving Liveshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/crisis-services-meeting-needs-saving-lives2020-12-15T15:42:11.000Z2020-12-15T15:42:11.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>The book is composed of SAMHSA’s “National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit” and related papers on crisis services. The toolkit reflects relevant clinical and health services research, review of top national program practices and replicable approaches that support best practice implementation. The related papers address key issues relevant to crisis services, homelessness, technology advances, substance use, legal issues impacting crisis services, financing crisis care, diverse populations, children and adolescents, rural and frontier areas, and the role of law enforcement.</p>
<p><a href="https://store.samhsa.gov/product/crisis-services-meeting-needs-saving-lives/PEP20-08-01-001" target="_blank">Read the publication >></a></p></div>Improving Health Equity Through Medical-Legal Partnershipshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/improving-health-equity-through-medical-legal-partnerships2020-12-01T14:48:06.000Z2020-12-01T14:48:06.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Description:</p>
<p>As hospitals and health systems continue to address the social determinants of health to improve health equity and community health outcomes, a key strategy has been to work in partnership with other organizations outside of health care. Medical-legal partnerships are one approach to assist at-risk patients address social needs and resolve legal issues that affect their health and well-being.</p>
<p>During and beyond the COVID-19 pandemic, such partnerships help patients and communities that face social and economic challenges, with the aim of improving overall health status.</p>
<p>This issue brief discusses how medical-legal partnerships can support vulnerable populations, and highlights case examples and resources.</p>
<p><a href="https://www.aha.org/system/files/media/file/2020/11/aha-medical-legal-partnerships-1120-final.pdf" target="_blank">Read the brief >></a></p></div>Why experts say healthcare needs to extend the interoperability conversation to public healthhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/why-experts-say-healthcare-needs-to-extend-the-interoperability-c2020-11-16T17:49:14.000Z2020-11-16T17:49:14.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Highlights:</p>
<ul>
<li>Bringing these groups into the fold is beneficial both to providers' work but also to their own efforts, he said. For example, a food pantry would benefit from having data on people's allergies, and a homeless shelter should have access to information on medication regimens for people staying there.</li>
<li>Williams said that "there's a lot of creative work to do" in bringing these social services organizations up to speed on interoperability. For one, it's unclear what kind of workflow is in place for this type of data-sharing, she said. There should be a defined point person who will take in information from public health organizations and incorporate it into an individual patient's data so that it can be used.</li>
<li>Providers and health plans are under the gun to comply with federal regulations on interoperability, though these rules have been delayed twice due to COVID-19. Despite the extra time, a recent survey found both are struggling to keep up.</li>
</ul>
<p><a href="https://www.fiercehealthcare.com/tech/why-experts-say-healthcare-needs-to-extend-interoperability-conversation-to-public-health" target="_blank">Read the article >></a></p></div>Advancing Equity in Maternal Mental Health: Strategies for State Medicaid Programshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/advancing-equity-in-maternal-mental-health-strategies-for-state-m2020-11-16T17:38:42.000Z2020-11-16T17:38:42.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Introduction:</p>
<p>The United States is facing tumultuous times amid the coronavirus pandemic, its related economic impact, and racial justice protests. The country is finally reckoning with internal and external anger toward systems that promote and allow racial inequities to persist, even foment. Some of these systems help to perpetuate those racial inequities in maternal and child health, one of many sectors within our health care system rife with deeply rooted issues. The United States’ maternal mortality rate has steadily increased over the past few decades; 1 hidden in the U.S. Centers for Disease Control and Prevention’s (CDC) aggregate data are enormous racial disparities, especially among Black and Native American women.2 One example is when Serena Williams, the famous tennis player, had post-birth complications that illustrated the profound biases that lead to poorer outcomes for Black women.</p>
<p>Over the past few years, stark data and merciless community-based advocacy about U.S. maternal mortality and morbidity rates have led to various local, state and national efforts. These initiatives, laws, programs, and practices include legislation to ensure perinatal providers receive implicit bias training, a focus on perinatal and maternal health quality initiatives, and care bundles. Outcome measures must reflect the reality that other social and societal determinants affect women’s lives and outcomes, such as employment status, housing instability, and access to transportation.* System leaders must identify such factors and ways to address them through policy and payment reform. Furthermore, providers have little financial incentive to extensively engage with people enrolled in Medicaid who may face the deepest health disparities, given the program’s historically low payment. But none of these initiatives, laws, and programs, to date, have managed to deliver equitable outcomes across race and ethnicity. For the purpose of this paper, “providers” includes a broad range of people working with birthing persons, including OB/GYNs, doulas, midwives, case managers, community health workers, and others who provide care for the mother during the prenatal period.</p>
<p>This paper aims to offer guidance to state Medicaid offices on the steps needed to advance equity in maternal health, particularly as it relates to people of color. We outline a framework that employs three specific areas of action. In addition to recommending key agency strategies, we offer effective state and federal models that leaders can look to when taking each approach.</p>
<p><a href="https://www.clasp.org/sites/default/files/publications/2020/10/2020_Advancing%20Equity%20in%20Maternal%20Mental%20Health.pdf" target="_blank">Read the report >></a></p></div>Docs Keep Focus on Social Determinants of Health, Eye Reimbursementhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/docs-keep-focus-on-social-determinants-of-health-eye-reimbursemen2020-11-09T19:13:52.000Z2020-11-09T19:13:52.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Highlights:</p>
<ul>
<li>Nearly three-quarters of doctors agree that social determinants of health will put the biggest strain on the healthcare industry come 2021, according to the third part of The Physicians Foundation 2020 Survey of America’s Physicians. Another 44 percent said addressing health equity and inequity will be key for ensuring patient access to care, the survey showed.</li>
<li>Forty-percent of physician respondents agreed that socioeconomic issues—income, job security, educational attainment, and family support—are the most pressing social determinants of health. These factors influence other downstream social determinants of health. Addressing income inequality could help address housing security issues, for example.</li>
</ul>
<p><a href="https://patientengagementhit.com/news/docs-keep-focus-on-social-determinants-of-health-eye-reimbursement" target="_blank">Read the article >></a></p></div>Accelerating Equity in Health Planshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/accelerating-equity-in-health-plans2020-11-03T16:58:04.000Z2020-11-03T16:58:04.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Participants explore the journey that individuals and organizations must be on to identify behaviors and biases, and the constant learning and recalibrating necessary to make individuals and organizations better and more responsive to what is occurring in the workplace and the marketplace. They also discuss the role that the broader education system and other parts of society must play to help people begin this journey earlier in life so they are ready to work in and serve a more diverse market. Many of the actions that healthcare organizations can take, whether health plans or delivery organizations, may have little to do with healthcare on their face, but can help overcome the challenges that create inequities in access. This episode of the podcast also discusses how healthcare organizations must address social determinants of health as much as clinical outcomes as part of a holistic program of health promotion, and how COVID has exasperated economic concerns and is creating challenges in housing and hunger, which impact health directly.</p>
<p>For healthcare organizations, the importance of leading diversity, equity, and inclusion initiatives from the top is highlighted, along with the need to understand the impacts of legacy issues in society that can and are manifesting as the inequality in COVID impacts and outcomes. For health leaders working to promote health equity, the outsized impacts we are seeing in communities of color comes as no surprise. The challenge for healthcare leaders is not only what to do about the problems in front of us today, but how to build organizations that actively combat these problems when a pandemic isn’t raging.</p>
<p>The views and opinions expressed in this content or by commenters are those of the author and do not necessarily reflect the official policy or position of HIMSS or its affiliates.</p>
<p><a href="https://www.himss.org/resources/accelerating-equity-health-plans" target="_blank">Watch the video >></a></p></div>Educating Health Professionals to Address the Social Determinants of Mental Healthhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/educating-health-professionals-to-address-the-social-determinants2020-11-03T16:31:19.000Z2020-11-03T16:31:19.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Description:</p>
<p>The social determinants of mental health involve the economic, social, and political conditions into which one is born that influence a person's mental health - and, in particular, that affect the likelihood a person raised in deficient or dangerous conditions often associated with poverty will develop persistent mental health challenges throughout his or her life.</p>
<p>To explore how health professions education and practice organizations and programs are currently addressing social determinants that contribute to mental health disparities across the lifespan, the Global Forum on Innovation in Health Professional Education of the National Academies of Sciences, Engineering, and Medicine hosted a workshop in Washington, DC on November 14-15, 2019. This publication summarizes the presentation and discussion of the workshop.</p>
<p><a href="https://www.nap.edu/read/25711/chapter/1" target="_blank">Read the publication >></a></p></div>New NCQA White Paper / Resource Guide for Health Plans, CINs, & Clinicians to Design & Implement SDOHhttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/new-ncqa-white-paper-resource-guide-for-health-plans-cins-clinici2020-10-16T15:55:40.000Z2020-10-16T15:55:40.000ZA Andrews Deanhttps://hub.nic-us.org/members/AAndrewsDean<div><p>NEW NCQA WHITE PAPER / RESOURCE GUIDE</p><p><a href="https://www.ncqa.org/white-papers/sdoh-resource-guide/">https://www.ncqa.org/white-papers/sdoh-resource-guide/</a></p><p>The NCQA Social Determinants of Health Resource Guide is a reference for health plans, clinically integrated networks, and clinicians to design and implement strategies that address social determinants of health (SDOH) for commercially insured populations.</p><p>The SDOH Resource Guide centers around SDOH strategy and is organized into six sections:</p><p>1. Assessment Design.<br />2. SDOH Data.<br />3. Data Sharing, Integration and Quality.<br />4. Collaboration with Community-Based Organizations.<br />5. Measurement and Evaluation.<br />6. Quality Improvement.</p><p>The guide features “in-the-field” examples that highlight real-world strategies and initiatives health plans and clinically integrated networks are implementing to address SDOH. It also describes how NCQA addresses SDOH through its programs.</p><p>Although value-based payment arrangements and incentives are less common for the commercially insured population, commercial health plans and clinically integrated networks have a unique opportunity to address SDOH. These organizations are realizing the impact of SDOH on health outcomes and health equity and are developing initiatives and programs to meet their population’s needs.</p><h4><strong>Download the Resource Guide today by filling out the form on the right.</strong></h4><h3>Sponsorship Support</h3><p>NCQA created the SDOH Resource Guide in sponsorship with Janssen Scientific Affairs, LLC.</p><p><img class="alignnone size-full wp-image-8139" src="https://www.ncqa.org/wp-content/uploads/2018/08/janssen_logo.jpg" alt="" width="250" height="122" /></p></div>Listening to Californians with Low Incomes: Health Care Access, Experiences, and Concerns Since the COVID-19 Pandemichttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/listening-to-californians-with-low-incomes-health-care-access-exp2020-10-15T18:38:39.000Z2020-10-15T18:38:39.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Summary:</p>
<p>The COVID-19 pandemic has inflicted significant stresses on the physical, emotional, and financial well-being of California’s residents, especially the seven million Californians — approximately 18% of the state’s residents — living in poverty.</p>
<p>CHCF partnered with NORC, a national research organization, to conduct a statewide survey of the health care experiences of California’s residents, age 18 to 64, who had received health care since March 2019. The survey included an oversampling of residents with low incomes.</p>
<p>The survey, conducted in the summer of 2020, asked respondents about their health care concerns, experiences, and access before and during the COVID-19 pandemic, as well as about their experiences with racial discrimination and the impact of the pandemic on employment and insurance coverage. This initial report highlights a collection of key findings from the survey, focusing on health care access, mental health, telehealth experiences, pandemic-related stresses, and experiences with racial discrimination. Findings are presented for respondents with low incomes (defined as below 200% of the federal poverty level) compared to respondents with higher incomes (defined as 200% FPL or higher) whenever sample sizes are sufficient to allow this comparison. In cases where there is an insufficient sample size, overall findings are presented.</p>
<p>The initial report, as well as a zipped file of all of the charts from the report, is available for download below.</p>
<p>The full report, to be released in early 2021, will detail complete findings on respondents’ experiences with health and health care since the pandemic, including analyses of differences by a variety of demographics (including additional analyses by income, race, ethnicity, and insurance coverage and new analyses by region, gender, and language) as well as cross-tabular analysis of the impacts of the COVID-19 pandemic on respondents.</p>
<p><a href="https://www.chcf.org/publication/listening-californians-low-incomes/#summary" target="_blank">Read the report >></a></p></div>Build Health Challengehttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/build-health-challenge2020-10-15T17:00:51.000Z2020-10-15T17:00:51.000ZElena Nicolellahttps://hub.nic-us.org/members/ElenaNicolella<div><p><a href="https://buildhealthchallenge.org/about/" target="_blank">https://buildhealthchallenge.org/about/</a></p></div>2019 NSDUH Annual National Reporthttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/2019-nsduh-annual-national-report2020-09-22T17:27:06.000Z2020-09-22T17:27:06.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Description:</p>
<p>This report summarizes key findings from the 2019 National Survey on Drug Use and Health (NSDUH) for national indicators of substance use and mental health among people aged 12 years old or older in the civilian, noninstitutionalized population of the United States.</p>
<p><a href="https://www.samhsa.gov/data/report/2019-nsduh-annual-national-report" target="_blank">Read the report >></a></p></div>Health Care Spending And Use Among People Experiencing Unstable Housing In The Era Of Accountable Care Organizationshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/health-care-spending-and-use-among-people-experiencing-unstable-h2020-09-11T18:21:54.000Z2020-09-11T18:21:54.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>Abstract:</p>
<p>Provider organizations are increasingly held accountable for health care spending in vulnerable populations. Longitudinal data on health care spending and use among people experiencing episodes of homelessness could inform the design of alternative payment models. We used Medicaid claims data to analyze spending and use among 402 people who were continuously enrolled in the Boston Health Care for the Homeless Program (BHCHP) from 2013 through 2015, compared to spending and use among 18,638 people who were continuously enrolled in Massachusetts Medicaid with no evidence of experiencing homelessness. The BHCHP population averaged $18,764 per person per year in spending—2.5 times more than spending among the comparison Medicaid population ($7,561). In unadjusted analyses this difference was explained by greater spending in the BHCHP population on outpatient care, including emergency department care, as well as on inpatient care and prescription drugs. After adjustment for covariates and multiple hypothesis testing, the difference was largely driven by outpatient spending. Differences were sensitive to adjustments for risk score, which suggests that housing instability and health risk are meaningfully correlated. This longitudinal analysis improves understanding of health care use and resource needs among people who are homeless or have unstable housing, and it could inform the design of alternative payment models for vulnerable populations.</p>
<p><a href="https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2019.00687?utm_source=BHPN+Website+Newsletter+List&utm_campaign=e1d183b886-EMAIL_CAMPAIGN_2020_02_28_06_11&utm_medium=email&utm_term=0_c39fafc581-e1d183b886-340569897&" target="_blank">Read more >></a></p></div>Data sharing and the law: Overcoming health care sector barriers to sharing data on social determinantshttps://hub.nic-us.org/groups/sdoh-national-action-agenda/resources/data-sharing-and-the-law-overcoming-health-care-sector-barriers-t2020-09-11T18:16:54.000Z2020-09-11T18:16:54.000ZAmanda Taylorhttps://hub.nic-us.org/members/AmandaTaylor<div><p>In the report titled, "Data sharing and the law: Overcoming health care sector barriers to sharing data on social determinants," authors take a look at how healthcare organizations can exchange personal information outside of the healthcare sector and still comply with federal and state law. </p>
<p>Abstract:</p>
<p>In recent years, Congressional leaders on both sides of the aisle have expressed interest in updating the Temporary Assistance for Needy Families (TANF) program to better capture information on how well the program supports employment outcomes for program participants. In May 2018, the House Ways and Means Committee approved legislation – the JOBS for Success Act (HR 5861) - that would replace the state work participation rate, a state performance measurement system which measures the percentage of households that have at least one adult participating in a set number of hours of work or related activities each week, with an outcomes based performance measurement system that would evaluate states on how well they did in assisting TANF recipients in achieving employment, earnings, and credential attainment goals using metrics similar to those in the Workforce Innovation and Opportunity Act (WIOA). In December 2018, Senators Orrin Hatch (R-UT) and Ron Wyden (D-OR), the chairman and ranking member of the Senate Finance Committee, introduced their own TANF extension bill that would authorize ten state pilot projects to test the use of WIOA-like performance measures.</p>
<p><a href="https://sirenetwork.ucsf.edu/sites/sirenetwork.ucsf.edu/files/Data%20Sharing%20and%20the%20Law_July%202020_.pdf" target="_blank">Read the report >></a></p></div>