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Research on high-functioning teams identifies five core principles of effective teams: shared goals, clear roles, mutual trust, effective communication, and measurable processes and outcomes. This resource summarizes common challenges faced in building effective integrated behavioral health care teams and strategies for addressing these challenges.
The US health care system is rapidly changing in an effort to deliver better care, improve health, and lower costs while providing care for an aging population with high rates of chronic disease and co-morbidities. Among the changes affecting clinical practice are new payment and delivery approaches, electronic health records, patient portals, and publicly reported quality metrics—all of which change the landscape of how care is provided, documented, and reimbursed.
Higher dosages of opioids are associated with higher risk of overdose and death—even relatively low dosages (20-50 morphine milligram equivalents (MME) per day) increase risk. Higher dosages have not been shown to reduce pain over the long term. One randomized trial found no difference in pain or function between a more liberal opioid dose escalation strategy (with average final dosage 52 MME) and maintenance of current dosage (average final dosage 40 MME).
Reducing the potentially harmful effects of fragmentation is a central objective of the Patient-Centered Medical Home (PCMH) Model of Care. This implementation guide addresses the overlap and difference between care management and care coordination, and provides a toolkit for coordinating care.
This resource assists providers in defining care coordinator roles and responsibilities. It also provides a sample job description.
Community Health of Central Washington provides an informative case example of behavioral integration in primary care.
Contra Costa partnered with Health Leads to integrate patients' basic needs into care delivery. Learn about their challenges and experiences in shifting from volume-based to value-based care.
In early 2016, Seattle Indian Health Board (SIHB) engaged a behavioral health specialist, and embedded him in the primary care clinic. The behavioral health specialist was available to SIHB clients at any point of service entry, such as dental care, diabetes management, veterans’ family care, and domestic violence.
Opioids are commonly prescribed for pain. An estimated 20 percent of patients who visit a physician with non-cancer pain symptoms or pain-related diagnoses (including acute and chronic pain) receive an opioid prescription. In 2012, health care providers wrote 259 million prescriptions for opioid pain medication, enough for every adult in the United States to have a bottle of pills.
The CDC Guideline for Prescribing Opioids for Chronic Pain provides recommendations for safer and more effective prescribing of opioids for chronic pain in patients 18 and older in outpatient settings outside of active cancer treatment, palliative care, and end-of-life care. This online training series aims to help you apply CDC’s recommendations in your clinical setting through interactive patient scenarios, videos, knowledge checks, tips, and resources.