scholarly journals The Impact of Clinical Pharmacist Led Comprehensive Medication Management on Diabetes Care at Federally Qualified Health Centers within the BD Helping Build Healthy Communities Program

2021 ◽  
Author(s):  
Sonak Pastakia ◽  
Alycia Clark ◽  
Katie Lewis ◽  
Damon Taugher ◽  
Rajal Patel ◽  
...  
Keyword(s):  
Clinical Pharmacist ◽  
Diabetes Care ◽  
Medication Management ◽  
Health Centers ◽  
Federally Qualified Health Centers ◽  
Healthy Communities ◽  
The Impact

scholarly journals Protocol for the analysis of a natural experiment on the impact of the Affordable Care Act on diabetes care in community health centers

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Nathalie Huguet ◽  
Heather Angier ◽  
Miguel Marino ◽  
K. John McConnell ◽  
Megan J. Hoopes ◽  
...  
Keyword(s):  
Community Health ◽  
Affordable Care Act ◽  
Diabetes Care ◽  
Community Health Centers ◽  
Natural Experiment ◽  
Health Centers ◽  
The Affordable Care Act ◽  
The Impact

The Impact of Pay-for-Performance on Diabetes Care in a Large Network of Community Health Centers

2007 ◽  
Vol 18 (4) ◽  
pp. 966-983 ◽  
Author(s):  
Katie Coleman ◽  
Kristin L Reiter ◽  
Daniel Fulwiler
Keyword(s):  
Community Health ◽  
Diabetes Care ◽  
Community Health Centers ◽  
Pay For Performance ◽  
Health Centers ◽  
Large Network ◽  
The Impact

scholarly journals Federally Qualified Health Centers Can Expand Rural Access to Buprenorphine for Opioid Use Disorder in Arizona

2021 ◽  
Vol 14 ◽  
pp. 117863292110375
Author(s):  
Benjamin R Brady ◽  
Rachel Gildersleeve ◽  
Bryna D Koch ◽  
Doug E Campos-Outcalt ◽  
Daniel J Derksen
Keyword(s):  
Rural Areas ◽  
Underserved Populations ◽  
Opioid Use Disorder ◽  
Health Centers ◽  
Opioid Use ◽  
Federally Qualified Health Centers ◽  
Treatment Access ◽  
Opioid Treatment ◽  
Rural Access ◽  
The Impact

Medication for Opioid Use Disorder (MOUD) is recommended, but not always accessible to those who desire treatment. This study assessed the impact of expanding access to buprenorphine through federally qualified health centers (FQHCs) in Arizona. We calculated mean drive-times to Arizona opioid treatment (OTP) locations, office-based opioid treatment (OBOT) locations, and FQHCs clinics using January 2020 location data. FQHCs were designated as OBOT or non-OBOT clinics to explore opportunities to expand treatment access to non-OBOT clinics (potential OBOTs) to further reduce drive-times for rural and underserved populations. We found that OTPs had the largest mean drive times (16.4 minutes), followed by OBOTs (7.1 minutes) and potential OBOTs (6.1 minutes). Drive times were shortest in urban block groups for all treatment types and the largest differences existed between OTPs and OBOTs (50.6 minutes) in small rural and in isolated rural areas. OBOTs are essential points of care for opioid use disorder treatment. They reduce drive times by over 50% across all urban and rural areas. Expanding buprenorphine through rural potential OBOT sites may further reduce drive times to treatment and address a critical need among underserved populations.

scholarly journals The impact of funding for federally qualified health centers on utilization and emergency department visits in Massachusetts

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243279
Author(s):  
Catherine Myong ◽  
Peter Hull ◽  
Mary Price ◽  
John Hsu ◽  
Joseph P. Newhouse ◽  
...  
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Behavioral Health Care ◽  
Emergency Department Visits ◽  
Health Centers ◽  
Federally Qualified Health Centers ◽  
Standard Deviation Increase ◽  
Ed Visits ◽  
The Impact ◽  
Zip Code

Importance Federally qualified health centers (FQHCs) receive federal funding to serve medically underserved areas and provide a range of services including comprehensive primary care, enabling services, and behavioral health care. Greater funding for FQHCs could increase the local availability of clinic-based care and help reduce more costly resource use, such as emergency department visits (ED). Objective To examine the impact of funding increases for FQHCs after the ACA on the use of FQHCs and EDs. Methods Retrospective study using the Massachusetts All Payer Claims Database (APCD) 2010–2013 that included APCD enrollees in 559 Massachusetts ZIP codes (N = 6,173,563 in 2010). We calculated shift-share predictions of changes in FQHC funding at the ZIP code-level for FQHCs that received Community Health Center funds in any year, 2010–13 (N = 31). Outcomes were the number of ZIP code enrollees with visits to FQHCs and EDs, overall and for emergent and non-emergent diagnoses. Results In 2010, 4% of study subjects visited a FQHC, and they were more likely to be younger, have Medicaid, and live in low-income areas. We found that a standard deviation increase in prior year FQHC funding (+31 percentage point (pp)) at the ZIP code level was associated with a 2.3pp (95% CI 0.7pp to 3.8pp) increase in enrollees with FQHC visits and a 1.3pp (95% CI -2.3pp to -0.3pp) decrease in enrollees with non-emergent ED visits, but no significant change in emergent ED visits (0.3pp, 95% CI -0.8pp to 1.4pp). Conclusions We found that areas exposed to greater FQHC funding increases had more growth in the number of enrollees seen by FQHCs and greater reductions in ED visits for non-emergent conditions. Investment in FQHCs could be a promising approach to increase access to care for underserved populations and reduce costly ED visits, especially for primary care treatable or non-emergent conditions.

scholarly journals The impact of integrating medical assistants and community health workers on diabetes care management in community health centers

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Hector P. Rodriguez ◽  
Mark W. Friedberg ◽  
Arturo Vargas-Bustamante ◽  
Xiao Chen ◽  
Ana E. Martinez ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Diabetes Care ◽  
Community Health Centers ◽  
Care Management ◽  
Health Workers ◽  
Health Centers ◽  
Medical Assistants ◽  
The Impact

scholarly journals Effect of the Affordable Care Act on diabetes care at major health centers: newly detected diabetes and diabetes medication management

2021 ◽  
Vol 9 (1) ◽  
pp. e002205
Author(s):  
Al'ona Furmanchuk ◽  
Mei Liu ◽  
Xing Song ◽  
Lemuel R Waitman ◽  
John R Meurer ◽  
...  
Keyword(s):  
Affordable Care Act ◽  
Diabetes Care ◽  
Medication Management ◽  
Health Centers ◽  
Major Health ◽  
Diabetes Medication ◽  
The Affordable Care Act

Diabetes Discharge Planning and Transitions of Care: A Focused Review

2019 ◽  
Vol 15 (2) ◽  
pp. 111-117 ◽  
Author(s):  
Robin L. Black ◽  
Courtney Duval
Keyword(s):  
Patient Outcomes ◽  
Hospital Admissions ◽  
Discharge Planning ◽  
Medication Management ◽  
Hospital Readmissions ◽  
The United States ◽  
Transitions Of Care ◽  
Discharge Process ◽  
The Impact ◽  
Diabetes Patients

Background: Diabetes is a growing problem in the United States. Increasing hospital admissions for diabetes patients demonstrate the need for evidence-based care of diabetes patients by inpatient providers, as well as the importance of continuity of care when transitioning patients from inpatient to outpatient providers. Methods: A focused literature review of discharge planning and transitions of care in diabetes, conducted in PubMed is presented. Studies were selected for inclusion based on content focusing on transitions of care in diabetes, risk factors for readmission, the impact of inpatient diabetes education on patient outcomes, and optimal medication management of diabetes during care transitions. American Diabetes Association (ADA) guidelines for care of patients during the discharge process are presented, as well as considerations for designing treatment regimens for a hospitalized patient transitioning to various care settings. Results: Multiple factors may make transitions of care difficult, including poor communication, poor patient education, inappropriate follow-up, and clinically complex patients. ADA recommendations provide guidance, but an individualized approach for medication management is needed. Use of scoring systems may help identify patients at higher risk for readmission. Good communication with patients and outpatient providers is needed to prevent patient harm. A team-based approach is needed, utilizing the skills of inpatient and outpatient providers, diabetes educators, nurses, and pharmacists. Conclusion: Structured discharge planning per guideline recommendations can help improve transitions in care for patients with diabetes. A team based, patient-centered approach can help improve patient outcomes by reducing medication errors, delay of care, and hospital readmissions.

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