scholarly journals Empowering Caseworkers to Better Serve the Most Vulnerable with a Cloud-Based Care Management Solution

2020 ◽  
Vol 11 (04) ◽  
pp. 617-621 ◽  
Author(s):  
Jane L. Snowdon ◽  
Barbie Robinson ◽  
Carolyn Staats ◽  
Kenneth Wolsey ◽  
Megan Sands-Lincoln ◽  
...  
Keyword(s):  
Health Care ◽  
Care Management ◽  
Well Being ◽  
Determinants Of Health ◽  
Coordinated Care ◽  
Management Tools ◽  
Care Plans ◽  
Disadvantaged Groups ◽  
Socially Disadvantaged ◽  
Sonoma County

Abstract Background Care-management tools are typically utilized for chronic disease management. Sonoma County government agencies employed advanced health information technologies, artificial intelligence (AI), and interagency process improvements to help transform health and health care for socially disadvantaged groups and other displaced individuals. Objectives The objective of this case report is to describe how an integrated data hub and care-management solution streamlined care coordination of government services during a time of community-wide crisis. Methods This innovative application of care-management tools created a bridge between social and clinical determinants of health and used a three-step approach—access, collaboration, and innovation. The program Accessing Coordinated Care to Empower Self Sufficiency Sonoma was established to identify and match the most vulnerable residents with services to improve their well-being. Sonoma County created an Interdepartmental Multidisciplinary Team to deploy coordinated cross-departmental services (e.g., health and human services, housing services, probation) to support individuals experiencing housing insecurity. Implementation of a data integration hub (DIH) and care management and coordination system (CMCS) enabled integration of siloed data and services into a unified view of citizen status, identification of clinical and social determinants of health from structured and unstructured sources, and algorithms to match clients across systems. Results The integrated toolset helped 77 at-risk individuals in crisis through coordinated care plans and access to services in a time of need. Two case examples illustrate the specific care and services provided individuals with complex needs after the 2017 Sonoma County wildfires. Conclusion Unique application of a care-management solution transformed health and health care for individuals fleeing from their homes and socially disadvantaged groups displaced by the Sonoma County wildfires. Future directions include expanding the DIH and CMCS to neighboring counties to coordinate care regionally. Such solutions might enable innovative care-management solutions across a variety of public, private, and nonprofit services.

scholarly journals Perceived Skills and Abilities Required by Athletic Trainers in Hospital and Clinical Management Positions: A Delphi Study

2013 ◽  
Vol 48 (1) ◽  
pp. 87-91 ◽  
Author(s):  
Chadron B. Hazelbaker
Keyword(s):  
Health Care ◽  
Athletic Training ◽  
Delphi Study ◽  
Care Management ◽  
Athletic Trainers ◽  
Health Care Management ◽  
Management Tools ◽  
Care Clinic ◽  
Sport Team ◽  
Management Positions

Context: Athletic training has expanded from traditional sport-team settings to varied settings involving active populations. Athletic trainers also use their education and abilities in administration to take on roles of management in hospitals and health care clinics. Objective: To begin to explore the knowledge, skills, and abilities needed in the emerging practice setting of health care management. Design: Delphi study. Setting: Directed surveys. Patients or Other Participants: Eight athletic trainers working as hospital and health care clinic managers in varied geographic settings. Data Collection and Analysis: Three rounds of directed surveys were used and included (1) a series of demographic questions and 1 focused, open-ended question, (2) 32 statements scored on a 6-point Likert-type scale with no neutral statement, and (3) 10 statements ranked in order of importance for the athletic trainer working as a health care manager. Results: I grouped the results into 2 categories: leadership skills and management tools. Conclusions: According to participants, effective health care managers need a strong understanding of business and management tools along with more interpersonal skills in communication and leadership. The results are consistent with the literature and may be applied in athletic training education programs and by athletic trainers seeking health care management positions.

scholarly journals A Multilevel Analysis of Stigma and Health

2014 ◽  
Vol 1 (1) ◽  
pp. 213-221 ◽  
Author(s):  
Laura Smart Richman ◽  
Mark L. Hatzenbuehler
Keyword(s):  
Health Care ◽  
Stress Responses ◽  
Social Inequalities ◽  
Physiological Stress ◽  
Care Delivery ◽  
Population Level ◽  
Well Being ◽  
Disadvantaged Groups ◽  
Stigma And Discrimination ◽  
And Bisexual

This article reviews research on stigma and discrimination—at both the interpersonal and societal levels—faced by disadvantaged groups. Research on interpersonal discrimination primarily concerns discrimination that is perceived and directly experienced (e.g., discrimination in employment and health care), whereas research on societal discrimination focuses on broad societal factors (e.g., institutional policies, social attitudes). We review evidence across numerous fields of study that rely on several types of research designs, which indicate that both forms of stigma and discrimination demonstrably contribute to health inequalities for disadvantaged groups such as racial and ethnic minorities and lesbian, gay, and bisexual populations. These adverse health outcomes range from maladaptive physiological stress responses in a laboratory setting to premature mortality at a population level. The science on stigma and discrimination applies to policy issues in education, same-sex marriage, and health care delivery. Some current policies increase the experience of stigma. We argue that more holistic social policies can recognize the psychosocial factors that contribute to well-being, thereby reducing social inequalities in health.

scholarly journals Experiences of Using Web-Based and Mobile Technologies to Support Self-Management of Type 2 Diabetes: Qualitative Study (Preprint)

2017 ◽  
Author(s):  
Laura Kelly ◽  
Crispin Jenkinson ◽  
David Morley
Keyword(s):  
Type 2 Diabetes ◽  
Health Care ◽  
Health Care Professionals ◽  
Well Being ◽  
Mobile Technologies ◽  
Self Management ◽  
Coordinated Care ◽  
Web Based ◽  
The Impact

BACKGROUND The prevalence of type 2 diabetes is rising, placing increasing strain on health care services. Web-based and mobile technologies can be an important source of information and support for people with type 2 diabetes and may prove beneficial with respect to reducing complications due to mismanagement. To date, little research has been performed to gain an insight into people’s perspectives of using such technologies in their daily management. OBJECTIVE The purpose of this study was to understand the impact of using Web-based and mobile technologies to support the management of type 2 diabetes. METHODS In-depth interviews were conducted with 15 people with type 2 diabetes to explore experiences of using Web-based and mobile technologies to manage their diabetes. Transcripts were analyzed using the framework method. RESULTS Technology supported the users to maintain individualized and tailored goals when managing their health. A total of 7 themes were identified as important to participants when using technology to support self-management: (1) information, (2) understanding individual health and personal data, (3) reaching and sustaining goals, (4) minimizing disruption to daily life, (5) reassurance, (6) communicating with health care professionals, and (7) coordinated care. CONCLUSIONS Patients need to be supported to manage their condition to improve well-being and prevent diabetes-related complications from arising. Technologies enabled the users to get an in-depth sense of how their body reacted to both lifestyle and medication factors—something that was much more difficult with the use of traditional standardized information alone. It is intended that the results of this study will inform a new questionnaire designed to assess self-management in people using Web-based and mobile technology to manage their health.

scholarly journals Understanding the Influence of Ghanaian Women’s Migration Patterns on Access to Health Care 

2021 ◽  
Author(s):  
Michelle Malagón ◽  
Laiba Rizwan ◽  
Solina Richter
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Care Professionals ◽  
Secondary Analysis ◽  
Well Being ◽  
Determinants Of Health ◽  
Primary Study ◽  
Female Migrants

Abstract Background: In recent years, there has been a noted increase in migration rates with trends marking a rise in women seeking relocation as means to access employment or academic opportunities; this growth is referred to as the feminization of migration. Migration stimulates female empowerment, increases access to financial opportunities, and promotes cultural diversity; all while simultaneously exposing women to detrimental conditions that impose risks to their physical and psychological well-being. Health is a fundamental human right that female migrants often get deprived of due to various social, cultural, political and economic factors in the destination region. These factors catalyze inhabitable environments in which migrant women are further exposed to harm, stimulating their status as vulnerable populations. Methods: We performed a secondary analysis to explore how the social determinants of health, specifically socioeconomic status, culture, and education impact health outcomes and health care access of Ghanaian women who migrated internally within Ghana or externally to Canada. Fourteen interview transcripts, seven from each primary study dataset, were analyzed using thematic analysis and an intersectionality approach. Ethical approval was received for the primary studies and our secondary analysis via the Ethics Review Board at the University of Alberta, Canada. Results: Ghanaian female migrants experienced varying obstacles in terms of accessing health care services. The barriers were identified as cultural, financial, social, and lack of health insurance. Ghanaian women’s health outcomes were influenced by the conditions surrounding their migration including working conditions, separation from family, altered social support systems, and financial constraints. Conclusion: Areas requiring further research and development were identified by assessing migrants’ social determinants of health in the destination country and the associated-barriers in accessing health services. We hope our findings will serve as a foundation for improving health outcomes for female migrant populations and support health care professionals' practice of cultural competence.

scholarly journals Ohio’s Dual Eligible Population: Effects of Program Design and Implementation on Care Management

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 453-454
Author(s):  
Katherine Abbott ◽  
Athena Koumoutzis ◽  
Jennifer Heston-Mullins
Keyword(s):  
Managed Care ◽  
Care Management ◽  
Program Design ◽  
Service Providers ◽  
Coordinated Care ◽  
Term Care ◽  
Care Plans ◽  
Opt Out ◽  
Dual Eligible ◽  
Documentation Systems

Abstract MyCare Ohio is a prospective blended managed care payment model program tasked to provide comprehensive and coordinated care to Ohio residents who are dully eligible for Medicare and Medicaid. To understand the administration and day-to-day implementation of care management within MyCare Ohio, n=75 interviews with a total of n=331 personnel from Area Agencies on Aging, Managed Care Plans, and service providers were conducted. Interviews were audio recorded, transcribed, and checked for accuracy. Data were analyzed by iterative reviews and deductive coding in Dedoose. Respondents provided insights on how care management activities are affected by program design features (e.g., ability to opt-out of the Medicare component), transitions between acute and long-term care settings, documentation systems and data-sharing, and high numbers of beneficiaries with behavioral health diagnoses. Implications for practice and policy will be discussed.

scholarly journals Developing a national framework for community involvement in health promotion in Tajikistan

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Prytherch ◽  
G Karimova ◽  
T Schueth ◽  
M Egamberdiev ◽  
O Fischer ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Community Involvement ◽  
Well Being ◽  
Determinants Of Health ◽  
Health Priorities ◽  
Community Members ◽  
Community Activities ◽  
Primary Health

Abstract Background In rural Tajikistan, various approaches have been taken to involve communities in health promotion, but many of them survived only as long as there was outside donor support. Methods In 2017, these approaches were examined and conceptualized, leading to the development of a “Guideline on Partnership with Communities on Health Issues” that was put into practice in 11 rural districts of the country. Results The Guideline sees Primary Health Care (PHC) staff trained as facilitators so as to conduct Participatory Reflection and Action (PRA) sessions with their local communities. Based on health priorities identified through these PRA sessions, and on national health priorities, the Health Promotion Institute chooses annual community activities facilitating behavioral change. Community Health Teams (CHTs) are formed, and the facilitators train them in disease prevention activities, and in how to plan initiatives to promote better health and well-being at village level. In the 5 initial districts, CHTs successfully mobilized community members to take part in activities related to identified health priorities e.g. health actions on Hypertension and Diabetes including free screenings. Furthermore, CHTs started to address determinants of health e.g. by supporting disabled people in their communities, organizing weekly waste removals, and initiating womens' walking groups. Conclusions Engaging communities by forming and capacitating teams, leads them to become a partner to the PHC system, and empowers them to tackle local determinants of health through their own initiatives. The capacity built in the local primary health care and health promotion structures hold potential for an expansion of this community-based approach to health promotion throughout the country. So what? By encouraging a government-recognized approach to community involvement in health, capacity and ownership of local institutions and stakeholders has increased, providing promise for long term sustainability. Key messages Community involvement in health remains central to primary health care. A government-recognised approach provides promise for sustainability.

scholarly journals The foreign experience and its impact on development of national model of manpower training in the field of health care management

2019 ◽  
Vol 60 (5) ◽  
pp. 240-244 ◽  
Author(s):  
V. A. Reshetnikov ◽  
Galina P. Skvirskaya ◽  
G. Sh. Gadzhaaliev ◽  
F. A. Sulkina
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health Care System ◽  
Care Management ◽  
Main Task ◽  
Management Tools ◽  
Knowledge And Skills ◽  
Practical Activity ◽  
National Model ◽  
Effectiveness And Efficiency

Nowadays, effectiveness and efficiency of management of various branches of scientific and practical activity, including health care system are based primarily on training and involvement of professionals being able to use management tools and knowledge and skills in supervised fields. The training of such specialists is the main task of modern medical education and therefore is one of strategic directions of its reforming.

Wealth and the health of older Black women in the United States

2018 ◽  
Vol 34 (5) ◽  
pp. 1055-1068
Author(s):  
Andy Sharma
Keyword(s):  
United States ◽  
Health Care ◽  
Black Women ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Panel Study ◽  
Well Being ◽  
The United States ◽  
Determinants Of Health ◽  
The Impact

Summary Public health scholars and policy-makers are concerned that the United States continues to experience unmanageable health care costs while struggling with issues surrounding access and equity. To addresses these and other key issues, the National Academy of Medicine held a public symposium, Vital Directions for Health and Health Care: A National Conversation during September 2016, with the goal of identifying clear priorities for high-value health care and improved well-being. One important area was addressing social determinants of health. This article contributes to this objective by investigating the impact of wealth on older Black women’s health. Employing the 2008/2010 waves of the RAND Health and Retirement Study on a sample of 906 older Black women, this panel study examined self-assessed health ratings of very good/good/fair/poor within a relaxed random effects framework, thereby controlling for both (i) observed and (ii) unobserved individual-level heterogeneity. This analysis did not find a statistically significant association with wealth despite a difference of approximately $75 000 in its valuation from very good to poor health. This also occurred after wealth was (i) readjusted for outliers and (ii) reformulated as negative, no change or positive change from 2008. This finding suggests that wealth may not play as integral a role. However, the outcome was significant for earnings and education, particularly higher levels of education. Scholars should further this inquiry to better understand how earnings/education/wealth operate as social determinants of health for minority populations.

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