scholarly journals Turning attention to clinician engagement in Victoria

2019 ◽  
Vol 43 (2) ◽  
pp. 123 ◽  
Author(s):  
Christine Jorm ◽  
Robyn Hudson ◽  
Euan Wallace AM
Keyword(s):  
Employee Engagement ◽  
Policy Making ◽  
Human Services ◽  
State Health ◽  
Health And Human Services ◽  
Department Of Health ◽  
State Health Policy ◽  
Victorian Department ◽  
Definition Of ◽  
Engagement And Disengagement

The engagement of clinicians with employing organisations and with the broader health system results in better safer care for patients. Concerns about the adequacy of clinician engagement in the state of Victoria led the Victorian Department of Health and Human Services to commission a scoping study. During this investigation more than 100 clinicians were spoken with and 1800 responded to surveys. The result was creation of a clear picture of what engagement and disengagement looked like at all levels – from the clinical microsystem to state health policy making. Multiple interventions are possible to enhance clinician engagement and thus the care of future patients. A framework was developed to guide future Victorian work with four elements: setting the agenda, informing, involving and empowering clinicians. Concepts of work or employee engagement that are used in other industries don’t directly translate to healthcare and thus the definition of engagement chosen for use centred on involvement. This was designed to encourage system managers to ensure clinicians are full participants in design, planning and evaluation and in all decisions that affect them and their patients.

scholarly journals Implementing the US Department of Health and Human Services definition of multimorbidity: a comparison between billing codes and medical record review in a population-based sample of persons 40–84 years old

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042870
Author(s):  
Jennifer L St Sauver ◽  
Alanna M Chamberlain ◽  
William V Bobo ◽  
Cynthia M Boyd ◽  
Lila J Finney Rutten ◽  
...  
Keyword(s):  
Medical Record ◽  
Chronic Conditions ◽  
Human Services ◽  
Medical Record Review ◽  
Predictive Values ◽  
Health And Human Services ◽  
Department Of Health ◽  
The Us ◽  
Definition Of ◽  
Record Review

ObjectiveTo assess the validity of the US Department of Health and Human Services (DHHS) definition of multimorbidity using International Classification of Diseases, ninth edition (ICD-9) codes from administrative data.DesignCross-sectional comparison of two ICD-9 billing code algorithms to data abstracted from medical records.SettingOlmsted County, Minnesota, USA.ParticipantsAn age-stratified and sex-stratified random sample of 1509 persons ages 40–84 years old residing in Olmsted County on 31 December 2010.Study measuresSeventeen chronic conditions identified by the US DHHS as important in studies of multimorbidity were identified through medical record review of each participant between 2006 and 2010. ICD-9 administrative billing codes corresponding to the 17 conditions were extracted using the Rochester Epidemiology Project records-linkage system. Persons were classified as having each condition using two algorithms: at least one code or at least two codes separated by more than 30 days. We compared the ICD-9 code algorithms with the diagnoses obtained through medical record review to identify persons with multimorbidity (defined as ≥2, ≥3 or ≥4 chronic conditions).ResultsUse of a single code to define each of the 17 chronic conditions resulted in sensitivity and positive predictive values (PPV) ≥70%, and in specificity and negative predictive values (NPV) ≥70% for identifying multimorbidity in the overall study population. PPV and sensitivity were highest in persons 65–84 years of age, whereas NPV and specificity were highest in persons 40–64 years. The results varied by condition, and by age and sex. The use of at least two codes reduced sensitivity, but increased specificity.ConclusionsThe use of a single code to identify each of the 17 chronic conditions may be a simple and valid method to identify persons who meet the DHHS definition of multimorbidity in populations with similar demographic, socioeconomic, and health care characteristics.

Restoring Damaged Relationships Through the Art of Invitation: Application with Addicted Incarcerated Women

2019 ◽  
Vol 46 (3) ◽  
Author(s):  
Katti J. Sneed ◽  
Debbie Teike
Keyword(s):  
Human Services ◽  
Addiction Treatment ◽  
The United States ◽  
Incarcerated Women ◽  
Relationship Building ◽  
Health And Human Services ◽  
Guiding Principle ◽  
Faith Based ◽  
Department Of Health ◽  
Complementary Approach

This article presents a description of Art of Invitation as a complementary approach to traditional addiction treatment through the alignment of Art of Invitation (AOI) with Substance Abuse and Mental Health Services Administration (SAMHSA) Ten Guiding Principles for Recovery.  AOI is a faith based relationship building approach that combines key Judeo/Christian teachings with relationship building tools, skills, and concepts for those seeking to build and restore relationships.  SAMHSA, as the leading agency within the U.S. Department of Health and Human Services, spearheads public health efforts to advance behavioral health within the United States.  Each Guiding Principle is presented along with a description of how AOI is shared with incarcerated women, an often neglected population, participating in an inpatient treatment program housed in a community corrections facility.

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