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Behavioral Health Clinic Offers Onsite Primary Care to Low-Income Asians With Severe Mental Illness, Enhancing Access and Facilitating Improvements in Physical Health
Jun-19-2013
A behavioral health clinic maintains an onsite primary care clinic that provides culturally competent care to low-income Asian Americans with serious mental illness, enhancing access to such care and facilitating modest improvements in physical health.
Culturally Competent Teams Provide Comprehensive Diabetes Care Management and Education, Improving Outcomes for Underserved Patients
Jun-19-2013
Project Dulce enhances diabetes care for underserved individuals by connecting primary care physicians with a team of bilingual, culturally competent professionals who are specially trained in techniques for managing diabetes, including case management, patient education and counseling, and diabetes self-management.
Group-Based, Culturally Sensitive Weight-Loss Program for Families Leads to Improvements in Children's Health-Related Behaviors and Declines in Body Mass Index
Jun-19-2013
The Promoting Health in Teens and Kids weight management program offers culturally sensitive group education intervention for obese children and their parents that addresses behavioral changes related to physical activity and nutrition, along with families' economic challenges that might make weight management difficult for children.
Initiative Features Fixed Monthly Payments to Primary Care Clinics for Providing Depression Care Bundle, Allowing Many Patients to Achieve Good Outcomes
Jun-19-2013
A collaborative initiative features standardized care elements and fixed per-patient payments for treatment of depression in the primary care setting, leading to high rates of remission and response to treatment and high levels of provider satisfaction.
Integrated Behavioral Heath in Primary Care: Step-by-Step Guidance for Assessment and Intervention - Therapist Resource Guide
Jun-19-2013
This Web site provides electronic versions of the documents from the book Integrated Behavioral Health in Primary Care: Step-by-Step Guidance for Assessment and Intervention.
Integrating Behavioral Health With Primary Care: A Conversation With Benjamin F. Miller, PsyD, a Behavioral Health Researcher in the Department of Family Medicine at the University of Colorado School of Medicine
Jun-19-2013
Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Consensus
Jun-19-2013
The Lexicon for Behavioral Health and Primary Care Integration is a set of concepts and definitions developed by expert consensus for what is meant by behavioral health and primary care integration—a functional definition of what things look like in practice.
Medicine and Pregnancy Fact Sheet
Jun-19-2013
The Medicine and Pregnancy Fact Sheet provides tips for women on how to keep themselves and their babies safe during pregnancy by getting the facts before taking medications.
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SPOTLIGHT CASE AND COMMENTARY: Right Regimen, Wrong Cancer: Patient Catches Medical Error
A cancer patient expecting to be discharged from the hospital after his usual 3-day regimen was surprised to hear that he has 2 more days of chemotherapy. He asked to speak with the oncology team, who discovered that although the right medications were ordered, the wrong duration and dosage were selected on the order set.
CASE AND COMMENTARY: Polypharmacy
On multiple oral medications and a depot injection (dispensed by a separate specialty pharmacy and administered at a clinic), a patient with schizophrenia was mistakenly given the depot injection kit by his local pharmacy and injected it himself.
CASE AND COMMENTARY: Don't Use That Port: Insert a PICC
A woman was emergently admitted for surgery for acute appendicitis. Although the patient had a chest port for breast cancer chemotherapy, the surgeon demanded that a peripherally inserted central catheter (PICC) be placed. The patient developed blood clots from the PICC, and surgery was cancelled. Significant complications, including perforation, peritonitis, and prolonged hospitalization, arose from managing the appendicitis conservatively.
In Conversation with...Ashish K. Jha, MD, MPH
Harvard internist Dr. Jha is a national leader in policy issues related to safety and quality.
Strengthening the Business Case for Patient Safety
This piece discusses efforts to promote the business case for safety and quality in health care.
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My New Job
Jun-02-2013
I have a new job! It requires me to be sophisticated but accessible, assertive but diplomatic, literary but not highfalutin. Unfortunately, it comes with no office, no salary, and no chance for promotion. No, after nearly 30 years at UCSF, I haven’t quit my day job. But I have taken on a moonlighting gig. I’m [...]
How UCSF is Solving the Quality-Cost-Value Jigsaw Puzzle
May-27-2013
I sometimes explain to medical students that they are entering a profession being transformed, like coal to diamonds, under the pressure of a new mandate. “The world is going to push us, relentlessly and without mercy, to deliver the highest quality, safest, most satisfying care at the lowest cost,” I’ll say gravely, trying to get [...]
The Dangers of Curbside Consults… and Why We Need Them
Apr-29-2013
Everybody hates curbside consults – the informal, “Hey, Joe, how would you treat asymptomatic pyuria in my 80-year-old nursing home patient?”-type questions that dominate those Doctor’s Lounge conversations that aren’t about sports, Wall Street, or ObamaCare. Consultants hate being asked clinical questions out of context; they know that they may give incorrect advice if the [...]
When I Was In the Final Four
Apr-05-2013
I don’t follow much basketball these days. But the week of the NCAA finals always takes me down memory lane. For I, you see, was in the Final Four, thirty-four years ago. Funny thing is, I am an awful basketball player. My role will come to you if you answer the following trivia question: Who [...]
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Health Updates
Healthcare 411 podcasts from AHRQ