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Journal articles on the topic 'Health-care initiative'

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Published: 4 June 2021
Last updated: 1 February 2022

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1

Motta, Glenda. "HEALTH CARE INITIATIVE." Journal of Wound, Ostomy and Continence Nursing 12, no. 6 (1985): 21A—22A. http://dx.doi.org/10.1097/00152192-198511000-00002.

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2

Nichols, Andrew W. "Arizona Overwhelmingly Adopts Health Care Initiative." JAMA: The Journal of the American Medical Association 277, no. 20 (1997): 1645. http://dx.doi.org/10.1001/jama.1997.03540440079038.

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3

Nichols, A. W. "Arizona overwhelmingly adopts health care initiative." JAMA: The Journal of the American Medical Association 277, no. 20 (1997): 1645–48. http://dx.doi.org/10.1001/jama.277.20.1645.

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4

Jencks, Stephen F. "The Health Care Quality Improvement Initiative." JAMA 268, no. 7 (1992): 900. http://dx.doi.org/10.1001/jama.1992.03490070082047.

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5

Lynch, Timothy J., Daniel B. Wolfson, and Richard J. Baron. "A Trust Initiative in Health Care." Academic Medicine 94, no. 4 (2019): 463–65. http://dx.doi.org/10.1097/acm.0000000000002599.

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6

FINKELSTEIN, JOEL B. "States Taking Initiative on Health Care Reform." Internal Medicine News 40, no. 7 (2007): 51. http://dx.doi.org/10.1016/s1097-8690(07)70372-4.

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7

Sanders, Rupert. "The health care initiative for emotional labors." International Journal of Academic Research 5, no. 2 (2013): 87–91. http://dx.doi.org/10.7813/2075-4124.2013/5-2/b.12.

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8

Dean, Erin. "Metrics initiative to boost mental health care." Nursing Management 19, no. 3 (2012): 7. http://dx.doi.org/10.7748/nm2012.06.19.3.7.p8435.

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9

Hassler, Susan. "Taking the Initiative in Health Care Reform." Nature Biotechnology 11, no. 11 (1993): 1203. http://dx.doi.org/10.1038/nbt1193-1203.

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10

Post, Edward P., and William W. Van Stone. "Veterans Health Administration Primary Care-Mental Health Integration Initiative." North Carolina Medical Journal 69, no. 1 (2008): 49–52. http://dx.doi.org/10.18043/ncm.69.1.49.

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11

Peasnell, Nicky. "Trailblazing oral health care." Dental Nursing 16, no. 5 (2020): 236–37. http://dx.doi.org/10.12968/denn.2020.16.5.236.

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12

Wetmore, James B., David T. Gilbertson, and Allan J. Collins. "Shaping Public Health Initiatives in Kidney Diseases: The Peer Kidney Care Initiative." Blood Purification 41, no. 1-3 (2016): 151–58. http://dx.doi.org/10.1159/000441316.

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Background: While broad-based societal efforts to improve public health have targeted disorders such as cardiovascular disease and cancer for several decades, efforts devoted to kidney disease have developed only more recently. The Peer Kidney Care Initiative, a novel effort designed to address knowledge gaps in the care of patients with kidney disease, examines key disease processes, the roles of geography and seasonality on outcomes, and longitudinal trends in outcomes over time. Summary: Admissions for gastrointestinal bleeds increased approximately 28% between 2004 and 2011 in prevalent patients. Infection with Clostridium difficile increased nearly 70% between 2003 and 2010 in patients within a year of initiation. Admissions for heart failure in prevalent patients decreased approximately 25% between 2004 and 2012, but admissions for volume overload increased a nearly equal amount. Incidence rates varied substantially by geographic region, such that unadjusted rates in the highest region were nearly double than those in the lowest. There was seasonal variation in all-cause mortality of approximately 15-20% in both incident and prevalent patients, suggesting a link between cardiovascular events and seasonally related environmental conditions. New cases of end-stage renal disease fell from 385 per million population in 2003 to 344 in 2012, a decline of approximately 10%. Key Messages: Peer complements existing kidney disease epidemiologic efforts by examining specific actionable disease entities, exploring geographic variation in care, highlighting the role of seasonality on outcomes, and emphasizing the importance of trending outcomes over time as overall societal progress is being made.
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13

Priest, Marlon L., and Shirley Sanders Ginwright. "Bridge to Health Care: Alabama???s Health Professions Partnership Initiative." Academic Medicine 81, Supplement (2006): S17—S20. http://dx.doi.org/10.1097/01.acm.0000225237.79434.83.

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14

Rowse, Vicki. "Palliative care for children: a public health initiative." Paediatric Nursing 18, no. 4 (2006): 41–45. http://dx.doi.org/10.7748/paed.18.4.41.s19.

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15

Chenault, Janet C. "The Army??s Community-Based Health Care Initiative." Lippincott's Case Management 11, no. 3 (2006): 165???174. http://dx.doi.org/10.1097/00129234-200605000-00009.

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16

Fleming Cottrell, Rita P. "The New Freedom Initiative—Transforming Mental Health Care." Occupational Therapy in Mental Health 23, no. 2 (2007): 1–25. http://dx.doi.org/10.1300/j004v23n02_01.

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17

Marchibroda, Janet M. "eHealth Initiative: Improving Health Care Through Information Technology." Journal of Oncology Practice 3, no. 3 (2007): 174. http://dx.doi.org/10.1200/jop.0738001.

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18

Eaton, C. "PRIMARY CARE RESEARCH FROM THE WOMEN'S HEALTH INITIATIVE." Annals of Family Medicine 11, no. 4 (2013): 386–87. http://dx.doi.org/10.1370/afm.1559.

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19

Cullen, John. "NEW AAFP INITIATIVE ADDRESSES RURAL HEALTH CARE CRISIS." Annals of Family Medicine 17, no. 5 (2019): 471–72. http://dx.doi.org/10.1370/afm.2450.

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20

Bouchery, Ellen, and Henrick Harwood. "The Nebraska Medicaid Managed Behavioral Health Care Initiative." Journal of Behavioral Health Services & Research 30, no. 1 (2003): 93???108. http://dx.doi.org/10.1097/00075484-200301000-00007.

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21

Sharp, Marsha. "Enhancing Interdisciplinary Collaboration In Primary Health Care." Canadian Journal of Dietetic Practice and Research 67, S1 (2006): S4—S8. http://dx.doi.org/10.3148/67.0.2006.s4.

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Background: Dietitians of Canada has endorsed the Principles and Framework for Enhancing Interdisciplinary Collaboration in Primary Health Care (EICP) created by the EICP Initiative. The Initiative focused on the conditions required for health professionals to work together in the most effective and efficient way, so that they can produce the best health outcomes for individuals and their families – the patients, clients, and consumers of our national health system. The Initiative was spearheaded by a Steering Committee of 11 national health professional organizations, and brought together leaders, health professionals, and key stakeholders in Canada's primary health care system in a change process designed to facilitate more interdisciplinary collaboration. Principles and Framework: In the context of the EICP Initiative, the Principles are values shared by stakeholders. They are critical to the establishment of collaboration and teamwork to achieve the best health outcomes. The elements of the Principles are patient/client engagement, a population health approach, the best possible care and services, access, trust and respect, and effective communication. The Framework builds upon these Principles and is composed of the structural and process elements required to support collaborative primary health care. The elements of the Framework are health human resources, funding, liability, regulation, information and communications technology, management and leadership, and planning and evaluation. Conclusions: The Boards of Directors of the ten health professions leading the EICP Initiative agreed upon the values and key structural and process elements that need to be put in place to enhance interdisciplinary collaboration in Primary Health Care in Canada. Dietitians of Canada will continue to seek opportunities to further the change process started by EICP. Approximately 40 research papers and a toolkit to help primary heath care providers work together have been produced.
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22

Anafi, Patricia, Wisdom K. Mprah, Allen M. Jackson, et al. "Implementation of Fee-Free Maternal Health-Care Policy in Ghana: Perspectives of Users of Antenatal and Delivery Care Services From Public Health-Care Facilities in Accra." International Quarterly of Community Health Education 38, no. 4 (2018): 259–67. http://dx.doi.org/10.1177/0272684x18763378.

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In 2008, the government of Ghana implemented a national user fee maternal care exemption policy through the National Health Insurance Scheme to improve financial access to maternal health services and reduce maternal as well as perinatal deaths. Although evidence shows that there has been some success with this initiative, there are still issues relating to cost of care to beneficiaries of the initiative. A qualitative study, comprising 12 focus group discussions and 6 interviews, was conducted with 90 women in six selected urban neighborhoods in Accra, Ghana, to examine users’ perspectives regarding the implementation of this policy initiative. Findings showed that direct cost of delivery care services was entirely free, but costs related to antenatal care services and indirect costs related to delivery care still limit the use of hospital-based midwifery and obstetric care. There was also misunderstanding about the initiative due to misinformation created by the government through the media.We recommend that issues related to both direct and indirect costs of antenatal and delivery care provided in public health-care facilities must be addressed to eliminate some of the lingering barriers relating to cost hindering the smooth operation and sustainability of the maternal care fee exemption policy.
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23

Martínez-Rubin, Norma D., and Xóchitl Castañeda. "California-Mexico Health Initiative Binational Health Week." Californian Journal of Health Promotion 1, no. 2 (2003): 59–60. http://dx.doi.org/10.32398/cjhp.v1i2.1683.

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This paper presents are overview of the University of California, California-Mexico Health Initiative, a health promotion program targeting low-income, immigrant/migrant Latino community that lacks access to health care coverage or immigration status.
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24

Maxmen, Amy. "Sierra Leone's free health-care initiative: work in progress." Lancet 381, no. 9862 (2013): 191–92. http://dx.doi.org/10.1016/s0140-6736(13)60074-4.

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25

Mehta, Varshil. "Ayushman Bharat Initiative: India’s Answer to Universal Health-Care." Journal of Medical Research and Innovation 3, no. 1 (2018): e000148. http://dx.doi.org/10.15419/jmri.148.

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26

Munns, Ailsa, Karen A. Forde, Miriam Krouzecky, and Linda Shields. "Rainbows: A primary health care initiative for primary schools." Collegian 22, no. 2 (2015): 153–60. http://dx.doi.org/10.1016/j.colegn.2015.02.002.

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27

Solanki, Hariom K., Rama Shankar Rath, Vijay Silan, and Satya V. Singh. "Health and wellness centers: a paradigm shift in health care system of India?" International Journal Of Community Medicine And Public Health 7, no. 2 (2020): 799. http://dx.doi.org/10.18203/2394-6040.ijcmph20200470.

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An ambitious attempt to achieve the goal of universal ‘comprehensive’ primary care through health and wellness centres under the Ayushmann Bharat Scheme (ABS) has been made by the Ministry of Health and Family Welfare, Government of India. The scheme has widened the package of services available to beneficiaries and it also envisages continuum of care. However, there are pre-existing weaknesses in the three tired public health system in India which may threaten the success of this scheme. In this article we describe and analyze the newer services or initiatives at the health and wellness centres under the ABS. We also attempt to identify the Strengths, weaknesses, threats and opportunities associated with this initiative.
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28

Clayton, P. D. "Integrated Advanced Medical Information Systems (IAIMS): Payoffs and Problems." Methods of Information in Medicine 33, no. 04 (1994): 351–57. http://dx.doi.org/10.1055/s-0038-1635044.

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Abstract:IAIMS (Integrated Advanced Information Management Systems) is an initiative to improve the access to information needed to provide patient care, health-oriented education, biomedical research, and management of large medical center environments. This paper will review the goals, history, and accomplishments of the IAIMS initiative. Shortcomings and frustrations, lessons learned, and the future of such initiatives will also be discussed.
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29

Balooni, Kulbhushan, Kausik Gangopadhyay, Sudeep Turakhia, and R. G. Karthik. "Challenges in the Sustainability of a Targeted Health Care Initiative in India." IIM Kozhikode Society & Management Review 1, no. 1 (2012): 21–32. http://dx.doi.org/10.1177/227797521200100104.

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In this article, we raise sustainability issues in a targeted health initiative, namely the Rashtriya Swasthya Bima Yojana. This unique health insurance initiative targets the poor population to address the iniquity in healthcare in the Indian societal context. We analyze this initiative because it is a unique case of a public–private partnership in the development sector arena in India being used as an instrument for improving the health care system on a large scale. The initial success stories from this initiative include improved hospitalization rates for the targeted population, a reduction in their out-of-pocket health care spending, and a reasonable incentive encouraging the participation of insurance companies. The sustainability of this initiative, however, is threatened mainly by a lack of information, heterogeneity in access, institutional shortcomings and the long-run escalation of costs. While the government is employing a public–private partnership to implement this initiative, there is need to simultaneously use this model to augment the existing health infrastructure to make this initiative sustainable and effective.
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30

Hendrikx, Roy Johannus Petrus, Hanneke Wil-Trees Drewes, Marieke Spreeuwenberg, Dirk Ruwaard, and Caroline Baan. "Measuring Regional Quality of Health Care Using Unsolicited Online Data: Text Analysis Study." JMIR Medical Informatics 7, no. 4 (2019): e13053. http://dx.doi.org/10.2196/13053.

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Background Regional population management (PM) health initiatives require insight into experienced quality of care at the regional level. Unsolicited online provider ratings have shown potential for this use. This study explored the addition of comments accompanying unsolicited online ratings to regional analyses. Objective The goal was to create additional insight for each PM initiative as well as overall comparisons between these initiatives by attempting to determine the reasoning and rationale behind a rating. Methods The Dutch Zorgkaart database provided the unsolicited ratings from 2008 to 2017 for the analyses. All ratings included both quantitative ratings as well as qualitative text comments. Nine PM regions were used to aggregate ratings geographically. Sentiment analyses were performed by categorizing ratings into negative, neutral, and positive ratings. Per category, as well as per PM initiative, word frequencies (ie, unigrams and bigrams) were explored. Machine learning—naïve Bayes and random forest models—was applied to identify the most important predictors for rating overall sentiment and for identifying PM initiatives. Results A total of 449,263 unsolicited ratings were available in the Zorgkaart database: 303,930 positive ratings, 97,739 neutral ratings, and 47,592 negative ratings. Bigrams illustrated that feeling like not being “taken seriously” was the dominant bigram in negative ratings, while bigrams in positive ratings were mostly related to listening, explaining, and perceived knowledge. Comparing bigrams between PM initiatives showed a lot of overlap but several differences were identified. Machine learning was able to predict sentiments of comments but was unable to distinguish between specific PM initiatives. Conclusions Adding information from text comments that accompany online ratings to regional evaluations provides insight for PM initiatives into the underlying reasons for ratings. Text comments provide useful overarching information for health care policy makers but due to a lot of overlap, they add little region-specific information. Specific outliers for some PM initiatives are insightful.
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31

Sherman, Elizabeth M., Shara Elrod, Deberenia Allen, and Paula Eckardt. "Pharmacist Testers in Multidisciplinary Health care Team Expand HIV Point-of-Care Testing Program." Journal of Pharmacy Practice 27, no. 6 (2013): 578–81. http://dx.doi.org/10.1177/0897190013514090.

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Knowledge of HIV serostatus is the first step to accessing treatment, reducing transmission, and mitigating public health challenges. We describe the expansion of an HIV point-of-care testing (POCT) program within a health care system utilizing pharmacists as testers. The testing program’s expansion is detailed and its impact assessed. The POCT program was evaluated by comparing the number of traditional HIV venipuncture tests to the number of POCTs performed across the health system as well as comparing the number of POCTs performed by clinical pharmacists to the number of tests at other POCT locations. Although pharmacists’ contributions to HIV prevention are well documented, pharmacists’ involvement in HIV testing initiatives is still nascent. Our POCT program demonstrates an effective HIV testing initiative driven by pharmacists and other health care providers.
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32

Walker-Smith, Tammy Lynn, and Sara Baldwin. "A Quality Improvement Initiative: Improving Mammogram Screening Rates Among Low-income Hispanic Women in Primary Care." Journal of Doctoral Nursing Practice 13, no. 1 (2020): 71–78. http://dx.doi.org/10.1891/2380-9418.jdnp-d-19-00004.

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BackgroundLow-income women of predominantly Hispanic ethnicity between the ages of 50–74 who receive primary care services in a South Texas region experienced a 12% disparity gap for women completing a screening mammogram in the last 2 years when compared to Hispanic women nationally.ObjectiveThe purpose of this quality improvement (QI) initiative is to design and implement interdisciplinary evidence-based interventions to improve the screening mammogram completion rates in a primary care clinical setting.MethodsFollowing a systematic review and selection of two evidence-based breast cancer risk screening tools, a pre-post intervention was conducted. The Knowledge-to-Action (KTA) framework was used to train staff and providers to implement the screening tools. The Breast Cancer Risk Assessment Tool (BCRAT) and the National Health Interview Survey (NHIS) provided triggers for initiating a screening mammogram.ResultsEvidence-based screenings triggered mammogram initiation resulting in a 7.21% improvement in screening mammogram completion rates over a 3-month time period.Conclusion/Implications for NursingThe outcomes discussed in this report provide guidance for new policy considerations and clinical protocol initiatives along with processes to improve mammogram completion rates.
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33

Al-Ahmad, Mona, Jasmina Nurkic, Claus Bachert, et al. "ARIA 2019 Care Pathways for Allergic Rhinitis in the Kuwait Health Care System." Medical Principles and Practice 30, no. 4 (2020): 320–30. http://dx.doi.org/10.1159/000512493.

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A worldwide increase in prevalence of allergic diseases has led to adaptations in national and international health care systems. ARIA (Allergic Rhinitis and Its Impact on Asthma) initiative develops internationally applicable guidelines for allergic respiratory diseases. In collaboration with international initiatives, ARIA offers updates of real-life integrated care pathways (ICPs) for digitally assisted, integrated, and individualized treatment of allergic rhinitis (AR). This article presents certain aspects of the health care system in Kuwait with reference to the management of AR and the objective of introducing ICPs and adopting the latest ARIA recommendations. Guidelines for ICPs include aspects of patients and health care providers and cover key areas of management of AR. This model of guidelines supports real-life health care better than traditional models. ARIA recommendations will be locally integrated in the health care system with the aim of improving both pharmacotherapy and allergy immunotherapy.
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34

Vallance, Steven R., Robert H. Schell, and Robert E. Robbins. "The Practicing Surgeon as a Member of the Quality–Safety Team." American Surgeon 72, no. 11 (2006): 1112–14. http://dx.doi.org/10.1177/000313480607201123.

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The practicing surgeon is a valuable member of the quality–safety team and is often an underutilized data source for quality initiatives. The authors describe how their efforts in Kentucky, during a 10-year period, encouraged surgeons to become leaders in the quality initiative. Their experience began with the establishment of an organization of surgeons devoted to quality health care and cost control. As their efforts expanded and they gained experience, they were well prepared to transition to a regional and national quality initiative as part of a collaborative effort with the Centers for Medicare and Medicaid Services in the 2004 Surgical Care Improvement Project pilot. As a result of this ongoing experience, the authors we have been able to affect the quality of health care and have a positive influence on health care cost. They have demonstrated that surgeons will participate in and lead quality initiatives, and that these efforts foster an environment of cooperation between surgeons and hospitals.
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35

McGough, Peter, Susan Kline, and Louise Simpson. "Team care approach to population health and care management." International Journal of Health Governance 22, no. 2 (2017): 93–103. http://dx.doi.org/10.1108/ijhg-11-2016-0048.

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Purpose As the US health system moves to value-based care and aligns payment with quality, the role of the primary care provider (PCP) is becoming ever more important. The purpose of this paper is to outline a successful population health and care management strategy depending on accountable teams to standard workflow and agreed upon process and outcome measures in order to achieve the triple aim of improved health, patient experience, and value. Design/methodology/approach Two major areas of focus for primary care are ensuring that all patients receive appropriate evidence-based screening and prevention services and coordinating the care of patients with chronic conditions. The former initiative will promote the general health and well-being of patients, while the latter is a key strategy for achieving better outcomes and reducing costs for patients with chronic conditions. Findings To achieve these goals while managing a busy practice requires that the authors leverage the PCP by engaging clinical and non-clinical team members in the care of their patient population. It is essential that each team member’s role be clearly defined and ensures they are working at the top of their scope. Originality/value This initiative was successful because of the compelling objectives, the buy-in generated by using Lean methodology and engaging the team in the design process, use of multiple feedback mechanisms including stories, dashboards, and patient feedback, and the positive impact on providers, staff, and patients.
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36

Waggoner, Miranda R. "Motherhood Preconceived: The Emergence of the Preconception Health and Health Care Initiative." Journal of Health Politics, Policy and Law 38, no. 2 (2012): 345–71. http://dx.doi.org/10.1215/03616878-1966333.

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37

Hickie, Ian, and Grace Groom. "Primary Care-Led Mental Health Service Reform: An Outline of the Better Outcomes in Mental Health Care Initiative." Australasian Psychiatry 10, no. 4 (2002): 376–82. http://dx.doi.org/10.1046/j.1440-1665.2002.00498.x.

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Objective: To describe the key features of the ‘Better Outcomes in Mental Health Care’ initiative (2001-2005) and to detail some of the conceptual, community, professional and epidemiological forces that shaped its content. Conclusions: The ‘Better Outcomes in Mental Health Care’ initiative represents a major development in mental health care in Australia. It recognises the central role of primary care, promotes integrated medical and psychological care, rewards treatments that occur over an episode of illness, promotes active purchasing of non-pharmacological interventions earlier in the course of illness, and attempts to better link general practitioners, non-medical mental health specialists and psychiatrists to meet population-based mental health needs. Central to its development has been a commitment by general practitioners to develop progressively better mental health skills and measure both individual consumer and system-related outcomes.
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38

Semler, Sebastian, Frank Wissing, and Ralf Heyder. "German Medical Informatics Initiative." Methods of Information in Medicine 57, S 01 (2018): e50-e56. http://dx.doi.org/10.3414/me18-03-0003.

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SummaryThis article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. The Medical Informatics Initiative (MII) was launched within the scope of the German Federal Ministry of Education and Research’s (BMBF) Medical Informatics Funding Scheme, with the goal of developing infrastructure for the integration of clinical data from patient care and medical research in Germany. Its work is to be performed over the course of a decade (2016–2025) across three funding phases, with the first two concentrating on university hospitals. During the conceptual phase (now concluded), a central supporting project ensured coordination – and laid the ground for standardised solutions for all the initiative’s sites and scientific consortia that will enable effective data use and exchange, both for health care as well as research. The conceptual phase focused on the following: a) interoperability, through the consistent use of international standards (from an early stage, i.e. primary IT systems in patient care); b) standardised templates for patient consent and harmonised data protection; and c) standard rules for data use and access (monitoring and safeguarding access to data). On this basis, the initiative aims in the long term to improve medical research (particularly health care research, using data from treatments), to accelerate the transfer of knowledge from research to patient care – and to provide important impetus for the digitalization of medicine in Germany.
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Walker, Pippy, Simone De Morgan, Duncan Sanders, Michael Nicholas, and Fiona M. Blyth. "Primary care initiatives focused on the secondary prevention and management of chronic pain: a scoping review of the Australian literature." Australian Journal of Primary Health 26, no. 4 (2020): 273. http://dx.doi.org/10.1071/py20092.

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The aim of this scoping review was to identify initiatives focused on the secondary prevention and management of chronic pain in Australian primary care to understand options available to Primary Health Networks and to identify evidence gaps. The Medline, EMBASE, Cumulative Index to Nursing and Allied Health Literature and Cochrane databases, as well as relevant websites, were searched for eligible records published from 2007 to 2018. Initiative characteristics and outcomes evaluated were extracted and synthesised. In all, 84 initiatives from 167 published and grey literature records were identified, including: (1) consumer initiatives that aimed to improve access to multidisciplinary care, health literacy and care navigation (n=56); (2) health professional capacity building initiatives that aimed to ensure health professionals are skilled and provide best-practice evidence-based care (n=21); and (3) quality improvement and health system support initiatives (n=7). Evidence gaps were found relating to initiatives addressing the secondary prevention of chronic pain, those targeting vulnerable and regional populations, health professional capacity building initiatives for all primary health care providers and quality improvement and system support initiatives. Addressing evidence gaps related to effectiveness, cost-effectiveness and implementation should be the focus for future chronic pain initiatives in primary care settings.
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40

Dietrich, Linda. "Common Ground: The Canadian Collaborative Mental Health Initiative." Canadian Journal of Dietetic Practice and Research 67, S1 (2006): S9—S13. http://dx.doi.org/10.3148/67.0.2006.s9.

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Background: As one of 12 participating national health associations, Dietitians of Canada (DC) endorsed the Charter Principles and Commitments created by the Canadian Collaborative Mental Health Initiative (CCMHI). The Chair of the DC Board of Directors signed the Charter, committing DC to work collaboratively to uphold the Principles and actively endorse the Commitments. Achievements: The Initiative's vision, making mental health care work – new places, new partners, new hope, provided the Steering Committee with a clear direction. The CCMHI Charter Principles cover promotion and prevention, a holistic approach, collaboration, partnership, respect, information exchange, and resources. In addition to the Charter, the CCMHI has produced a series of 12 toolkits and research papers. The toolkits are practical pieces that also contain ideas and other information. Dietitians of Canada has developed a toolkit that examines the dietitian's role in primary health care mental health programs. A set of reviews of the practice of collaborative mental health care in Canada covers a wide range of issues, from the attributes of effective collaborative care to a discussion of the barriers to collaboration. Conclusion: Communications between the 12 member organizations are ongoing, and the organizations await the establishment of the Canadian Mental Health Commission, which is expected to be up and running in fall 2006.
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41

McAiney, Carrie A., Paul Stolee, Loretta M. Hillier, et al. "Evaluation of the sustained implementation of a mental health learning initiative in long-term care." International Psychogeriatrics 19, no. 5 (2006): 842–58. http://dx.doi.org/10.1017/s1041610206004443.

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Background: This paper describes an innovative education program for the management of mental health problems in long-term care (LTC) homes and the evaluation of its longer-term sustainability. Since 1998, the [ldquor]Putting the P.I.E.C.E.S. Together[rdquor] learning initiative has been providing education sessions and related learning strategies aimed at developing the knowledge and skills of health professionals who care for older persons with complex physical and mental health needs and associated behaviors, in Ontario, Canada. A major focus of this province-wide initiative was the development of in-house Psychogeriatric Resource Persons (PRPs).Methods: Evaluation of this initiative included the completion of pre- and post-education questionnaires (over three data collection time periods) assessing learner confidence (N = 1,024 and 792, for pre- and post-education, respectively) and session evaluation questionnaires gathering feedback on the session (N = 2,029 across all sessions). A survey of LTC homes in Ontario (N = 439, 79% of the homes in the province) was conducted to assess longer-term sustainability.Results: Ratings of the sessions indicated that they were relevant to learners' clinical practice. There were significant increases in ratings of ability to recognize and understand challenging behaviors and mental health problems, and in ability to use a variety of assessment tools. Few homes (15%) do not have a PRP; over 50% of the staff who completed the first session in 1999 continue to serve as a PRP and to apply learned skills.Conclusions: A learning initiative with supportive and reinforcing strategies can develop in-house PRPs to enhance the care of the elderly in LTC. Incorporation of PRP functions into job descriptions and management support contributed to the success of this initiative. This study highlights the importance of work environments that support and reinforce the use of learned skills to the success of continuing education and quality improvement initiatives in LTC.
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Kinney, Eleanor D. "Comparative Effectiveness Research under the Patient Protection and Affordable Care Act: Can New Bottles Accommodate Old Wine?" American Journal of Law & Medicine 37, no. 4 (2011): 522–66. http://dx.doi.org/10.1177/009885881103700402.

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The Patient Protection and Affordable Care Act (PPACA), as amended by the Health Care and Education Reconciliation Act of 2010, initiated comprehensive health reform for the healthcare sector of the United States. PPACA includes strategies to make the American healthcare sector more efficient and effective. PPACA's comparative effectiveness research initiative and the establishment of the Patient-Centered Outcomes Research Institute are major strategies in this regard. PPACA's comparative effectiveness research initiative is one in a long line of federal initiatives to address the rising costs of healthcare as well as to obtain better value for healthcare expenditures. The key question is whether the governance and design features of the institute that will oversee the initiative will enable it to succeed where other federal efforts have faltered. This Article analyzes the federal government's quest to ensure value for money expended in publically funded healthcare programs and the health sector generally. This Article will also analyze what factors contribute to the possible success or failure of the comparative effectiveness research initiative. Success can be defined as the use of the findings of comparative effectiveness to make medical practice less costly, more efficient and effective, and ultimately, to bend the cost curve.
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Yusupov, Eleanor, Bhuma Krishnamachari, Sarah Rand, Mirette Abdalla, and Hallie Zwibel. "Quality of hypertension care: An improvement initiative in two outpatient health care centers." Journal of Evaluation in Clinical Practice 25, no. 3 (2018): 463–68. http://dx.doi.org/10.1111/jep.13067.

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Dhaka, Rohit, Ramesh Verma, Ginni Agrawal, and Gopal Kumar. "Ayushman Bharat Yojana: a memorable health initiative for Indians." International Journal Of Community Medicine And Public Health 5, no. 8 (2018): 3152. http://dx.doi.org/10.18203/2394-6040.ijcmph20183043.

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India in a state of epidemiological health transition i.e shifting from communicable to non-communicable diseases. The annually 3.2% Indians falling below the poverty line and three forth Indians spending their entire income on health care and purchasing drugs. The government of India announced a Ayushman Bharat Yojana- National Health Protection Scheme (AB-NHPM) in the year 2018. The aim of this programme is to providing a service to create a healthy, capable and content new India and two goals are to creating a network of health and wellness infrastructure across the nation to deliver comprehensive primary healthcare services and to provide health insurance cover to at least 40% of India's population which is deprived of secondary and tertiary care services. This Yojana will be implemented through Health and Wellness Centres that are to be developed in the primary health centre or sub-centre in the village and that will provide preventive, promotive, and curative care for non-communicable diseases, dental, mental, geriatric care, palliative care, etc. These centres would be equipped with basic medical tests for hypertension, diabetic and cancer and they are connected to the district hospital for advanced tele-medical consultations. The government has aims to set up 1,50,000 health and wellness centres across the country by the year 2022.
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Matthiesen, M., J. Ashton, and K. Froggatt. "A public health initiative around advance care conversations and end of life Care." BMJ Supportive & Palliative Care 2, no. 2 (2012): 199.4–200. http://dx.doi.org/10.1136/bmjspcare-2012-000250.109.

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Ma, Jessica E., Marie Haverfield, Karl A. Lorenz, et al. "Exploring expanded interdisciplinary roles in goals of care conversations in a national goals of care initiative: A qualitative approach." Palliative Medicine 35, no. 8 (2021): 1542–52. http://dx.doi.org/10.1177/02692163211020473.

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Background: The United States Veterans Health Administration National Center for Ethics in Health Care implemented the Life-Sustaining Treatment Decisions Initiative throughout the Veterans Health Administration health care system in 2017. This policy encourages goals of care conversations, referring to conversations about patient’s treatment and end-of-life wishes for life-sustaining treatments, among Veterans with serious illnesses. A key component of the initiative is expanding interdisciplinary provider roles in having goals of care conversations. Aim: Use organizational role theory to explore medical center experiences with expanding interdisciplinary roles in the implementation of a goals of care initiative. Design: A qualitative thematic analysis of semi-structured interviews. Setting/participants: Initial participants were recruited using purposive sampling of local medical center champions. Snowball sampling identified additional participants. Participants included thirty-one interdisciplinary providers from 12 geographically diverse initiative pilot and spread medical centers. Results: Five themes were identified. Expanding provider roles in goals of care conversations (1) involves organizational culture change; (2) is influenced by medical center leadership; (3) is supported by provider role readiness; (4) benefits from cross-disciplinary role agreement; and (5) can “overwhelm” providers. Conclusions: Organizational role theory is a helpful framework for exploring interdisciplinary roles in a goals of care initiative. Support and recognition of provider role expansion in goals of care conversations was important for the adoption of a goals of care initiative. Actionable strategies, including multi-level leadership support and the use of interdisciplinary champions, facilitate role change and have potential to strengthen uptake of a goals of care initiative.
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Haux, Reinhold. "Health Information Systems – from Present to Future?" Methods of Information in Medicine 57, S 01 (2018): e43-e45. http://dx.doi.org/10.3414/me18-03-0004.

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SummaryThis article is part of the Focus Theme of Methods of Information in Medicine on the German Medical Informatics Initiative. Funded by the German Federal Ministry of Education and Research with about 150 million Euro in its currently starting development and networking phase this initiative has already a significant impact on the development of health information systems in Germany. In this Focus Theme two editorials introduce this initiative, one from the viewpoint of its funding institution and one from the initiative’s accompanying institutions. Then the initiative’s four consortia DIFUTURE (Data Integration for Future Medicine), HiGHmed (Heidelberg-Göttingen-Hannover Medical Informatics), MIRACUM (Medical Informatics in Research and Care in University Medicine), and SMITH (Smart Medical Information Technology for Healthcare) present their concepts and plans. For better readability their manuscripts all contain three major sections on governance and policies, on architectural framework and methodology, and on use cases. As the German Medical Informatics Initiative is a large national experiment, we are convinced that communicating on this initiative already at this early stage to an international audience is of importance.
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Mooney, Gavin. "Funding Aboriginal health care: the case for a new initiative." Australian and New Zealand Journal of Public Health 20, no. 6 (1996): 564–65. http://dx.doi.org/10.1111/j.1467-842x.1996.tb01065.x.

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Shi, Leiyu, Lydie A. Lebrun, Li-Mei Hung, Jinsheng Zhu, and Jenna Tsai. "US Primary Care Delivery After the Health Center Growth Initiative." Journal of Ambulatory Care Management 35, no. 1 (2012): 60–74. http://dx.doi.org/10.1097/jac.0b013e31823abf07.

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Canady, Valerie A. "National initiative brings health systems together to transform BH care." Mental Health Weekly 29, no. 18 (2019): 1–3. http://dx.doi.org/10.1002/mhw.31887.

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