Abstract
Excessive costs and the inconsistent quality of healthcare in the United States have driven policymakers and healthcare professionals to advocate for a new approach. Revised goals for the delivery of healthcare (the Triple Aim Initiative), a new structure to support the goals (accountable care organizations), and integrated care entities that provide the care (patient-centered medical homes) are key elements of a new system that will be implemented in the coming years. Medical family therapists (MedFTs) will play an important role in this reformed healthcare system. To be successful participants, MedFTs will need to understand how the model works and how to get involved in decision-making entities and policy think tanks. In this chapter, the authors provide an overview of the changing healthcare system, illustrate the benefits that will be experienced by patients and their families as these changes are implemented, and identify ways that MedFTs can successfully integrate into the changing healthcare environment.
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References
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*Abrams, M., Nuzum, R., Mika, S., & Lawlor, G. (2011). Realizing health reform’s potential: How the Affordable Care Act will strengthen primary care and benefit patients, providers, and payers. The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Jan/1466_Abrams_how_ACA_will_strengthen_primary_care_reform_brief_v3.pdf
Alpert, J. S. (2013). The team approach—Go team!! The American Journal of Medicine, 126, 275. doi:10.1016/j.amjmed.2012.09.013.
*American Academy of Family Physicians (AAFP), American Academy of Pediatrics (AAP), American College of Physicians (ACP), & American Osteopathic Association (AOA). (2007). Joint principles of the patient-centered medical home. Retrieved from http://www.medicalhomeinfo.org/Joint%20Statement.pdf
American College of Physicians. (2010). The patient-centered medical home neighbor: The interface of the patient-centered medical home with specialty/subspecialty practices. Retrieved from http://www.acponline.org
Anderson, G. (2010). Chronic care: Making the case for ongoing care. Princeton, NJ: Robert Woods Johnson Foundation. Retrieved from http://www.rwjf.org/content/dam/farm/reports/reports/2010/rwjf54583
*Berenson, R. A., & Burton, R. A. (2011). Accountable care organizations in Medicare and the private sector: A status update. Timely Analysis of Immediate Health Policy Issues, 1–12. Washington, DC: The Urban Institute. Retrieved from http://www.urban.org/uploadedpdf/412438-Accountable-Care-Organizations-in-Medicare-and-the-Private-Sector.pdf
Berenson, R. A., Gans, D. N., Zuckerman, S., Merrell, K., Underwood, W. S., & Williams, A. F. (2008). A house is not a home: Keeping patients at the center of practice redesign. Health Affairs, 27, 1219–1230. doi:10.1377/hlthaff.27.5.1219.
*Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27, 759–769. doi:10.1377/hlthaff.27.3.759.
Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, and Section on Developmental and Behavioral Pediatrics. (2012). Early childhood adversity, toxic stress, and the role of the pediatrician: Translating developmental science into lifelong health. Pediatrics, 129, e224–e231. doi:10.1542/peds.2011-2662.
*Croghan, T. W., & Brown, J. D. (2010). Integrating behavioral health treatment into the patient centered medical home (AHRQ Publication No. 10-0084-EF). Rockville, MD: Agency for Healthcare Research and Quality. Retrieved from http://brittenassociates.com/documents_pcmh/AHRQ/Mental%20Health%20in%20the%20PCMH-July1.pdf
Davis, K., Schoen, C., & Stremikis, K. (2010). Mirror, mirror on the wall: How the performance of the U.S. Health Care System compares internationally. The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2010/Jun/1400_Davis_Mirror_Mirror_on_the_wall_2010.pdf
deGruy, F. V., & Etz, R. S. (2010). Attending to the whole person in the patient-centered medical home: The case for incorporating behavioral healthcare, substance abuse care, and health behavior change. Families, Systems & Health, 28, 298–307. doi:10.1037/a0022049.
Dentzer, S. (2011). Still crossing the quality chasm—Or suspended over it? Health Affairs, 30, 554–555. doi:10.1377/hlthaff.2011.0287.
Edwards, T. M., Svab, I., Ivbijaro, G., Scherger, J., Clarke, D., & Kallenberg, G. A. (2012). Multimorbidity in primary care behavioral health. In G. Ivbijaro (Ed.), Companion to primary care mental health (pp. 672–686). Geneva, Switzerland: World Health Organization.
Hoge, C. (2011). Interventions for war-related posttraumatic stress disorder: Meeting veterans where they are. Journal of the American Medical Association, 306, 549–551. doi:10.1001/jama.2011.1096.
Hunter, C. L., & Goodie, J. L. (2010). Operational and clinical components for integrated-collaborative behavioral healthcare in the patient-centered medical home. Families, Systems & Health, 28, 308–321. doi:10.1037/a0021761.
Institute of Medicine. (2001). Crossing the quality chasm: New health system for the 21 st century. Retrieved from http://www.iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx
Katon, W. J., Lin, E. H. B., Von Korkff, M. V., Ciechanowski, P., Ludman, E. J., Young, B., … McCulloch, D. (2010). Integrated care for patients with depression and chronic illnesses. New England Journal of Family Medicine, 363, 2611–2620. doi:10.1056/NEJMoa1003955
Levine, C. (2011). Improving transitional care for involving family caregivers. National Health Policy Forum, October 28, 2011. Retrieved from http://www.uhfnyc.org/assets/968
Moran, M. (2010). Medical home needs remodeling to provide optimal MH care. Psychiatric News. Retrieved from http://psychnews.psychiatryonline.org/newsarticle.aspx?articleid=113684&RelatedNewsArticles=true
Murray, C. J. L., & Frenk, J. (2010). Ranking 37th—Measuring the performance of the U.S. Health Care System. The New England Journal of Medicine, 362, 98–99.
National Council for Community Behavioral Healthcare. (2011, January). Partnering with health homes and accountable care organizations. Retrieved from http://www.thenationalcouncil.org
Patterson, J. (2012, November 6). JAMA advocates for families in healthcare [web log comment]. Retrieved from http://www.cfha.net/blogpost/753286/153313/JAMA-Advocates-for-Families-in-Healthcare
*Patterson, J. E., Peek, C. J., Heinrich, R. L., Bischoff, R. J., & Scherger, J. (2002). Mental health professionals in medical settings: A primer. New York, NY: Norton.
*Scherger, J. (2012, October 10). Do medical family therapists bring value to healthcare? [web log comment]. Retrieved from http://www.cfha.net/blogpost/753286/151901/Do-Medical-Family-Therapists-Bring-Value-to-Health-Care
Schonkoff, J. P., Garner, A. S., & the Committee on Psychosocial Aspects of Child and Family Health, Committee on Early Childhood, Adoption, and Dependent Care, and Section on Developmental and Behavioral Pediatrics. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129, e232–e246. doi:10.1542/peds.2011-2663.
Sia, C., Tonniges, T. F., Osterhus, E., & Taba, S. (2004). History of the medical home concept. Pediatrics, 113, 1473–1478.
Stange, K., Nutting, P. A., Miller, W. L., Jaen, C. R., Crabtree, B. F., Flocke, S. A., & Gill, J. M. (2009). Defining and measuring the patient-centered medical home. Journal of General Internal Medicine, 25, 601–612. doi:10.1007/s11606-010-1291-3
Tu, H. T., Mechanic, R., Boukus, E. R., Draper, K. (2013, July). Portland, Oregon: Health insurance market geared up for national health reform. Center for Studying Health System Change. Retrieved from http://www.hschange.org/CONTENT/1368/
Vogeli, C., Shields, A. E., Lee, T. A., Gibson, T. B., Marder, W. D., Weiss, K. B., & Blumenthal, D. (2007). Multiple chronic conditions: Prevalence, health consequences, and implications for quality, care management, and costs. Journal of General Internal Medicine, 22, 391–395. doi:10.1007/s11606-007-0322-1
*Weinstein, R. S., Brandt, B. F., Gilbert, J. H., & Schmitt, M. H. (2013). Bridging the quality chasm: Interdisciplinary teams to the rescue? The American Journal of Medicine, 126, 276–277. doi:10.1016/j.amjmed.2012.10.014.
Wolff, J. (2012). Family matters in health care delivery. Journal of the American Medical Association, 308, 1529–1530. doi:10.1001/jama.2012.13366.
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Edwards, T., Patterson, J.E., Scherger, J., Vakili, S. (2014). Policy and Practice: A Primer on the Past, Present, and Future of Healthcare Reform in the United States. In: Hodgson, J., Lamson, A., Mendenhall, T., Crane, D. (eds) Medical Family Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-03482-9_18
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