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Introduction
Current institution
Publications
Publications (19)
This practice note highlights a case study of leveraging strategic partnerships through trust‐based philanthropy, a set of practices rooted in values, relationship building, mutual learning, and equity. It describes the motivations, planning, and execution of a symposium organized by, and held for, a Foundation and four of its grantees. The symposi...
Respect for parents' values and clinician–parent collaboration is less common among families from historically marginalized communities. We investigated how parents from marginalized communities operationalize health and their preferences for paediatric primary care. We recruited families who spoke English, Haitian Creole or Spanish with at least o...
Objective:
The purpose of this study is to understand change in parent-reported outcomes of mental health symptoms, health-related quality of life (QoL), and school-related functioning among children receiving mental health care at 3 federally qualified health centers engaging in a comprehensive pediatric mental health integration model.
Methods:...
This study examined changes in provider and staff burnout in 4 Boston-area federally qualified community health centers (FQHCs) participating in a pediatric behavioral health integration project. Utilizing the Maslach Burnout Inventory—Human Services Survey for Medical Personnel (MBI-HSSMP), the study found that emotional exhaustion among primary c...
Importance:
More than 1 in 5 children in low-income families report a mental health (MH) problem, yet most face barriers accessing MH services. Integrating MH services into primary care at pediatric practices such as federally qualified health centers (FQHCs) may address these barriers.
Objective:
To examine the association of a comprehensive MH...
This study explores healthcare professionals’ perspectives about the impact of behavioral health integration (BHI) on pediatric primary care delivery in community health centers (CHCs). A concurrent, qualitative-dominant mixed methods empirical study design was utilized, applying semi-structured interviews with healthcare professionals at the end o...
BACKGROUND
Research supports integrated pediatric behavioral health (BH), but evidence gaps remain in ensuring equitable care for children of all ages. In response, an interdisciplinary team codeveloped a stepped care model that expands BH services at 3 federally qualified health centers (FQHCs).
METHODS
FQHCs reported monthly electronic medical r...
Objective: To describe the barriers and facilitators to integrating behavioral health services and pediatric primary care in federally qualified health centers (FQHCs) during the early stages of implementation. Method: We conducted 34 semistructured interviews with primary care providers ( n = 11), behavioral health clinicians ( n = 12), community...
Objective: To use quality improvement tools to optimize pediatric behavioral health (BH) integration, a promising approach to increasing access to behavioral health care services for children. Method: As part of the practice transformation efforts of a pediatric BH integration initiative implemented in three community health centers, we used Failur...
Research Objective
Communities of Practice and Learning Collaboratives have gained momentum as approaches to practice improvement and implementation utilizing shared learning to facilitate change across organizations. These models promote knowledge transfer through data sharing, in‐person activities, and affinity groups; however, efforts can often...
Pediatric behavioral health integration (BHI) represents a promising approach to address unmet child mental health need but little research exists to guide BHI implementation. Through in-depth interviews with 38 professionals involved in a comprehensive pediatric BHI initiative at 3 community health centers, we explored perceptions of the impact of...
A comprehensive look at The Southern New England Practice Transformation Network (SNE-PTN), which supports implementation of person-centered, high quality, efficient, and coordinated care. SNE-PTN is funded under the Centers for Medicare & Medicaid Services’ Transforming Clinical Practices Initiative. SNE-PTN is a complex, large-scale care transfor...
Primary Care Payment Reform (PCPR) is an alternative payment pilot program of MassHealth, with learning collaborative support from UMass Medical School, that introduces the principles of accountable care, behavioral health integration and patient-centered medical homes in primary care practices. The pilot demonstrated that behavioral health integra...
A pro-active multidisciplinary team-based care model was developed after identifying key skills and competencies needed for a patient-centered medical home workforce. The patient-centered medical home may solve many of the ills of our health care system; new health care payment methods support care team member roles and services in patient-centered...
This poster describes a project that used a patient-centered medical home model to improve cervical cancer screening for patients at Duffy Health Center in Hyannis. Lessons learned include: identifying existing opportunities to provide whole-person care may provide revenue enhancement opportunities; practice workflow tools require user input in the...
The Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI) was a three-year multi-payer demonstration designed to promote clinical model transformation in practices across the state and prepare the practices for PCMHI recognition. It was a partnership between MassHealth, the Massachusetts Medicaid program, and UMass Medical School. An an...
Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, person...
Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, person...
