Tyler R. Halle, Martha Ryan, N. Schmitt, Amy Edwards, M. Childress, Shannon Allen, Melissa Riedel, N. Saba, J. Beitler, W. Stokes, M. McDonald, Mihir R Patel, M. El-Deiry
{"title":"Designing and Building a Colocated Multidisciplinary Head and Neck Cancer Clinic","authors":"Tyler R. Halle, Martha Ryan, N. Schmitt, Amy Edwards, M. Childress, Shannon Allen, Melissa Riedel, N. Saba, J. Beitler, W. Stokes, M. McDonald, Mihir R Patel, M. El-Deiry","doi":"10.1056/cat.22.0235","DOIUrl":"https://doi.org/10.1056/cat.22.0235","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78687933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Oo, O. Marroquin, Jeffrey McKibben, Jane O. Schell, Robert M. Arnold, K. Kip
{"title":"Improved Palliative Care Practices Through Machine-Learning Prediction of 90-Day Risk of Mortality Following Hospitalization","authors":"T. Oo, O. Marroquin, Jeffrey McKibben, Jane O. Schell, Robert M. Arnold, K. Kip","doi":"10.1056/cat.22.0214","DOIUrl":"https://doi.org/10.1056/cat.22.0214","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86474729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Services for Patients with Intellectual and Developmental Disabilities Fall Off for Adults","authors":"Jon Bees","doi":"10.1056/cat.22.0443","DOIUrl":"https://doi.org/10.1056/cat.22.0443","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73453795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health Care Falls Short for Patients with Intellectual and Developmental Disabilities","authors":"J. Gleason","doi":"10.1056/cat.22.0441","DOIUrl":"https://doi.org/10.1056/cat.22.0441","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78997972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Casarett, K. Lakis, Jessica E Ma, J. Gentry, Jonathan Fischer, Salam Ibrahim, Yvonne Acker, Noppon P. Setji
{"title":"Goal-Concordant Care: End-of-Life Planning Conversations for All Seriously Ill Patients","authors":"D. Casarett, K. Lakis, Jessica E Ma, J. Gentry, Jonathan Fischer, Salam Ibrahim, Yvonne Acker, Noppon P. Setji","doi":"10.1056/cat.22.0271","DOIUrl":"https://doi.org/10.1056/cat.22.0271","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88322859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How Health Care Professionals View Their Organizations’ Governance and Decision-Making","authors":"G. Kaplan, R. Sadun","doi":"10.1056/cat.22.0410","DOIUrl":"https://doi.org/10.1056/cat.22.0410","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"98 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83603469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Lowenstein, Nicole O’Donnell, Jasmine Barnes, Kathryn Gallagher, Gilly Gehri, Jon K. Pomeroy, S. Aronowitz, K. Chaiyachati, Emily Cubbage, R. French, S. McGinley, Brittany Salerno, J. Perrone
Medications for opioid use disorder (OUD) such as buprenorphine are the gold standard for treatment of OUD, but patients face many barriers accessing these medications. To address this gap, a team at Penn Medicine leveraged new regulatory flexibilities during the Covid-19 pandemic that allow for virtual prescribing of buprenorphine. Their goal in establishing the model, called CareConnect, was to provide same-day, high-quality, short-term buprenorphine treatment as well as linkage to longitudinal care. CareConnect includes trained clinicians who provide OUD care integrated into a broader virtual urgent care practice. The program is enhanced by a substance use navigator team that assesses patients, supports patients and clinicians throughout a patient's care journey, and links patients to longitudinal OUD care programs based in primary care or specialty behavioral health. In this article, the authors describe the development and implementation of this novel program to treat OUD embedded within an existing telehealth urgent care program. Penn Medicine's work shows that buprenorphine telehealth prescribing can be adopted by generalist clinicians. The substance use navigator support is a critical element to fill gaps and overcome barriers to care in the community and health system.
{"title":"CareConnect: Adapting a Virtual Urgent Care Model to Provide Buprenorphine Transitional Care","authors":"M. Lowenstein, Nicole O’Donnell, Jasmine Barnes, Kathryn Gallagher, Gilly Gehri, Jon K. Pomeroy, S. Aronowitz, K. Chaiyachati, Emily Cubbage, R. French, S. McGinley, Brittany Salerno, J. Perrone","doi":"10.1056/cat.22.0274","DOIUrl":"https://doi.org/10.1056/cat.22.0274","url":null,"abstract":"Medications for opioid use disorder (OUD) such as buprenorphine are the gold standard for treatment of OUD, but patients face many barriers accessing these medications. To address this gap, a team at Penn Medicine leveraged new regulatory flexibilities during the Covid-19 pandemic that allow for virtual prescribing of buprenorphine. Their goal in establishing the model, called CareConnect, was to provide same-day, high-quality, short-term buprenorphine treatment as well as linkage to longitudinal care. CareConnect includes trained clinicians who provide OUD care integrated into a broader virtual urgent care practice. The program is enhanced by a substance use navigator team that assesses patients, supports patients and clinicians throughout a patient's care journey, and links patients to longitudinal OUD care programs based in primary care or specialty behavioral health. In this article, the authors describe the development and implementation of this novel program to treat OUD embedded within an existing telehealth urgent care program. Penn Medicine's work shows that buprenorphine telehealth prescribing can be adopted by generalist clinicians. The substance use navigator support is a critical element to fill gaps and overcome barriers to care in the community and health system.","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80379330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Successful Sabbatical Program to Reduce Burnout in Emergency Medicine Physicians","authors":"J. Throop, Don Powell, Bradley Slywka","doi":"10.1056/cat.22.0209","DOIUrl":"https://doi.org/10.1056/cat.22.0209","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"136 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77335318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transparency and Engagement Are Keys to Organizational Success","authors":"Jon Bees","doi":"10.1056/cat.22.0415","DOIUrl":"https://doi.org/10.1056/cat.22.0415","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77032596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Kirksey, M. Sasaki, David Grace, A. McLawhorn, Kyle Kunze, H. Do, A. Schmucker, S. Lyman, S. Magid, Scott DeNegre, N. Hupert
{"title":"A Novel Network-Based Metric of Surgical Team Consistency Opens Opportunities to Improve Hospital Performance and Care Value","authors":"M. Kirksey, M. Sasaki, David Grace, A. McLawhorn, Kyle Kunze, H. Do, A. Schmucker, S. Lyman, S. Magid, Scott DeNegre, N. Hupert","doi":"10.1056/cat.22.0244","DOIUrl":"https://doi.org/10.1056/cat.22.0244","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"PP 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84364633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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