Lydia Newman, Stan Taylor, Denise Levis Hewson, Tom Wroth
Realizing North Carolina’s comprehensive vision for Medicaid transformation requires strengthening the state’s primary care infrastructure. This can be done by building upon the value-based care incentives in the Advanced Medical Home model, strengthening payor data, aligning quality measures, easing administrative burdens, investing in primary care and its workforce pipeline, and ensuring payment models adequately support serving Medicaid expansion and the growing number of Medicaid health plans.
实现北卡罗来纳州医疗补助转型的全面愿景需要加强该州的初级医疗基础设施。要做到这一点，可以在 "高级医疗之家"（Advanced Medical Home）模式中基于价值的医疗激励措施的基础上，加强支付方数据，统一质量衡量标准，减轻行政负担，投资于初级医疗及其劳动力队伍，并确保支付模式能够充分支持医疗补助的扩展和医疗补助医疗计划数量的增长。
{"title":"Is Primary Care Adapting to Medicaid Managed Care in North Carolina? Implications for Expansion and Future Managed Care Transitions","authors":"Lydia Newman, Stan Taylor, Denise Levis Hewson, Tom Wroth","doi":"10.18043/001c.94872","DOIUrl":"https://doi.org/10.18043/001c.94872","url":null,"abstract":"Realizing North Carolina’s comprehensive vision for Medicaid transformation requires strengthening the state’s primary care infrastructure. This can be done by building upon the value-based care incentives in the Advanced Medical Home model, strengthening payor data, aligning quality measures, easing administrative burdens, investing in primary care and its workforce pipeline, and ensuring payment models adequately support serving Medicaid expansion and the growing number of Medicaid health plans.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140235319","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}
Katherine M. Conners, Christy L. Avery, Faisal F. Syed
Cardiovascular disease mortality is increasing in North Carolina with persistent inequality by race, income, and location. Artificial intelligence (AI) can repurpose the widely available electrocardiogram (ECG) for enhanced assessment of cardiac dysfunction. By identifying accelerated cardiac aging from the ECG, AI offers novel insights into risk assessment and prevention.
{"title":"Advancing Cardiovascular Risk Assessment with Artificial Intelligence: Opportunities and Implications in North Carolina","authors":"Katherine M. Conners, Christy L. Avery, Faisal F. Syed","doi":"10.18043/001c.91424","DOIUrl":"https://doi.org/10.18043/001c.91424","url":null,"abstract":"Cardiovascular disease mortality is increasing in North Carolina with persistent inequality by race, income, and location. Artificial intelligence (AI) can repurpose the widely available electrocardiogram (ECG) for enhanced assessment of cardiac dysfunction. By identifying accelerated cardiac aging from the ECG, AI offers novel insights into risk assessment and prevention.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139439174","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}
The Stroke Advisory Council and its partners created the NC Stroke System of Care, an online repository of strategies and resources, in efforts to prevent rising rates of stroke in our state and to steer our work. A stroke registry was developed to gain a more comprehensive view of stroke in the state and identify gaps in care and health inequities.
中风咨询委员会及其合作伙伴创建了北卡罗来纳州中风护理系统（NC Stroke System of Care），这是一个在线战略和资源库，旨在预防本州中风发病率的上升并指导我们的工作。为了更全面地了解本州的中风情况，并确定护理方面的差距和健康不平等，我们建立了中风登记册。
{"title":"Progress in Stroke Prevention and the North Carolina Stroke System of Care","authors":"Anna Bess Brown","doi":"10.18043/001c.91425","DOIUrl":"https://doi.org/10.18043/001c.91425","url":null,"abstract":"The Stroke Advisory Council and its partners created the NC Stroke System of Care, an online repository of strategies and resources, in efforts to prevent rising rates of stroke in our state and to steer our work. A stroke registry was developed to gain a more comprehensive view of stroke in the state and identify gaps in care and health inequities.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440942","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}
Routine HPV vaccination can prevent six cancers. Best practices for achieving high adolescent HPV vaccination coverage include automatically scheduled appointments, presumptive provider recommendations, standing orders, feedback on vaccination rates, and incentives. Promising practices include starting HPV vaccine recommendations and vaccine registry forecasting at age 9 and school entry requirements.
{"title":"Optimizing Cancer Prevention in Adolescents by Improving HPV Vaccine Delivery","authors":"N. Vielot, Noel T. Brewer","doi":"10.18043/001c.91426","DOIUrl":"https://doi.org/10.18043/001c.91426","url":null,"abstract":"Routine HPV vaccination can prevent six cancers. Best practices for achieving high adolescent HPV vaccination coverage include automatically scheduled appointments, presumptive provider recommendations, standing orders, feedback on vaccination rates, and incentives. Promising practices include starting HPV vaccine recommendations and vaccine registry forecasting at age 9 and school entry requirements.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139441009","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":"Emergency Medicine Bias in Treating Minorities with Sickle Cell Disease","authors":"Travis Robinson","doi":"10.18043/001c.91433","DOIUrl":"https://doi.org/10.18043/001c.91433","url":null,"abstract":"","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440269","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}
Laura M. Magennis, Job Chen, Brenda Vass, Sheila Kidwell, Nicole Stanfield, Dustin Allen
By providing free medications to those who are uninsured and who have low income, organizations like NC MedAssist are able alleviate this barrier for thousands of North Carolinians each year. This article will describe the history and benefits of NC MedAssist.
{"title":"NC MedAssist: Dispensing Hope throughout North Carolina","authors":"Laura M. Magennis, Job Chen, Brenda Vass, Sheila Kidwell, Nicole Stanfield, Dustin Allen","doi":"10.18043/001c.91431","DOIUrl":"https://doi.org/10.18043/001c.91431","url":null,"abstract":"By providing free medications to those who are uninsured and who have low income, organizations like NC MedAssist are able alleviate this barrier for thousands of North Carolinians each year. This article will describe the history and benefits of NC MedAssist.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440813","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}
Adverse childhood experiences (ACEs) have a negative impact on people across the lifespan, including poorer health outcomes. Data have indicated that 60% of North Carolina adults have experienced at least one ACE, while concurrently heart disease is the leading cause of death. There is a need to study the linkages between the two, and researchers and leaders should take an upstream approach to doing so.
{"title":"Adverse Childhood Experiences and Cardiovascular Disease Risks: Implications for North Carolina and the Need for an Upstream Approach","authors":"Adam Hege","doi":"10.18043/001c.91428","DOIUrl":"https://doi.org/10.18043/001c.91428","url":null,"abstract":"Adverse childhood experiences (ACEs) have a negative impact on people across the lifespan, including poorer health outcomes. Data have indicated that 60% of North Carolina adults have experienced at least one ACE, while concurrently heart disease is the leading cause of death. There is a need to study the linkages between the two, and researchers and leaders should take an upstream approach to doing so.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139440122","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}
Emilie D. Duchesneau, Heidi D. Klepin, Amresh D. Hanchate, Meng-Yun Lin, Shirley M. Bluethmann
Cancer is the second leading cause of death in North Carolina and approximately half of cancers are diagnosed in older adults (≥ 65 years). Cancer clinical trials in older adults are limited and there is a lack of evidence on optimal care strategies in this population. We highlight how big data can fill in gaps in geriatric oncology research.
{"title":"Big Data for Geriatric Oncology Research","authors":"Emilie D. Duchesneau, Heidi D. Klepin, Amresh D. Hanchate, Meng-Yun Lin, Shirley M. Bluethmann","doi":"10.18043/001c.91420","DOIUrl":"https://doi.org/10.18043/001c.91420","url":null,"abstract":"Cancer is the second leading cause of death in North Carolina and approximately half of cancers are diagnosed in older adults (≥ 65 years). Cancer clinical trials in older adults are limited and there is a lack of evidence on optimal care strategies in this population. We highlight how big data can fill in gaps in geriatric oncology research.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139441844","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}
The objective of the North Carolina Tissue Consortium is to facilitate cancer-related research by providing a means through which normal and malignant tissue specimens are procured, processed, stored, and distributed to researchers while protecting the rights and confidentiality of participants.
{"title":"The North Carolina Tissue Consortium: Ensuring Equitable Representation and Accessibility to Cancer Specimens from Eastern North Carolina","authors":"M. McDaniel, N. Vohra, K. Verbanac","doi":"10.18043/001c.91422","DOIUrl":"https://doi.org/10.18043/001c.91422","url":null,"abstract":"The objective of the North Carolina Tissue Consortium is to facilitate cancer-related research by providing a means through which normal and malignant tissue specimens are procured, processed, stored, and distributed to researchers while protecting the rights and confidentiality of participants.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139442254","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}
Significant advances in science and medicine have not been adequate to dethrone heart disease, cancer, and stroke from their positions as three of the top killers of North Carolinians. In this issue, authors from across the state describe efforts to employ more holistic, comprehensive, and innovative approaches to primary and secondary prevention, as well as ensuring everyone who needs it has access to care and support through their disease journey. The articles in this issue include data and trends—as well as community examples—to explore evolving approaches to prevention, screening, treatment, and research.
{"title":"The Persistent Three: Combating Heart Disease, Cancer, and Stroke in North Carolina","authors":"Melanie Phelps, Goldie Smith Byrd, Ruben Mesa","doi":"10.18043/001c.91416","DOIUrl":"https://doi.org/10.18043/001c.91416","url":null,"abstract":"Significant advances in science and medicine have not been adequate to dethrone heart disease, cancer, and stroke from their positions as three of the top killers of North Carolinians. In this issue, authors from across the state describe efforts to employ more holistic, comprehensive, and innovative approaches to primary and secondary prevention, as well as ensuring everyone who needs it has access to care and support through their disease journey. The articles in this issue include data and trends—as well as community examples—to explore evolving approaches to prevention, screening, treatment, and research.","PeriodicalId":39574,"journal":{"name":"North Carolina Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443966","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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