We work with multiple state agencies and a multidisciplinary team to oversee clinically robust prior authorization requirements for specific behavioral health medications and polypharmacy regimens in pediatric members in the Massachusetts State Medicaid program.
This report provides a comprehensive overview of the MA Personal and Home Care Aide State Training (PHCAST) Grant Project funded by the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing. The grant aimed to improve existing training for home care aides, offer training for personal care attendants, increase transferability of the workforce, and reduce turnover.
Primary Care Payment Reform (PCPR), an alternative payment pilot program of MassHealth with learning collaborative support from UMass Medical School, demonstrated that behavioral health integration is a necessary component of whole-person care and a complex, but highly accomplishable task.
A pro-active multidisciplinary team-based care model was developed after identifying key skills and competencies needed for a patient-centered medical home workforce. This poster adresses what thoe new roles are in that model, and their individual responsibilities.
Our team partnered with UMass Memorial Medical Center’s Urology and Anesthesiology departments on a pilot patient-centered, physician-led, multidisciplinary team-based system of coordinated care for the surgical patient. The goals were to improve the patient experience, improve health care and reduce costs.
An analysis of the Massachusetts Patient-Centered Medical Home (MA PCMHI) at 46 participating practices finds that primary care practice transformation takes time; care transitions, including emergency room and post-discharge follow-up care, require the development of new clinical workflows; and the processes of care are more likely to improve before outcomes are affected.
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 and practice workflow tools require user input to be accepted and effective.
UMass Medical School’s UHealthSolutions Inc. staffs the call center for MassOptions, a resource for services to help elderly residents, individuals with disabilities and their caregivers. Administered by the Massachusetts Executive Office of Health and Human Services, MassOptions is funded through a portion of a $135 million Centers for Medicare & Medicaid Services grant.
A report prepared by UMass Medical School summarizes the findings of a qualitative study in which 33 uninsured individuals were interviewed about their experience living without health insurance. The findings can help to better understand the remaining barriers to coverage and inform strategies to reduce the uninsured.
This resource provides at-a-glance information about the approaches of 15 other states with established or pending community health worker certification systems. The table reveals commonalities and wide variability across state systems, which is an evolving process and may change with time.
Nearly three years ago, I wrote a TMM about Jorge. This is the beginning of that piece:
We manage all program administration activities for the Massachusetts State Supplement Program, a federally mandated cash assistance program, saving the state more than $20 million per year.
Our Public Provider Reimbursement unit maximizes collection of federal and state dollars for health care and related services provided by public hospitals, mental health clinics, psychiatric hospitals, skilled nursing facilities and community-based programs.
Clinical Pharmacy Services has expertise in medication adherence strategies, prescriber outreach, clinical guideline development, pharmacy analytics, formulary management, pharmacoeconomic analysis and patient-centered medical homes. Our team develops and implements management strategies to contain overall costs and promote optimal therapeutic outcomes for Hepatitis C patients.
UMass Medical School’s Clinical Pharmacy Services division designs flexible and effective medication therapy management (MTM) programs with focuses on safety, efficacy and cost. Our approach is rooted in a mission to improve health outcomes for patients and is tailored to meet individual client needs.
To ensure that individuals with disabilities and other potentially vulnerable populations have access to critical services and supports in emergencies or disasters, they must be included in emergency planning. We have successfully implemented a comprehensive emergency planning and response education program in 29 Massachusetts communities, training nearly 1,000 responders, local government representatives, and individuals with disabilities and their families.
In 2014, Vermont Health Connect (VHC) selected UMass Medical School to conduct a customer satisfaction and experience evaluation for the state of Vermont’s health insurance marketplace. In addition to getting an in-depth understanding of the VHC customer experience during the second open enrollment period, our team helped VHC identify areas where it was performing well in serving its customers and where it could improve.
As part of the Massachusetts Patient-Centered Medical Home demonstration, an evaluation was necessary to understand how much practices transformed to become medical homes. Using our survey research expertise, we provided quantitative data to inform the evaluation.
A primary care practice group was interested in achieving Distinction in Patient Experience Reporting by the National Committee for Quality Assurance. Using the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Patient-Centered Medical Home survey, our team conducted the surveys, analyzed the data, and submitted the results on behalf of the client.
The project team conducted a state needs assessment of children and youth with Autism Spectrum Disorder (ASD) and Developmental Disabilities (DD). Preliminary data indicates that screening and evaluation for ASD and other DD’s in Massachusetts occur less frequently in non-native English-speaking populations and other minority cultures.
UMass Medical School’s Work Without Limits is a statewide network of engaged employers and innovative, collaborative partners that aims to increase employment among individuals with disabilities. Our goal is for Massachusetts to become the first state in the nation in which the employment rate of individuals with disabilities is equal to that of people without disabilities.