The Fall: Aligning The Best Care With Standards Of Care At The End Of Life [Narrative Matters]

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1. Don’t Just Integrate, Innovate—When It Comes to Mental Health The sheer number of people living unsupported with some form of psychological or emotional pain suggests that the traditional laws of supply and demand are not working in the mental health arena. As we close on May, as Mental Health Awareness Month, it is important that we raise public awareness of individuals struggling alone with poor mental health and acknowledge the need for a new paradigm that aligns society’s needs with widely available technological and social connectivity. Today, nearly one in every five adults – over 40 million Americans – experience some form of mental illness in any given...
2. The Latest Health Wonk Review Last week, Julie Ferguson put up the latest Health Wonk Review at Workers’ Comp Insider. Julie offers a smorgasbord of great posts, including Preeti Malani’s Health Affairs Blog post on the intersection of politics and HIV in Indiana. If you haven’t done so already, check out Steve Anderson’s Grumpy Cat Wonk Review edition, at the medicareresources.org blog, which preceded Julie’s pre-Memorial Day edition. And watch for next week’s Review, which will be hosted on June 4 by Louise Norris at Colorado Health Insurance Insider....
3. Redesigned Geriatric Emergency Care May Have Helped Reduce Admissions Of Older Adults To Intensive Care Units [Improving Care Systems] Charged with transforming geriatric emergency care by applying palliative care principles, a process improvement team at New York City’s Mount Sinai Medical Center developed the GEDI WISE (Geriatric Emergency Department Innovations in Care through Workforce, Informatics, and Structural Enhancements) model. The model introduced workforce enhancements for emergency department (ED) and adjunct staff, including role redefinition, retraining, and education in palliative care principles. Existing ED triage nurses screened patients ages sixty-five and older to identify those at high risk of ED revisit and hospital readmission. Once fully trained, these nurses screened all but 6 percent of ED visitors meeting the screening...
4. Early Marketplace Enrollees Were Older And Used More Medication Than Later Enrollees; Marketplaces Pooled Risk [Web First] Little is known about the health status of the 7.3 million Americans who enrolled in insurance plans through the Marketplaces established by the Affordable Care Act in 2014. Medication use may provide an early indicator of the health needs and access to care among Marketplace enrollees. We used data from January–September 2014 on more than one million Marketplace enrollees from Express Scripts, the largest pharmacy benefit management company in the United States. We compared the characteristics and medication use between early and late Marketplace enrollees and between all Marketplace enrollees and enrollees with employer-sponsored insurance. Among Marketplace enrollees, we found...
5. Pharmaceutical Innovation: The Authors Reply [Letters] SOURCE: Health Affairs current issue – Read entire story here....