A new toolkit developed by Dr. Elizabeth Magnan is available on HIPxChange. The Algorithm for Identifying Patients with Multiple Chronic Conditions (Multimorbidity) contains over 4,000 ICD-9 codes that are mapped to AHRQ Clinical Classification Software (CCS) codes, which are then bundled into 69 clinically relevant chronic condition categories. Researchers can use these categories to examine the effect of multiple chronic conditions or specific comorbidities on health and outcomes, or in quality improvement or public reporting work.
A new effort led by Dr. Nancy Pandhi to integrate mental health care into the primary health care system is being undertaken by several Dane county healthcare organizations and UW-Madison programs. The project, Dane 1 in 4, kicked off Monday, September 20 with a forum at the United Way that involved attendees from more than 15 health delivery systems, advocacy organizations, school mental health programs, and other agencies. Starting in October, Dane 1 in 4 will be seeking patient feedback through an anonymous survey that will be available on their website (dane1in4.org) and in various Dane county clinics and health centers.
The Children's Hospital Safety Climate Questionnaire and Access Integrated Primary Care Consulting Psychiatry toolkit were recently posted as resources in the iCollaborative section of the AAMC MedEdPORTAL, a website that aims to equip healthcare professionals across the continuum of care with tools to improve patient care.
Several HIP investigators were recently awarded pilot grants from the UW Institute for Clinical and Translational Research (UW-ICTR). Drs. Christie Bartels, Michelle Chui, Korey Kennelty, Nancy Pandhi, and Gretchen Schwarze will be conducting projects on a variety of topics in inpatient, outpatient, and pharmacy settings that engage patients and community health care organizations as collaborators.
Dr. Christie Bartels was recently awarded a 2.5 year Pfizer Independent Grant for Learning and Change for her project, "Systems-based CVD prevention protocols for rheumatology teams: A low-cost multidisciplinary approach." The goal of the project is to improve management of modifiable cardiovascular disease risk factors as a path to improve the cardiovascular health and survival of patients with rheumatic diseases. The project will apply evidence-based staff-driven protocols in RA clinic visits to improve management of hypertension and tobacco use. This QI project responds to the aim of the Pfizer program to support "screening for and modification of modifiable CVD risk factors in RA patients."
Dr. Jane Mahoney and Betsy Abramson from The Wisconsin Institute for Healthy Aging (WIHA) recently spoke on Wisconsin Public Radio about the types of programs that WIHA offers to support older adults and people living with chronic illnesses, as well as the many benefits of the programs. In collaboration with WIHA, the Health Innovation Program helped support the development of Healthy Living with Diabetes, one of the programs that they discuss in the interview.
Dr. Nancy Pandhi and Dr. Gretchen Schwarze have been selected to receive New Investigator awards from the Wisconsin Partnership Program for their projects, "Aligning Preferences in Older Adults with Decision for High Risk Surgery" and "The Effectiveness of an Integrated Mental Health and Primary Care Model for Wisconsin Patients with Severe Mental Illness," respectively.
In research recently presented by Dr. Christie Bartels et al. at the American College of Rheumatology 2013 Annual Meeting, uncontrolled blood pressure was addressed in less than 1 of 3 rheumatology visits even when blood pressure exceeded 160/100 mmHg, despite the fact that patients with rheumatoid arthritis have increased cardiovascular risk.
The Access Community Health Centers Integrated Primary Care Consulting Psychiatry Toolkit includes a detailed flow diagram of key communications between primary care physicians, behavioral health consultants, and consulting psychiatrists working together within a clinic. It emphasizes a team approach for addressing patients’ behavioral and mental health needs while supporting and encouraging efficient, whole-person care.
The Integrated Primary Care Consulting Psychiatry Toolkit was developed by researchers and clinicians at Access Community Health Centers and the University of Wisconsin-Madison. View the toolkit here.