Emma E McGinty1, Alene Kennedy-Hendricks2, Sarah Linden3, Seema Choksy3, Elizabeth Stone3, Gail L Daumit3. 1. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Room 359, Baltimore, MD 21205, United States. Electronic address: bmcginty@jhu.edu. 2. Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, United States. 3. Division of General Internal Medicine, Johns Hopkins School of Medicine, United States.
Abstract
OBJECTIVE: We conducted a case study examining implementation of Maryland's Medicaid health home program, a unique model for integration of behavioral, somatic, and social services for people with serious mental illness (SMI) in the psychiatric rehabilitation program setting. METHOD: We conducted interviews and surveys with health home leaders (N=72) and front-line staff (N=627) representing 46 of the 48 total health home programs active during the November 2015-December 2016 study period. We measured the structural and service characteristics of the 46 health home programs and leaders' and staff members' perceptions of program implementation. RESULTS: Health home program structure varied across sites: for example, 15% of programs had co-located primary care providers and 76% had onsite supported employment providers. Most leaders and staff viewed the health home program as having strong organizational fit with psychiatric rehabilitation programs' organizational structures and missions, but noted implementation challenges around health IT, population health management, and coordination with external providers. CONCLUSION: Maryland's psychiatric rehabilitation-based health home is a promising model for integration of behavioral, somatic, and social services for people with SMI but may be strengthened by additional policy and implementation supports, including incentives for external providers to engage in care coordination with health home providers.
OBJECTIVE: We conducted a case study examining implementation of Maryland's Medicaid health home program, a unique model for integration of behavioral, somatic, and social services for people with serious mental illness (SMI) in the psychiatric rehabilitation program setting. METHOD: We conducted interviews and surveys with health home leaders (N=72) and front-line staff (N=627) representing 46 of the 48 total health home programs active during the November 2015-December 2016 study period. We measured the structural and service characteristics of the 46 health home programs and leaders' and staff members' perceptions of program implementation. RESULTS: Health home program structure varied across sites: for example, 15% of programs had co-located primary care providers and 76% had onsite supported employment providers. Most leaders and staff viewed the health home program as having strong organizational fit with psychiatric rehabilitation programs' organizational structures and missions, but noted implementation challenges around health IT, population health management, and coordination with external providers. CONCLUSION: Maryland's psychiatric rehabilitation-based health home is a promising model for integration of behavioral, somatic, and social services for people with SMI but may be strengthened by additional policy and implementation supports, including incentives for external providers to engage in care coordination with health home providers.
Authors: Stephen Isaacs; Paul Jellinek; Jacqueline Martinez Garcel; Kelly A Hunt; Will Bunch Journal: Health Aff (Millwood) Date: 2013-10 Impact factor: 6.301
Authors: Deborah M Scharf; Nicole K Eberhart; Nicole Schmidt; Christine A Vaughan; Trina Dutta; Harold Alan Pincus; M Audrey Burnam Journal: Psychiatr Serv Date: 2013-07-01 Impact factor: 3.084
Authors: Benjamin G Druss; Silke A von Esenwein; Michael T Compton; Kimberly J Rask; Liping Zhao; Ruth M Parker Journal: Am J Psychiatry Date: 2009-12-15 Impact factor: 18.112
Authors: Judith H Hibbard; Jessica Greene; Rebecca M Sacks; Valerie Overton; Carmen Parrotta Journal: Health Serv Res Date: 2016-08-22 Impact factor: 3.402
Authors: Chandler McClellan; Johanna Catherine Maclean; Brendan Saloner; Emma E McGinty; Michael F Pesko Journal: Health Econ Date: 2020-04-22 Impact factor: 3.046
Authors: Gail L Daumit; Elizabeth M Stone; Alene Kennedy-Hendricks; Seema Choksy; Jill A Marsteller; Emma E McGinty Journal: Med Care Date: 2019-01 Impact factor: 2.983
Authors: Karly A Murphy; Gail L Daumit; Sachini N Bandara; Elizabeth M Stone; Alene Kennedy-Hendricks; Elizabeth A Stuart; Craig E Pollack; Emma E McGinty Journal: Psychiatr Serv Date: 2020-02-05 Impact factor: 3.084
Authors: Emma E McGinty; Elizabeth M Stone; Alene Kennedy-Hendricks; Sachini Bandara; Karly A Murphy; Elizabeth A Stuart; Michael A Rosenblum; Gail L Daumit Journal: J Gen Intern Med Date: 2020-03-03 Impact factor: 5.128
Authors: Emma E McGinty; Nicholas J Seewald; Sachini Bandara; Magdalena Cerdá; Gail L Daumit; Matthew D Eisenberg; Beth Ann Griffin; Tak Igusa; John W Jackson; Alene Kennedy-Hendricks; Jill Marsteller; Edward J Miech; Jonathan Purtle; Ian Schmid; Megan S Schuler; Christina T Yuan; Elizabeth A Stuart Journal: Prev Sci Date: 2022-09-01
Authors: Sachini N Bandara; Alene Kennedy-Hendricks; Elizabeth A Stuart; Colleen L Barry; Michael T Abrams; Gail L Daumit; Emma E McGinty Journal: Gen Hosp Psychiatry Date: 2019-12-31 Impact factor: 3.238