« September 2014 | Main | November 2014 »

2 posts from October 2014

10/28/2014

How Relational Coordination Improves Health Care Delivery and Patient Outcomes: A Conversation with Jody Gittell (October 27th)

Listen Now

Half of the US adult population suffers one or more chronic illnesses and two-thirds of the Medicare population suffers three or more.  Largely for this reason, i.e., the prevalenece of chronic conditions, health care delivery, by necessity, is becoming ever increasingly more team based.   Providing care particularly for the chronically ill therefore places a premium on enhanced relational coordination between and among clinicians of all types (and as well those providing social support services) and by all-too-typically siloed provider organizations.    

During this 22 minute interview Professor Gittell discusses how she developed the relational coordination model or tool, what are its seven elements, how it's applied in improving coordination and communication in health care delivery and patient outcomes, how it's measured and examples of its application both in US health care delivery and health care overseas. 

Jody Gittell is a Professor at Brandeis University's Heller School for Social Policy and Management and an expert on relational coordination and organizational performance.  She founded the Unnamed[4]
Relational Coordination Reserach Collaborative in 2011 and co-founded Relational Coordination Analytics Inc. in 2013.  Her most recent work is "Transforming Relationships for High Performance (Stanford University Press, forthcoming).  Before joining Brandeis, Professor Gittell taught at Harvard for six years.  She has published widely in numerous scholarly journals and among other awards was the winner of the Best Book Award from the Alfred P. Sloan Foundation.  Professor Gittell serves on several boards including the Academy of Management Review's editorial board.  She earned her Ph.D. from MIT Sloan School of Management and her MA from The New School.   

For more on relational coordination go to: http://rcrc.brandeis.edu/.

10/13/2014

Improving Mental/Behavioral Health Services: A Conversation with Joyce Wale (October 14th)

Listen Now

Despite recent efforts to improve care delivery for mental health and substance use conditions, for example, passage in 2008 of the Mental Health Parity and Addiction Equity Act, mental health and substance use conditions remain both woefully under-diagnosed and treated.  For example, one recent study of emergency department patients showed psychiatric illnesses were under-diagnosed in 75 percent of patients.   Compounding under diagnosis is the fact that these conditions are highly correlated with common chronic conditions such as heart disease and diabetes - making successful treatment for these illnesses far more difficult and costly.  With major healthcare delivery and financial reforms now being tested under the Affordable Care Act, for example the Primary Care Medical Home and the Accountable Care Organization, there exists today an opportunity to improve substantially diagnosis and treatment for these conditions. 

During this 22 minute interview Joyce Wale discusses the prevalence of mental and substance use conditions and the extent to which they're undiagnosed, efforts (motivated largely by ACA reforms) currently underway to improve care (moreover in the primary care setting) for these patients and what good mental and behavioral healthcare looks like.           

For the past 18 years Ms. Joyce Wale has served as Chief Behavioral Health Officer and Senior 0[1]Assistant Vice President of New York City's Health and Hospitals Corporation where she is
responsible for behavioral health services at over 10 acute care hospitals and numerous diagnostic treatment centers and long term care facilities throughout New York City.  Prior to Joyce served as the Regional Director to the Bronx Mental Health Center and prior still worked for the Bureau of Children's Services at the New Jersey Division of Mental Health and Hospitals.  Joyce has received numerous awards over her thirty-five year career as well as has served on an equal number of professional boards and committees related to mental and behavioral health.  Ms. Wale is a Licensed Clinical Social Worker having been graduated from the University of Louisville with a Masters of Social Work.