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3 posts from June 2018


"Integrating Behavioral Health Into the Medical Home: A Rapid Implementation Guide," A Conversation with the Lead Author, Dr. Kent Corso (June 27th)

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As listeners may be aware well over 50 million Americans suffer from a mental or behavioral health disorder.  Less than half of these individuals actually receive treatment.  This reality is substantially worse for minorities.  For example, African Americans and Hispanic whites are half as likely as non-Hispanic whites to receive treatment.  Primary care practices, more than any other setting, are the cite for behavioral health treatment.  Despite federal parity legislation to improve coverage for behavioral health diagnoses and improvements under the Affordable Care Act, for example, payment models intended to provide more comprehensive and coordinated care, or to better integrate behavioral with physical healthcare, behavioral health patients remain under-diagnosed and under-treated and primary care practice settings too frequently remain  un- or ill-equipped to provide behavioral health services.   

During this 26 minute conversation Dr. Corso begins by defining the difference between mental and behavioral health, he explains why there is a shortage of behavioral health clinicians (it's a distribution problem) and moreover provides an overview of his 2016 work, Integrating Behavioral Health Into the Medical Home: A Rapid Implementation Guide, including summarizing healthcare outcomes and spending reductions associated with six IBH examples provided in work.  He concludes the conversation by explaining why IBH helps address or mitigate the stigma (still) associated with a behavioral health diagnoses. 

Dr. Kent Corso is a licensed clinical health psychologist and a board certified behavior analyst.  He is the President of National Capital Region Behavioral Health.   He is also an Adjunct Assistant Professor, Department of Family Medicine, at the CorsoUniformed Services University of Health Sciences (USUHS).  Dr. Corso has co-authored over 25 peer-reviewed papers on primary care behavioral health.  He is, again, the lead author of Integrating Behavioral Health Into the Medical Home: A Rapid Implementation Guide.  

For information on Integrating Behavioral Health go to: https://greenbranch.com/store/index.cfm/product/1470/integrating-behavioral-health-into-the-medical-home-a-rapid-implementation-guide.cfm.

For information on National Capital Region Behavioral Health go to: http://ncrbehavioralhealth.com/about.php


The Contributions Made and Challenges Faced By Foreign-Trained Physicians: A Conversation with Mr. Neal Simon (June 12th)

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Research published by the Association of American Medical Colleges (AAMC) this past April estimated the US could see a shortage of up to 120,000 physicians by 2030.  AAMC estimates the shortage would be particularly acute in primary care, i.e., upwards of 50,000 primary care physicians would be needed.   The primary care shortage is already acute.  The federal Health Research and Services Administration (HRSA) estimates there are currently over 5,900 Primary Care Shortage Areas (PCSAs) in the US.  The current and future physician shortage would be dramatically worse if not for the approximately 250,000 foreign-trained physicians currently practicing in the US, a disproportionate percent of whom are primary care practitioners and work in under-served communities.  Despite the critical role these physicians play (and the quality of care they provide), foreign-trained medical school graduates face substantial barriers, particularly under the current administration, in obtaining residencies, qualifying academically to train and practice in the US, and in obtaining requisite visas.    

During this 25 minute conversation Mr. Simon discusses, in part, AUA's programming and student demographics, the contribution foreign-trained students make in the US health care market, again, particularly in primary care and in under-served areas, and the barriers foreign-trained students, moreover foreign-trained and non-US citizens, face in obtaining medical residencies and licensing, moreover in obtaining visas,  in order to train and practice in the US. 

Mr. Neal Simon is the President and C0-Founder of American University of Antigua (AUA) College of Medicine.  After Simon graduating from New York School of Law in 1978 Mr. Simon worked as Assistant Counsel at the New York Department of Education and worked as well in private practice specializing in medical licensure.  He taught at the Ross University College of Medicine in the 1990s and served as President of the Ross University from 1992 to 2003.  Mr. Simon has been recognized for his work in medical education by the American Association of Physicians of Indian Origin and by Sungshin Women's University.  Mr. Simon has served as Ambassador at Large for Antigua and Barbuda and is presently serving on the advisory board at Florida International University and at Manipal University.

For information on AUA's College of Medicine go to: https://www.auamed.org/.

The report by the American Immigration Council's "Foreign-Trained Doctors Are Critical to Serving Many US Communities," noted during this podcast is at: https://www.americanimmigrationcouncil.org/research/foreign-trained-doctors-are-critical-serving-many-us-communities 



Oral Health America's Latest "State of Decay" Report: A Conversation with Beth Truett (June 4th)

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Recently, Oral Health America (OAH), published the fourth volume in its series, "State of Decay."  The current volume,  is subtitled, "Are Older Americans Coming of Age Without Oral Healthcare?"  (The series dates back to 2003.)  Among other findings, the current report again concludes the state of oral health in this country is, in a word, poor.  For example, one-third of older adults have lost six or more teeth, one in five have lost all their teeth (or are edentulous), disparities in oral health remain substantial, and the Medicare program still does not provide routine oral health care despite overwhelming public support and the fact studies show that compared to seniors with chronic conditions do not receive dental care, seniors with chronic conditions that do receive dental care would reduce Medicare program spending. 

During this 24 minute conversation, Ms. Truett summarizes OAH's fourth "State of Decay" report, discusses what factors or performance measures explain the variation in oral health care by state (MN, WI and IA score at the top, LA, TN and MS at the bottom), disparities in oral health and oral health care, oral health care work force shortages, and OAH's advocacy efforts to include oral health coverage under the Medicare program.

Ms. Beth Truett is President and CEO of Oral Health America, a non profit dedicated to improving the oral health Truettof all Americans.  Ms Truett's has spent the majority of career working with consumer products, pharmaceutical, technology and defense clients to design global business solutions.  Ms. Truett holds a Masters of Divinity from McCormick Seminary, a BS from Valparaiso University, and earned her Certificate in Non-profit Management from the Indiana University School of Philanthropy.  She is an honorary Fellow of the American College of Dentists and was recognized as an Outstanding Advocate of the Year by Friends of NIH's National Institute of Dental and Craniofacial Research (NIDCR) for her work on older adult oral health issues.

Oral Health America's fourth "State of Decay" report, "Are Older Americans Coming of Age Without Oral Healthcare?" is at: https://oralhealthamerica.org/astateofdecay/.

The Surgeon General's 2000 report, "Oral Health In America," cited during this podcast is at: https://www.nidcr.nih.gov/research/data-statistics/surgeon-general