Transforming Care, The Commonwealth Fund’s newest publication, focuses on new models of care, payment approaches, and patient engagement strategies that have the potential to reshape our delivery system to better meet the needs of the nation’s sickest and most vulnerable patients. Published quarterly, the newsletter is a source of innovative ideas for health system leaders, clinicians, and policymakers.
Nearly 20 years after the landmark Adverse Childhood Experiences study linked traumatic childhood experiences to the leading causes of morbidity and mortality in the U.S., some primary care practices have begun screening for exposure to trauma and are adopting the principles of “trauma-informed care” to engage patients whose childhood and adult experiences may be affecting their health and willingness to seek care.
As one of 32 health resilience specialists employed by CareOregon, the state’s largest Medicaid managed care plan, Emily Adler works with “high utilizers” who’ve frequently been hospitalized or visited the emergency department for what appear to be avoidable problems. More than half of these patients have experienced trauma, which often manifests in the difficulties they have managing their health.
An interview with Edward Machtinger, M.D., director of UCSF’s Women’s HIV Program, on how USCF has made its HIV clinic more inviting to patients who’ve experienced trauma.
Selected publications from the professional literature explore how to identify risk among older patients; evolving ACO benchmarks; the link between patient activation and spending; and more.