Aims, development, and early results of an interdisciplinary primary care initiative to address patient vulnerabilities

References

• McLellan AT, Starrels JL, Tai B, Gordon AJ, Brown R, Ghitza U, Gourevitch M, Stein J, Oros M, Horton T, et al. Can substance use disorders be managed using the chronic care model? review and recommendations from a NIDA consensus group. Public Health Rev. 2014;35:7-30.
   Google Scholar
• Babor TF, McRee BG, Kassebaum PA, Grimaldi PL, Ahmed K, Bray J. Screening, brief intervention, and referral to treatment (SBIRT): toward a public health approach to the management of substance abuse. Subst Abus. 2007;28:7–30.doi:10.1300/J465v28n03_03.
   PubMedGoogle Scholar
• Broyles LM, Gordon AJ. SBIRT implementation: moving beyond the interdisciplinary rhetoric. Subst Abus. 2010;31:221–23.doi:10.1080/08897077.2010.514238.
   PubMed Web of Science ®Google Scholar
• Gordon AJ, Alford DP. Screening, brief intervention, and referral to treatment (SBIRT) curricular innovations: addressing a training gap. Subst Abus. 2012;33:227–30.doi:10.1080/08897077.2011.640156.
   PubMed Web of Science ®Google Scholar
• O’Conner PG, Samet JH. A call for papers. Substance abuse: innovations in primary care. J Gen Intern Med. 2001;16:70–71.
   PubMed Web of Science ®Google Scholar
• O’Connor PG, Samet JH. Substance abuse: the expanding role of general internal medicine. J Gen Intern Med. 2002;17:398–99.doi:10.1007/s11606-002-0047-0.
   PubMed Web of Science ®Google Scholar
• Gordon AJ, Drexler K, Hawkins EJ, Burden J, Codell NK, Mhatre-Owens A, Dungan MT, Hagedorn H. Stepped care for opioid use disorder train the trainer (SCOUTT) initiative: expanding access to medication treatment for opioid use disorder within Veterans Health Administration facilities. Subst Abus. 2020;41:275–82.
   PubMed Web of Science ®Google Scholar
• Kertesz SG, Gordon AJ. A crisis of opioids and the limits of prescription control: united States. Addiction. 2019;114:169–80.
   PubMed Web of Science ®Google Scholar
• Mundkur ML, Gordon AJ, Kertesz SG. Will strict limits on opioid prescription duration prevent addiction? Advocating for evidence-based policymaking. Subst Abus. 2017;38:237–38.doi:10.1080/08897077.2017.1345194.
   PubMed Web of Science ®Google Scholar
• Kertesz SG. Turning the tide or riptide? The changing opioid epidemic. Subst Abus. 2017;38:3–8.doi:10.1080/08897077.2016.1261070.
   PubMed Web of Science ®Google Scholar
• Jones AL, Hausmann LRM, Haas GL, Mor MK, Cashy JP, Schaefer JH, Gordon AJ. A national evaluation of homeless and nonhomeless veterans’ experiences with primary care. Psychol Serv. 2017;14:174–83.
   PubMed Web of Science ®Google Scholar
• Jones AL, Thomas R, Hedayati DO, Saba SK, Conley J, Gordon AJ. Patient predictors and utilization of health services within a medical home for homeless persons. Subst Abus. 2018;39:354–60.doi:10.1080/08897077.2018.1437500.
   PubMed Web of Science ®Google Scholar
• Jones AL, Hausmann LRM, Kertesz S, Suo Y, Cashy JP, Mor MK, Schaefer JH, Gundlapalli AV, Gordon AJ. Differences in experiences with care between homeless and nonhomeless patients in veterans affairs facilities with tailored and nontailored primary care teams. Med Care. 2018;56:610–18.
   PubMed Web of Science ®Google Scholar
• Chrystal JG, Glover DL, Young AS, Whelan F, Austin EL, Johnson NK, Pollio DE, Holt CL, Stringfellow E, Gordon AJ, et al. Experience of primary care among homeless individuals with mental health conditions. PLoS One. 2015;10:e0117395.
   PubMed Web of Science ®Google Scholar
• Stringfellow EJ, Kim TW, Gordon AJ, Pollio DE, Grucza RA, Austin EL, Johnson NK, Kertesz SG. Substance use among persons with homeless experience in primary care. Subst Abus. 2016;37:534–41.
   PubMed Web of Science ®Google Scholar
• Kertesz SG, Holt CL, Steward JL, Jones RN, Roth DL, Stringfellow E, Gordon AJ, Kim TW, Austin EL, Henry SR, et al. Comparing homeless persons’ care experiences in tailored versus nontailored primary care programs. Am J Public Health. 2013;103:S331–339.
   PubMed Web of Science ®Google Scholar
• Blosnich JR, Lehavot K, Glass JE, Williams EC. Differences in alcohol use and alcohol-related health care among transgender and nontransgender adults: findings from the 2014 behavioral risk factor surveillance system. J Stud Alcohol Drugs. 2017;78:861–66.doi:10.15288/jsad.2017.78.861.
   PubMed Web of Science ®Google Scholar
• O’Toole TP, Johnson EE, Aiello R, Kane V, Pape L. Tailoring care to vulnerable populations by incorporating social determinants of health: the veterans health administration’s “homeless patient aligned care team” program. Prev Chronic Dis. 2016;13:E44.doi:10.5888/pcd13.150567.
   PubMed Web of Science ®Google Scholar
• Sullivan LE, Chawarski M, O’Connor PG, Schottenfeld RS, Fiellin DA. The practice of office-based buprenorphine treatment of opioid dependence: is it associated with new patients entering into treatment? Drug Alcohol Depend. 2005;79:113–16.doi:10.1016/j.drugalcdep.2004.12.008.
   PubMed Web of Science ®Google Scholar
• Wakeman SE, Barnett ML. Primary care and the opioid-overdose crisis - buprenorphine myths and realities. N Engl J Med. 2018;379:1–4.doi:10.1056/NEJMp1802741.
   PubMed Web of Science ®Google Scholar
• Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;3. doi:10.1136/bmjopen-2012-001570.
   Web of Science ®Google Scholar
• Fenton JJ, Jerant AF, Bertakis KD, Franks P. The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Arch Intern Med. 2012;172:405–11.doi:10.1001/archinternmed.2011.1662.
   PubMed Web of Science ®Google Scholar
• Villani J, Mortensen K. Patient-provider communication and timely receipt of preventive services. Prev Med. 2013;57:658–63.doi:10.1016/j.ypmed.2013.08.034.
   PubMed Web of Science ®Google Scholar
• Watkins KE, Ober AJ, Lamp K, Lind M, Setodji C, Osilla KC, Hunter SB, McCullough CM, Becker K, Iyiewuare PO, et al. Collaborative care for opioid and alcohol use disorders in primary care: the SUMMIT randomized clinical trial. JAMA Intern Med. 2017;177:1480–88.
   PubMed Web of Science ®Google Scholar
• Ober AJ, Watkins KE, Hunter SB, Lamp K, Lind M, Setodji CM. An organizational readiness intervention and randomized controlled trial to test strategies for implementing substance use disorder treatment into primary care: SUMMIT study protocol. Implement Sci. 2015;10:66.
   PubMed Web of Science ®Google Scholar
• Suzuki J, Matthews ML, Brick D, Nguyen M-T, Jamison, PhD RNN, Ellner, MD, MSc AL, Tishler, MD LW, Weiss, MD RD. Implementation of a collaborative care management program with buprenorphine in primary care: a comparison between opioid-dependent patients and patients with chronic pain using opioids nonmedically. J Opioid Manag. 2014;10:159–68.
   PubMedGoogle Scholar
• Lagisetty P, Smith A, Antoku D, Winter S, Smith M, Jannausch M, Mi Choe H, Bohnert ASB, Heisler M. A physician-pharmacist collaborative care model to prevent opioid misuse. Am J Health Syst Pharm. 2020;77:771–80.
   PubMed Web of Science ®Google Scholar
• U.S. Department of Department of Veterans Affairs. VISN 19: rocky mountain network. Published 2020 [accessed February 19 2020]. https://www.va.gov/directory/guide/region.asp?ID=1019.
   Google Scholar
• U.S. Department of Department of Veterans Affairs. VA Rocky mountain network: about the VA rocky mountain network. Published 2020 [accessed February 19, 2020]. https://www.visn19.va.gov/about/.
   Google Scholar
• U.S. Department of Department of Veterans Affairs. VA Salt Lake City Health Care System: about the VA Salt Lake City Health Care System. https://www.saltlakecity.va.gov/about/index.asp. Published 2020. accessed February 19, 2020.
   Google Scholar
• U.S. Department of Department of Veterans Affairs. VA Salt Lake City health care system annual report: whole veteran healthcare. Published 2016 [accessed February 19 2020]. https://www.saltlakecity.va.gov/forms/VA%20SLC%20Annuual%20Report%202016_508.pdf.
   Google Scholar
• U.S. Department of Department of Veterans Affairs. Salt Lake City, UT: Health Services Research & Development: COIN: Informatics, Decision-Enhancement and Analytic Sciences Center; Published 2020 [accessed February 19 2020]. https://www.hsrd.research.va.gov/centers/ideas2.cfm.
   Google Scholar
• University of Utah Health - School of Medicine. Epidemiology PARCKA - VIP initiative. Published 2020 [accessed February 19, 2020]. https://medicine.utah.edu/internalmedicine/epidemiology/parcka/research/vulnerable-veteran-initiative.php.
   Google Scholar
• U.S. Department of Department of Veterans Affairs. Patient care services: patient aligned care team (PACT). Published 2020 [accessed February 19, 2020. https://www.patientcare.va.gov/primarycare/PACT.asp.
   Google Scholar
• Yano EM, Bair MJ, Carrasquillo O, Krein SL, Rubenstein LV. Patient Aligned Care Teams (PACT): VA’s journey to implement patient-centered medical homes. J Gen Intern Med. 2014;29:S547–549.doi:10.1007/s11606-014-2835-8.
   PubMed Web of Science ®Google Scholar
• Nelson KM, Helfrich C, Sun H, Hebert PL, Liu C-F, Dolan E, Taylor L, Wong E, Maynard C, Hernandez SE, et al. Implementation of the patient-centered medical home in the veterans health administration: associations with patient satisfaction, quality of care, staff burnout, and hospital and emergency department use. JAMA Intern Med. 2014;174:1350–58.
   PubMed Web of Science ®Google Scholar
• Gundlapalli AV, Redd A, Bolton D, Vanneman ME, Carter ME, Johnson E, Samore MH, Fargo JD, O’Toole TP. Patient-aligned care team engagement to connect veterans experiencing homelessness with appropriate health care. Med Care. 2017;55:S104–S110.
   PubMed Web of Science ®Google Scholar
• Rosland AM, Wong E, Maciejewski M, Zulman D, Piegari R, Fihn S, Nelson K. Patient-centered medical home implementation and improved chronic disease quality: a longitudinal observational study. Health Serv Res. 2018;53:2503–22.
   PubMed Web of Science ®Google Scholar
• Trivedi RB, Post EP, Sun H, Pomerantz A, Saxon AJ, Piette JD, Maynard C, Arnow B, Curtis I, Fihn SD, et al. Prevalence, comorbidity, and prognosis of mental health among us veterans. Am J Public Health. 2015;105:2564–69.
   PubMed Web of Science ®Google Scholar
• University of Utah Health - School of Medicine. Addiction medicine fellowship. Published 2020 [accessed May 2020 20]. https://medicine.utah.edu/psychiatry/fellowship/addiction-medicine/.
   Google Scholar
• Harada ND, Traylor L, Rugen KW, Bowen JL, Smith CS, Felker B, Ludke D, Tonnu-Mihara I, Ruberg JL, Adler J, et al. Interprofessional transformation of clinical education: the first six years of the veterans affairs centers of excellence in primary care education. J Interprof Care. 2018;1–9. doi:10.1080/13561820.2018.1433642.
   PubMed Web of Science ®Google Scholar