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Evaluating Implementation of the Col...

Billiar, Sarah Constance.

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Evaluating Implementation of the Collaborative Care Model Within the North Carolina Army National Guard G1 Medical's Health Readiness Program.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Evaluating Implementation of the Collaborative Care Model Within the North Carolina Army National Guard G1 Medical's Health Readiness Program./
作者:	Billiar, Sarah Constance.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2024,
面頁冊數:	122 p.
附註:	Source: Dissertations Abstracts International, Volume: 85-11, Section: A.
Contained By:	Dissertations Abstracts International85-11A.
標題:	Mental health. -
電子資源:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31235720
ISBN:	9798382715391

Evaluating Implementation of the Collaborative Care Model Within the North Carolina Army National Guard G1 Medical's Health Readiness Program.
Billiar, Sarah Constance.

Evaluating Implementation of the Collaborative Care Model Within the North Carolina Army National Guard G1 Medical's Health Readiness Program. - Ann Arbor : ProQuest Dissertations & Theses, 2024 - 122 p.

Source: Dissertations Abstracts International, Volume: 85-11, Section: A.

Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2024.

Background: The NC Army National Guard's (US ARNG) Health Readiness Program (RHRP) lacked policy and process to promote and mandate consistent and purposeful collaborative care practices across the professionally diverse interdisciplinary team of case managers dispersed statewide. The RHRP monitors the medical readiness of the NC ARNG, screening medical and behavioral health issues preventing service members (SM) from performing their war time responsibilities. Although infrequent, SMs may have cooccurring medical and behavioral health issues. Lack of collaborative care management may mean some SMs receive suboptimal care or remain in care management longer. Inadequate care collaboration negatively impacts medical readiness, delays resolution of healthcare needs, and may be one factor contributing to suicide rates among NC ARNG SMs.Aim: Guided by the JHNEBP Model for Quality Improvement, this Doctor of Nursing Practice project evaluated implementation of the collaborative care model within the NC ARNG G1 Medical's Health RHRP and the resulting impact on medical readiness.Methods: Strategies used to set expectations of collaborative care practice, introduce collaborative care, improve workflow design, and standardize communication included policy revision, education session, workflow model, and AHRQ STEP communication tool. Perceptions about collaborative care were collected from case managers before and after implementation using a standardized survey. The number of SMs requiring both medical and behavioral health case management were analyzed before and after implementation to assess the effect of strategies.Results: Sentiment and thematic analysis indicated a generally positive outlook about and a desire for collaborative care. 39% of BH cases and 13% of NCM cases were dual enrolled representing a statistically significant change from baseline.Implication/conclusion: Implementing a collaborative care model improved case management process, enhancing NC ARNG medical readiness. Effective collaboration holds the potential to facilitate appropriate diagnosis and treatment of service members, improve medical readiness and possibly help lower suicide rates.

ISBN: 9798382715391Subjects--Topical Terms:

534751
Mental health.
Subjects--Index Terms:

Case management

Evaluating Implementation of the Collaborative Care Model Within the North Carolina Army National Guard G1 Medical's Health Readiness Program.
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