I just returned from the newly branded School-Based Health Alliance (formerly NASBHC) Convention in Washington, DC. New ideas, new people, new projects...as a movement, things are #trending up, nationally. But there is something that continues to exist, and is relatively pervasive: people struggle to think about youth, or adolescents, as something more than patients.
I was fortunate to hear Dr.Neal Halfon talk about the role SBHCs will play in shifting the way health care delivery systems will be delivering health care reform. Particularly, he talked about the evolution of our health care system from a v1.0 model (episodic non-integrated care), to our more recent and current history of a v2.0 model (accountable and coordinated care), and thinking forward to a v3.0 model (community integrated health care). Dr. Halfon estimated that we are currently operating at an around v2.2 model nationally, but moving towards v3.0 which focuses on population centered care, population based reimbursement, and integration between networks and community resources.
Certainly a major part of this will be the rise of Accountable Care Organizations and the regrowth of the patient-centered medical home. These models push us away from "fee for service" models and reward providers for outcomes, rather than services. These are a means to a more effective and hypothetically equitable health care system, assuming active participation.
However, with all of the resources being put into adolescent health care, public and private, we struggle with thinking youth as more than patients, when in a health care setting. A great quick read that I think points in the right direction is from the Center for Advancing Health and is a White Paper called Supporting Patient Engagement in the Patient-Centered Medical Home. There are great points in this, however, there needs to be thought towards evidence-based models of successfully doing this.
While designing a system to of health care delivery, we need adequate investment by consumers, by those utilizing the care the most, and, as this blog is focused on adolescents, well, the youth themselves. Why can youth not actively participate in the design of health care system? What can youth do more to improve your practice, outside of filling out customer satisfaction cards?
Part 2 will explore different models of doing this, what little research there is about youth-adult partnerships, youth empowerment, and youth development, and the plan for Part 3 is a Return on Investment hypothesis.
I was fortunate to hear Dr.Neal Halfon talk about the role SBHCs will play in shifting the way health care delivery systems will be delivering health care reform. Particularly, he talked about the evolution of our health care system from a v1.0 model (episodic non-integrated care), to our more recent and current history of a v2.0 model (accountable and coordinated care), and thinking forward to a v3.0 model (community integrated health care). Dr. Halfon estimated that we are currently operating at an around v2.2 model nationally, but moving towards v3.0 which focuses on population centered care, population based reimbursement, and integration between networks and community resources.
Certainly a major part of this will be the rise of Accountable Care Organizations and the regrowth of the patient-centered medical home. These models push us away from "fee for service" models and reward providers for outcomes, rather than services. These are a means to a more effective and hypothetically equitable health care system, assuming active participation.
However, with all of the resources being put into adolescent health care, public and private, we struggle with thinking youth as more than patients, when in a health care setting. A great quick read that I think points in the right direction is from the Center for Advancing Health and is a White Paper called Supporting Patient Engagement in the Patient-Centered Medical Home. There are great points in this, however, there needs to be thought towards evidence-based models of successfully doing this.
While designing a system to of health care delivery, we need adequate investment by consumers, by those utilizing the care the most, and, as this blog is focused on adolescents, well, the youth themselves. Why can youth not actively participate in the design of health care system? What can youth do more to improve your practice, outside of filling out customer satisfaction cards?
Part 2 will explore different models of doing this, what little research there is about youth-adult partnerships, youth empowerment, and youth development, and the plan for Part 3 is a Return on Investment hypothesis.
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