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Nurse Wellness: A Call To Action

Worldwide, nurses are on the frontlines caring for the sick and injured of society. The presence of COVID-19 and the global pandemic have shined a light on nurses’ heroic efforts… Read More

April Is Alcohol Awareness Month

Alcohol Awareness Month was founded in 1987 by the National Council on Alcoholism and Drug Dependence to forward these three ideas: Alcoholism is a disease, and the alcoholic is a… Read More

Telepsychiatry: Implementation & Best Practices

Dr. Mehdi Qalbani discusses his experience providing telepsychiatry in the Information Age. Topics include regulatory concerns, practice guidelines, and web-side manner when working remotely. Mehdi Qalbani, MD, MSPH, is the… Read More

How Do Bipolar Disorder Type I & Type II Differ?

Traditionally, bipolar disorder type II (BDII) has been thought to be less severe—and less disabling—than bipolar disorder type I (BDI). Experts believe this characterization might be attributed to the fact… Read More

Major Depressive Disorder In Chronic Kidney Disease

Major Depressive Disorder affects more than 260 million people worldwide1. The reported prevalence of depression in patients with Chronic Kidney Disease (CKD) ranges from 20-65%2. This webinar provides an overview… Read More

Crossing The Social Determinants Divide

A recent report from the U.S. Government Accountability Office (GAO) found that social determinants are a major impediment to managing care for high-cost Medicaid beneficiaries. The biggest impediments include a… Read More

The Neurobiology Of Endocannabinoids

Hear from Chloe Liu, Ph.D., a Medical Science Liaison with Otsuka Pharmaceutical Development & Commercialization, Inc., as she examines the historical research discoveries and underlying neurobiological mechanisms of the endocannabinoid… Read More

The Neurobiology Of Opioids

Hear from Chip Meyer, Ph.D., a Medical Science Liaison with Otsuka Pharmaceutical Development & Commercialization, Inc., as he examines the historic medical utilization and underlying neurobiological mechanisms of opioids. Explore… Read More

Introduction To Opioid Use Disorder

Dr. Elizabeth DiNapoli provides a brief overview of opioid use disorder (OUD). Key points discussed include: what symptoms may be present if a person is struggling with OUD; how common… Read More

Pain Medication Questionnaire (PMQ)

The Pain Medication Questionnaire (PMQ) is a 26-item instrument designed to identify patients on a continuum from low to high risk for opioid misuse. The original study which validated the… Read More

Brief Risk Interview© (BRI)

The Brief Risk Interview© (BRI) was developed as a protocol to determine potential patient risk of violating a treatment agreement related to prescription opioids and risk of future opioid misuse.… Read More

Brief Risk Questionnaire© (BRQ)

The Brief Risk Questionnaire© (BRQ) is an opioid risk screening tool found to offer a good alternative to doing a clinical interview (see Brief Risk Interview© (BRI) https://psychu.org/brief-risk-interview-bri/). The tool… Read More

Hamilton Depression Rating Scale (HAM-D)

The Hamilton Depression Rating Scale (HAM-D; HRSD; HDRS), designed in 1960, has become one of the most widely utilized rating scales intended to assess depression disorder symptom severity and change.… Read More

Mental Health Awareness Month 2019 Toolkit

Throughout May each year, we celebrate Mental Health Awareness Month (MHAM). For 2019, Mental Health America (MHA) is celebrating 70 years of celebrating MHAM by sharing their MHAM Toolkit. They… Read More

Gender Differences In Depression

The prevalence of depressive disorders is higher in women than men. Why? Many factors are thought to contribute to the divergence, including biological and clinical presentations. Understanding these variances may… Read More

Resilience: How Nature & Nurture Shape Us

Why any given experience should induce one person to adapt, while another is edged toward a maladaptive stress response that could ultimately lead to psychiatric illness, is not clearly understood.… Read More

Where Can I Find Help For My Mental Health Condition?

This resource provides a list of national organizations that support consumers with mental health conditions by providing resources, services, and treatment options. Frameworks resources are intended for educational purposes only and… Read More

Language Normalization: A Resource For Providers

This resource discusses the importance of normalizing language with patients with mental health conditions. It emphasizes how normalization can enhance patient-provider communications by providing patients empathy and understanding. Frameworks resources are… Read More

Goal Setting: A Resource For Consumers

This resource introduces consumers to the idea of goal setting. Tips are provided for encouragement in the process. A checklist is also included to help identify areas of focus. Frameworks resources… Read More

Goal-Setting Worksheet

This purpose of this resource is to provide a worksheet that consumers can use to write out their goals, track changes, and review with providers at appointments. Frameworks resources are intended… Read More

Daily Tracker

This tool allows consumers to track how they are doing in weekly increments. It addresses key topics, including side effects, sleep, and appetite. The tracker is intended to be used… Read More

Shared Decision Making: A Resource For Consumers

This resource introduces consumers to shared decision making and the important role they play in the process. Tips are provided to  help patients engage more actively. Frameworks resources are intended for… Read More

Wellness Tracker

This tool is a simple checklist for consumers to complete in the waiting room. Consumers can easily check off how they’ve been feeling and write down issues or concerns they’d… Read More

The Three New Rules For Innovation

A recent institute started with a keynote address by Devan J. Cross, President of MHN, A Subsidiary of Centene, focused on the future of behavioral health carve-out plans. We also… Read More

Medicaid ACOs—4 Facts To Inform Your Strategy

Recently the news has been filled with stories about comments made by Seema Verma, Center for Medicare and Medicaid Services (CMS) Administrator, criticizing the upside-only Medicare accountable care organization (ACO)… Read More

Getting That Return On Your Tech Investment

The reality of our present market is that for most service provider organizations, the use of technology rarely rises above the level of “basic adoption”—or the minimum tech investments that… Read More

The Catch-22 Of Charity Care

The question of whether tax-exempt non-profit health care organizations provide enough “community benefit” has turned into one of our more popular conversations this year, following my coverage of the latest… Read More

Workforce Shortages As A Strategy Issue

For organizations delivering health and human services, there is the often-discussed behavioral health workforce shortage. Health plan managers are continuously looking for expanded capacity for psychiatric services. Provider organization executives… Read More

High Turnover, The Other Staffing Issue

The average turnover rate among health care workers was 20.6% in 2017, up dramatically from 15.6% in 2010. Health care was second only to hospitality in its turnover (see the… Read More

The Beginning Of The End Of Parity

You may have missed the announcement, since there has been so much coverage of immigration policy in the past week; but on Tuesday, Labor Secretary Alexander Acosta announced new and… Read More

Neuromodulation Techniques: State Of The Science

Clinicians managing patients with behavioral health issues are presented with various diagnostic and treatment challenges, spanning the areas of neurobiology, adherence, safety, and medication tolerability. Currently available pharmacotherapeutic, psychotherapeutic, and… Read More

The Stigma Of Addiction Treatment Medication

When I read last Sunday’s edition of The Philadelphia Inquirer, I was surprised that perceptions of addiction treatment hadn’t progressed further. The article, “People Taking Medication To Treat Opioid Addiction… Read More

Getting More From Your EHR

Do electronic health record systems (EHRs) reduce costs? It depends on who you ask. In a recent survey, 1,100 health care professionals were asked to assess the digital return on… Read More

The ACO ‘Savings Confusion’

Reading through our past coverage of the Medicare accountable care organization (ACO) program can produce a lot of confusion—like these two seemingly conflicting headlines: Medicare ACOs – The Enrollment &… Read More

Treatment For Bipolar Disorder: A Resource For Providers

This provider resource presents the importance of bipolar treatment, suggested treatment goals and considerations, an overview of psychosocial interventions and medication therapy, and considerations for monitoring treatment response. Frameworks resources… Read More

Can Uber & Lyft Answer The No-Show Problem?

A couple weeks ago, I looked at the pending revolution in non-emergency health care transportation (NEMT). It’s an important revolution because Medicaid alone spent an estimated $2.9 billion on NEMT… Read More

Opioid Addiction By The Numbers

Last week, we covered the recent $3.3 billion in Congressional appropriations to address opioid addiction in the United States (see How Far Does $3.3 Billion Go?). The figure $3.3 billion… Read More

Task Shifting To Bend The Cost Curve

The subject of how best to “bend the cost curve” in our recent coverage got a lot of attention—including observations on adopting “public health” models, and putting consumers at the… Read More

It Gets Down To The Dollars

Today, Humana released the annual performance results for their Bold Goal initiative in the report, Health Happens Where You Are. I first heard about their “Bold Goal” when Jeff Reid,… Read More

Don’t Let The Big Disruptors Out Of Your Sight

Last fall, Andrew Wright, the Vice President, Digital Medicine for Otsuka America Pharmaceutical, identified Apple, Alphabet, Microsoft, Amazon, and Facebook as organizations in the tech sector poised to change health… Read More

Getting Ready For The Era Of Telehealth

There has been a substantial increase in the number of organizations using telehealth technologies. For organizations over $25 million in revenue, 44% are using telehealth technologies, compared to 15% just… Read More

What’s The Window To Value-Based Care?

I’m still putting together my thoughts about the transition to value-based reimbursement for the specialty provider organizations serving complex consumers. I went to an event last week not quite sure… Read More

Is ‘Financial Accreditation’ The Answer?

Our recent articles on the financial solvency of community-based provider organizations—If 1 In 8 Community-Based Organizations Are Insolvent, The Answer Is?—drew many comments and suggestions from our readers. But one… Read More

What Are Health Homes Measuring?

A couple of weeks ago, I reported on our new analysis of the Medicaid health home landscape and its effect on how care coordination is delivered. We found that states… Read More

Jumping The ‘Strategy-To-Execution Gap’?

In markets experiencing rapid change or significant disruption, nothing changes more than strategy. But the “five-year plan” of my early career has been replaced by annual planning tied to the… Read More

Preparing For Your ‘Augmented’ Workforce

I’ve always been interested in Ray Kurzweil’s concept of singularity—that superior man/machine merger. In a recent presentation, he predicted the date for this convergence as 2045. 2045 may seem too… Read More

The Top News Stories Of 2017—A Preview Of 2018?

“The reason the enlightened prince and the wise general conquer the enemy whenever they move, and their achievements surpass those of ordinary men, is foreknowledge”- (Sun Tzu) “Market intelligence” was… Read More

Transforming Ideas To Innovative Gold

We work with many executive teams and boards that think they are taking progressive action to understand, embrace, and adopt innovation—and incorporate innovative strategic thinking into their plans for the… Read More

The Change Iceberg

Keeping pace with the changing health and human service market is a bit like an iceberg. That was my conclusion from a Technology & Informatics Institute session, “Preparing For The Future… Read More

Transforming Lives Through Supported Employment

In this presentation, Maura Reese, MS, introduced the principles and potential benefits of supportive employment, identified how supportive employment can be used in practice with an assertive community treatment (ACT)… Read More

Your 21st Century Fund Development Toolkit

When our team talks to executives in non-profit organizations, we often hear a similar refrain when it comes to fundraising—getting individuals to give is getting harder each year and there… Read More

Do You Understand The Cost Of Value?

A Technology & Informatics Institute was a deep-dive into the organizations of the future— the organizations that will be sustainable will be data-driven, tech-enabled, and focused on value. How can… Read More

Connecting The Dots—Sustainability & Tech Leverage

A previous conference was packed full of new and neat technology—smartphone GPS monitoring for addiction treatment, wearables and invisibles, data integration platforms for improving care coordination and clinical decision support,… Read More

Even ‘Change Management’ Is Changing

Last week at a recent conference, our team was in full “tech immersion”. But my big takeaway was less about the technology itself and more about changing how organizations use… Read More

Online CBT Effective For Insomnia & Psychosis

Online cognitive behavioral therapy (eCBT) is effective for reducing insomnia and psychosis (paranoia and/or hallucinations). Compared to usual treatment, study participants reported both reduced insomnia and reduced paranoia when being… Read More

Telehealth Billing – Easier Than You Think?

The session on telehealth earlier this week was timely. A 2017 technology survey found that telehealth adoption by specialty provider organizations grew by more than 20 percentage points for both… Read More

Innovation Isn’t Enough

Earlier this year, my colleague Athena Mandros wrote about current best practices in discovering new business opportunities with health plans in The Golden Rule Of Payer Marketing. What we know… Read More

Is Your Staff ‘Performance Prepared’?

Using data to monitor organizational performance and drive management decisions is something we’ve written about extensively in the past month—Making Your Clinical Team Data Driven. And earlier this week, my… Read More

Bipolar Spectrum Diagnostic Scale (BSDS)

The Bipolar Spectrum Diagnostic Scale (BSDS) includes 19 question items (English Version), based upon questions that developer Ronald Pies, MD, found most helpful in detecting not only severe cases of… Read More

Patient Health Questionnaire 15 (PHQ-15)

The Patient Health Questionnaire 15 is a self-administered 15-item scale to measure somatic symptoms, with questions from the Patient Health Questionnaire (PHQ). The PHQ family of measures, including abbreviated and… Read More

Telehealth Is Remaking More Than Therapy

I think telehealth services will be a major disruptor of the health and human service system—online therapy, remote consultations, virtual follow-up groups, and more (see Employer Health Plans Pushing Telehealth… Read More

Opioid Risk Tool© (ORT)

The Opioid Risk Tool© (ORT) is a five-question, self-administered assessment that can be completed within 5 minutes and should be utilized on a patient’s initial visit. It assesses the patient… Read More

Alcohol Use Disorders Identification Test (AUDIT-C)

The Alcohol Use Disorders Identification Test (AUDIT-C) is a brief alcohol screen that reliably identifies patients who are hazardous drinkers or who have active alcohol use disorders. The AUDIT-C contains… Read More


The Mini-Cog™ is a 3-minute instrument that can increase detection of cognitive impairment in older adults. It can be used effectively after brief training in both health care and community-based… Read More

Generalized Anxiety Disorder 7-Item Scale (GAD-7)

The Generalized Anxiety Disorder 7-Item Scale (GAD-7) is a self-administered 7-item anxiety scale initially developed to diagnose generalized anxiety disorder. The GAD-7 also proved to have sensitivity and specificity as… Read More

Your Data Security Deserves A Second Look

A couple of weeks ago, my colleague Sharon Hicks took a hard look at the state of digital security – specifically how high-level demands for interoperability and health information exchange… Read More

A Mosaic Solution To The Opioid Challenge

When Mario San Bartolomé, M.D., MBA the Corporate Medical Director, Substance Use Disorders for Molina Healthcare, Inc. wrapped up his opening keynote remarks earlier this month at a conference I… Read More

Comorbid Medical Illness In Bipolar Disorder

Key Messages This study measured rates of medical illnesses in patients with bipolar disorder (BD) and assessed potential associations between medical disease burden and the clinical course of BD. Compared… Read More

Smartphone Applications For Mental Health

Key Messages As little research has been done to characterize the information available to users of mental health-related smartphone applications (apps), the authors performed a content analysis of descriptions of… Read More

Opinions On The Treatment Of MDD

As part of PsychU’s growth and prominence in the mental health community, three large panel presentations were conducted in New York City, Raleigh, NC, and the Los Angeles area discussing… Read More

Q&A Session With Drs. Manning & Correll

During this question and answer session, Drs. Manning and Correll respond to unanswered questions from their Webinar entitled “Managing Metabolic Wellness In The Mentally Ill: Perspectives From Both A Primary… Read More

MACRA – Who Are The Winners & Losers?

Signed on April 16, 2015 by President Obama, the Medicare Access and CHIP Reauthorization Act (MACRA) provides funding for the Children’s Health Insurance Program (CHIP) through 2017 and makes sweeping… Read More

CMS Announces New Primary Care Model, CPC+

This week, CMS announced Comprehensive Primary Care Plus (CPC+), a five-year model that will begin January 2017. CMS says it’s the largest-ever initiative to transform primary care delivery and payment… Read More

CMS Announces New CPC+Primary Care Model

On April 11, 2016, the Centers for Medicare & Medicaid Services (CMS) launched the multi-payer Comprehensive Primary Care Plus (CPC+) demonstration. CPC+ is a nationwide advanced primary care medical home… Read More

Primary Care Goes Virtual & On-Demand

There has been lots of coverage about “importing” specialist services to primary care offices via telehealth –  How Can We Deliver A Seamless Primary Care/Behavioral Health Consumer Experience?. So the recent announcement… Read More

Using Your CRM For Care Navigation

Navigated care is not a new idea. In 1990, Harold P. Freeman founded and pioneered the concept of patient navigation, with the goal of eliminating barriers to cancer diagnosis and… Read More

Is It Time To Panic?

Today, October 1, is the official date to switch to the ICD-10 coding system for diagnoses, for billing and claims. What should you have done to prepare? And if your plans are not in… Read More

Specialty Care & Primary Care Reinvented

Our team has spent many months trying to answer questions about capacity in the health care system: How many health care professionals does any population need – and how many… Read More