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Full-Text Articles in Social and Behavioral Sciences

Opioid Overdose Deaths And Potentially Inappropriate Opioid Prescribing Practices (Pip): A Spatial Epidemiological Study, Thomas J. Stopka, Harsha Amaravadi, Anna R. Kaplan, Rachel Hoh, Dana Bernson, Kenneth K.H. Chui, Thomas Land, Alexander Y. Walley, Marc R. Larochelle, Adam J. Rose Jun 2019

Opioid Overdose Deaths And Potentially Inappropriate Opioid Prescribing Practices (Pip): A Spatial Epidemiological Study, Thomas J. Stopka, Harsha Amaravadi, Anna R. Kaplan, Rachel Hoh, Dana Bernson, Kenneth K.H. Chui, Thomas Land, Alexander Y. Walley, Marc R. Larochelle, Adam J. Rose

Open Access Articles

INTRODUCTION: Opioid overdose deaths quintupled in Massachusetts between 2000 and 2016. Potentially inappropriate opioid prescribing practices (PIP) are associated with increases in overdoses. The purpose of this study was to conduct spatial epidemiological analyses of novel comprehensively linked data to identify overdose and PIP hotspots.

METHODS: Sixteen administrative datasets, including prescription monitoring, medical claims, vital statistics, and medical examiner data, covering >98% of Massachusetts residents between 2011-2015, were linked in 2017 to better investigate the opioid epidemic. PIP was defined by six measures: > /=100 morphine milligram equivalents (MMEs), co-prescription of benzodiazepines and opioids, cash purchases of opioid prescriptions, opioid prescriptions ...


Massoptions Transforms The Way Elderly And People With Disabilities Get Much Needed Long-Term Services And Supports In Massachusetts, Jeff A. Auger, Kerrie Topi Jun 2018

Massoptions Transforms The Way Elderly And People With Disabilities Get Much Needed Long-Term Services And Supports In Massachusetts, Jeff A. Auger, Kerrie Topi

Commonwealth Medicine Publications

Some of the Commonwealth’s most underserved populations—the elderly, people with disabilities, and their caregivers— now have simplified access to the long-term services and supports (LTSS) they need, thanks to MassOptions, an innovative collaboration between UHealthSolutions, the nonprofit business affiliate of UMass Medical School, and the Massachusetts Executive Office of Elder Affairs.


Massachusetts Medicaid Members That Smoked In 2008: Characteristics Associated With Smoking Status In 2014, Alexis D. Henry, John Gettens, Judith A. Savageau, Doris Cullen, Anna Landau Mar 2018

Massachusetts Medicaid Members That Smoked In 2008: Characteristics Associated With Smoking Status In 2014, Alexis D. Henry, John Gettens, Judith A. Savageau, Doris Cullen, Anna Landau

Judith A. Savageau

The smoking rate among non-elderly Medicaid enrollees is more than double the rate for those privately insured; smoking-related conditions account for 15% of Medicaid expenditures. Under state health reform, Massachusetts Medicaid (MassHealth) made tobacco cessation treatment available beginning in 2006. We used surveys conducted in 2008 and 2014 to examine changes in smoking abstinence rates among MassHealth members identified as smokers and to identify factors associated with being a former smoker. Members previously identified as smokers were surveyed by mail or phone; 2008 and 2014 samples included 3,116 and 2,971 members, respectively. Surveys collected demographic and health information ...


Alcohol Policy Best Practices In Franklin And Hampshire Counties, Massachusetts, Lauren Coakley, Reily Connaughton, Ghida El-Banna Jan 2018

Alcohol Policy Best Practices In Franklin And Hampshire Counties, Massachusetts, Lauren Coakley, Reily Connaughton, Ghida El-Banna

School of Public Policy Capstones

Research question: What are "efficient" policies and best practices to reduce youth alcohol consumption in Franklin and Hampshire counties, Massachusetts?

Motivation: Excessive alcohol consumption leads to monetary and societal costs.

Methodology: A hybrid of quantitative (multiple linear regression) and qualitative (policy evaluation, case studies, phone and in-person interviews) methods.


Massachusetts Medicaid Members That Smoked In 2008: Characteristics Associated With Smoking Status In 2014, Alexis D. Henry, John Gettens, Judith A. Savageau, Doris Cullen, Anna Landau Oct 2017

Massachusetts Medicaid Members That Smoked In 2008: Characteristics Associated With Smoking Status In 2014, Alexis D. Henry, John Gettens, Judith A. Savageau, Doris Cullen, Anna Landau

Open Access Articles

The smoking rate among non-elderly Medicaid enrollees is more than double the rate for those privately insured; smoking-related conditions account for 15% of Medicaid expenditures. Under state health reform, Massachusetts Medicaid (MassHealth) made tobacco cessation treatment available beginning in 2006. We used surveys conducted in 2008 and 2014 to examine changes in smoking abstinence rates among MassHealth members identified as smokers and to identify factors associated with being a former smoker. Members previously identified as smokers were surveyed by mail or phone; 2008 and 2014 samples included 3,116 and 2,971 members, respectively. Surveys collected demographic and health information ...


Integrating Third Party Liability (Tpl) Across Medicaid Operations And Enterprise Systems In Massachusetts, Jenifer Hartman Aug 2017

Integrating Third Party Liability (Tpl) Across Medicaid Operations And Enterprise Systems In Massachusetts, Jenifer Hartman

Commonwealth Medicine Publications

This poster highlights the results of a UMass Medical School partnership with MassHealth, the Massachusetts Medicaid program, to integrate third party liability (TPL) activities across all aspects of the Medicaid program. By embedding TPL at all stages of Medicaid operations and interfacing with all Medicaid systems, the partners optimized identification of and access to TPL sources for all Medicaid members.

The TPL activities include eligibility coordination, coverage coordination, payment coordination and recovery coordination. The partnership has achieved over $40 million in cost avoidance through the identification of missed Medicare benefits, over $64 million in cost avoidance over enhanced coordination of ...


Determination Of Massachusetts’ Respite Policies And The Potential Impact Of Unpaid Family Care Giver Support On Home And Community Based Services, Leanne Winchester, Kate Russell, Kelly Love Jul 2017

Determination Of Massachusetts’ Respite Policies And The Potential Impact Of Unpaid Family Care Giver Support On Home And Community Based Services, Leanne Winchester, Kate Russell, Kelly Love

Commonwealth Medicine Publications

Direct care workforce shortages, increasing health care costs, and limited access to services force many families to make life-changing decisions to care for family members with long term disabilities or who are chronically ill at home. For this project, the authors conducted an environmental scan of current policies and programs for state and federally funded respite services across Massachusetts’ state agencies.

The results of this project demonstrate the variability in Massachusetts’ state policies and program practices in four primary areas:

  • The types of respite services offered by state agencies

  • The agencies definition of respite services

  • Variability in the ability of ...


Massachusetts Innovative Action To Support Those Aging With An Intellectual Or Developmental Disability (Idd), Laney Bruner-Canhoto, Sharon Oxx, Christine J. Clifford, Emily Lauer Jun 2017

Massachusetts Innovative Action To Support Those Aging With An Intellectual Or Developmental Disability (Idd), Laney Bruner-Canhoto, Sharon Oxx, Christine J. Clifford, Emily Lauer

Eunice Kennedy Shriver Center Publications

People with an Intellectual or Developmental Disability (IDD) may experience complex age-related issues, including dementia-related disorders, at earlier ages than the general population. To address changing needs, the Massachusetts Department of Developmental Services (DDS) formed a multidisciplinary workgroup of disability and aging-related public and private agency partners. The workgroup explored key areas of age-related needs, including end of life care and services; screenings for onset of age-associated changes and conditions; and innovative models and resources to support aging in community settings.


Cairing4carlisle: A Community Health Needs Assessment, Caitlin Coyle Jan 2017

Cairing4carlisle: A Community Health Needs Assessment, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

Caring4Carlisle (C4C) is a community initiative aimed at addressing the social, emotional, spiritual and physical health of Carlisle residents. Community Health Network Areas (CHNAs) were created by the Massachusetts Department of Public Health in 1992. There are 27 CHNAs in the Commonwealth, and Carlisle belongs to CHNA 15. In July of 2016, Carlisle was awarded a planning grant ($20,000) from CHNA 15 to engage in a community needs assessment process with the intention of identifying priority community health needs to be addressed in Carlisle.

The Carlisle Board of Health served as the lead Town Department with the Gleason Public ...


The Pediatric Behavioral Health Medication Initiative, Neha Kashalikar Sep 2016

The Pediatric Behavioral Health Medication Initiative, Neha Kashalikar

Commonwealth Medicine Publications

How the Massachusetts Medicaid Pharmacy Program, which is managed by UMass Medical School, developed the Pediatric Behavioral Health Medication Initiative. The initiative was created in response to studies and reports that found pediatric behavioral health medication polypharmacy regimes had been increasing. Compared to the rest of the country, the prevalence was highest among the MassHealth pediatric population.

A prior authorization requirement, guidelines, case review and a prescriber outreach process were established as part of the initiative to ensure MassHealth pediatric members were being prescribed appropriate behavioral health medication.


Medical, Social, And Other Determinants Of Health Care Costs In Masshealth, Arlene S. Ash May 2016

Medical, Social, And Other Determinants Of Health Care Costs In Masshealth, Arlene S. Ash

UMass Center for Clinical and Translational Science Research Retreat

As part of the mini-symposium entitled "Innovations for Vulnerable Populations in Massachusetts," this presentation explores research into expanding the State’s existing risk models to include social determinants of health variables. Potential variables for inclusion in payment models (such as unstable housing, defined as having three or more addresses during a calendar year) have been identified. These models are being developed in support of alternative payment mechanisms for integrated delivery systems.


Innovations For Vulnerable Populations In Massachusetts, Melissa A. Clark May 2016

Innovations For Vulnerable Populations In Massachusetts, Melissa A. Clark

UMass Center for Clinical and Translational Science Research Retreat

This is the moderator's introductory presentation for the mini-symposium entitled "Innovations for Vulnerable Populations in Massachusetts," in which she places the session presentations in the context of an ongoing collaboration between Commonwealth Medicine, a division of the University of Massachusetts Medical School, and MassHealth.


Improving The Direct Care Workforce Through Core Competency Training, Leanne Winchester, Lauren Bercaw Apr 2016

Improving The Direct Care Workforce Through Core Competency Training, Leanne Winchester, Lauren Bercaw

Commonwealth Medicine Publications

This report provides a comprehensive overview of the MA Personal and Home Care Aide State Training (PHCAST) Grant Project funded by the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing. The grant aimed to improve existing training for home care aides, offer training for personal care attendants, increase transferability of the workforce, and reduce turnover. The state also sought to standardize core competencies and training facilitation for direct care workers who provide long-term care in community‐based settings for diverse populations.

The accomplishments of the grant project include ...


Stories From The Frontline: Patient-Centered Medical Home Care Transitions, Anita Morris, Joan Johnston, Sai Cherala, Ruth Aboagye, Pam Senesac, Judith L. Steinberg, Jaime Vallejos Mar 2016

Stories From The Frontline: Patient-Centered Medical Home Care Transitions, Anita Morris, Joan Johnston, Sai Cherala, Ruth Aboagye, Pam Senesac, Judith L. Steinberg, Jaime Vallejos

Commonwealth Medicine Publications

The Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI) was a three-year multi-payer demonstration designed to promote clinical model transformation in practices across the state and prepare the practices for PCMHI recognition. It was a partnership between MassHealth, the Massachusetts Medicaid program, and UMass Medical School. An analysis of the project at 46 participating practices finds that primary care practice transformation takes time; care transitions, including emergency room and post-discharge follow-up care, require the development of new clinical workflows; and the processes of care are more likely to improve before outcomes are affected. These lessons learned can aid provider organizations nationwide ...


Using Pdsas To Optimize Surgical Screening, Wesley Klein, Joan Johnston, Anita Morris Mar 2016

Using Pdsas To Optimize Surgical Screening, Wesley Klein, Joan Johnston, Anita Morris

Commonwealth Medicine Publications

This poster describes a project that used a patient-centered medical home model to improve cervical cancer screening for patients at Duffy Health Center in Hyannis. Lessons learned include: identifying existing opportunities to provide whole-person care may provide revenue enhancement opportunities; practice workflow tools require user input in their development to be accepted and effective; buy-in from all team members is crucial and it is important for the team to agree on the process; and data collection is essential, along with ongoing quality improvement and practice transformation coaching.


The Healthy People 2020 Roadmap For Massachusetts Children & Youth With Asd/Dd: Understanding Needs And Measuring Outcomes, Elaine Gabovitch, Courtney Dutra, Emily Lauer Nov 2015

The Healthy People 2020 Roadmap For Massachusetts Children & Youth With Asd/Dd: Understanding Needs And Measuring Outcomes, Elaine Gabovitch, Courtney Dutra, Emily Lauer

Commonwealth Medicine Publications

The Massachusetts Autism Commission 2012 report identified “a critical need to develop a comprehensive statewide approach” to respond to the needs of the rapidly increasing population of people with autism spectrum disorder and developmental disabilities (ASD/DD). In response, UMass Medical School has been conducting a needs assessment to inform efforts to establish a state-level data collection and surveillance plan for systems of services for children and youth with ASD/DD.

Although Massachusetts is a resource rich state, through a review of secondary data analysis, key informant interviews, focus groups, and surveys, the needs assessment has identified certain gaps in ...


Massachusetts Eligibility Data Platforms: Integrating State And Federal Data Sets To Maximize Benefits And Savings, Jenifer Hartman, Yuping Su Aug 2015

Massachusetts Eligibility Data Platforms: Integrating State And Federal Data Sets To Maximize Benefits And Savings, Jenifer Hartman, Yuping Su

Commonwealth Medicine Publications

This poster presentation shows how UMass Medical School works with state Medicaid programs to customize and implement business methodologies to maximize benefits for individuals and savings for states. The medical school’s collaboration with state and federal agencies has resulted in two national corrections of federal benefits systems in the past five years that led to increased benefits for individuals and increased Medicaid savings and revenue in all states.

Presented at the Medicaid Enterprise Systems Conference 2015.


Massachusetts Expert Panel On End Of Life Report: Looking Forward: 2014 And Beyond, Linda J. Cragin Mar 2015

Massachusetts Expert Panel On End Of Life Report: Looking Forward: 2014 And Beyond, Linda J. Cragin

Commonwealth Medicine Publications

This report provides a brief snapshot of end of life care activity in Massachusetts, identifies related themes and trends in Massachusetts health care institutions, and conveys current concerns and priorities for improving end of life care in the Commonwealth.


One State's Perspective On The Management Of Hepatitis C Drugs, Pavel Lavitas Feb 2015

One State's Perspective On The Management Of Hepatitis C Drugs, Pavel Lavitas

Commonwealth Medicine Publications

This presentation provides an overview of the hepatitis C virus monitoring program implemented for state Medicaid to contain costs and to promote optimal member care. Key clinical and economic outcomes of the monitoring program are highlighted and formulary management strategies for novel hepatitis C virus agents identified.

Presented at the American Drug Utilization Review Society 2015 Conference.


Massachusetts Hospital Profiles: Data Through Fiscal Year 2013, Michael Chin Jan 2015

Massachusetts Hospital Profiles: Data Through Fiscal Year 2013, Michael Chin

Commonwealth Medicine Publications

An industry overview and chartbook that provides a comprehensive look at the Massachusetts' hospital system.


Aging In Place In Marion: A Community Endeavor, Bernard A. Steinman, Hayley Gleason, Maryam Khaniyan, Ceara Somerville, Jan Mutchler Dec 2014

Aging In Place In Marion: A Community Endeavor, Bernard A. Steinman, Hayley Gleason, Maryam Khaniyan, Ceara Somerville, Jan Mutchler

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the Friends of the Marion Council on Aging (FMCOA) and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston (UMass Boston). Beginning in Fall 2014, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of the Town’s older resident population, and the priorities of other stakeholders in the Town, with respect to living and aging in Marion.

In the earliest phase of the project, we met several times with members of the FMCOA to discuss ...


Aging In West County Communities: Coming Together To Age In Place, Bernard A. Steinman, Hayley Gleason, Ceara Somerville, Maryam Khaniyan, Jan Mutchler Dec 2014

Aging In West County Communities: Coming Together To Age In Place, Bernard A. Steinman, Hayley Gleason, Ceara Somerville, Maryam Khaniyan, Jan Mutchler

Gerontology Institute Publications

This report describes collaborative efforts undertaken by the Towns of Ashfield, Buckland, and Shelburne Consortium of Councils on Aging (hereafter, The Consortium) and the Center for Social and Demographic Research on Aging, within the McCormack Graduate School at the University of Massachusetts Boston (hereafter, UMass Boston). Beginning in Fall 2014, these organizations partnered to conduct a study to investigate the needs, interests, preferences, and opinions of older residents in communities in West Franklin County (hereafter, West County), and priorities of stakeholders who interact with older adults in various capacities.

Early in the project, researchers from UMass Boston communicated with stakeholders ...


Overview Of A Hepatitis C Medication Monitoring Program In A State Medicaid Program, Pavel Lavitas, Kimberly J. Lenz, Tasmina Hydery, Mark Tesell, J. Gagnon, Paul L. Jeffrey Oct 2014

Overview Of A Hepatitis C Medication Monitoring Program In A State Medicaid Program, Pavel Lavitas, Kimberly J. Lenz, Tasmina Hydery, Mark Tesell, J. Gagnon, Paul L. Jeffrey

Commonwealth Medicine Publications

This presentation outlines a successful hepatitis C medication monitoring program instituted by Clinical Pharmacy Services for MassHealth, the Massachusetts Medicaid program. The program used outreach and education strategies to communicate with prescribers about regimens that were the most effective in treating the virus and containing costs. Member adherence to the regimen was monitored and hepatitis C cure rates were tracked through the program.


How Will Public Health And Primary Care Come Together In Massachusetts?, Javier Crespo May 2014

How Will Public Health And Primary Care Come Together In Massachusetts?, Javier Crespo

Public Affairs Capstones Collection

The Patient Protection and Affordable Care Act aims to place public health and prevention practice closer to the clinical care delivery system by mandating basic preventive services and creating a national prevention plan. The Massachusetts health care system has a number of elements that can help foster closer linking of public health practices in the primary care setting. This research set out to examine whether the current healthcare system in Massachusetts will enable public health and primary care integration as intimated upon by the Affordable Care Act. This study will assess the current connection between public health and primary care ...


Implementing Integrated Clinical Care Management In The Patient-Centered Medical Home, Jeanne Z. Cohen, Christine Johnson, Judith Steinberg, Sai Cherala Mar 2014

Implementing Integrated Clinical Care Management In The Patient-Centered Medical Home, Jeanne Z. Cohen, Christine Johnson, Judith Steinberg, Sai Cherala

Commonwealth Medicine Publications

Clinical Care Management (CCM) of the highest risk, most complex and costly patients is a key element of the Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI), and is a new service for most primary care practices. There is much confusion about the role of the Care Manager (CM), and a lack of awareness of key foundational elements critical to successful implementation of CCM. This poster describes the shared approach to implementation of CCM in the MA PCMHI, use of care management and care coordination clinical quality measures to monitor implementation progress, and shared lessons learned in the implementation process.


Meeting Massachusetts' Growing Demand For Home And Community-Based Supports, Leanne Winchester, Kate Russell Mar 2014

Meeting Massachusetts' Growing Demand For Home And Community-Based Supports, Leanne Winchester, Kate Russell

Commonwealth Medicine Publications

This presentation provides an overview of the innovative approaches and lessons learned from the Massachusetts Personal and Home Care Aide State Training (PHCAST) grant, a project managed by UMass Medical School for the Executive Office of Health and Human Services. PHCAST defined core competencies for direct care workers, and developed a standardized training in those competencies


Healthy Eating And Savvy Saving: An Evaluation Of Action For Boston Community Development’S Food Dollars Program For Low-Income Elders, Ann Bookman, Susan M. Phillips Mar 2014

Healthy Eating And Savvy Saving: An Evaluation Of Action For Boston Community Development’S Food Dollars Program For Low-Income Elders, Ann Bookman, Susan M. Phillips

Gerontology Institute Publications

This report is an evaluation of an innovative community-based intervention – the Food Dollars Program. Funded by the AARP Foundation, this program was designed and delivered by Action for Boston Community Development (ABCD) and their Elder Services staff in order to promote healthy eating and reduce food and economic insecurity among low-income elders in Boston. The impetus for creating this program arose from the challenges many low-income individuals face in purchasing and consuming healthy foods from the five food groups as recommended by the US Department of Agriculture (USDA) in their ChooseMyPlate model of healthy eating. The Food Dollars curriculum combines ...


Women’S Municipal Leadership In Massachusetts: Snapshot Of Cape Cod, Center For Women In Politics And Public Policy, University Of Massachusetts Boston Mar 2014

Women’S Municipal Leadership In Massachusetts: Snapshot Of Cape Cod, Center For Women In Politics And Public Policy, University Of Massachusetts Boston

Publications from the Center for Women in Politics and Public Policy

The center tracks the status of women at all levels of government in New England. It also provides dynamic web resources to inform and support the public leadership of women of color.


Healthy Aging In Massachusetts: Reporting Indicators, Identifying Resources & Activating Allies, Elizabeth Dugan, Frank Porell, Nina Silverstein, Ruth Palombo, Chae Lee, Kristina Turk Feb 2014

Healthy Aging In Massachusetts: Reporting Indicators, Identifying Resources & Activating Allies, Elizabeth Dugan, Frank Porell, Nina Silverstein, Ruth Palombo, Chae Lee, Kristina Turk

Nina Silverstein

In Massachusetts, a Healthy Aging Collaborative comprised of a diverse group of stakeholders has been formed for multiple purposes: information sharing around healthy aging, idea generation, partnership building and activity mapping.


Healthy Aging In Massachusetts: Reporting Indicators, Identifying Resources & Activating Allies, Elizabeth Dugan, Frank Porell, Nina Silverstein, Ruth Palombo, Chae Man Lee, Kristina Turk Feb 2014

Healthy Aging In Massachusetts: Reporting Indicators, Identifying Resources & Activating Allies, Elizabeth Dugan, Frank Porell, Nina Silverstein, Ruth Palombo, Chae Man Lee, Kristina Turk

Frank Porell

In Massachusetts, a Healthy Aging Collaborative comprised of a diverse group of stakeholders has been formed for multiple purposes: information sharing around healthy aging, idea generation, partnership building and activity mapping.