In an effort to promote healthy aging through the advancement of evidence-based and interdisciplinary initiatives (i.e., research, education, and service initiatives) for diverse populations of older people, OHARES provides a current list of websites (see below) that aim to advance healthy aging and to increase the overall well-being and quality of life for older people in the eastern seaboard of North Carolina, the state at large, and the United States. OHARES is always looking for useful links to websites that can advance such goals and objectives. To this end, we hope that you find the links below to be of assistance. If you are aware of links at the local, state, national, or international levels that should be added to our current listing, please feel free to send the web address(es) to our office at OHARES@ecu.edu and we will list the links on this webpage.
This part of the AHRQ web portal offers you access to documents that explain the concepts and definitions behind the movement to integrate behavioral health and primary care. The terms and concepts as applied to this integration also apply to healthy aging, which often involves the integration of behavioral health care and primary care.
This part of the AHRQ web portal offers you access to The Atlas of Integrated Behavioral Health Care Quality Measures (the IBHC Measures Atlas), which aims to support the field of integrated behavioral health care measurement by: 1) presenting a framework for understanding measurement of integrated care; 2) providing a list of existing measures relevant to integrated behavioral health care; and 3) organizing the measures by the framework and by user goals to facilitate selection of measures.
This part of the AHRQ web portal offers you access to a framework for measuring the integration of behavioral health and primary care. This part of the AHRQ website provides a more advanced understanding of a framework that goes beyond brief concepts and definitions to a more specific set of observable and measurable functions. These can easily be adapted to older populations.
This web portal provides access to the materials that aim to advance integrated treated within the context of population with substance abuse problems. Given the problem of poly-pharmacy among populations of older people with multiple chronic conditions (MCCs), this website provides the needed breadth and depth of information required to integrate mental health services for substance abuse with primary care. This material is very applicable to aging populations.
Recent studies have shown that integrated behavioral health services for older adults in primary care improves health outcomes. This study examined the opinions of clinicians whose patients actually experienced integrated rather than enhanced referral care for depression and other conditions. Results indicate integrated care led to better communication between primary care clinicians and mental health specialists, less stigma for patients, and better coordination of mental and physical care. Among primary care clinicians who cared for patients that received integrated care or enhanced referral care, integrated care was preferred for many aspects of mental health care. For more information about this study, please use the link.
This is a nice article from AHRQ that examines global barriers to integration, promising models of integrated care, and cost savings. For those who are new to this approach, this is a good primary on the topic of integrated care that seeks to join behavioral health care with primary care services.
This article examines the placement of mental health specialists in primary care settings to enhances patient engagement. The study documented favorable results relative to evidence-based care. More specifically, “An integrated care program places mental and behavioral health specialists in more than 50 primary care locations to treat patients ages 65 years and older with depression or anxiety and those who engage in risky alcohol use. The model uses comprehensive assessments and promotes coordinated care planning and treatment based on chronic disease management principles and established treatment guidelines. The integrated approach was compared with an enhanced (i.e., better than usual care) specialty care referral model, and a study showed that the integrated model resulted in higher levels of patient engagement in treatment, comparable clinical results (except for symptom control in severely depressed patients), and lower overall costs.” For more information, please use the link.
This website is great for chronic care models, which are very applicable to older populations. “Recent data show that more than 145 million people, or almost half of all Americans, live with a chronic condition. That number is projected to increase by more than one percent per year by 2030, resulting in an estimated chronically ill population of 171 million. Almost half of all people with chronic illness have multiple conditions. As a result, many managed care and integrated delivery systems have taken a great interest in correcting the many deficiencies in current management of diseases such as diabetes, heart disease, depression, asthma and others.” This website provides fantastic access to chronic models of care for such populations.
This AHRQ web portal provides information on funded studies that examined the enhancement of complex care through an integrated care coordination information system in Oregon. This is a magnificent example that highlights the importance of coordinating care in integrated systems.
This AHRQ web portal provides information on the integration of health information technology (IT) into primary care. IT includes a variety of electronic methods that are used to manage information about people's health and health care, for both individual patients and groups of patients. The use of health IT can improve the quality of care, even as it makes health care more cost effective. Such systems have a lot of potential applications for older populations with chronic conditions and multiple chronic conditions. Please see this website for more details and information on the IT movement.
This is a wonderful website run by the federal government to highlight the benefits of health information technology (HIT) for the integration of data that joins behavioral health and primary care. Health informational technologies are developing quickly, especially as they apply to the care of chronic conditions and multiple chronic conditions; hence, this website is useful for those who wish to infuse HIT into integrated behavioral and primary care settings.
Read updates here from ONC’s Rural Health team about how rural health care providers and hospitals nationwide are leveraging technology to optimize their communities’ health systems and improve the quality of their care. This is a great blog for those who wish to integrate health information technology into rural health care systems.
This webpage provides links to research on rural health. This particular link provides access to an article by Drs. Griffin and Coburn entitled, “Integrated Care for Older Adults in Rural Communities.” This is a great article for those interested in understanding more about how the Affordable Care Act affects outcomes in rural areas with integrated care systems. “Recognizing that traditional models of health care delivery and payment often produce fragmented and costly care and poor outcomes for those with the highest needs, many reforms under the Affordable Care Act (ACA) focus on realigning payment incentives and integrating care. These reforms presuppose the existence of supporting infrastructure and capacity, including dedicated care management staffing and health information technology [HIT] and exchange. With a focus on community-dwelling older adults in need of integrated physical, behavioral health services, and long term services and supports (LTSS), this brief reviews the opportunities and challenges these reform initiatives present for rural communities.”
The U.S. Department of Health and Human Services’ (HHS) Rural Health Information Technology (Health IT) Task Force, specifically the Office of the National Coordinator for Health Information Technology (ONC) and the Health Resources and Services Administration, worked with the U.S. Department of Agriculture (USDA) to ensure that rural health care providers can use USDA’s Rural Development grants and loans to support the acquisition of health IT infrastructure. This link provides access to information about such grants and loans.
The materials in this website include the HIPAA privacy components of the Privacy and Security Toolkit developed in conjunction with the Office of the National Coordinator (ONC). The Privacy and Security Toolkit implements the principles in The Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identifiable Health Information (Privacy and Security Framework). These guidance documents discuss how the Privacy Rule can facilitate the electronic exchange of health information.
This web portal provides the AMA’s materials on health information technology (IT). In contrast to the other health IT portals identified above, this information herein provides the MD’s point of view. Emphases are on Medicare and Medicaid incentive/penalty programs for health IT and electronic health record (EHR) programs. Information is also available for Health Information Exchanges (HIEs), which are entities that bring together health care stakeholders within a defined geographic area and govern the electronic sharing of health information among them for the purpose of improving health and care in that community.
This web portal provides the AHRQ’s view of health IT. AHRQ's Health IT Portfolio develops and disseminates evidence and evidence-based tools about the impact of health IT on health care quality. To accomplish this, the Portfolio: 1) anticipates the future needs of the health care system and supports development of innovative health IT solutions; 2) identifies and fills current gaps in knowledge about health IT; and 2) leverages the capability of health IT to improve the quality, safety, efficiency and effectiveness of health care. This is a great complement to the federal and non-profit material on health IT.
This web portal provides the access to the AHRQ’s health IT tools and resources. This is a very well organized website that includes tools and resources for almost all things related to health IT. If you are interested in health IT, it is suggested that you spend a solid day reading all of the material that is accessible here. It is comprehensive and useable in a practical sense for academics, policymakers, and practitioners.
This link brings you to the National Institute of Health’s Office of Behavioral and Social Sciences Research. Herein, you will find links that describe their work on dissemination and implementation research, which includes a myriad of funding opportunities.
This link brings you to the Training Institute for Dissemination and Implementation Research in Health at Washington University, St. Louis, MO. It contains a number of excellent links to key materials that help the reader understand the often overlooked differences between dissemination and implementation research.
This website shows you the priorities (i.e., core areas of research) for the NIH Office of Behavioral and Social Sciences Research. This website can be very helpful when trying to understand federal priorities for behavioral and social science research that might be applicable for older populations.
This website provides access to an open source journal that provides free access to articles on implementation studies. It can be very helpful when looking at all aspects of implementation science.
This website is devoted the University of Colorado’s Center for Research in Implementation Science and Prevention (CRISP). The Center for Research in Implementation Science and Prevention (CRISP) is one of three new national centers funded by the Agency for Healthcare Research and Quality (AHRQ) that focuses on improving clinical preventive services within primary care practice. CRISP brings together expertise in implementation of preventive services, practice-based research networks (PBRNs) and national authorities in innovative health information technology (HIT).
The Center for Health, Intervention, and Prevention (CHIP) is a multidisciplinary research center dedicated to the study of the dynamics of health risk behavior and the processes of health behavioral change in individuals and targeted at-risk populations. This particular part of their website provides access to links for funding and other such research-related opportunities as applied to dissemination and implementation science.
The School of Public Health at the University of Washington houses a website that emphasizes dissemination and implementation science. The main parts of this webpage are helpful to anyone interested in the use of dissemination and implementation science to inform the treatment of veterans and other at-risk populations.
CHEDIR aims to align evidence-based and adult learning principles with elements of successful diffusion of innovation and organizational improvement strategies to develop and evaluate methods of translating evidence into sustainable practice. This website is devoted to this mission. It includes access to a variety of tools and resources that are available free-of-charge.
ICTS emphasizes research on dissemination and implementation as a core area of work for this institute. More materials are available at this website regarding such work at Washington University in St. Louis.
This website contains AoA materials on behavioral health for older populations. The website emphasizes mental and emotional well-being, and choices and actions that affect wellness. Issues that are addressed include depression, substance abuse and misuse, and suicidal thoughts. Materials in this website can be used to help older adults with and without disabilities to maintain their health and well-being through programs that maintain and enhance emotional health, prevent substance abuse/misuse, and prevent suicide.
This link provides you with access to the NIA’s strategic plan for the following: (1) research on healthy aging, disease, and disability; (2) interventions to reduce disease and disability and improve the health and quality of life of older adults; (3) development, implementation, and evaluation of interventions to prevent and treat Alzheimer’s disease, other dementias of aging, and the aging brain; (4) research on the consequences of an aging society and the identification of needed information to inform intervention development and policy decisions; and (5) research and interventions that reduce health disparities and eliminate health inequities among older adults.
In addition to the research priorities of its intramural and extramural divisions, NIA is involved in a number of special initiatives that expand and enhance its mission. These initiatives often involve other NIH Institutes and Centers, as well as other organizations and agencies involved in research on health and aging. More specifically, currently funded initiatives include minority aging and health disparities, trans-National Institutes of Health research activities, translational research, comparative effectiveness research, global aging, and American Recovery and Reinvestment Act (ARRA).
The NIA’s Office of Special Populations provides funding for research that advances our understanding of health disparities that are associated with a broad, complex, and interrelated array of factors. Diagnosis, progression, response to treatment, caregiving, and overall quality of life may each be affected by race, ethnicity, gender, socioeconomic status (SES), age, education, occupation, and other as yet unknown lifetime and lifestyle differences. Thus, the NIA provides support to examine such issues and interventions that address such issues.
The NIA’s Division of Behavioral and Social Research (BSR) supports social, behavioral, and economic research and research training on the processes of aging at both the individual and societal level. BSR fosters cross-disciplinary research, at multiple levels from genetics to cross-national comparative research, and at stages from basic through translational.
The NIA’s Division of Behavioral and Social Research (BSR) is broken into a number of divisions that are listed in this website. Specific divisions and areas of inquiry include the following: (1) behavioral medicine and interventions, (2) behavioral genetics of aging, (3) cognitive aging, (4) family and interpersonal relationships, (5) psychological development and integrative science, (6) demography and epidemiology, (7) economics of aging, (8) Epidemiology and Population Genetics of Aging, and (9) health systems.
This is North Carolina’s main webpage for state-level links to various services for older people with and without disabilities. It literally covers almost everything that is state funded in NC, and other issues that are applicable to older populations.
This is North Carolina’s central office for all things related to aging and adult services. The Division of Aging and Adult Services (DAAS) works to promote independence and enhance the dignity of North Carolina's older adults, persons with disabilities, and their families through a community-based system of opportunities, services, benefits, and protections; to ready younger generations to enjoy their later years; and to help society and government plan and prepare for the changing demographics. That said, this web portal provides access to links regarding adult day-care and health programs , Alzheimer's Disease and other dementias, demography and planning, employment, family caregiver support, health, housing, home improvement, long term care options, ombudsman programs, senior centers, senior rights protections, services for older adults and people with disabilities . This is truly a well-constructed and informative web portal.
This web portal provides access to information from the Pitt County (NC) Council on Aging (COA). More specifically, it provides access to information regarding (1) the Board of Directors, (2) the Pitt COA Foundation, (3) Services, (4) Programs and Activities, (5) Announcements, (6) Upcoming Events, and (7) Hot Topics. For people living in and around East Carolina University, this website is a must-visit portal for all services offered by the local office.