4 minute read To us nervous old guys, this pandemic is about risk and fear. I take early morning walks in my leafy hometown of Swarthmore, PA when the sun is still well below the treetops to avoid social contact and possibly contracting infection. But twice in recent weeks, I’ve turned a corner and run […]
4 minute read As we continue to move through historic change in our healthcare and criminal justice systems, the research on integration seems to have slowed down a bit. That said, we still have some important developments helping to move the field of integrated care forward. As always, I collect and review the latest research […]
12 minute read The COVID-19 pandemic, for all of the hardship and loss it has heaped upon the US healthcare system, has initiated a period of unparalleled innovation as well. A great deal of that innovation has been due to the courage and dedication of the physicians, nurses, and administrators on the front lines. Convention […]
3 minute read The COVID-19 pandemic has spawned two healthcare crises: the first focused on containing the disease’s widening footprint, and the second, a behavioral health pandemic created by stress, anxiety and social isolation. Addressing both of these issues requires a population health approach. As such, there is much to be learned from an innovative […]
2 Minute Read: It seems as if 2020 is the year of perpetual transition as we adjust and learn, adjust and learn. Our last few weeks as a membership has been spent thinking about returning to in-person visits (or not) and concurrently thinking about how our personal lives mirror this transition as states “re-open.” Below […]
5 minute read Like many of you, my work as a BHC moved abruptly to 100% phone and video work in mid-March 2020 due to the COVID-19 pandemic. Personally, there have been some downsides to this. I miss seeing patients in the privacy of an exam room or my office and that irreplaceable connection that […]
3 Minute Read CFHA members have worked hard in the last 9 weeks responding to the various challenges posed by the pandemic. These challenges are not going away, however, a great deal of progress has been made in adapting clinical delivery to telehealth, figuring out the economics of all of this and working on the […]
When my alarm goes off at six AM, I begin my day following the same routine I created the first week of quarantine with the intention of bringing structure to my days. But just like yesterday and the day before, my energy level is not there, my body feels tired, and honestly, I really do […]
This blog is a follow-up to a recent panel presentation co-sponsored by Comagine, The Institute for Primary Care Behavioral Health and the Collaborative Family Healthcare Association. The chat for the presentation is here. Video is here or just scroll down. What started out as deep consternation as the COVID pandemic hit in March quickly turned […]
5 minute read The initial panic about the coronavirus has long passed. Sadness and grief from Covid losses is settling in on clinical settings, including behavioral health. In my small psychotherapy practice, I’ve heard about one client tragedy after another: The adult daughter who feels stricken because hospital policy wouldn’t allow her to be at […]
The realities of the pandemic are settling in among our membership and more of our conversation is turning to the long-term implications. We are concerned about our fellow healthcare providers, our patients and the economic realities that healthcare is facing along with the rest of the world. At the same time there is a sense […]
3 minute read In the wake of the current pandemic, the psychological benefits of physical activity may outweigh the physiological ones. It is one of the best ways to combat the effects of social isolation, even when a person exercises alone. Physical activity’s ability to combat stress and depression, improve self-esteem and body image are […]
Diana and her mother, Dorothy, have had a tumultuous relationship over the past three years. Dorothy (82) has refused to go into an assisted living facility against the wishes of her three daughters. Diana is the only child that lives in town and can care for her mother. During the COVID-19 situation, Dorothy has become […]
You know things are weird when behavioral health visits are outpacing primary care visits (at least as far as percentage increases) at many health centers. This is one of several paradoxes of the COVID-19 era along with the finding that many (if not most?) patients are preferring phone visits to video consults – which is […]
3 minute read Uncertainty surrounding COVID-19 can increase feelings of fear and worry among veterans with diabetes. As a behavioral health consultant, I saw an increase of referrals to primary care mental health. Suddenly, I had to develop innovative ways to address the emotional needs of veterans without the traditional in-person face to face appointment. […]
The second week of April saw our community settle into the COVID-19 era with better established telehealth practices and a better sense of what the near-term would hold for the provision of healthcare. This knowledge did little to diminish the uncertainty of the long-term outlook for healthcare teams, particularly for primary care where the economic […]
The first week of April saw our community solidify workflow changes to telehealth and continue to note the toll of the pandemic financially across the healthcare sector. Although less content overall was shared on our listserves compared to the initial weeks of the crisis it was clear community members were hard at work figuring things […]
The last week of March saw diminished COVID-19 information on our list serves as members turned to their new clinic workflows and new normals. Large questions still remained about reimbursement for telework, workflows for integrated care teams and the sustainability of the current situation. As a service to members and to the general public we […]
