Opportunities and challenges for bringing behavioral health services into primary care

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Photo by Hannah Busing on Unsplash

Most medical conditions are greatly affected if not outright dependent on patients’ mental health factors. That means that for physician-led primary care teams many common mental health disorders, such as depression, anxiety, and substance abuse must be treated first before other (also serious) conditions can be treated. Almost 70 percent of people with mental health conditions have one or more medical comorbidities. Better integration of mental health professionals into primary care and physical health teams can help better meet patient needs and lead to better results.

The aim of integrated behavioral health is to blend care into one setting for medical conditions relating to behavioral health factors with overall well-being. This goes further than mental health referrals. Instead, medical and behavioral health clinicians work together as a small care team to address a patient’s needs or concerns. Integrating behavioral health into primary care continues to promise easier access and improved outcomes for patients. …


Servant Leadership in Teams and Work Groups

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Photo by Riccardo Annandale on Unsplash

After declining productivity in the United States and higher competition for qualified employees, organizations have become more responsive to the need to keep employees happy recognizing the high costs of employee turnover and the higher productivity rates for satisfied employees. Servant Leadership is characterized as a leadership style that aims to influence and motivate followers by meeting all their higher-order needs such as the need for training or skill-building, empowerment for creative problem solving, and favorable working conditions. …


Leader-member exchange theory and the creation of in-groups and out-groups

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Photo by Christina @ wocintechchat.com on Unsplash

Leader-Member Exchange Theory (LMX) takes a different approach to leadership than other theoretical approaches to leadership in that it looks at the dyadic leader to member relationship rather than just a top-down look from a leader to a team member.

Leader-member exchange theory doesn’t assume (like some leadership theories) that leaders deal with all subordinates in an equal or “same” manner. Instead, it takes for granted that each leader is different, each follower is different and together their relationship will be unique to them.

Originally developed as an alternative to general leadership style approaches, LMX theory draws from the social exchange theory of Blau who wrote Exchange and Power in Social Life in 1964. Blau’s social exchange theory explains that people engage with one another with the basic expectation of reciprocity. …


Partnering with patients for better health outcomes

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Photo by Priscilla Du Preez on Unsplash

Why patients are missing from their own healthcare

The reasons why some patients may not be fully engaged in their health care are myriad and complex. Insurance or financial burdens are an important factor that gets a lot of attention, but it isn’t the only one. Challenges can stem from many root causes, ranging from mistrusting doctors or the health system broadly to social determinants of health such as transportation, economic insecurity, lack of health literacy. …


An Old Style with New Tricks

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Photo by Joshua Sukoff on Unsplash

Transformational leadership has taken off as a preferred leadership style among both corporations and researchers. Transformational leadership has been a standing ideal for companies in the technology sector and has a growing interest for leaders in healthcare. The effectiveness and behavioral components of transformational leadership have been highly studied.

Leaders in all industries, especially today, are interested in creating adaptive workforces for reacting to changing environments or diffuse organizational challenges, and research into transformational leadership has shown positively correlated with individual and organizational development and goal achievement as well as employee and customer satisfaction

As stated earlier, transformational leadership is nothing totally new and has been well studied. It started mainly with the presidential biographer James MacGregor Burns in the late 1970s and in the early 80s it was drastically expanded on by organizational and leadership researchers Bass and Avolio. …


Hospitals in rural America were already under significant financial strain prior to the Covid-19 pandemic and that strain has only intensified.

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Photo by Martha Dominguez de Gouveia on Unsplash

Since 2010 more than 132 rural hospitals have closed, and many rural health advocates are expecting that number to significantly increase in the months following covid closures. That is because a dramatic drop in revenues led by a canceling of non-emergency surgical procedures during coronavirus has led to significant shortfalls in rural hospitals. Last year approximately 18 rural hospitals closed. With 3 months left in 2020, 16 hospitals have already closed.

Though COVID-19 was initially slow to spread to rural communities — the first rural county to report a case was about a month after the first person in the U.S. tested positive — that quickly changed. By late March, some rural counties were leading the U.S. in per capita rates of confirmed cases. To combat the economic impact of COVID-19, the federal government passed three emergency funding bills into law since early March, the most recent of which provided more than $100 billion to hospitals. …


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Photo by Brooke Lark on Unsplash

Leadership in any organization takes many forms. This can happen for multiple reasons, but chief among them are the organizational culture or design and the specific industry ecosystem in which an organization exist. As an example, successful leadership in a military setting will look completely different from successful leadership in a business setting. The same would be true for successful healthcare leadership and political leadership or a vast number of other areas where one can exhibit leadership. Each context can have similarities with another as each organization will have different cultures and structures that will also develop distinct styles. …


A task force formed in June to study telehealth use during the coronavirus public health emergency has released a study and list of recommendations for expanding coverage and greater access after Covid-19

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Photo by National Cancer Institute on Unsplash

The task force was made up of some of the biggest names in telehealth advocacy and policymaking. The report is calling for permanent changes to telehealth coverage beyond just the coronavirus response, which has led to a significant expansion of telehealth services and usage.

The task force was formed on behalf of the American Telemedicine Association, the Alliance for Connected Care, and the National Committee for Quality Assurance. Major players in telehealth that participated and signed the report included Amwell Medical Group, Humana, Children’s National Health System, MD Live, Teladoc, AARP, Department of Health and Human Services, among many others.

The report went in-depth into the future of telehealth, virtual care, and healthcare more generally. …


Guest writer Cicely Batie goes on an exciting adventure in Missouri wine country and reviews her experience.

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Cicely personal photo of the Blufftop Bistro

“Shooooooould we get another bottle?” I inquire as I slowly empty the remaining contents of the bottle at hand. As I try and balance the last drops equally between our two plastic cups, my boyfriend, Dan, meets my gaze and raises one eyebrow mischievously. A smile breaks on his face and he reaches over for his wallet and his mask and turns toward the A-Frame. Oh, wine in the time of COVID!

Poised on the edge of a bluff overlooking the Missouri River is a little A-Frame house and some picnic tables. Charming in its rustic red coat of paint, the little A-Frame holds within it a treasure trove of wine from the adjacent vineyards and winery. The A-Frame is only just one serving area in the greater Les Bourgeois Vineyard complex, but it’s an area with a view, and is perfect for a socially distanced sunset. …


The United States and Taiwan are searching for trading partners to shift global supply chains away from China

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Photo by Thomas Tucker on Unsplash

I was recently speaking with a Taiwanese friend about all the uncertainty and doubt that this year has caused not just in America but around the world. My friend reminded me that Taiwan has always existed in such an uncertain (even powerless) state, and yet they remain optimistic and hopeful.

For the last few decades Taiwan has been treated as untouchable diplomatically. The Republic of China (Taiwan) lost it’s seat in the United Nations to the People’s Republic of China (mainland China) in 1971. …

About

Grant Nordby

Think globally act locally. Writing about leadership, healthcare, business, international relations and economics.

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