The Population Health Template: A Roadmap for Successful Health Improvement Initiatives

Learning Objectives Describe the population health template as a tool to achieve and report on Quintuple Aim objectives of health improvement initiatives Identify gaps in current health initiatives illustrating the needs for the template\u27s more organized approach Apply the template to health improvement opportunities in health improvement initiatives Understand the role of social determinants of health in health improvement initiatives Presentation: 50:3

A Mental Health Workforce Crisis: Roadmap for Enhancing Recruitment & Retention in Minnesota, Iowa & Wisconsin

Building and maintaining an adequate mental health workforce requires successful recruitment and retention of qualified workers. Identifying recruitment and retention factors specific to behavioral health providers is essential in determining strategies for increasing the rural health behavioral workforce. The World Health Organization estimates there are 1.18 million additional mental health workers needed to end the mental health treatment gap between patients and providers worldwide. In the U.S., there has been a nationwide shortage of mental health professionals, and this shortage is more pronounced in rural communities,with twenty percent of rural areas lacking mental health services, compared to five percent of metropolitan areas. In 2013, there were 45,580 psychiatrists practicing in the United States. About fifty-nine percent of psychiatrists are 55 years old or older, and many are soon to retire, creating even more of a nationwide shortage of experts in prescribing psychotropic medications. By 2025, approximately 20,470 new psychiatrists will enter the workforce, but around the same number are likely to leave the workforce due to retirement in the Baby Boomer generation. Projections indicate there will be approximately 370 less psychiatrists nationwide by 2025 than are currently practicing, increasing the shortage of psychiatrists to approximately 6,080, despite projections for overall mental health patient population growth. By 2025, shortages of mental health professions are projected as follows: 8,220 psychologists, 16,940 mental health and substance abuse social workers, 3,740 school counselors, and 2,440 marriage and family therapists nationwide. The shortage of psychiatrists in the U.S. is driven in part by a growing need for behavioral health services. Table 1 below demonstrates why it is “imperative to consider the availability of psychiatric services, particularly because the entire subject of mental illness has for so long been avoided by both policy makers and the public.

Return visits to the emergency department

A persistent problem for emergency physicians is the patient who returns unscheduled to the emergency department with a problem that either has not improved or has worsened. The purpose of this study was to evaluate the frequency of revisits and the nature of the problems. All patients returning within 72 hours of their initial visit were entered into the study. The charts were evaluated for classification of problem, unavoidable v avoidable returns, and errors in medical care or patient education. Of the 64,336 patients seen during the study, 255 returned within 72 hours. Eighty-three (32.5%) of the returns were found to be avoidable with better patient education or medical care on the initial visit. The revisit population is a high-risk group of patients who should be approached carefully by emergency physicians.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/26598/1/0000139.pd

Emergency physician stress and morbidity

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/27251/1/0000259.pd

Semiotics of the Drama and the Style of Eugene O'neill.

This study results from a desire to integrate and organize the interaction of the multiple media in the dramatic form in a consistent and revealing way. Because the semiotic approach takes into account the discrete signifying systems which make up the form, it proves to be both theoretically and practically useful. This study shows a way of putting data about the signifying dimensions of the dramatic genre into controlled inventories in a computerizable format and shows how the data reveal style and invite comparisons with more traditional literary interpretations. The drama of Eugene O'Neill is studied from the semiotic perspective. O'Neill is the greatest dramatist of the United States, and the texts of his plays are especially rich in directions concerning the non-verbal signifying systems. Most semiotic studies of the drama either deal with one segment or illustrate signifying dimensions from diverse plays. Only a few semiotic studies h and le an entire play. The present study does so, through analysis of a selected corpus: Anna Christie, Desire Under the Elms, Strange Interlude, Mourning Becomes Electra, Long Day's Journey into Night, and A Touch of the Poet. This study theoretically grounds, then illustrates, the collection of the data and their interpretation at all three structural levels: the segment, the whole play, and the selected corpus. In terms of relative differences among semiotic dimensions within segments, from segment to segment within each play, and finally among the six plays, stylistic variance and development may be shown over the dramatist's career. Six semiotic dimensions have been found inherently valuable and adaptable to a controlled format: THEATRICAL SEMIOTIC SYSTEMS, MOTIFS, DRAMATIS PERSONAE CONFIGURATION, PERSONAE AWARENESS LEVEL, COMMUNICATIVE FUNCTIONS, and ARISTOTELIAN DIVISIONS. The concluding discussions of individual plays emphasize the MOTIF dimension because of its particular literary relevance. In h and ling the six signifying dimensions in a controlled format and moving between the structural levels of the corpus in an integrated, rather than a discontinuous or arbitrary way, linguistic methods and forms have been crucial, especially the matrices used by Kenneth L. Pike for multi-dimensional phonological or grammatical systems.Ph.D.American literatureUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/159582/1/8324219.pd