Wake Forest IMPOWR Dissemination Education and Coordination Center (IDEA-CC)

维克森林 IMPOWR 传播教育和协调中心 (IDEA-CC)

• 批准号: 10866836
• 负责人: MEREDITH C. B. ADAMS
• 金额: $ 15.49万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10866836
• 关键词: Address; Adopted; Adoption; Caring; Clinical; Clinical Pathways; Clinical Trials; Cloud Computing; Communities; Complementary Health; Complex; Cost Analysis; Cost Sharing; Counseling; Data; Data Element; Data Set; Economics; Ecosystem; Education; Geography; Goals; Health; Health Policy; Healthcare; Helping to End Addiction Long-term; Individual; Insurance; Insurance Carriers; Integrative Medicine; Integrative Therapy; Intervention; Intervention Studies; Knowledge; Licensing; Link; Maps; Medicaid; Mental Health; National Institute of Drug Abuse; Network Infrastructure; Outcome; Pathway interactions; Pattern; Persons; Phase; Pilot Projects; Policies; Process; Professional counselor; Provider; Psychologist; Public Health; R24; Research; Research Design; Research Personnel; Resources; Scanning; Services; Social Workers; Surveys; Testing; Time; Translating; United States National Institutes of Health; Variant; Work; addiction; behavioral health; chronic pain; chronic pain management; clinical care; clinical practice; clinical research site; clinically relevant; comorbidity; data infrastructure; data resource; economic evaluation; effective therapy; evidence base; experience; forest; health economics; improved; opioid use disorder; parent grant; payment; peer; prevent; programs; substance use treatment; successful intervention; treatment services

Project Summary The NIH HEAL IMPOWR program focuses on developing integrated assessment and treatment pathways for people with chronic pain and opioid use disorder. The WF IMPOWR Dissemination Education and Coordination Center (IDEA-CC) provides the support and data infrastructure to develop, as well as the clinical, educational, and technical domain expertise to achieve the core principles of the IMPOWR program. This supplemental proposal builds on the goals of the parent grant to develop our understanding of how to translate the findings of the IMPOWR network interventions into clinical practice. Medicaid is the leading insurer for both substance use treatment and mental health in the US but has a wide range of coverage and reimbursement because of the local policy variation. While the IMPOWR network's studies are determining clinical utility, we plan to investigate longitudinal Medicaid coverage and reimbursement for a subset of states in the IMPOWR program for behavioral and integrative health interventions. Our long-term goal is to improve the treatment of co-morbid CP and OUD. We will assess Medicaid policy driven reimbursement for behavioral health and counseling services for OUD treatment according to provider type, as well as details around treatment specifics. The overall hypothesis is that the wide variety of Medicaid policy coverage and reimbursement creates gaps in care that prevent evidence-based care from being implemented. This hypothesis will be tested through our aim: Identifying Medicaid policies for coverage and reimbursement of behavioral and integrative health services for the treatment of OUD and CP. We will assess Medicaid policy driven reimbursement for behavioral health and counseling services for OUD treatment according to provider type (e.g., peer counselors, licensed counselors, social workers, and psychologists), as well as details around treatment specifics (setting, individual vs. group, # of sessions). Additionally, we will assess integrative therapies from IMPOWR interventions when available under policy. This proposal will identify both where IMPOWR study interventions could be implemented under existing policies and where Medicaid pilot studies may be required. Leveraging our ability to engage and analyze different payment and reimbursement data, this proposal will support, amplify, and create momentum for the IMPOWR network's findings across the HEAL network and scientific community. IDEA-CC will support NIH HEAL's goal to enhance the impact of existing treatments for co- occurring OUD and CP. The knowledge gained through this supplemental proposal will enable the scientific community to support understanding of what interventions can be adopted due to coverage and work toward Medicaid pilot projects for treatments that have demonstrated benefit in IMPOWR programs but may not yet be covered by payers.

项目摘要 NIH Hear IMPOWR计划专注于开发综合评估和治疗途径 患有慢性疼痛和阿片类药物使用障碍的人。WF IMPOWR传播教育与 协调中心(IDEA-CC)提供支持和数据基础设施以开发，以及临床、 教育和技术领域的专业知识，以实现IMPOWR计划的核心原则。这 补充方案建立在家长资助的目标基础上，以发展我们对如何翻译的理解 将IMPOWR网络干预的结果应用于临床实践。医疗补助计划是这两家公司的主要保险公司 美国的物质使用治疗和精神健康，但有广泛的覆盖范围和报销范围 由于当地政策的变化。虽然IMPOWR网络的研究正在确定临床效用，但我们 计划调查IMPOWR中部分州的纵向医疗补助覆盖范围和报销情况 行为和综合健康干预方案。我们的长期目标是改善患者的治疗。 共病的CP和OUD。我们将评估医疗补助政策驱动的行为健康补偿和 根据提供者类型提供咨询服务，以及有关治疗的详细信息 具体情况。总体假设是，医疗补助政策的广泛覆盖范围和报销范围 造成护理方面的差距，阻碍了循证护理的实施。这一假设将得到检验。 通过我们的目标：确定医疗补助政策的覆盖范围和报销行为和综合 治疗慢性阻塞性肺疾病和慢性阻塞性肺病的卫生服务。我们将评估医疗补助政策驱动的报销 用于根据提供者类型的OUD治疗的行为健康和咨询服务(例如，同伴顾问， 有执照的咨询师、社会工作者和心理学家)，以及关于治疗细节的细节(设置、 个人VS小组，会议次数)。此外，我们将评估IMPOWR的综合疗法 在政策允许的情况下进行干预。该提案将确定IMPOWR研究干预措施的位置 可以在现有政策下实施，并可能需要进行医疗补助试点研究。利用 我们能够参与和分析不同的付款和报销数据，该提案将支持、 扩大和推动IMPOWR网络在整个医疗保健网络和科学研究中的发现 社区。IDEA-CC将支持NIH Hear的目标，即增强现有治疗方法对联合癌症的影响。 发生在OUD和CP上。通过这项补充建议获得的知识将使科学 社区支持了解由于覆盖面和工作目标可以采取哪些干预措施 医疗补助试点项目，用于已在IMPOWR计划中显示出好处但可能尚未实现的治疗 由付款人支付。