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Directly Provided - Enduring Materials - Internet Early Effects of Medicare Accountable Care Organization (ACO) Programs on Mental Healthcare Spending and Quality
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Relative to its size and wealth, the US spends a disproportionate amount on health care compared to other nations, and has poorer health outcomes compared to similar countries as well. For many patients with psychiatric illness, medical comorbidity is common and both psychiatric and medical care is often inadequate. As part of the Affordable Care Act, in 2012 Medicare implemented Accountable Care Organizations. ACOs are a new payment model in health care, and it is hoped they will encourage health care delivery innovation, and develop new care models that will improve both quality and costs of health care. In this Grand Rounds, we will review the impetus for care delivery redesign, from a general and psychiatric health policy, explain the financial incentives structure in Medicare ACOs and how that might influence care delivery, and also discuss early findings on the effects of ACOs on care for patients with psychiatric disorders.

Directly Provided - Enduring Materials - Internet Archived: Enhancing Exposure Therapy in Pediatric Anxiety and OCD
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Directly Provided - Enduring Materials - Internet Archived: The Golda Edinburg Memorial Lecture-"The Art of Perception: Rethinking How We See"
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The Art of Perception (www.artfulperception.com) is a humanities based seminar for medical professionals that is designed to enhance observation, perception, and communication skills by learning to analyze works of art.  The collaborative program was developed in 2001 at The Frick Collection in New York City to help medical students improve their observation and communication skills with patients.  Since then, the program has been tailored not only to focus on interprofessional education but also to address those skills that are critical to effective practice and research in an increasingly technical environment: cultural competency, understanding of changing patient conditions, perceptual empathy and interdisciplinary communication. Art and photography are used to address and discuss assumptions, preconceived biases, and related ethical issues with medical colleagues, patients, and families. Facilitating effective communication in sensitive and emergency situations is especially timely and provides the foundation for this highly interactive program.