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Mary Takach blogs from Australia

New NASHP Publications

  • October 2014

    Oregon has taken significant steps to transform its health care and early education systems. Recognizing that good health is a key component of ensuring children enter school ready to succeed, Oregon is now aligning the two systems with the ultimate goal of improving kindergarten readiness. This report, supported by the Build Initiative, describes Oregon’s approach to aligning its two innovative system transformations and highlights key strategies ­– including joint staffing, blended funding, and shared expectations – to elucidate lessons for policy makers seeking to bridge health care and early education.

    Click for the Publication

  • October 2014

    Health care payers are increasingly turning to accountable care strategies, linking payments to value for a defined population of patients across a continuum of care, as they seek to control costs and improve quality. We examined publicly available sources to identify and analyze state-led activity to promote accountable care. We found that 17 states are implementing accountable care strategies in Medicaid or state employee health programs. State activity runs the gamut from financing accountable care models to developing state standards that certify public and private accountable care organizations, to aligning accountable care principles with the creation of new community-based organizations or Medicaid managed care organization contracts. As more states begin to use their leverage as health payers, purchasers, and regulators to re-shape health care delivery, policymakers can learn from their accountable care design principles and early pilot results.

  • October 2014

    Part 2 in the Transforming the Workforce to Provide Better Chronic Care:
    The Role of Registered Nurses series.
    Click to see the rest of the series.

    Community Care of North Carolina utilizes community-based obstetric (OB) nurse coordinators to help administrate and support North Carolina’s Pregnancy Medical Home program—a program that aims to improve birth outcomes while also decreasing costs for high-risk pregnant Medicaid patients. OB nurse coordinators are charged with engaging OB practices and local health departments in the program and providing them with data and quality improvement support. In addition to highlighting state policy implications, this brief also showcases how Doris Robinson, an OB nurse coordinator in southeast North Carolina, is working to drive improvements in care in her region. Since the program launched in 2011, OB nurse coordinators, like Doris, have helped to engage over 85 percent of OB practices in North Carolina that accept Medicaid.

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