Kelley Macmillan is a professional social worker with educational preparation in psychology (BA), mental health and family therapy (MSW), social work, gerontology and geriatrics (Ph.D.). Prior to joining the University of Nevada, Reno in 2015, Dr. Macmillan was a Clinical Associate Professor at the School of Social Work, University of Maryland for nine years. In addition he has more than 20 years of managerial and direct practice in health care delivery systems. Dr. Macmillan utilizes his skill, expertise, and patient-centered approach to serve clients and families in the Sanford Center Geriatric Clinic.
In addition to his role at the Sanford Center, Dr. Macmillan holds a joint appointment in the University of Nevada, Reno School of Social Work where he teaches gerontology-relevant courses and advises and mentors students from a range of disciplines.
As a social work practitioner in general and specialty hospitals, Dr. Macmillan functioned in direct practice and management roles to provide assessment, care planning and implementation of discharge plans for medical and psychiatric patients. In addition, he supervised social work staff on health and mental health units; in this role Dr. Macmillan supported staff to achieve the mission and goals of the social work program and the health care delivery system. Dr. Macmillan also took the leadership role on management teams to develop psychiatric, home health, hospice, and Employee Assistance Programs.
All of these experiences provide a foundation for his collaborative work on interprofessional healthcare teams. Dr. Macmillan was a co-faculty member teaching an Interprofessional Course on Care of the Critically Ill Patient to students from nursing, respiratory care, social work and pharmacy; faculty from these respective professions were members of the teaching team. The course, which completed its fourth year in the fall of 2014, included didactic and experiential simulations and case studies. He also served on the University of Maryland Interprofessional Day (IPE) planning committee for two years. This annual IPE Day experiential program brought together over 300 students from social work, dentistry, nursing, medicine, law, pharmacy, and physical therapy to learn introductory skills in teamwork.
Dr. Macmillan served on a planning and implementation team at the University of Maryland Medical Center for a post-hospital transition care coordination project to reduce hospital re-admissions in three areas: Congestive Heart Failure, HIV/AIDS, and Frequently Admitted Patients. This role informed him about the current emphasis on workforce development and new care delivery models.
Dr. Macmillan's research is focused on the role of community-based services and programs to assist older adults and persons with disabilities to remain in the community. A recent project was the development of Options Counseling Training for the Maryland Department of Aging. (MDOA) Enhanced Options Counseling Project funded by the Administration for Community Living (HHS). This training will assist MDOA staff and local aging and disability program staff to provide Options Counseling in the Aging and Disability Resource Centers (ADRC) statewide in 2014-15. Dr. Macmillan and MDOA staff piloted the training and then provided it to over 140 staff statewide in Maryland.
In addition, Dr. Macmillan is the PI on a grant with the Office of Adult Services, Maryland Department of Human Resources to provide training on a new policy and practice model designed to: 1) support local and state capacity to meet the growing demand for Adult Services; 2) target service delivery to those most in need; 3) reduce long-term client dependence on Adult Services; 4) strengthen engagement with public and private community partners; and, 5) address the systemic need to support Adult Services staff dealing with burn-out and secondary trauma. Dr. Macmillan and state and local stakeholder have finalized the development of outcome metrics for an evaluation of the impact of training on agency and staff change.
Two completed, funded projects focused on the training and education of social workers in the new models of care that have come about with implementation of the Patient Protection and Affordable Care Act. One project funded a student internship at a primary care center that was providing integrated behavioral healthcare. The project funds Dr. Macmillan's role to teach an Integrated Behavioral Healthcare Policy course. The second project, funded by the New York Community Trust involves eight other universities focused on identifying course materials on person-centered care and participant directed care for infusion in our curriculum. Funding provided in the second year of the project included two stipends per university for student internships in ADRC's.