Team Based Tele-Psychiatry in Family Medicine. Collaborative Learning Session October 26th SIM/TCPi

Size: px
Start display at page:

Download "Team Based Tele-Psychiatry in Family Medicine. Collaborative Learning Session October 26th SIM/TCPi"

Transcription

1 Team Based Tele-Psychiatry in Family Medicine Collaborative Learning Session October 26th SIM/TCPi

2 <iframe width="560" height="315" src=" frameborder="0" allow="autoplay; encrypted-media" allowfullscreen></iframe>

3 Have you been infected with stigma? Please access your smart phones, we are taking the stigma quiz Go to site: PollEv.com/bh931

4

5

6

7 If you answered C B D Congratulations!!! Your results show that you are #StigmaFree Thank you for being an ally to people with mental health conditions. We hope you will continue to be an ally to people with mental health conditions. Together, we can #CureStigma.

8

9 Collaborative care models Population Centered Models IMPACT (Washington State) Patient-Centered, Population-Based, Measurement-Based, Evidence-Based CMS supported Specialized (eg. TOPS,) Comprehensive Models (Cherokee) Colorado Models (Deep end of the pool)

10

11 ECHO Style Grand Rounds E-Consultation Store and Forward Telepsychiatry Virtual Integrated Care Shared EMR/Tracking Virtual Teaming E-Consult Store and Forward Direct Patient Care Supervision Education Telepsychiatry Supervision Telepsychiatry Consultation

12 Credentialing & Liability Licensure is needed in the state where the patient is located Unless you are working in a federal system Credentialing is largely dependent on the organization. Credentialing by proxy JACHO Define liability within contractual agreements Check in with malpractice providers Create good clinical protocols Work on consistent and clear communication 12

13 Technology Need HIPPA compliant technology Journey not a destination Flexibility to meet needs of patients, providers, and organization. Build in time and resources for troubleshooting 13

14 Program Design: Blending Telepsychiatry into Integrated Care Blended Model of Tele-Health Services and In-Person behavioral services for increased access Nursing PCP Psychiatry Technology: Cloud-based virtual telemedicine platform, real-time, video-based (Vidyo/Zoom platforms) Pharmacy Patient Psychology Stepped Model of Available Services: 1) E-consults: Staff message through EPIC EMR for brief questions/chart review 2) Provider-to-Provider Consultations: Scheduled or brief curbsides with PCP and/or BHP Social Work MODE OF CONSULT DELIVERY 3) Co-Consultations: Provide Consultations with PCP, Patient, and sometimes BHP to develop a plan together 4) Psychiatric Evaluation: Initiate plan, document recommendations for continued management 5) Interdisciplinary Team Meetings: Discuss patients with high medical complexity 6) Didactic Education Care Management Structure and Flexibility: Time is scheduled for consultations, meetings, and didactics & unscheduled time for curbside questions, warm-hand-offs, and supervision Coordinate with Behavioral Health Team: Psychologists, Social Workers, Health Coaches, Care Managers

15 Scheduling Add in as provider to your system PARs and MAs support technology and workflow Attach to other provider visits for co-consults Build in precepting time for scheduled and unscheduled consultation No 1:1 psychiatry visits Good communication with PCP and BHP Help increase PCP comfort with prescribing Pass patient back to PCP 15

16 Introducing Tele-behavioral health services to a Patient Appropriate for telehealth? Discuss with team Primary Care Provider a provider to provider consult may suffice Behavioral Health Provider can help with diagnostic clarification and treatment options Not for acutely suicidal or homicidal patients Can use in person behavioral health provider for support No patients with immediate hospitalization needs Can use in person behavioral health provider for support Consent before first session A few minute introduction and discussion to orient patient 16

17 Documentation Shared EMR with all team members and patient Not behind the glass or wall Open note system with patients Create referral structures for tracking of all behavioral health services Standard notes for shared system No process or psychotherapy notes No unnecessary details 17

18 Service Utilization Early Findings Mode of Consult Delivery Mental Health Diagnoses 18

19 Lessons Learned 19

20 More Lessons Learned Have Patience Organizational and change management takes time and ongoing education. Become Part of the Team While in many instances, providers must operate independently, successful integration requires A Beginner s Mind or a humility-based mindset with an ongoing learning orientation as providers on each side adjust to a different medical culture and learn how to be useful to each other. This mindset may require a shift from a hierarchical orientation to a team-based practice and is intrinsically linked to relationships. Relationships Matter Relationships with other providers will impact patient care. We need to be aware of different personalities and priorities, build trust and navigate new technology.

21 Sample cases Patient 1 Severe depression, renal failure, hypertension, CHF, morbid obesity, insulin-dependent diabetes, sleep apnea Patient 2 Bipolar, hypothyroidism, migraines, severe premenstrual syndrome including suicidality Patient 3 Bipolar, diabetes, history of substance use disorder, chronic back pain, cardiomyopathy, pulmonary hypertension, and suicide ideation Patient 4 Joint degeneration muscular atrophy, social anxiety, Munchausen disorder, chronic pain, phobias Patient 5 Perinatal depression, grief, anxiety, insomnia, psychosocial stress Patient 6 Depression, anxiety, PTSD, end stage renal disease, on dialysis, refusal to continue behavioral care with community mental health center

22 Story 1 Ms. B was in her late 20s and presented with a complex eating disorder hx and high degree of emotional distress. On the day of her first visit, the clinic administrators informed me Ms. B contacted the clinic multiple times throughout the day to demand immediate medical services. She was highly distressed and tangential during her first visit, but her PCP and I were able to help her reduce her distress and identify specific needs. The initial presentation suggested that she required a referral for eating disorder treatment. The behavioral health model at AFW gave me the time and flexibility to align with the patient and understand she did not want or need additional treatment for her eating disorder. Instead, she described a long history of systemic problems related to inattention and concentration. Through additional assessment, and consultation with our telepsychiatry team, we were able determine she had untreated ADHD, which greatly impaired daily functioning and interfered with her ability to successfully manage her eating disorder. Our telepsychiatrist was able to prescribe an appropriate medication, and we helped the patient establish long term care with a therapist in the community. During my last visit with Ms. B she told me that she was enrolled in community college courses, and, for the first time in years, was hopeful about her future.

23 Story 2 PCP requested a warm hand off with behavioral health for a 9-year-old, cisgender, Hispanic female, presenting with suicidal ideation. The BHP worked with the child to help her manage her anxious distress and suicidal thoughts. After the second visit, the patient reported feeling "safe" at A.F. Williams. She would invite her father and siblings in to each visit at the end to teach them what she had learned to help the family develop strategies to support healthy forms of distress management at home. After three visits, the patient disclosed she was hearing voices and seeing shadows. Telepsychiatry was brought into the patient s care as a bridge for support with psychiatric medications until she was able to establish with a community psychiatrist. Ultimately, we were able to connect the patient to Children's Hospital for psychiatry. Because of team based care available at A.F. Williams, we were able to meet the child and her family's immediate and remote needs.

24 Story 3 A single woman in her early 40s presented with fibromyalgia, obesity, history of depression, delayed-sleep phase syndrome, sleep apnea. She was also grieving her father s death, recently lost her job, reported her chronic pain and sleep difficulties were making it very challenging to maintain a job, and as a result was feeling worthless and hopeless. We provided therapy and helped her identify values and goals, discussed how social relationships were an important values to the patient and how pain, fatigue, and depression were perceived barriers to developing and maintaining meaningful relationships. With the support of telepsychiatry the PCP made adjustments to antidepressant medications. BHP presented her case at an integrated care team meeting and received suggestions from physicians, pharmacists and social workers about considerations for whole person care. As a result of our team based care approach, the patient is reporting progress, applied for jobs, successfully completed several interviews, and began a new job, started selling her crafts on Etsy, and intentionally increased socialization. She still struggles with chronic pain and sleep and we are introducing CBT and acceptancebased approaches to chronic pain.

25 How has telepsychiatry impacted patient care? With telepsychiatry you can teach an old dog new tricks. - This provides an opportunity for primary care providers to get a glimpse into what happens in a psychiatry visit. - Often times, after training we don t get to see how others practice. We have many patients who will never go outside of primary care for their health needs. - Now we can do more to help them in our own practice where they feel most comfortable and are more likely to follow up. 25

26 Next Steps Expansion of telepsychiatry as we expand in person behavioral health integration with the hiring of new psychologists Westminster Boulder Lone Tree Collaborating with the Department of Psychiatry for resident training Planning to provide 5 psychiatry residents clinical experience in the year Planning didactics for psychiatry residents as well as some combined didactics for psychiatry residents, family medicine residents, and psychology interns/externs

27 Discussion and Questions 27

Caring for the Underserved - Innovative Pharmacy Practice Integration

Caring for the Underserved - Innovative Pharmacy Practice Integration Caring for the Underserved - Innovative Pharmacy Practice Integration Sarah T. Melton, PharmD, BCPP, BCACP, FASCP Associate Professor Pharmacy Practice Clinical Pharmacist, Johnson City Community Health

More information

Specialty Behavioral Health and Integrated Services

Specialty Behavioral Health and Integrated Services Introduction Behavioral health services that are provided within primary care clinics are important to meeting our members needs. Health Share of Oregon supports the integration of behavioral health and

More information

Creating the Collaborative Care Team

Creating the Collaborative Care Team Creating the Collaborative Care Team Social Innovation Fund July 10, 2013 Social Innovation Fund Corporation for National & Community Service Federal Funder The John A. Hartford Foundation Philanthropic

More information

Johnson City Community Health Center and Treating the Uninsured Mentally Ill

Johnson City Community Health Center and Treating the Uninsured Mentally Ill Johnson City Community Health Center and Treating the Uninsured Mentally Ill Sarah T. Melton, PharmD,BCPP,BCACP,CGP,FASCP Associate Professor Gatton College of Pharmacy Disclosure Statement of Financial

More information

Collaborative Care (IMPACT)- An Overview June 11, 2015

Collaborative Care (IMPACT)- An Overview June 11, 2015 Collaborative Care (IMPACT)- An Overview June 11, 2015 1 2 Mental Health in the US Depression is the leading cause of disability worldwide ~7% of US adults experienced major depression at least once during

More information

UPMC Telehealth Program. Leveraging Advances in Technology to Transform Healthcare Delivery through New Models of Care

UPMC Telehealth Program. Leveraging Advances in Technology to Transform Healthcare Delivery through New Models of Care UPMC Telehealth Program Leveraging Advances in Technology to Transform Healthcare Delivery through New Models of Care UPMC s Telehealth Expansion Pediatric Specialty Inpatient Dermatology Pre & Post Operative

More information

Improving Behavioral Health Services in Pediatric Primary Care: Collaboration and Integration

Improving Behavioral Health Services in Pediatric Primary Care: Collaboration and Integration Improving Behavioral Health Services in Pediatric Primary Care: Collaboration and Integration A B I G A I L S C H L E S I N G E R, M D M E D I C A L D I R E C T O R, C H I L D R E N S H O S P I T A L C

More information

Pediatric Behavioral Health: How to Improve Primary Care Coordination and Increase Access

Pediatric Behavioral Health: How to Improve Primary Care Coordination and Increase Access Population Health Advisor Pediatric Behavioral Health: How to Improve Primary Care Coordination and Increase Access Jasmaine McClain, PhD Senior Analyst, Research McClainJ@advisory.com 6 Introducing Population

More information

PLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral Health track

PLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral Health track San Mateo Medical Center Medical Psychiatry Services 222 W. 39 th Ave. San Mateo, CA 94403 (650)573-2760 PLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral

More information

Legal Issues You Should Know April 25, 2018 In-House Counsel Conference

Legal Issues You Should Know April 25, 2018 In-House Counsel Conference 1 TELEMEDICINE Legal Issues You Should Know April 25, 2018 In-House Counsel Conference Disclaimer: These materials and presentation are intended to be a general and brief summary of the law. This is not

More information

The Integration of Behavioral Health and Primary Care: A Leadership Perspective

The Integration of Behavioral Health and Primary Care: A Leadership Perspective The Integration of Behavioral Health and Primary Care: A Leadership Perspective Eboni Winford, Ph.D. Behavioral Health Consultant Cherokee Health Systems Our Mission To improve the quality of life for

More information

INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE

INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE THE CENTER FOR POLICY, ADVOCACY, AND EDUCATION OF THE MENTAL HEALTH ASSOCIATION OF NEW YORK CITY INTEGRATION AND COORDINATION OF BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE A Presentation at The Community

More information

Best Practices in Managing Patients with Heart Failure Collaborative

Best Practices in Managing Patients with Heart Failure Collaborative Best Practices in Managing Patients with Heart Failure Collaborative Improving Care for HF Patients in a Primary Care Setting University of Utah Community Physicians Group September 1, 2016 Re-cap of Original

More information

IMPLEMENTATION OF INTEGRATED CARE FROM A LEADERSHIP PERSPECTIVE. Tennessee Primary Care Association Annual Conference October 25 26, 2012.

IMPLEMENTATION OF INTEGRATED CARE FROM A LEADERSHIP PERSPECTIVE. Tennessee Primary Care Association Annual Conference October 25 26, 2012. IMPLEMENTATION OF INTEGRATED CARE FROM A LEADERSHIP PERSPECTIVE Tennessee Primary Care Association Annual Conference October 25 26, 2012 Outline I. Brief Overview of Cherokee (Who are we?) II. The Integrated

More information

Relationships: The Behavioral Health Consultant, Primary Care Physician, and Psychiatrist i t Healthcare Integration Webinar National Council for Community Behavioral Healthcare February 25, 2010 The Status

More information

Using Innovation to Maximize Behavioral Health Accommodations. Regions Hospital Case Study

Using Innovation to Maximize Behavioral Health Accommodations. Regions Hospital Case Study Using Innovation to Maximize Behavioral Health Accommodations Regions Hospital Case Study DISCLAIMER The following slides are provided for informational purposes only and do not constitute legal advice.

More information

Three World Concept of Behavioral Health and Primary Care Integration Part 3 The Clinician Perspective

Three World Concept of Behavioral Health and Primary Care Integration Part 3 The Clinician Perspective Three World Concept of Behavioral Health and Primary Care Integration Part 3 The Clinician Perspective Colorado Behavioral Health Association October 3, 2010 Three World Model C. J. Peek suggests that

More information

LOUISIANA MEDICAID PROGRAM ISSUED: 06/09/17 REPLACED: CHAPTER 2: BEHAVIORAL HEALTH SERVICES SECTION 2.2: OUTPATIENT SERVICES PAGE(S) 8

LOUISIANA MEDICAID PROGRAM ISSUED: 06/09/17 REPLACED: CHAPTER 2: BEHAVIORAL HEALTH SERVICES SECTION 2.2: OUTPATIENT SERVICES PAGE(S) 8 Licensed Practitioner Outpatient Therapy includes: Individual; Family; Group; Outpatient psychotherapy; Mental health assessment; Evaluation; Testing; Medication management; Psychiatric evaluation; Medication

More information

Robert N. Cuyler, Ph.D., Senior Associate, OPEN MINDS The 2014 OPEN MINDS Planning & Innovation Institute June 3, :15am 12:30pm

Robert N. Cuyler, Ph.D., Senior Associate, OPEN MINDS The 2014 OPEN MINDS Planning & Innovation Institute June 3, :15am 12:30pm Robert N. Cuyler, Ph.D., Senior Associate, OPEN MINDS The 2014 OPEN MINDS Planning & Innovation Institute June 3, 2014 11:15am 12:30pm I. Overview Of The Current Telehealth Market II. Telehealth In An

More information

CONTROLLING MENTAL HEALTH COSTS THROUGH EAP PROGRAMS. Sean Fogarty, Curalinc Healthcare

CONTROLLING MENTAL HEALTH COSTS THROUGH EAP PROGRAMS. Sean Fogarty, Curalinc Healthcare CONTROLLING MENTAL HEALTH COSTS THROUGH EAP PROGRAMS Sean Fogarty, Curalinc Healthcare Using EAPs to Control the Cost of Mental Health April 5, 2016 Introduction Sean Fogarty, President and CEO, CuraLinc

More information

Central Oregon Integrated Care Collaborative: Operational Strategies for Success

Central Oregon Integrated Care Collaborative: Operational Strategies for Success Central Oregon Integrated Care Collaborative: Operational Strategies for Success 1 May 8, 2018 2 Welcome! Mike Franz, MD, DFAACAP, FAPA Medical Director, Behavioral Health, PacificSource Thanks to the

More information

Integration of Behavioral Health & Primary Care in a Homeless FQHC

Integration of Behavioral Health & Primary Care in a Homeless FQHC Integration of Behavioral Health & Primary Care in a Homeless FQHC AtlantiCare Health Services Mission Health Care May 2012 Bridgette Richardson, LCSW Executive Director, AtlantiCare Health Services, Mission

More information

OneCare Model of Care

OneCare Model of Care OneCare Model of Care Note: Content of this course was current at the time it was published. As Medicare policy changes frequently, check with your immediate supervisor regarding recent updates. 2018 Learning

More information

Blending Behavioral Health and Primary Care. Cherokee Health Systems Clinical Model

Blending Behavioral Health and Primary Care. Cherokee Health Systems Clinical Model Blending Behavioral Health and Primary Care Cherokee Health Systems Clinical Model Brittany Tenbarge, Ph.D. Behavioral Health Consultant Licensed Clinical Psychologist Our Mission To improve the quality

More information

Telehealth: Using technology in the delivery of healthcare

Telehealth: Using technology in the delivery of healthcare Telehealth: Using technology in the delivery of healthcare Using Telemedicine to Treat Chronic Disease in Rural Communities "Rural Americans face a unique combination of factors that create disparities

More information

INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH

INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH Integrating silos of care Goal of integration: no wrong door to quality health care Moving From Moving Toward Primary Care Mental Health Services Substance

More information

Integrated Mental Health Care. Questions

Integrated Mental Health Care. Questions Integrated Mental Health Care Closing the gap between what we know and what we do. Jürgen Unützer, MD, MPH, MA Questions Due to the large number of participants, it is not practical to take questions over

More information

One Voice Project Depression Screening and Treatment in Primary Care

One Voice Project Depression Screening and Treatment in Primary Care One Voice Project Depression Screening and Treatment in Primary Care Executive Summary The Northeast Business Group on Health (NEBGH) multi-stakeholder Mental Health Task Force, comprised of the New York

More information

Ryan White Part A. Quality Management

Ryan White Part A. Quality Management Quality Management Mental Health Services Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) The creation of this public document is fully funded by a federal Ryan White CARE Act Part A grant

More information

MEDICAL POLICY No R2 TELEMEDICINE

MEDICAL POLICY No R2 TELEMEDICINE Summary of Changes Clarifications: Page 1, Section I. A 6, additional language added for clarification. Deletions: Additions Page 4, Section IV, Description, additional language added in regards to telemedicine.

More information

Resident Rotation: Collaborative Care Consultation Psychiatry

Resident Rotation: Collaborative Care Consultation Psychiatry Resident Rotation: Collaborative Care Consultation Psychiatry Anna Ratzliff, MD, PhD Ramanpreet Toor, MD James Basinski, MD With contributions from: Jürgen Unützer, MD, MPH, MA Jennifer Sexton, MD, Catherine

More information

White Paper: Delivering Innovation, Quality, and Access to U.S. Service Members, Veterans, and Their Families

White Paper: Delivering Innovation, Quality, and Access to U.S. Service Members, Veterans, and Their Families White Paper: Delivering Innovation, Quality, and Access to U.S. Service Members, Veterans, and Their Families Overview of UnitedHealth Group UnitedHealth Group provides a highly-diversified and comprehensive

More information

Telehealth Legal and Compliance Issues. Nathaniel Lacktman, Anna Whites, Esq.

Telehealth Legal and Compliance Issues. Nathaniel Lacktman, Anna Whites, Esq. Telehealth Legal and Compliance Issues Nathaniel Lacktman, Esq. @Lacktman Anna Whites, Esq. Anna Whites Law Office Attorney Advertising Prior results do not guarantee a similar outcome Models used are

More information

COMPASS Workflow & Core Elements

COMPASS Workflow & Core Elements COMPASS Workflow & Core Elements Care of Mental, Physical, and Substance use Syndromes! The project described was supported by Grant Number 1C1CMS331048-01-00 from the Department of Health and Human Services,

More information

ProviderReport. Managing complex care. Supporting member health.

ProviderReport. Managing complex care. Supporting member health. ProviderReport Supporting member health Managing complex care Do you have patients whose conditions need complex, coordinated care they may not be able to facilitate on their own? A care manager may be

More information

Ryan White Part A Quality Management

Ryan White Part A Quality Management Quality Management Mental Health Services Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) The creation of this public document is fully funded by a federal Ryan White CARE Act Part A grant

More information

INVESTING IN INTEGRATED CARE

INVESTING IN INTEGRATED CARE INVESTING IN INTEGRATED CARE The Maine Health Access Foundation s 12 year journey (2005 2016) to improve patient centered care in Maine through the Integrated Care Initiative. Table of Contents The MeHAF

More information

Blending Behavioral Health and Primary Care. Applying the Model. Brittany Tenbarge, Ph.D. Behavioral Health Consultant Licensed Clinical Psychologist

Blending Behavioral Health and Primary Care. Applying the Model. Brittany Tenbarge, Ph.D. Behavioral Health Consultant Licensed Clinical Psychologist Blending Behavioral Health and Primary Care Applying the Model Brittany Tenbarge, Ph.D. Behavioral Health Consultant Licensed Clinical Psychologist Overview Introducing the Model to Patients Key Components

More information

19 th Annual Western Regional Conference Women in Government May 21, 2016 Seattle, WA

19 th Annual Western Regional Conference Women in Government May 21, 2016 Seattle, WA TELE TODAY 19 th Annual Western Regional Conference Women in Government May 21, 2016 Seattle, WA 877 707 7172 cchpca.org Mei Wa Kwong, JD Senior Policy Associate & Project Director DISCLAIMERS Any information

More information

What is Telemedicine and How is It Being Used?

What is Telemedicine and How is It Being Used? What is Telemedicine and How is It Being Used? March 14, 2018 Presented by: Attorney Karina P. Gonzalez Florida Healthcare Law Firm www.floridahealthcarelawfirm.com 2016 The Law Offices of Jeff Cohen,

More information

Internship Opportunities

Internship Opportunities Internship Opportunities Mission Statement The Harrisonburg-Rockingham Community Services Board provides services that promote dignity, recovery, and the highest possible level of participation in work,

More information

Quality Management and Improvement 2016 Year-end Report

Quality Management and Improvement 2016 Year-end Report Quality Management and Improvement Table of Contents Introduction... 4 Scope of Activities...5 Patient Safety...6 Utilization Management Quality Activities Clinical Activities... 7 Timeliness of Utilization

More information

RPC and OMH Collaborative Care Webinar. February 1, pm

RPC and OMH Collaborative Care Webinar. February 1, pm RPC and OMH Collaborative Care Webinar February 1, 2018 1 2pm AGENDA Welcome & Introductions OMH Care Collaborative Overview Q&A Cathy Hoehn, LMHC RPC Initiative Director CH@clmhd.org 518 396 0788 www.clmhd.org/rpc

More information

PEDIATRIC PRIMARY CARE and BEHAVIORAL HEALTH INTEGRATION

PEDIATRIC PRIMARY CARE and BEHAVIORAL HEALTH INTEGRATION PEDIATRIC PRIMARY CARE and BEHAVIORAL HEALTH INTEGRATION AN OASIS IN THE FUTURE James N Bowen DO Chief Medical Officer The Guidance Center Flagstaff, AZ. WHAT WE WILL DISCUSS Why? What? How? When? WHY

More information

Better Quality Is Our Goal

Better Quality Is Our Goal FLORIDA 2016 ISSUE II Better Quality Is Our Goal We at Staywell want to deliver great care and service to our members. That s why we created our Quality Improvement (QI) Program. The program s goal is

More information

Mental Health at Mercy Health: Treating the Whole Person. David E. Blair, MD Mercy Health Physician Partners President and CMO

Mental Health at Mercy Health: Treating the Whole Person. David E. Blair, MD Mercy Health Physician Partners President and CMO Mental Health at Mercy Health: Treating the Whole Person David E. Blair, MD Mercy Health Physician Partners President and CMO Trinity Health s 22-state diversified system today $17.6B In Revenue 1.3M Attributed

More information

Delaware Perinatal Population. Behavioral Objectives:

Delaware Perinatal Population. Behavioral Objectives: A HYBRID INTEGRATED MATERNAL MENTAL HEALTH CARE MODEL: IMPLEMENTATION STRATEGIES AND CHALLENGES FOR AN OUTPATIENT, HOSPITAL-BASED MATERNAL MENTAL HEALTH PROGRAM Megan O Hara, LCSW Malina Spirito, Psy.D.,

More information

Psychiatric Mental Health Nursing Core Competencies Individual Assessment

Psychiatric Mental Health Nursing Core Competencies Individual Assessment Individual Name: Orientation Start Date: Completion Date: Instructions: -the nurse will rate each knowledge, skill, or attitude (KSA) from 1 (novice) to 5 (expert) in each box. Following orientation or

More information

Counselling Services in Campus Wellness. Presented by: Tom Ruttan, Director Counselling Services

Counselling Services in Campus Wellness. Presented by: Tom Ruttan, Director Counselling Services Counselling Services in Campus Wellness Presented by: Tom Ruttan, Director Counselling Services Lay of the Land Me it s complicated 22 FTE s counsellors psychologists social workers psychotherapists very

More information

Medical History Form

Medical History Form Medical History Form Patient Name of Birth Medical History Do you have or have you had any of the following? Condition Yes No Condition Yes No Condition Yes No ADHD Stroke Menopausal Syndrome Allergies

More information

Healthcare Transformation at. Cherokee Health Systems

Healthcare Transformation at. Cherokee Health Systems Dennis S. Freeman Chief Executive Officer Cherokee Health Systems Healthcare Transformation at Cherokee Health Systems Blending Behavioral Health Providers into the Patient-Centered Medical Home Speaker

More information

Dialectical Behavioral Therapy (DBT) Level of Care Guidelines

Dialectical Behavioral Therapy (DBT) Level of Care Guidelines Page 1 of 5 Category: Code: Subject: Purpose: Policy: Utilization Management Dialectical Behavioral Therapy () Level of Care Guidelines The purpose of this policy is to describe the criteria used by BHP

More information

Telemedicine Guidance

Telemedicine Guidance Telemedicine Guidance GEORGIA DEPARTMENT OF COMMUNITY HEALTH DIVISION OF MEDICAID Revised: October 1, 2017 Policy Revisions Record Telemedicine Guidance 2017 REVISION DATE Oct. 1, 2017 SECTION REVISION

More information

What I need to know if I am considering setting up a DBT Programme in my service

What I need to know if I am considering setting up a DBT Programme in my service What I need to know if I am considering setting up a DBT Programme in my service Produced by Daniel Flynn, Clinical Psychologist (Programme Leader), and Jemma Deegan, Research Assistant, The Endeavour

More information

Resident Rotation: Collaborative Care Consultation Psychiatry

Resident Rotation: Collaborative Care Consultation Psychiatry Resident Rotation: Collaborative Care Consultation Psychiatry Anna Ratzliff, MD, PhD James Basinski, MD With contributions from: Jurgen Unutzer, MD, MPH, MA Jennifer Sexton, MD, Catherine Howe, MD, PhD

More information

The Center for Health Care Services High Utilizer Program and Integrated Care Team

The Center for Health Care Services High Utilizer Program and Integrated Care Team The Center for Health Care Services High Utilizer Program and Integrated Care Team Changing the way we provide care so that our consumers can change their lives. Presented by Bren Manaugh, LCSW, COHQ Vice

More information

Redesign of an Integrated Community Pain Service. Homerton Locomotor Service

Redesign of an Integrated Community Pain Service. Homerton Locomotor Service Redesign of an Integrated Community Pain Service Homerton Locomotor Service Elizabeth Slee Clinical specialist physiotherapist in chronic pain Twitter @QIhomerton www.homerton.locomotor Issues relating

More information

Physical Health Integration Within Behavioral Healthcare: Promising Practices

Physical Health Integration Within Behavioral Healthcare: Promising Practices Physical Health Integration Within Behavioral Healthcare: Promising Practices 9:45 AM 10:45 AM Steering Toward Success: Achieving Value in Whole Person Care September 25 and October 26, 2017 The Healthier

More information

THE COUNSELING PLACE ADULT INTAKE FORM Yearly Family Income:

THE COUNSELING PLACE ADULT INTAKE FORM Yearly Family Income: Person to Contact in Case of Emergency Name Relationship Best Contact Number Alternative Contact Number Office Use Only Intake Date Reason for referral Counselor THE COUNSELING PLACE ADULT INTAKE FORM

More information

Psychologist-Patient Services Agreement

Psychologist-Patient Services Agreement Psychologist-Patient Services Agreement Welcome! This document contains important information about my professional services and business policies. This document also contains a brief summary of information

More information

The Way Forward. Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador

The Way Forward. Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador The Way Forward Towards Recovery: The Mental Health and Addictions Action Plan for Newfoundland and Labrador 2 Table of Contents Introduction... 2 Background... 3 Vision and Values... 5 Governance... 6

More information

Chapter 2 Provider Responsibilities Unit 6: Behavioral Health Care Specialists

Chapter 2 Provider Responsibilities Unit 6: Behavioral Health Care Specialists Chapter 2 Provider Responsibilities Unit 6: Health Care Specialists In This Unit Unit 6: Health Care Specialists General Information 2 Highmark s Health Programs 4 Accessibility Standards For Health Providers

More information

Mental / Behavioral Health Screening in Pediatric Primary Care OVERVIEW OF THE PEDIATRIC PSYCHIATRY COLLABORATIVE PROGRAM

Mental / Behavioral Health Screening in Pediatric Primary Care OVERVIEW OF THE PEDIATRIC PSYCHIATRY COLLABORATIVE PROGRAM Mental / Behavioral Health Screening in Pediatric Primary Care OVERVIEW OF THE PEDIATRIC PSYCHIATRY COLLABORATIVE PROGRAM 1 Co-Presenters Ray Hanbury, Ph.D., A.B.P.P. Chief Psychologist, Dept. of Psychiatry

More information

Umeka Franklin, MSW, PPSC, LCSW

Umeka Franklin, MSW, PPSC, LCSW Umeka Franklin, MSW, PPSC, LCSW Education University of Southern California Doctorate of Education Candidate In progress University of Southern California May 2002 Masters of Social Work Active Pupil Personnel

More information

What is Mental Health Integration?

What is Mental Health Integration? What is Mental Health Integration? Quality Experience Cost A standardized clinical and operational team process that incorporates mental health as a complementary component of wellness & healing * Mental

More information

Charting New Territory: Integrating Behavioral Health in Rural Group Practice

Charting New Territory: Integrating Behavioral Health in Rural Group Practice Charting New Territory: Integrating Behavioral Health in Rural Group Practice Shay Stacer, PhD Behavioral Health Consultant Licensed Clinical Psychologist Brief Training Bio Clinical Psychology PhD University

More information

Residential Treatment Facility TRR Tool 2016

Residential Treatment Facility TRR Tool 2016 Provider Name: Address: Provider Type: Name of Reviewer: Date of Review: Residential Treatment Facility TRR Tool 2016 Member ID Auth Dates 1 Initial Assessment Areas of Review Reference Record 1 Record

More information

Elliott Wilson Manager, Telehealth and Mobility Programs

Elliott Wilson Manager, Telehealth and Mobility Programs Elliott Wilson Manager, Telehealth and Mobility Programs 856-248-6575 exwilson@virtua.org THE TELEHEALTH JOURNEY Challenges and Opportunity Across the Continuum Agenda and Objectives Overview of Virtua

More information

Care Coordination (CC) assists members and their families with complex needs

Care Coordination (CC) assists members and their families with complex needs Care Coordination (CC) assists members and their families with complex needs Care is member-centered, family-focused, and culturally competent. CC assists in locating services to meet the health and social

More information

Provider Selection Criteria for PreferredOne Participating Mental Health Practitioners

Provider Selection Criteria for PreferredOne Participating Mental Health Practitioners Provider Selection Criteria for PreferredOne Participating Mental Health Practitioners General Criteria 1. Practitioner must serve a specialty and/or geographic need for the good of the PreferredOne product

More information

The Managed Care Technical Assistance Center of New York

The Managed Care Technical Assistance Center of New York The Managed Care Technical Assistance Center of New York The Managed Care Technical Assistance Center of New York What is MCTAC? MCTAC is a training, consultation, and educational resource center that

More information

Asthma Disease Management Program

Asthma Disease Management Program Asthma Disease Management Program A: Program Content GHC-SCW is committed to helping members, and their practitioners, manage chronic illness by providing tools and resources to empower members to self-manage

More information

Medical Home Summit September 20, 2011

Medical Home Summit September 20, 2011 Medical Home Summit September 20, 2011 1 Three Dimensions of Value by Institute of Healthcare Improvement Population Health Experience of Care Per Capita Cost Care Management : The unintended consequences

More information

THE AFFORDABLE CARE ACT: OPPORTUNITIES FOR SOCIAL WORK PRACTICE IN INTEGRATED CARE SETTINGS. Suzanne Daub, LCSW April 22, 2014

THE AFFORDABLE CARE ACT: OPPORTUNITIES FOR SOCIAL WORK PRACTICE IN INTEGRATED CARE SETTINGS. Suzanne Daub, LCSW April 22, 2014 THE AFFORDABLE CARE ACT: OPPORTUNITIES FOR SOCIAL WORK PRACTICE IN INTEGRATED CARE SETTINGS Suzanne Daub, LCSW April 22, 2014 Agenda Why integrate primary care and behavioral health? Define integrated

More information

ALL MENTAL HEALTH AND SUBSTANCE USE DISORDER PROGRAMS MUST INCLUDE PSYCHOSOCIAL AND PSYCHIATRIC EVALUATIONS

ALL MENTAL HEALTH AND SUBSTANCE USE DISORDER PROGRAMS MUST INCLUDE PSYCHOSOCIAL AND PSYCHIATRIC EVALUATIONS COUNTY of NASSAU DEPARTMENT OF HUMAN SERVICES Office of Mental Health, Chemical Dependency and Developmental Disabilities Services 60 Charles Lindbergh Boulevard, Suite 200, Uniondale, New York 11553-3687

More information

Building a Successful Telemedicine Program

Building a Successful Telemedicine Program Building a Successful Telemedicine Program Part 1 Ronald S. Weinstein, MD Founding Director, Arizona Telemedicine Program First Telemedicine Case Massachusetts General Hospital April, 1968 Warren Street

More information

Stronger Connections. Better Health. Primary Care Strategy Update

Stronger Connections. Better Health. Primary Care Strategy Update Stronger Connections Better Health Primary Care Strategy Update Summer 2017 Get Involved: Connecting Primary Care through Networks Primary Care Providers have an important and unique perspective on the

More information

CLINICAL PEARLS FOR SUCCESS IN MEDICAL RESPITE 2018 MEDICAL RESPITE TRAINING SYMPOSIUM PHOENIX, ARIZONA OCTOBER 1-2, 2018

CLINICAL PEARLS FOR SUCCESS IN MEDICAL RESPITE 2018 MEDICAL RESPITE TRAINING SYMPOSIUM PHOENIX, ARIZONA OCTOBER 1-2, 2018 CLINICAL PEARLS FOR SUCCESS IN MEDICAL RESPITE 2018 MEDICAL RESPITE TRAINING SYMPOSIUM PHOENIX, ARIZONA OCTOBER 1-2, 2018 PRESENTERS: DAVE MUNSON, MD MEDICAL DIRECTOR BOSTON HEALTHCARE FOR THE HOMELESS

More information

Park Nicollet Health Services Community Health Needs Assessment 2016 Implementation Update

Park Nicollet Health Services Community Health Needs Assessment 2016 Implementation Update Park Nicollet Health Services Community Health Needs Assessment 2016 Implementation Update Priority #1: Mental and Behavioral Health Objective Action Steps Responsible Leader(s) Improve education about

More information

a. The Care Plan dated 2/16/10 documented the following:

a. The Care Plan dated 2/16/10 documented the following: b. The Plan of Care dated 1/12/10 documented, "Problem: At risk for depression, related to very young to be in long term care facility and permanent brain damage R/T [related to] trauma. Approaches: Arrange

More information

MEDICAL POLICY No R1 TELEMEDICINE

MEDICAL POLICY No R1 TELEMEDICINE Summary of Changes MEDICAL POLICY TELEMEDICINE Effective Date: March 1, 2016 Review Dates: 12/12, 12/13, 11/14, 11/15 Date Of Origin: December 12, 2012 Status: Current Clarifications: Deletions: Pg. 4,

More information

2016 Complex Case Management. Program Evaluation. Our mission is to improve the health and quality of life of our members

2016 Complex Case Management. Program Evaluation. Our mission is to improve the health and quality of life of our members 2016 Complex Case Management Program Evaluation Our mission is to improve the health and quality of life of our members 2016 Complex Case Management Program Evaluation Table of Contents Program Purpose

More information

INTERNSHIPS in Clinical Social Work, Clinical Counseling, and Expressive Therapy

INTERNSHIPS in Clinical Social Work, Clinical Counseling, and Expressive Therapy ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL INTERNSHIPS in Clinical Social Work, Clinical Counseling, and Expressive Therapy At Alexian Brothers Behavioral Health Hospital (ABBHH), we offer numerous training

More information

Partnership Access Line Community Consultation

Partnership Access Line Community Consultation Partnership Access Line Community Consultation Robert Hilt, MD Clinical Director Partnership Access Line, MDT Consults, and 2nd Opinion Consult Services in WA and WY Associate Professor of Psychiatry University

More information

NYC HEALTH + HOSPITALS/QUEENS Mount Sinai Services

NYC HEALTH + HOSPITALS/QUEENS Mount Sinai Services NYC HEALTH + HOSPITALS/QUEENS Mount Sinai Services Psychology Externship Brochure 2018-19 Revised 10/25/17 NYC HEALTH + HOSPITALS/QUEENS PSYCHOLOGY EXTERNSHIP PROGRAM NYC Health + Hospitals/Queens 2018-19

More information

Telehealth. Administrative Process. Coverage. Indications that are covered

Telehealth. Administrative Process. Coverage. Indications that are covered Telehealth These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information

More information

Professional Drivers Health Network. What?

Professional Drivers Health Network. What? Professional Drivers Health Network What? An Integrated Occupational Health Program The definition - the ability of a worker to function at an optimum level of well-being at a worksite as reflected in

More information

12/11/2017 COPE WEBINAR SERIES FOR HEALTH PROFESSIONALS DID YOU USE YOUR PHONE TO ACCESS THE WEBINAR?

12/11/2017 COPE WEBINAR SERIES FOR HEALTH PROFESSIONALS DID YOU USE YOUR PHONE TO ACCESS THE WEBINAR? COPE WEBINAR SERIES FOR HEALTH PROFESSIONALS December 13, 2017 Exploring Telenutrition: Evidence, Operationalization and Opportunities Moderator: Lisa Diewald MS, RD, LDN Program Manager MacDonald Center

More information

Pediatric Patient History

Pediatric Patient History Pediatric Patient History Childs Name: Today s Date: Primary Doctor: Date of Birth: Age: Reason for visit: List all chronic medical problems: List all medication dosages and frequency taken (including

More information

18/06/18. Setting up a service from scratch: what could you include? Who should be in the community team for a population of 1 million?

18/06/18. Setting up a service from scratch: what could you include? Who should be in the community team for a population of 1 million? Setting up community services for eating disorders Dr Paul Robinson MA MD University College London Setting up a service from scratch: what could you include? Outpatient assessment Outpatient treatment

More information

Mental Health Atlas Department of Mental Health and Substance Abuse, World Health Organization. Mongolia

Mental Health Atlas Department of Mental Health and Substance Abuse, World Health Organization. Mongolia GENERAL INFORMATION Mongolia Mongolia is a country with an approximate area of 1567 thousand square kilometers (O, 2008). The population is 2,701,117 and the sex ratio (men per hundred women) is 98 (O,

More information

Passport Advantage (HMO SNP) Model of Care Training (Providers)

Passport Advantage (HMO SNP) Model of Care Training (Providers) Passport Advantage (HMO SNP) Model of Care Training (Providers) 2018 Passport Advantage (HMO SNP) is an HMO Special Needs plan with a Medicare contract and an agreement with the Kentucky Department for

More information

Perspectives from Anthem on Telehealth. John F. Jesser VP Provider Engagement Strategy President, LiveHealth Online Anthem Inc.

Perspectives from Anthem on Telehealth. John F. Jesser VP Provider Engagement Strategy President, LiveHealth Online Anthem Inc. Perspectives from Anthem on Telehealth John F. Jesser VP Provider Engagement Strategy President, LiveHealth Online Anthem Inc. 1 Company Backgrounds Created and white-labeled LiveHealth Online Dedicated

More information

Collaborative Care in Pediatric Mental Health: A Qualitative Case Study

Collaborative Care in Pediatric Mental Health: A Qualitative Case Study Collaborative Care in Pediatric Mental Health: A Qualitative Case Study Megan McLeod, M.D. Supervised by Sourav Sengupta, M.D., M.P.H. March 3 rd, 2017 Acknowledgements Thank you Dr. Sengupta Outline 1.

More information

Telehealth 101. Telehealth Summit May 24, 2018

Telehealth 101. Telehealth Summit May 24, 2018 Telehealth 101 Telehealth Summit May 24, 2018 Tim Bickel Telehealth Director, University of Louisville Deborah Burton, Telehealth Program Manager, KentuckyOne Health, Lexington; Chair, Kentucky Teleheath

More information

PATIENT INFORMATION Name: Date of Birth Address: City: State: Zip

PATIENT INFORMATION Name: Date of Birth Address: City: State: Zip PATIENT INFORMATION Name: Date of Birth Address: City: State: Zip Primary Phone ( ) Secondary Phone ( ) Other Phone ( ) SS# - - Race Ethnicity Email address Preferred language Marital Status Minor Single

More information

Telehealth: Frequently Asked Questions

Telehealth: Frequently Asked Questions Telehealth: Frequently Asked Questions WHAT IS TELEHEALTH? Telehealth is the use of electronic information and telecommunications technology to support: THE DELIVERY OF HEALTH CARE PATIENT AND PROFESSIONAL

More information

QUALITY CARE QUARTERLY

QUALITY CARE QUARTERLY QUALITY CARE QUARTERLY Summer 2018 - Volume 5 Your Guide to Programs and Rewards Featuring A message from Dr. Deborah Gatlin, Behavioral Health Medical Director Saint Thomas Medical Partners Sees Benefits

More information

Brian E. Sandoval, Psy.D. Primary Care Behavioral Health Manager Yakima Valley Farm Workers Clinic

Brian E. Sandoval, Psy.D. Primary Care Behavioral Health Manager Yakima Valley Farm Workers Clinic Clinical Integration of Behavioral Health in Washington State: The Development of Practice Standards for Primary Care Service Delivery Brian E. Sandoval, Psy.D. Primary Care Behavioral Health Manager Yakima

More information

Behavioral Health Billing and Coding Guide for Montana FQHCs & Primary Care Providers. Virna Little, PsyD, LCSW-R, SAP, CCM Laura Leone, MSSW, LMSW

Behavioral Health Billing and Coding Guide for Montana FQHCs & Primary Care Providers. Virna Little, PsyD, LCSW-R, SAP, CCM Laura Leone, MSSW, LMSW Behavioral Health Billing and Coding Guide for Montana FQHCs & Primary Care Providers Virna Little, PsyD, LCSW-R, SAP, CCM Laura Leone, MSSW, LMSW Objectives Answer questions specific to FQHC and Primary

More information