Physical & Behavioral Health Integration (BHI): Strategies to Overcome Implementation Barriers
|
|
|
- Harriet Welch
- 6 years ago
- Views:
Transcription
1 Physical & Behavioral Health Integration (BHI): Strategies to Overcome Implementation Barriers March 23, 2017 A Department of Social Services PCMH Presentation Hosted by Community Health Network of CT, Inc. 0
2 Learning Objectives Explain why behavioral health is an important element to incorporate in the Person-Centered Medical Home (PCMH) Define common integration barriers Understand your current level of integration between physical and behavioral health Gain insight into applying strategies to overcome barriers and sustain BHI Identify available resources to support BHI in your practice 1
![Triple Aim [Pursuing the Triple Aim: The First 7 Years]. Cambridge, Massachusetts: Institute for Healthcare Improvement; [2015]. (Available on www.ihi.](/docs-images/77/75412929/images/3-0.jpg "org) [System-Minded Design: Optimizing the Microsystem for Workforce Development]. Cambridge, Massachusetts: Institute for Healthcare Improvement; [2015].")
3 Triple Aim [Pursuing the Triple Aim: The First 7 Years]. Cambridge, Massachusetts: Institute for Healthcare Improvement; [2015]. (Available on [System-Minded Design: Optimizing the Microsystem for Workforce Development]. Cambridge, Massachusetts: Institute for Healthcare Improvement; [2015]. (Available on 2
4 NCQA Standards Identify high-risk patients who may benefit from care management through a comprehensive health assessment, and use evidencebased guidelines to plan and manage their care Social determinants of health Behavioral health conditions High cost/utilization Poorly controlled or complex conditions Maintain agreements with and incorporate behavioral health care providers within the practice site Improve clinical quality of care, efficiency, and patient experience for vulnerable patients 3
5 Consultative Model BHI Models Psychiatrists and other behavioral health clinicians see patients for consultations in their offices away from primary care Co-located Model Psychiatrist and behavioral health clinicians see patients in primary care settings Collaborative Model Psychiatrist and other behavioral health clinicians work closely in providing caseload consultation with Primary Care Providers (PCPs) 4
6 Consult, Coordinate, Collaborate Integrating Behavioral Health and Primary Care: Consulting, Coordinating and Collaborating Among Professionals; Cohen, et al., doi: /jabfm.2015.S
7 Health Insurance Portability and Accountability Act (HIPAA) HIPAA Privacy Rule Assures protection of an individual s health information Facilitates sharing of health information needed to provide and promote the highest quality of care Protects the public s health and well-being Is flexible and comprehensive in covering the disclosures that need to be addressed Exception Stricter state laws or rules for substance abuse treatment facilities (42 CFR Part 2) 6
8 Common Integration Barriers at the Practice Level 7
9 Understand Your Current Level of BHI 8
10 Gap Analysis SAMHSA-HRSA Center for Integrated Health Solutions: Behavioral Health Integration and the Patient-Centered Medical Home 9
11 GROW Pathway to Integration Tool Safety Net Medical Home Initiative. Ratzliff A. Organized, Evidence-Based Care Supplement: Behavioral Health Integration. Phillips KE, Holt BS, eds. Seattle, WA: Qualis Health, MacColl Center for Health Care Innovation at the Group Health Research Institute, and the University of Washington s AIMS Center;
12 Depression Screening Workflow Safety Net Medical Home Initiative. Ratzliff A. Organized, Evidence-Based Care Supplement: Behavioral Health Integration. Phillips KE, Holt BS, eds. Seattle, WA: Qualis Health, MacColl Center for Health Care Innovation at the Group Health Research Institute, and the University of Washington s AIMS Center;
13 Ongoing Quality Improvement (QI) Process Evaluate behavioral health measures based on data/reports Choose and define QI project Assess workflows for potential improvements Choose realistic, attainable, and measurable goals Establish timeline for implementation and achievement of each goal Complete QI project to implement improvement Assess for goal achievement Sustain improvement The QI process is continuous and cyclical, never stagnant Enhancing Outcomes with QI Webinar 12
14 CareMedica - Primary Care Feedback From an Integrated Practice 13
15 Common Integration Barriers at the Practice Level 14
16 Care Team Staffing Care team structure and schedules Patient involvement State licensing 15
17 Clinical Skill Set Training new staff and existing staff Communicating effectively Documentation requirements 16
18 Medication Management Medication management protocol Strategies for optimizing adherence Care team roles in supporting medication therapy 17
19 Patient Population Stratification Identifying patients with behavioral health conditions Risk stratification Utilization data from insurer or other source 18
20 Referral Resources Identify community resources Consider population needs Assess usefulness of community resources 19
21 Space Availability Patient encounter suitability Professional proximity Private working space 20
22 Financial Resources Identify funding sources to implement and sustain BHI Financial benefits to BHI Identify billable codes in your state 21
23 Workflow Processes BHI workflow processes Ongoing QI process Consider patient and family feedback 22
24 BHI Key Success Factors Allocate appropriate time to plan Transform practice culture Train staff to implement and sustain integration Assess and manage capacity realistically Identify internal champions and external stakeholders Utilize available and free resources 23
25 Resources By By phone: Online: CT Behavioral Health Partnership (CT BHP): All PCMH webinars located on the HUSKY Health website page Pathway to PCMH Webinar Recordings and Presentation Materials 24
26 Questions? 25
Enhancing Outcomes with Quality Improvement (QI) October 29, 2015
Enhancing Outcomes with Quality Improvement (QI) October 29, 2015 Learning Objectives! Introduce Quality Improvement (QI)! Explain Clinical Performance Person-Centered Medical Home (PCMH) Measures! Implement
CROSSWALK: CHANGE CONCEPTS FOR PRACTICE TRANSFORMATION AND 2014 NCQA PCMH TM RECOGNITION STANDARDS
CROSSWALK: CHANGE CONCEPTS FOR PRACTICE TRANSFORMATION AND 2014 NCQA PCMH TM RECOGNITION STANDARDS 1a. Provide visible and sustained leadership to lead overall cultural change as well as specific strategies
Deeper Dive on Team Roles: Part I
Deeper Dive on Team Roles: Part I Moderator: Diane Altman Dautoff, MSW, EdD, Sr. Consultant, Qualis Health Speakers: Ed Wagner, MD, MPH, Director (Emeritus), MacColl Institute for Healthcare Innovation
QUALITY IMPROVEMENT ROUNDTABLE
QUALITY IMPROVEMENT ROUNDTABLE 2014 NCQA PCMH STANDARDS TRAINING FOLLOW UP SEPTEMBER 29, 2015 OLYMPIA, WA Advancing Healthcare Improving Health HOUSEKEEPING Asking Questions To ask questions aloud, click
Patient Centred Medical Home Self-assessment (PCMH-A)
Centred Medical Home Self-assessment (PCMH-A) Practice name: Your name: Date completed: For more information, contact: Colleen Watkins, NQPHN Chronic Care Team m: 0 0 e: info@nqpcmh.com.au w: nqpcmh.com.au
Building & Strengthening Patient Centered Medical Homes in the Safety Net
Blue Shield of California Foundation County Coverage Expansion Planning Workshop #2 Building & Strengthening Patient Centered Medical Homes in the Safety Net July 8, 2011 Presented by: Kathryn Phillips,
Objectives. Models of Integrated Behavioral Health Care 9/23/2015
Models of Integrated Behavioral Health Care Carlton D. Craig, Ph.D. Vernon R. Wiehe Endowed Professor in Family Violence University of Kentucky College of Social Work Carlton.craig@uky.edu (859)-257-6657
Putting PCMH into Practice: A Transformation Series Care Coordination & Care Transitions (CC) September 12, 2018
Putting PCMH into Practice: A Transformation Series Care Coordination & Care Transitions (CC) September 12, 2018 WEBINAR FACILITATOR Hannah Stanfield NCQA PCMH CCE Practice Transformation Coordinator WACMHC
ENGAGED LEADERSHIP. TC-02 (Core): Defines practice organizations structure and staff responsibilities/skills to support key PCMH functions.
Change Concepts for Practice Transformation AND 2014 NCQA PCMH Standards Crosswalk to 2017 NCQA Standards Change Concept Element 2014 NCQA PCMH Standards 2014 --> 2017 2017 NCQA Standards ENGAGED LEADERSHIP
PATIENT-CENTERED MEDICAL HOME ASSESSMENT (PCMH-A)
SAFETY NET MEDICAL HOME INITIATIVE PATIENT-CENTERED MEDICAL HOME ASSESSMENT (PCMH-A) Organization name Site name Date completed Introduction To The PCMH-A The PCMH-A is intended to help sites understand
The New York State Health Center Controlled Network (NYS-HCCN)
The New York State Health Center Controlled Network (NYS-HCCN) A HRSA-Funded Project of the Community Health Care Association of New York State PCMH 2014 Must Pass Elements Qualis Health November 16, 2015
National Committee for Quality Assurance
National Committee for Quality Assurance (NCQA) Private, independent non-profit health care quality oversight organization founded in 1990 MISSION To improve the quality of health care. VISION To transform
PCMH: Recognition to Impact
PCMH: Recognition to Impact 3.1.16 Prepared by: Shannon Nielson, MHA, PCMH CCE Prepared for: OACHC 2016 Annual Conference Centerprise, Inc Objectives Defining a Patient Centered Medical Home Translating
Patient-Centered Medical Home (PCMH) Transformation and Recognition/Certification Programs
Patient-Centered Medical Home (PCMH) Transformation and Recognition/Certification Programs Ruth S. Gubernick, PhDc, MPH, PCMH CCE For the NJAAP s Systems Integration Medical Home Project October 27, 2016
Visit to download this and other modules and to access dozens of helpful tools and resources.
This is the third module of Coach Medical Home a six-module curriculum designed for practice facilitators who are coaching primary care practices around patient-centered medical home (PCMH) transformation.
GROWING THE PRIMARY CARE BEHAVIORAL HEALTH WORKFORCE OF TOMORROW ALEXANDER BLOUNT, ED.D.
GROWING THE PRIMARY CARE BEHAVIORAL HEALTH WORKFORCE OF TOMORROW ALEXANDER BLOUNT, ED.D. Disclosure: I will mention the training programs of the Center for Integrated Primary Care at the University of
POSITION: Medical Director for ACO Dvlpmnt & Population Health DIVISION: REPORTS TO: Chief Medical Officer DEPARTMENT: Medical Department
Codman Square Health Center 637 Washington St Dorchester, MA 02124 617-825-9660 codman.org POSITION: Medical Director for ACO Dvlpmnt & Population Health DIVISION: Clinical REPORTS TO: Chief Medical Officer
College-wide Patient-Centered Medical Home Program Meharry Medical College
+ The Key Elements: Using the Patient Centered Medical Home Model in Inter-Professional Education and Training Medical, Dental, and Public Health Education Curriculum Transformation Primary Care Residency
The Practice Transformation Support Hub. North Central ACH Regional Assessment and Technical Assistance
The Practice Transformation Support Hub North Central ACH Regional Assessment and Technical Assistance The Healthier Washington Practice Transformation Support Hub An investment of Healthier Washington
SMARTCare Site Job Descriptions Site Physician Lead (Champion)
SMARTCare Site Job Descriptions Site Physician Lead (Champion) Educational Requirements: Local (Site) Physician Champion Cardiovascular Fellow of the American College of Cardiology The Local Physician
Reducing Care Fragmentation Executive Summary
Reducing Care Fragmentation Executive Summary A TOOLKIT FOR COORDINATING CARE Reducing Care Fragmentation 49 Executive Summary Reducing Care Fragmentation: A Toolkit for Coordinating Care is for clinics,
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
Transforming Care for Vulnerable Populations:
Transforming Care for Vulnerable Populations: Lessons from the Safety Net Medical Home Initiative Kathryn E. Phillips, MPH July 2015 Safety Net Medical Home Initiative Goals for this Session Describe the
Topic 4A: Foundational Changes Reducing Barriers to Care Webinar
The Patient-centered Medical Home Webinar #4 Topic 4A: Foundational Changes Reducing Barriers to Care Webinar Ed Wagner, MD, MPH, MACP MacColl Center for Health Care Innovation Group Health Research Institute
Financing and Sustainability Strategies for Behavioral Health Integration Anna Ratzliff, MD, PhD Associate Director for Education AIMS Center
Financing and Sustainability Strategies for Behavioral Health Integration Anna Ratzliff, MD, PhD Associate Director for Education AIMS Center Advancing Integrated Mental Health Solutions The Healthier
Sharing Behavioral Health Information in Massachusetts: Obstacles and Potential Solutions. March 30, 2016
Sharing Behavioral Health Information in Massachusetts: Obstacles and Potential Solutions March 30, 2016 Objectives for Today s Webinar 2 Review applicable Massachusetts and federal privacy laws and evaluate
APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS
Appendix 2 NCQA PCMH 2011 and CMS Stage 1 Meaningful Use Requirements 2-1 APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS CMS Meaningful Use Requirements* All Providers Must Meet
Building a Better Home: Transformation to a Patient Centered Health Home. Anna M. Gard, FNP-BC Association of Clinicians for the Underserved
Building a Better Home: Transformation to a Patient Centered Health Home Anna M. Gard, FNP-BC Association of Clinicians for the Underserved A Patient Centered Health Home is not a place but an approach
CMS FQHC Advanced Primary Care Practice Demonstration: NCQA Recognition Support and Other New Federal PCMH Opportunities
CMS FQHC Advanced Primary Care Practice Demonstration: NCQA Recognition Support and Other New Federal PCMH Opportunities MODERATOR: Jonathan Sugarman, MD, MPH, President and CEO of Qualis Health SPEAKERS:
NCQA s Patient-Centered Medical Home (PCMH) 2011
NCQA s Patient-Centered Medical Home (PCMH) 2011 Johann Chanin, Director, Product Development Mina Harkins, Assistant Vice President, Recognition Programs All materials 2011, National Committee for Quality
Appendix 5. PCSP PCMH 2014 Crosswalk
Appendix 5 Crosswalk NCQA Patient-Centered Medical Home 2014 July 28, 2014 Appendix 5 Crosswalk 5-1 APPENDIX 5 Crosswalk The table compares NCQA s Patient-Centered Specialty Practice () standards with
RN Behavioral Health Care Manager in Primary Care Settings
RN Behavioral Health Care Manager in Primary Care Settings Integrated Care and the Expanding Role of Nurses Seattle Airport Marriott, SeaTac, WA Tuesday, January 9, 2018 The Healthier Washington Practice
PCC Resources For PCMH
PCC Resources For PCMH Tim Proctor Users Conference 2015 Goals and Takeaways Introduction to NCQA's 2014 PCMH. What is it? Why get recognition? Show how PCC functionality and reports can be used for PCMH
Building the Universal Roadmap to Population Health Management
Building the Universal Roadmap to Population Health Management Executive Webinar January 21, 2016 Karen Handmaker, MPP, PCMH CCE IBM Watson Health House Keeping 1. Using the control panel Use the control
Topic 3B: Documentation Prep for NCQA Recognition Focus on Standards 3, 4, and 1F
Topic 3B: Documentation Prep for NCQA Recognition Focus on Standards 3, 4, and 1F Diane Altman Dautoff, MSW, EdD, Senior Consultant Heather Russo, Consultant January 2013 Welcome Introductions and Housekeeping
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
WHAT IT FEELS LIKE
PCMH and PCSP WHAT IT FEELS LIKE Presentation Outline Goals of the Patient Centered Medical Home and the Patient Centered Specialty Practice Identifying the Joint Principles Recognition Programs Standards
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
NH Behavioral Health Integration Learning Collaborative Year 2 Call for Participation
Summary NH Behavioral Health Integration Learning Collaborative Year 2 Call for Participation Join health care providers, payers, and other stakeholders in learning how to integrate behavioral health and
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
Value-Based Payment Model Designs for Behavioral Health Services in Primary Care
Value-Based Payment Model Designs for Behavioral Health Services in Primary Care Using collaborative depression care management as a case study due to existing evidence, experience, and measures Robert
Practice Transformation Network (PTN) An Overview for FQHC Leadership
Practice Transformation Network (PTN) An Overview for FQHC Leadership PTN What Is It? The Practice Transformation Network is: A group that joins together (CHCACT member organizations, specialty providers,
Cancer Screening in Primary Care: Lessons from Community Health Centers
Cancer Screening in Primary Care: Lessons from Community Health Centers Dialogue for Action Washington, DC April 11, 2018 Durado Brooks, MD, MPH Managing Director, Cancer Control Intervention American
Organized, Evidence-based Care
Organized, Evidence-based Care Planning Care for Individual Patients and Whole Populations MODERATOR: Nicole Van Borkulo, MEd, Practice Improvement Specialist, SNMHI, Qualis Health SPEAKERS: Ed Wagner,
Revised for SIM Cohort 2, 2017
Colorado State Innovation Model (SIM) Implementation and Milestone Reporting Summary Guide for Primary Care and Bi-directional Health Home Milestone Activities Revised for SIM Cohort 2, 2017 1 Table of
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
Behavioral Health Care
Provider Communications MHN Behavioral Health Care PCP tools for coordinating care Tina Machi, Health Net We offer tools and resources for improving member health. Managed Health Network (MHN), Health
August 8, :00pm to 1:00pm Pamela Lester, Molly Layton and Janeen Boswell
August 8, 2013 12:00pm to 1:00pm Pamela Lester, Molly Layton and Janeen Boswell 1) NCQA PCMH Recognition, what it means and its process. 2) Understand the rationale and benefits of becoming recognized
Fast-Track PCMH Recognition
Fast-Track PCMH Recognition i2i Systems integrated package of Population Health Management and reporting technology, documented processes and consulting services aligned with NCQA guidelines supports and
Sustaining a Patient Centered Medical Home Program
Sustaining a Patient Centered Medical Home Program Partners Healthcare, Center for Population Health Colleen Blanchette Keri Sperry Terry Wilson-Malam Learning Objectives After this presentation, you will
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
What You Need to Know About Documentation for the Must Pass Elements for NCQA PCMH Recognition
What You Need to Know About Documentation for the Must Pass Elements for NCQA PCMH Recognition Presenters: Steven Bromer, MD and Denise Anderson-Carr, MPH, RD Date: May 22, 2013 Disclaimer Presentation
Patient-Centered Specialty Practice Readiness Assessment
Patient-Centered Specialty Practice Readiness Assessment Daryn Eikner Vice President, Health Care Delivery National Family Planning & Reproductive Health Association Melissa Kleder Manager, Health Care
Integrating Physical & Behavioral Health: Planning & Implementation
Itegratig Physical & Behavioral Health: Plaig & Implemetatio March 31, 2016 A Departmet of Social Services PCMH Presetatio Hosted by Commuity Health Network of CT, Ic. 1 Learig Objectives Idetify the importace
HEALTH CARE HOME ASSESSMENT (HCH-A)
HEALTH CARE HOME ASSESSMENT (HCH-A) To be used by Health Care Homes involved in stage one implementation To asses practice readiness, monitor progress, and for evaluation purposes. Practice name Your name
MEDICAID TRANSFORMATION PROJECT TOOLKIT
MEDICAID TRANSFORMATION PROJECT TOOLKIT Medicaid Transformation Demonstration Contents Domain 1: Health and Community Systems Capacity Building... 2 Financial Sustainability through Value based Payment...
PCMH 2011 Standard 1: Elements D, E, F & G. Slide 1
PCMH 2011 Standard 1: Elements D, E, F & G Slide 1 PCMH Learning Community Project Structure Assessment, Gap Analysis, Workplan Webinar Series Group Technical Assistance Learning Sessions (Face to Face)
Thank you for joining us! The webinar will begin shortly.
i2i Systems Presents 2014 PCMH Standards A Whole New Ballgame Thank you for joining us! The webinar will begin shortly. 2014 PCMH Standards A Whole New Ballgame Shannon Nielson, MHSA, PCMH-CCE Objectives
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
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
Part 2: PCMH 2014 Standards
Part 2: PCMH 2014 Standards Heather Russo, CCE PCMH Consultant September 15, 2015 Advancing Healthcare Improving Health For Practices Recognized at Level 2 or Level 3 under the 2011 Standards Your Guide
Patient-Centered Medical Home: What Is It and How Do SBHCs Fit In?
Patient-Centered Medical Home: What Is It and How Do SBHCs Fit In? Sue Sirlin, CPEHR Director, HIT Consulting Services Bonni Brownlee, MHA CPHQ CPEHR Principal Consultant March 15, 2013 Advancing Healthcare
Welcome and Orientation Webinar
Welcome and Orientation Webinar Care Transitions Network for People with Serious Mental Illness National Council for Behavioral Health Montefiore Medical Center Northwell Health New York State Office of
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
Where Do We Go From Here? The Value of Sustaining Practice Transformation
Where Do We Go From Here? The Value of Sustaining Practice Transformation MASSACHUSETTS LEAGUE OF COMMUNITY HEALTH CENTERS ANNUAL CLINICAL CONFERENCE November 19, 2013 Nicole Van Borkulo, MEd Senior Consultant
A Journey PCMH & Practice Transformation PCMH 101. Kentucky Primary Care Association Lexington Kentucky June 11, 2014
A Journey PCMH & Practice Transformation PCMH 101 Kentucky Primary Care Association Lexington Kentucky June 11, 2014 Overview of Journey Today What an overview of PCMH Why PCMH & practice transformation
REPORTING METRICS FOR INTEGRATION OF PHYSICAL-BEHAVIORAL HEALTH CARE
9/26/213 REPORTING METRICS FOR INTEGRATION OF PHYSICAL-BEHAVIORAL HEALTH CARE MARISA DERMAN, MD, MSC (OMH) M. ASHLEY HEALD, MA (UW) OBJECTIVES FOR THIS WEBINAR Review goals/ standards Review mandatory
Assessment Overview. David Lloyd, Founder M.T.M. Services
Integrated Healthcare Readiness Assessment Overview Presented by: M.T.M. Services P. O. Box 1027, Holly Springs, NC 27540 Phone: 919-434-3709 Fax: 919-773-8141 E-mail: david.lloyd@mtmservices.org Web Site:
What is a Pathways HUB?
What is a Pathways HUB? Q: What is a Community Pathways HUB? A: The Pathways HUB model is an evidence-based community care coordination approach that uses 20 standardized care plans (Pathways) as tools
Instructions for Completing the BHICCI Case Rate Readiness Assessment (CRRA) and Workplan
Instructions for Completing the BHICCI Case Rate Readiness Assessment (CRRA) and Workplan IEHP intends to sustain integrated complex care through case rate funding to health care organizations/clinics
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
The 10 Building Blocks of Primary Care Building Blocks of Primary Care Assessment (BBPCA)
The 10 Building Blocks of Primary Care Building Blocks of Primary Care Assessment (BBPCA) Background and Description The Building Blocks of Primary Care Assessment is designed to assess the organizational
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
February 2007 ACP, AAFP, AAP, AOA joint statement
Patient Centered Medical Home in a Safety Net Community Health Clinic: The T Transformation f i off Eastside Adult Clinic Nicole Joseph, MD Denver Health GIM Grand G dr Rounds d February 7, 2012 OBJECTIVES
Community Health Centers: Medical Homes in the Safety Net. Jonathan R. Sugarman, MD, MPH President and CEO Qualis Health
Community Health Centers: Medical Homes in the Safety Net Jonathan R. Sugarman, MD, MPH President and CEO Qualis Health Fifth National Medicaid Congress Preconference Symposium II: Medicaid and the Medical
PCSP 2016 PCMH 2014 Crosswalk
- Crosswalk 1 Crosswalk The table compares NCQA s Patient-Centered Specialty Practice (PCSP) 2016 standards with NCQA s Patient-Centered Medical Home (PCMH) 2014 standards. The column on the right identifies
Alternative Managed Care Reimbursement Models
Alternative Managed Care Reimbursement Models David R. Swann, MA, LCSA, CCS, LPC, NCC Senior Healthcare Integration Consultant MTM Services Healthcare Reform Trends in 2015 Moving from carve out Medicaid
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
Introduction to PCMH 2017
Introduction to PCMH 2017 PCMH 2017 Eligibility Requirements Eligibility Requirements Outpatient primary care practices Practice defined: a clinician or clinicians practicing together at a single geographic
EMPANELMENT. Addressing Staff Pushback for Empanelment. Provider / Manager Push Back. Management Opportunity
Addressing Staff Pushback for Empanelment This sounds like thinly disguised productivity jargon. This is not about productivity demands. It is about understanding providers workload and applying balance
QI ROUNDTABLE. NCQA PCMH 2017 Understanding the New Standards and Re-designed Recognition Process TUESDAY, NOVEMBER 7, 2017 YAKIMA, WA
QI ROUNDTABLE NCQA PCMH 2017 Understanding the New Standards and Re-designed Recognition Process TUESDAY, NOVEMBER 7, 2017 YAKIMA, WA WELCOME HOUSEKEEPING Please sign in Folders Restrooms Electronic devices
CPC+ CHANGE PACKAGE January 2017
CPC+ CHANGE PACKAGE January 2017 Table of Contents CPC+ DRIVER DIAGRAM... 3 CPC+ CHANGE PACKAGE... 4 DRIVER 1: Five Comprehensive Primary Care Functions... 4 FUNCTION 1: Access and Continuity... 4 FUNCTION
The Health Center Program
The Health Center Program MassLeague of Community Health Centers Community Health Institute, 2017 May 3, 2017 Judith Steinberg, MD, MPH Chief Medical Officer Bureau of Primary Health Care (BPHC) Health
Implementing Integrated, Interdisciplinary Clinical Care Management in the Patient-Centered Medical Home
University of Massachusetts Medical School escholarship@umms Commonwealth Medicine Publications Commonwealth Medicine 11-23-2013 Implementing Integrated, Interdisciplinary Clinical Care Management in the
Michigan Primary Care Transformation (MiPCT) Project Frequently Asked Questions
Michigan Primary Care Transformation (MiPCT) Project Frequently Asked Questions Demonstration Design 1. What is the Michigan Primary Care Transformation (MiPCT) Project? The Centers for Medicare and Medicaid
Integrated Behavioral Health Services
Integrated Behavioral Health Services Anitra Walker, LCSW Liz Frye, MD, MPH Integrated Behavioral Health Background SHLI Integrated Care Initiative started in July 2011 2 initial demonstration sites; Focus
Oral Health Integration Workflow Optimization: A Streamlined Guide for Primary Care Practices
Oral Health Integration Workflow Optimization: A Streamlined Guide for Primary Care Practices About This Tool This tool is designed as a simple guide to help primary care practice leaders or physicians
Financing of Community Health Workers: Issues and Options for State Health Departments
Financing of Community Health Workers: Issues and Options for State Health Departments ASTHO Technical Assistance Presentation Terry Mason, PhD Carl Rush, MRP Geoff Wilkinson, MSW This webinar is supported
Appendix 4. PCMH Distinction in Behavioral Health Integration
Appendix 4 PCMH Distinction in Behavioral Health Integration Appendix 4 PCMH Distinction in 4-1 Distinction Purpose and Background Behavioral health conditions (mental illnesses and substance use disorders)
Treatment Improvement Initiative: Improved Planning for Youths being Discharged from Inpatient Care CT BHP 2007
Treatment Improvement Initiative: Improved Planning for Youths being Discharged from Inpatient Care CT BHP 2007 Introduction During 2007, CT BHP partnered with family members and providers to address the
AIDS INSTITUTE NEW YORK PRESBYTERIAN DSRIP AND PRACTICE TRANSFORMATION INITIATIVE
AIDS INSTITUTE NEW YORK PRESBYTERIAN DSRIP AND PRACTICE TRANSFORMATION INITIATIVE 1 Road map What is DSRIP (Delivery System Reform Incentive Payments) Integrating the mission of DSRIP & End the Epidemic
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,
Statewide Behavioral Health and Primary Care Integration Implementation: Challenges and Successes in Missouri
Session # D5a Statewide Behavioral Health and Primary Care Integration Implementation: Challenges and Successes in Missouri Ronald B. Margolis, PhD, CEO St. Louis Behavioral Medicine Institute Dawn Prentice,
Patient-Centered Medical Home Transformation
Patient-Centered Medical Home Transformation The Right Thing to Do for Patients and for Your Organization Speakers: Linda Follenweider, Principal, Jodi Bitterman, Senior Consultant, May 18, 2016 HealthManagement.com
BUILDING BLOCKS OF PRIMARY CARE ASSESSMENT FOR TRANSFORMING TEACHING PRACTICES (BBPCA-TTP)
BUILDING BLOCKS OF PRIMARY CARE ASSESSMENT FOR TRANSFORMING TEACHING PRACTICES (BBPCA-TTP) DIRECTIONS FOR COMPLETING THE SURVEY This survey is designed to assess the organizational change of a primary
Best Management Practices In Integrated Behavioral Health/Primary Care Programs
Best Management Practices In Integrated Behavioral Health/Primary Care Programs The 2017 OPEN MINDS Strategy & Innovation Institute Wednesday, June 7, 2017 2:00pm 3:15pm Steve Ramsland, Ed.D., Senior Associate,
Fast-Track NCQA-PCMH Recognition. Using i2i Systems NCQA Pre-Validated PCMH Solution
Fast-Track NCQA-PCMH Recognition Using i2i Systems NCQA Pre-Validated PCMH Solution Goal of Today s Webinar Share Why NCQA-PCMH Pre-Validation Matters Learn How to Fast-Track to NCQA-PCMH Recognition Hear
2014 Patient Centered Medical Home (PCMH) Recognition
Collaboration Catalyst Community 2014 Patient Centered Medical Home (PCMH) Recognition PRESENTED BY: Oct. 2015 RuthAnn Craven, MS Transformation Coach AHI is an independent, nonprofit organization that
Person-Centered Care Coordination. December 8, 2016
Perso-Cetered Care Coordiatio December 8, 2016 Preseters Departmet of Social Services (DSS) Perso-Cetered Medical Home (PCMH) Program Lead Erica Garcia-Youg, MPH Commuity Health Network of Coecticut, Ic.
USING PSYCKES TO SUPPORT CARE COORDINATION IN NEW YORK STATE
USING PSYCKES TO SUPPORT CARE COORDINATION IN NEW YORK STATE NYS Office of Mental Health Edith Kealey, PhD Deputy Director, PSYCKES OVERVIEW Introduction to PSYCKES: The Psychiatric Services and Clinical