The Future of Integrated Care. Neftali Serrano, PsyD Executive Director
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1 The Future of Integrated Care Neftali Serrano, PsyD Executive Director
2 Photo Credit: Barbara Davidson, New York Times
3
4 Objectives To identify the major trends in health information technology and healthcare delivery that are likely to impact integrated care To identify the workforce development challenges associated with preparing the workforce for emerging trends in integrated care To contextualize current trends within the stream of the history of the integrated care movement and the recent history of developments in healthcare There are no conflicts of interest or commercial interests to report in this presentation or on the part of the presenter.
5 A good hockey player plays where the puck is. A great hockey player plays where the puck is going to be. Wayne Gretzky
6 Integrated Care Everywhere Data Explosion Out-of-The Exam Re-Organization Paradigm of Shifts For Payment Reform Room The Workforce Chronic Disease Management A New Hope
7 Behavioral Health Homes Emergency Medicine Primary Care Community Based Interventions Specialty Medicine Inpatient Hospital Care Long-Term Care
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9 Mood Blood Pressure Substance Abuse Heart Rate Blood Glucose Medication Adherence
10 Artificial Intelligence Stratification By Location (eg. ED, specialty); Payer Risk Management Including Cost of Care Team Management Of Data? Recommendations for Proactive Care Management
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12 Telehealth Digital Communication Thinking Outside of The Exam Room
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14 Other Consultants PCP Consulting Pharmacist Patient BHC Consulting Psychiatrist Care Manager Train, Sustain, Specialize
15 Emergency Medicine As An Exemplar, 1961-Present
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17 Aging Innovations In Chronic Disease Management
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19 More Patients Covered Under Global or Bundled Payment Strategies Unified Funding Sources For Physical & Behavioral Health More Risk/Reward For Providers More Fixed Costs For Payers Higher Overall Costs But Better Containment Strategies
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21 Peace In The Integrated Care Galaxy
22 Primary Care Behavioral Health Model (Pipeline) Family & Systems Perspectives SBIRT Clinical BHC Role Warm Hand-Off Pathway Collaborative Care Model (What Comes Through The Pipeline) Consulting Psychiatry Role Registry
23 Reducing Transition of Care Issues Access To Behavioral Health Care Access To Prescribers Of Psych Meds Clinical Outcomes For Chronic Conditions Reducing Unhelpful, Excessive Utilization Connection With Social/ Community Determinants Reducing Burden On Medical Providers/ Teams Fixing Different Parts Of The Health System
24 Consulting Psychiatry Role Care Manager Role Behavioral Health Consultant Role Registry Screening Clinical Protocols Physician/ PCP Training Clinical Pharmacist Role BHC-Like Nutritionist Role Peer Support Role
25 Here's a look at the stock performance since President Obama signed the Affordable Care Act into law on March 23, Centene: +742% UnitedHealth: +578% WellCare: +538% Cigna: +499% Humana: +484% Aetna: +452% Molina: +355% Anthem: +289% All eight have outperformed the broader market. The S&P 500 is up about 220% since the law went into effect. With or Without Obamacare, Insurers Are Thriving, CNN Money, Oct. 13, 2017
26 There Is No Turning Back
27 cfha.net Technical Assistance Forums New Newbie Friendly Pages Jobs Coming Soon integratedcarenews.com Powered By CFHA Podcast Blogs Webinars Video Channel Social Media Same Site For 2018 Rochester Conference integratedcareconference.com The Future of CFHA
28 References Eckstrom, J., Williams, D., Avery, M., & Unutzer, J. (2015). The utility of a caseload registry: perceptions of behavioral health clinicians working in an integrated primary care and mental health program. General Hospital Psychiatry, 37(4), Johnson-Down, L., Labonte, M. E., Martin, I. D., Tsuji, L. J. S., Nieboer, E., Dewailly, E., et al. (2015). Quality of diet is associated with insulin resistance in the Cree (Eeyouch) indigenous population of northern Québec. Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 25(1), Korda, H., & Eldridge, G. N. (2011). Payment incentives and integrated care delivery: levers for health system reform and cost containment. Inquiry : a Journal of Medical Care Organization, Provision and Financing, 48(4), Serrano, N., Cordes, C., Cubic, B., & Daub, S. (2017). The State and Future of the Primary Care Behavioral Health Model of Service Delivery Workforce. Journal of Clinical Psychology in Medical Settings, 28 (Suppl 4), S Vogel, M. E., Kanzler, K. E., Aikens, J. E., & Goodie, J. L. (2017). Integration of behavioral health and primary care: current knowledge and future directions. Journal of Behavioral Medicine,
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