IMPLEMENTATION OF INTEGRATED CARE FROM A LEADERSHIP PERSPECTIVE. Tennessee Primary Care Association Annual Conference October 25 26, 2012.
|
|
- Dorthy O’Brien’
- 6 years ago
- Views:
Transcription
1 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 Care Model (Why IC and what is it?) III. Integrated Care Operations (How to do it and how not to do it?) Copyright Cherokee Health Systems,
2 10/16/2012 I. Overview of Cherokee Health Systems Our Mission To improve the quality of life for our patients through the integration of primary care, behavioral health and substance abuse treatment and prevention programs. Together Enhancing Life Copyright Cherokee Health Systems,
3 Merging the Missions of CMHC s and FQHC s Cherokee Health Systems Epochs of Development 1960 Chartered as Morristown Mental Health Center 1984 Clinch Mountain Regional Health Center, Inc Union Grainger Primary Care 1993 Cherokee Health Systems 2002 Cherokee s Initial FQHC grant 2005 Corporate Consolidation 2006 Migrant/Farm Worker Health Center 2008 Homeless Health Center 2011 Behaviorally Enhanced Patient Centered Medical Home Copyright Cherokee Health Systems,
4 Cherokee Health Systems FY 2011 Services 43 Clinical Locations in 12 East Tennessee Counties Number of Patients: 60,896 unduplicated individuals New Patients: 19,573 Patient Services: 475,628 Cherokee Health Systems Number of Employees: 610 Provider Staff: Psychologists 44 Master s level Clinicians 64 Case Managers 32 Primary Care Physicians 24 Psychiatrists 10 Pharmacists 9 NP/PA (Primary Care) 26 NP (Psych) 12 Dentists 2 Copyright Cherokee Health Systems,
5 Strategic Emphases Integration of Behavioral Health and Primary Care Outreach to Underserved Populations Training Health Care Providers School Based Health Services Tele health Applications Safety Net Preservation II. The Integrated Care Model Copyright Cherokee Health Systems,
6 Copyright Cherokee Health Systems,
7 The Case for Integration of Safety Net Providers Expands the Primary Care service model to address the most common presenting complaints Addresses the most pressing concerns of the CMHCs access, health status of SMIs and survival In Quest of Integration Copyright Cherokee Health Systems,
8 Integrated Care Integrated Care is the process and product of medical and mental health professionals working collaboratively and coherently toward optimizing patient health through bio psychosocial modes of prevention and intervention. O Donohue, Byrd, Cummings, and Henderson (2004) Integrated Care Goals Improved recognition of BH needs Improved communication and co management Increased availability of BH expertise Meet patients where they show up Prevention, at risk Intervention, intervention Triage and coordination with specialty BH Copyright Cherokee Health Systems,
9 Cherokee s Blended Behavioral Health and Primary Care Clinical Model Embedded Behavioral Health Consultant on the Primary Care Team Real time behavioral and psychiatric consultation available to PCP Focused behavioral intervention in primary care Behavioral medicine scope of practice Encourage patient responsibility for healthful living A behaviorally enhanced Healthcare Home The Behavioral Health Consultant (BHC) in Primary Care Management of psychosocial aspects of chronic and acute diseases Application of behavioral principles to address lifestyle and health risk issues Emphasis on prevention and self help approaches, partnering with patients in a treatment approach that builds resiliency and encourages personal responsibility for health Consultation and co management in the treatment of mental disorders and psychosocial issues Copyright Cherokee Health Systems,
10 Typical BHC Services in Primary Care Triage/Liaison Behavioral Health Consultation Behavioral Health Follow Up Adherence Enhancement Relapse Prevention Behavioral Medicine Consultative Co Management Group based interventions Conjoint Consultation On Demand Medication Consultation Care Management Psychiatric Consultation PCP Consultation School/Agency Consultation Prevention Telephone Consultation PCP Referrals for Behavioral Health Consultation Services Diagnostic clarification and intervention planning Facilitate consultation with psychiatry regarding psychotropic medications Behavior and mood management Suicidal/homicidal risk assessment Substance abuse assessment and intervention Panic/Anxiety management Interim check of psychotropic medication response Co management of somaticizing patients Parenting skills Stress and anger management Copyright Cherokee Health Systems,
11 PCP Referral for Behavioral Health Consultation Services HEALTH BEHAVIOR / DISEASE MANAGEMENT Medication Adherence Weight Management Chronic Pain Management Smoking Cessation Insomnia / Sleep Hygiene Psychosocial and Behavioral Aspects of Chronic Disease Any Health Behavior Change Management of High Medical Utilization Integrated Care Integration vs. Co Location Co Located Mental Health Embedded member of primary care team Patient contact via hand off Verbal communication predominate Brief, aperiodic interventions Flexible schedule Generalist orientation Behavior medicine scope Ancillary service provider Patient contact via referral Written communication predominate Regular schedule of sessions Fixed schedule Specialty orientation Psychiatric disorders scope Copyright Cherokee Health Systems,
12 The Integrated Care Psychiatrist Access and Population Based Care Consultation Enhance the Skills of Primary Care Colleagues Treatment Team Meetings Telepsychiatry Co Management of Care Telepsychiatry Consultation Copyright Cherokee Health Systems,
13 Communication Model Face to Face Verbal Feedback Electronic Health Record/Tablets Treatment Team Telehealth Consultation/Telephone Copyright Cherokee Health Systems,
14 III. Integrated Care Operations Planning Build Integrated Care into your Strategic Plan 3 5 year plan Keep the end in mind Establish goals, objectives and action steps to achieve the end Involved key staff, Board as appropriate Develop annual tactical plans Build around goals, objectives and action steps from the Strategic Plan Adjust as needed Copyright Cherokee Health Systems,
15 Culture Mission Patient centered Clinical drivers Innovation Risk taking Fast, Imperfect Implementation ( Ready Fire Aim ) Plan Do Study Act (PDSA) No sandboxes Persistence Staffing Get the right people on the bus, and the wrong people off the bus Right people Committed to excellence clinical and operational Embrace change See the big picture Attentive to details Flexible/willing to try new ideas Fit the integrated care culture Computer literate Wrong people Resistant to change Mercenary Negative My turf Copyright Cherokee Health Systems,
16 Staffing (cont) The Integrated Care Clinical Team 3 Primary Care Providers 1 Behavioral Health Consultant Specialty Mental Health (LCSWs, PhDs) Psychiatry (real time and referrals to and from) Direct Medical Support (nursing) (2.0 per FT PCP) Direct Administrative Support (front desk, office managers, etc.) 1.25 X +.75Y = Number of Administrative Support X = PCP FTEs Y = Behavioral FTEs Staffing (cont) Training Skills are essential: Train all staff in integrated care: Overview of the Integrate Care Model Benefits of Integrated Care Challenges of Integrated Care Their Role and Responsibilities in Integrated Care Interviews, orientation, OJT In person, web based, employee newsletter, etc. Front desk people are absolutely key. One of the most challenging positions in the whole organization. Office Manager is key. Copyright Cherokee Health Systems,
17 BEHAVIORAL CONSULTATION CODING Behaviorist with Patient Primary Focus of Clinical Attention Medical Assessment or Intervention? Evaluation (90801) Behavioral Therapeutic or Evaluative? Initial Assessment Individual Individual (20 30 min) Diagnostic Interview Re Assessment Group (2 or more) Family (with patient) Family (w/o patient) NOTE: Primary Diagnosis must match the CPT code selected. Facilities and Layout We use three (3) exam rooms per PCP Embed one (1) BHC office between (or close to) the PCP exam rooms Create a close physical environment between PCPs and BHCs Avoid BHC end of hallway, closed door situations Nursing station and triage close to BHCs Confidential spaces available for quick, hallway consultations Copyright Cherokee Health Systems,
18 Facilities and Layout (cont) Study patient flow carefully From check in to check out Lean design (moving patients or moving services, paperwork, confidential patient spaces) Little things matter (locations of phones, copiers, printers, wireless, etc.) Copyright Cherokee Health Systems,
19 Electronic Health Records Difficult to do Integrated Care with paper charts Electronic charts allow sharing of records simultaneously by multiple providers Integrated charts Security levels for behavioral health Free text vs. data fields Reporting We use UDS comparisons for FQHCs whenever possible. Peer comparisons. Productivity measures include: Medical Team Productivity Physician Productivity NP Productivity BHC Productivity Specialty behavioral productivity Psychiatry productivity Copyright Cherokee Health Systems,
20 Reporting (cont) Cherokee Score Cards. We measure: Patient Satisfaction (NPS 1 10 scale). Goal of 8 or higher. Quality (BMI, Depression, Tobacco). Goals vary. Efficiency (Cost per visit). Goals vary by medical and BH. Each goal met = $100 per quarter x 3 goals = $300/Qtr Up to $1,200 bonus per year Monthly feedback at staff meetings and posted on intranet Distributed to each Team member equally Leadership Challenges Staffing and Recruiting Scheduling (largest driver of satisfaction, productivity, quality and financial results) PCPs 15 min. established/30 min. new BHCs 15 min/ 30 min. Scheduled during off peak hours and scheduled before PCP visit. Open during peak hours. Specialty BH 30 min. and 45 min. Provider choice. Psychiatry 15 min. established/30 min. new Copyright Cherokee Health Systems,
21 Leadership (cont) Full time provider productivity expectations: 100+ primary care physician encounters/week 70+ primary care NP encounters/week 60+ BHC encounters/ week 35+ behavioral specialty encounters/week 90+ psychiatry provider encounters/week Leadership (cont) Assuring access to care when patients need it No wrong door medical or behavioral Over 19,000 new patients last year Pressure on providers and schedulers Challenge balancing new and established patients Approximately 50% medical and 50% behavioral Patient Centered Medical Home IC fits naturally with PCMH Copyright Cherokee Health Systems,
22 Leadership (cont) Communications 600+ employees across multiple clinics and multiple counties Flat organizational chart The Update, s, phone, intranet, web, etc. Getting everyone on board Board, providers, support staff, patients Paper Paper records come in from specialists, ERs, labs, diagnostic centers, inpatient daily Need to feed the EHR scanning is a challenge volume and accuracy Hoping for a Health Information Exchanges (HIE) in 2013 Leadership (cont) Pharmacy Affordable drugs (340B (in house and contract), Pharmacy Assistance Programs, charitable contributions) Referral Arrangements OB/GYN, hospitalists, specialists (GI, cardiology, ortho) Negotiating global payment arrangements Many payers focus only on fee for service payments; miss the bigger picture of total costs in the system (ER, inpatient, specialists, etc.) Copyright Cherokee Health Systems,
23 Funding Mechanisms Shift from volume based to value based funding Fee For Service Case Rate Capitation Blended Capitation Incentive Pools / Shared Savings Percent of Premium Pay for Performance Leadership (cont) Measuring Clinical Outcomes Diabetes, Depression, Obesity, etc. You re not managing it if you re not measuring it Measuring Economic Outcomes Practitioner Productivity, ER Visits, Pharmaceutical Costs, Psych/Med Surg Hospitalizations Measuring Satisfaction Practitioners, Patients, Referral Sources Copyright Cherokee Health Systems,
24 Questions Copyright Cherokee Health Systems,
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 informationThe 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 informationSpecialty 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 informationHealthcare 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 informationIntegration 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 informationIntegrated Behavioral Health Services Austin Travis County Integral Care & CommUnityCare
Integrated Behavioral Health Services Austin Travis County Integral Care & CommUnityCare Jim VanNorman, MD, Medical Director, ATCIC David Vander Straten, MD, FAAFP, CommUnityCare Discussion Review the
More informationStrategies for Addressing Workforce Issues through Partnerships and Policy: An FQHC-University Partnership. Columbus, Ohio.
College of Social Work Strategies for Addressing Workforce Issues through Partnerships and Policy: An FQHC-University Partnership Staci Swenson, MA, MSW, LISW S Integrated Care Manager PrimaryOne Health
More informationBlending 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 informationTwo Decades of Telehealth at Cherokee Health Systems:
Two Decades of Telehealth at Cherokee Health Systems: Clinical, Operational & Financial Perspectives Gregg Perry, MD Jeff Howard, CPA Andy Rhea, MBA Our Mission To improve the quality of life for our patients
More informationResident 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 informationClinical Elements of Integration
Clinical Elements of Integration Jeff Capobianco Director of Practice Improvement National Council for Behavioral Health Pam Pietruszewski Integrated Health Consultant National Council for Behavioral Health
More informationWhat 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 informationBHS Policies and Procedures
BHS Policies and Procedures City and County of San Francisco Department of Public Health San Francisco Health Network BEHAVIORAL HEALTH SERVICES 1380 Howard Street, 5th Floor San Francisco, CA 94103 415.255-3400
More informationA Study on Promoting Integrated Behavioral Health and Primary Care in New Hampshire
A Study on Promoting Integrated Behavioral Health and Primary Care in New Hampshire December 9, 2014 Concord, New Hampshire Thank you for your flexibility! Thank you for joining us via webinar; we are
More informationMary Hoefler, MS, LCSW Office of Behavioral Health Office
Mary Hoefler, MS, LCSW Office of Behavioral Health mary.hoefler@state.co.us 303.866.7518 Office Senate Bill 266 Components of the BH crisis response system will reflect a continuum of care from crisis
More informationCreating 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 informationIntegrated 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
More informationUnderstanding the Initiative Landscape in Medi-Cal. IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager
Understanding the Initiative Landscape in Medi-Cal IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager Agenda Welcome / Introduction Sarah Lally, Project Manager Inland Empire Health
More informationIntegration Improves the Odds: Lessons Learned. Monday, December 18 th, 2017
Integration Improves the Odds: Lessons Learned Monday, December 18 th, 2017 Julie Cornell, North America Regional Manager, Global Community Impact INTEGRATION IMPROVES THE ODDS Lessons Learned Webinar
More informationIntegrated Behavioral Health Project Phase III Project Description
Integrated Behavioral Health Project Phase III Project For Phase III, the Integrated Behavioral Health Project has selected seven grantees to advance the base of knowledge concerning integrated care in
More informationSECTION 3. Behavioral Health Core Program Standards. Z. Health Home
SECTION 3 Behavioral Health Core Program Standards Z. Health Home Description Health home is a healthcare delivery approach that focuses on the whole person and provides integrated healthcare coordination
More informationINTEGRATION 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 informationIntegrating Behavioral Health into the Primary Care Visit for Co-Morbid Disease. Kari B. Kirian, Ph.D.
Integrating Behavioral Health into the Primary Care Visit for Co-Morbid Disease Kari B. Kirian, Ph.D. Objectives Integrated Care 101 Primary Care Behavioral Health (PCBH) PCBH at ECU Family Medicine Defining,
More informationA Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation
A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation Daniel J. Marino, President/CEO, Health Directions Asad Zaman, MD June 19, 2013 Session Objectives Establish
More informationCharting 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 informationMental 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 informationJail Health Services. Lisa A. Pratt, MD, MPH Director / Medical Director Jail Health Services. Title. Subtitle
Jail Health Services Lisa A. Pratt, MD, MPH Director / Medical Director Jail Health Services Title Subtitle 1 1 Health Commission Director of Health Finance Policy & Planning Human Resources Information
More informationSHOW-ME INNOVATION: Missouri s Health Care Homes Integrate Behavioral Health and Primary Care Jaron Asher, MD February 28, 2014
SHOW-ME INNOVATION: Missouri s Health Care Homes Integrate Behavioral Health and Primary Care Jaron Asher, MD February 28, 2014 Jaron Asher, MD Medical Director at Places for People in St. Louis, MO Chief
More informationUTILIZING HEALTH CLINICS TO MANAGE AND REDUCE HEALTHCARE COSTS
UTILIZING HEALTH CLINICS TO MANAGE AND REDUCE HEALTHCARE COSTS PRESENTED BY: Mardi Burns, CHC Senior Vice President, Senior Benefits Consultant Al Jaeger, CEBS Senior Vice President, Senior Benefits Consultant
More informationRelationships: 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 informationArticles of Importance to Read: UnitedHealthcare Goes Live With 13th Edition of Milliman Care Guidelines. Summer 2009
Important information for physicians and other health care professionals and facilities serving UnitedHealthcare Medicaid members Summer 2009 UnitedHealthcare Goes Live With 13th Edition of Milliman Care
More informationChecklist for Ocean County Community Health Improvement Plan Implementation of Strategies- Activities for Ocean County Health Centers: CHEMED & OHI
Checklist for Community Health Improvement Plan Implementation of Strategies- Activities for Lead Organizations Activities Target Date Progress to Date Childhood Obesity (4 Health Centers 1-Educate on
More informationIntegration Models Lessons From the Behavioral Health Field
Integration Models Lessons From the Behavioral Health Field Presenters: Karen Bassett, Weber Human Services Kathy Bianco, Care Plus NJ, Inc Jennifer DeGroff, AspenPointe The Wellness Clinic Weber Human
More informationThree 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 informationRE Sutton and Associates
RE Sutton and Associates It has been our pleasure to work with Carmel Clay Schools for the last 25 + year as your Benefit Advisor. RE Sutton and Associates is a benefit consulting firm that specializes
More informationRN 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
More informationEvidence Based Practice: The benefits and challenges of behavioral health services in primary care settings.
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Evidence Based Practice: The benefits and challenges of behavioral health services in primary care settings.
More informationL8: Care Management for Complex Patients: Strategies, Tools and Outcomes
The Triple Aim 16 th Annual Summit: Institutes for Healthcare Improvement - Improving Patient Care in the Office Practice and the Community March 16, 2015 Dallas, Texas L8: Care Management for Complex
More informationUPMC 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 informationCMHC Healthcare Homes. The Natural Next Step
CMHC Healthcare Homes The Natural Next Step Partners in Planning A collaborative effort involving Dept. of Social Services (Mo HealthNet) Dept. of Mental Health Primary Care Association (FQHCs) Coalition
More informationBrian 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 information2015 Annual Convention
2015 Annual Convention Date: Tuesday, October 13, 2015 Time: 8:00 am 9:30 am Location: Gaylord National Harbor Resort and Convention Center, National Harbor 10 Title: Activity Type: Speaker: Opportunities
More informationIntegrated 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 informationUsing Data for Proactive Patient Population Management
Using Data for Proactive Patient Population Management Kate Lichtenberg, DO, MPH, FAAFP October 16, 2013 Topics Review population based care Understand the use of registries Harnessing the power of EHRs
More informationAdopting Accountable Care An Implementation Guide for Physician Practices
Adopting Accountable Care An Implementation Guide for Physician Practices EXECUTIVE SUMMARY November 2014 A resource developed by the ACO Learning Network www.acolearningnetwork.org Executive Summary Our
More informationTransforming Healthcare Delivery, the Challenges for Behavioral Health
Transforming Healthcare Delivery, the Challenges for Behavioral Health Presented by: M.T.M. Services, LLC P. O. Box 1027, Holly Springs, NC 27540 Phone: 919-434-3709 Fax: 919-773-8141 E-mail: mtmserve@aol.com
More informationOctober Program/Policy Updates
October 2017 An An Update Update for for Highmark Highmark Health Health Options Options Providers Providers and and Clinicians Clinicians Program/Policy Updates Clinical Practice and Preventive Health
More informationSTANDARDS OF CARE HIV AMBULATORY OUTPATIENT MEDICAL CARE STANDARDS I. DEFINITION OF SERVICES
S OF CARE Oakland Transitional Grant Area Care and Treatment Services J ANUARY 2007 Office of AIDS Administration 1000 Broadway, Suite 310 Oakland, CA 94612 Tel: 510. 268.7630 Fax: 510.268-7631 AREAS OF
More informationFrom Reactive to Proactive: Creating a Population Management Platform
Session D9 / E9 From Reactive to Proactive: Creating a Population Management Platform Richard Gitomer, MD Director, Brigham and Women s Primary Care Center of Excellence Vice Chair, Primary Care, Dept.
More informationDeveloping a Behavioral Health Care Service Line at a Small Rural Hospital
Developing a Behavioral Health Care Service Line at a Small Rural Hospital Mike Glenn, CEO, Jefferson Healthcare Joe Mattern, MD, CMO, Jefferson Healthcare Sue Ehrlich, MD, Medical Director, Discovery
More informationCCBHCs 101: Opportunities and Strategic Decisions Ahead
CCBHCs 101: Opportunities and Strategic Decisions Ahead Rebecca C. Farley, MPH National Council for Behavioral Health Speaker Name Title Organization It Passed! The largest federal investment in mental
More informationSouth Dakota Health Homes Care Coordination Innovation
South Dakota Health Homes Care Coordination Innovation Senator Deb Soholt NCSL Health Innovation Task Force December 6, 2016 South Dakota Health Homes Health Homes (HH)- provide enhanced health care services
More informationThe CCBHC: An Innovative Model of Care for Behavioral Health
The CCBHC: An Innovative Model of Care for Behavioral Health B R E N D A G O G G I N S, J D V I C E P R E S I D E N T O A K S I N T E G R A T E D C A R E M I C H A E L D A M I C O, L C S W D I R E C T
More informationCentral 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 informationPrepared by: April 19, 2011
Integration of Primary and Behavioral Health in DPH Primary Care Clinics Prepared by: Marcellina A. Ogbu, DrPH - Director, Community Programs Michelle Schurig - Office of the Controller, City Services
More informationAppendix 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
More informationMajor Dimensions of Managed Behavioral Health Care Arrangements Level 3: MCO/BHO and Provider Contract
Introduction To understand how managed care operates in a state or locality it may be necessary to collect organizational, financial and clinical management information at multiple levels. For instance,
More informationShasta Health Assessment and Redesign Collaborative (SHARC) Behavioral Health and Substance Abuse Prevention Committee
Shasta Health Assessment and Redesign Collaborative (SHARC) Behavioral Health and Substance Abuse Prevention Committee Behavioral Health Needs Assessment and Gap Analysis Report May 2015 Prepared By: Health
More informationNevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015
Nevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015 I. Executive Summary The vision of Nevada County Behavioral Health (NCBH)
More informationAPNA 27th Annual Conference Session 3023: October 11, 2013
Beth Phoenix, RN, PhD Aaron Miller, RN, MS, PMHNP Sherri Borden, RN, MS, ANP Matt Tierney, RN, MS, NP UCSF School of Nursing None of the presenters has any conflicts of interest to disclose Beth Phoenix,
More informationAttachment A INYO COUNTY BEHAVIORAL HEALTH. Annual Quality Improvement Work Plan
Attachment A INYO COUNTY BEHAVIORAL HEALTH Annual Quality Improvement Work Plan 1 Table of Contents Inyo County I. Introduction and Program Characteristics...3 A. Quality Improvement Committees (QIC)...4
More informationThe 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 informationRoll Out of the HIT Meaningful Use Standards and Certification Criteria
Roll Out of the HIT Meaningful Use Standards and Certification Criteria Chuck Ingoglia, Vice President, Public Policy National Council for Community Behavioral Healthcare February 19, 2010 Purpose of Today
More informationo Recipients must coordinate these testing services with other HIV prevention and testing programs to avoid duplication of efforts.
E. GENERAL SERVICE DEFINITIONS & SERVICE DELIVERY The following section provides specific service definitions, service delivery and any special reporting requirements for each of the services funded in
More informationHealth Home Flow Hypothetical Patient Scenario
Health Home Flow Hypothetical Patient Scenario Client Background: Soozie SoonerCare Soozie is a single female, age 42, 5'6" tall 215 pounds. She smokes 2 packs of cigarettes a day. At age 24, Soozie was
More information2016 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 informationPCSP 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
More informationARRA New Opportunities for Community Mental Health
ARRA New Opportunities for Community Mental Health Presented to: The Indiana Council of Community Behavioral Health Kevin Scalia Executive Vice-President, Corporate Development February 11, 2010 Overview
More informationHIMSS Davies Award. Case Study #2. Joe Humphry MD, FACP, CPEHR Cori Takesue PsyD. December 13, 2017
HIMSS Davies Award Case Study #2 LCHC Telehealth Joe Humphry MD, FACP, CPEHR Cori Takesue PsyD December 13, 2017 501(c)3 Non profit Organization Federally Qualified Health Center (FQHC) Provides services
More informationBehavioral Health Division JPS Health Network
Behavioral Health Division JPS Health Network Macro Trends 1 in 5 Adults in America experience a mental illness Diversion of Behavioral Health patients from jail Federal Prisons Mental Illness State Prison
More informationIntegration Workgroup: Bi-Directional Integration Behavioral Health Settings
The Accountable Community for Health of King County Integration Workgroup: Bi-Directional Integration Behavioral Health Settings May 7, 2018 1 Integrated Whole Person Care in Community Behavioral Health
More informationThe American Recovery and Reinvestment Act of 2009, Meaningful Use and the Impact on Netsmart s Behavioral Health Clients
The American Recovery and Reinvestment Act of 2009, Meaningful Use and the Impact on Netsmart s Behavioral Health Clients Updated March 2012 Netsmart Note: The Health Information Technology for Economic
More informationPatient Centered Medical Home: Transforming Primary Care in Massachusetts
Patient Centered Medical Home: Transforming Primary Care in Massachusetts Judith Steinberg, MD, MPH Deputy Chief Medical Officer Commonwealth Medicine UMass Medical School Agenda Overview of Patient Centered
More informationChapter 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 informationMAKING PROGRESS, SEEING RESULTS
MAKING PROGRESS, SEEING RESULTS VALUE-BASED CARE REPORT HUMANA.COM/VALUEBASEDCARE Y0040_GCHK4DYEN 1117 Accepted 2 Americans are sick and getting sicker, with millions of us living with chronic conditions
More informationPrimary Care and Behavioral Health Integration: Co-location for Article 28 and Article 31 Clinics
Primary Care and Behavioral Health Integration: Co-location for Article 28 and Article 31 Clinics IMPLEMENTATION TOOLKIT Implementation Planning for Co-located Primary Care and Behavioral Health Services
More informationBest 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,
More informationPPS Performance and Outcome Measures: Additional Resources
PPS Performance and Outcome Measures: PPS Performance and Outcome Measures: This document includes supplemental resources to the content on PPS Performance and Outcome Measures presented at the December
More informationWelcome 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
More informationMedical Management Program
Medical Management Program Introduction Molina Healthcare maintains a medical management program to ensure patient safety as well as detect and prevent Fraud, Waste and Abuse in its programs. The Molina
More information2017 Congestive Heart Failure. Program Evaluation. Our mission is to improve the health and quality of life of our members
2017 Congestive Heart Failure Program Evaluation Our mission is to improve the health and quality of life of our members 2017 Congestive Heart Failure Program Evaluation Program Title: Congestive Heart
More informationTHE BEST OF TIMES: PHARMACY IN AN ERA OF
OBJECTIVES THE BEST OF TIMES: PHARMACY IN AN ERA OF ACCOUNTABLE CARE Toni Fera, BS, PharmD October 17, 2014 1. Describe the role of pharmacists in accountable care organizations (ACO). 2. List four key
More informationBehavioral Wellness. Garden Fountain by Bridget Hochman RECOMMENDED BUDGET & STAFFING SUMMARY & BUDGET PROGRAMS CHART
Garden Fountain by Bridget Hochman RECOMMENDED BUDGET & STAFFING SUMMARY & BUDGET PROGRAMS CHART Operating $ 133,861,700 Capital $ 0 FTEs 384.4 Alice Gleghorn, PhD Director Administration & Support Mental
More informationImplementation of Ohio SBIRT in an Integrated Health Center: Panel Discussion. All Ohio Institute on Community Psychiatry March 25, 2017
Implementation of Ohio SBIRT in an Integrated Health Center: Panel Discussion All Ohio Institute on Community Psychiatry March 25, 2017 SBIRT Panelists: Introduction Ellen Augsperger Director of Ohio SBIRT
More informationThe Psychiatric Shortage:
ational Council Medical Director Institute The Psychiatric Shortage: National Council Medical Causes and Solutions Director Institute Update National Council Medical Director Institute Medical directors
More informationCertified Community Behavioral Health Centers and New York State s Healthcare Reform: Considerations for Providers
Certified Community Behavioral Health Centers and New York State s Healthcare Reform: Considerations for Providers November 30, 2015 Joshua Rubin HealthManagement.com Plan CCBHC basics NYS Health Reform
More informationOrganized, 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,
More informationOverview of New Nursing Roles in Whole Person Care. Session 1
Overview of New Nursing Roles in Whole Person Care Session 1 1 Introductions Anne Shields, MHA, RN Associate Director, UW AIMS Center 2 Learning Objectives RN Primary Care Managers Focus Patient Population:
More informationEVOLENT HEALTH, LLC. Heart Failure Program Description 2017
EVOLENT HEALTH, LLC Heart Failure Program Description 2017 1 Evolent Health Heart Failure Program Description 2017 Table of Contents Section Page Number I. Introduction. 3 II. Program Scope. 3 III. Program
More informationReadmission Prevention Programs. Vice President, Strategy & Development June 6, 2017
Readmission Prevention Programs Paul M. Duck @paulduck Vice President, Strategy & Development June 6, 2017 About Beacon Health Options Headquartered in Boston; more than 70 locations in the US and UK 5,000
More informationHEALTH HOME INTEGRATED PRIMARY AND BEHAVIORAL HEALTH CARE SERVICES
COMPARISON OF EXISTING SERVICES AND DELIVERY MODELS WITH DEFINITIONS PRIMARY CARE CASE MANAGEMENT (PCCM) Oklahoma s PCCM program is called SoonerCare Choice (SCC), in which each enrollee is linked to a
More information6/27/2014. THE NEW TECHNOLOGY LANDSCAPE Presentation Objectives. The Landscape Drives Metrics. Issues: Responding to Need. AZ Drivers/Priorities
x == 6/27/2014 THE NEW TECHNOLOGY LANDSCAPE Presentation Objectives Using Business Analytics & Health Information Exchanges to Improve Practice & Sustain Organizations Business Metric Development Strategies
More informationIntegrated Behavioral Health
1, Core Competencies, Chapter 16 Integrated Behavioral Health Contributor: Michael Mabanglo and Elizabeth Morrison Edited by Marc Avery Revision Date: 2/6/17 Definition and Why Supporting Integrated Behavioral
More informationFirstHealth Moore Regional Hospital. Implementation Plan
FirstHealth Moore Regional Hospital Implementation Plan FirstHealth Moore Regional Hospital Implementation Plan For 2016 Community Health Needs Assessment Summary of Community Health Needs Assessment Results
More informationIntegrated Care & State Policy in Tennessee: Case Study of Cherokee Health Systems
Integrated Care & State Policy in Tennessee: Case Study of Cherokee Health Systems August 2016 Introduction With an organizational mission to improve the quality of life for [their] patients through the
More informationFQHC Behavioral Health Billing Codes
FQHC s Eligible Documentation Assessment 90792 Psychiatric Prescribers only (MD, NP, PA, APRN) Psychiatric diagnostic evaluation with medical services. Medical though process clearly reflected in assessment
More informationWHAT 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
More informationMedical 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 informationIV. Clinical Policies and Procedures
A. Introduction The role of ValueOptions NorthSTAR is to coordinate the delivery of clinical services. There are three parties to this care coordination process: the Enrollee, the Provider(s), and the
More informationBEHAVIORAL HEALTH Section 13. Introduction. Behavioral Health Benefit Overview
Introduction Ohana Health Plan s Clinical Services Program is designed to coordinate medically necessary care at the most appropriate level of service. The goal is to provide the right service in the right
More information