Ann Marie Sullivan, MD Commissioner NY State OMH } BET ETTER ER - - PowerPoint PPT Presentation

ann marie sullivan md commissioner ny state omh bet etter
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Ann Marie Sullivan, MD Commissioner NY State OMH } BET ETTER ER - - PowerPoint PPT Presentation

Ann Marie Sullivan, MD Commissioner NY State OMH } BET ETTER ER HEA EATLH OF THE E POPULATION: Prevention and Maximizing Wellness } BET ETTER ER CARE E FOR EA EACH PATIEN ENT: Quality Care focused on patient choice, engagement,


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Ann Marie Sullivan, MD Commissioner NY State OMH

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} BET

ETTER ER HEA EATLH OF THE E POPULATION: Prevention and Maximizing Wellness

} BET

ETTER ER CARE E FOR EA EACH PATIEN ENT: Quality Care focused on patient choice, engagement, and satisfaction; clinical best practices; integrated care between medical and psychiatric services; coordinated care with Primary care Medical Home; Increase in insured patients requires increased access to care

} LOWER

ER COST: Performance based payment; More efficient and effective care focused on decreasing preventable admissions and readmissions; and more comprehensive integrated ambulatory care (PCMH)

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} Partnerships between mental health providers

and aging services providers offer

  • pportunities for screening and treatment of

the whole individual, mind and body.

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} Collaborative Care for late life depression } 15% of elderly in Primary Care have a treatable

depression

} Randomized Trial: 8 health centers and 18 clinics } Primary Care patients 60 and older with major

depression or dysthymia

} Treatment: Pharmacologic and Care Management } Outcomes: } >50% drop in SCL-20 depression scores at

6months and 12 months

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Source: ¡United ¡Hospital ¡Fund, ¡New ¡York ¡Beneficiaries ¡with ¡Mental ¡Health ¡and ¡Substance ¡Use ¡Condi?ons, ¡2011 ¡

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Patients with MH/ SA diagnosis, medical readmission $395M Patients with MH/ SA diagnosis, MH/SA readmission $270M Patients without MH/SA diagnosis, medical readmission $149M

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} Established a Geriatric Health Planning

Council

} and } Geriatric Demonstration Projects in Integrated

Health care to test various approaches:

} Model 1: Physical Health Care in Behavioral

Health Settings (19 projects)

} Model 2: Behavioral Health in Physical Health

settings (12 Projects)

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} Medicaid Managed Care and HARPS focus on

integrating physical and behavioral health

} NY State Collaborative Care Initiative funded

19 academic sites to train primary care residents in integrated depression treatment in primary care

} DSRIP : 26 Proposals chose collaborative

care as their behavioral health project

} Integrated Care needs to be imbedded in

FIDA and MLTC plans

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} Adequate reimbursement from Medicaid

Managed Care, Medicare, and commercial payers for the services: what is the cost? How can the service be maintained when “grant” dollars no longer available?

} Providers need to be trained to implement

effective, evidence based models.

} Regulations and licensing procedures need to

reflect changing practice and facilitate integrated care.