SLIDE 4 BreeCollaborativeRecommendations
1.IntegratedCareTeam 2.PatientAccesstoBehavioralHealthasaRoutine PartofCare 3.AccessibilityandSharingofPatientInformation 4.PracticeAccesstoPsychiatricServices 5.OperationalSystemsandWorkflowstoSupport PopulationBasedCare 6.EvidenceBasedTreatments(medsandBHInterventions) 7.PatientInvolvementinCare 8.DataforQualityImprovement
PrinciplesofCollaborativeCare
Evidence-Based Care. Providers use treatments that have
research evidence for effectiveness.
Population-Based Care. A defined group of clients is tracked
in a registry so that no one falls through the cracks.
Treatment to Target. Progress is measured regularly and
treatments are actively changed until clinical goals are achieved.
Client-Centered Collaboration. Primary care and mental
health providers collaborate effectively using shared care plans.
Accountable Care. Providers are accountable and reimbursed
for quality of care and clinical outcomes, not just volume of care.
PrinciplesforEvidenceBasedIntegration
- BHproviderkeypartofteam
- Systematicscreening
- Measurementbasedbehavioralhealthservices
- Populationbasedcare
- Treatmenttotarget
- Trackingpatientsandfollowingup
- Evidencebasedtreatmentsprovided
- Accesstopsychiatry(Bree)vs.psychiatriccase
review(CoCM)
16
MostCommonModelsofCareinWA
BHC/PCBHModel
- BHConsultantonPCPteam
- Aimforimmediateaccess,address
manyhealthconditions
- Briefvisits,focusonimmediate
concernofPCPorpatient
- Patient/PCPinitiatefollowupcare
- Nodefined“episodeofcare”
- Psychiatricservicesusuallyby
externalreferralifatall
- Measurementandtrackingmaybe
newelements
CollaborativeCareModel
- BHProviderandPsychConsultant
- Aimfortimelyaccess,addressMH
conditions
- InitialAssessmentfollowedbybrief
visits,focusonsymptomalleviation
- AssertiveBHPfollowupuntilspecific
clinicaltargetsreached
- Average“episode”aroundsix
months
- Regular(weekly)psychiatriccase
review– treatmentmodifications!
- Measurement,tracking,treatment
modificationintegraltomodel
