Collaborative care networks across the disciplines

COLLABORATIVE CARE NETWORKS ACROSS

THE DISCIPLINES

Ellen Crean RDH MS DDS PHD

Objectives Understand what “Collaboration “ means Gain insights into healthcare today and how

collaboration plays a role Review initiatives in healthcare relating to

collaborative care Discuss dentistry’s role in collaborative care Understand collaborative care networks in sleep

medicine Place the dentist into that collaborative network Review examples of existing networks in sleep

medicine Understand how dentists can establish and

participate in these networks

“ Collaboration”

Act of working together with one or more people to achieve shared goals

Healthcare Reform- Push to

Address cost of healthcare

Improve quality of healthcare

Increase access to healthcare

Healthcare initiatives that have arose to meet the needs

Integrated Patient Centered Medical Home

Developing accountable care organizations

Increasing focus on pay for performance Comparative effectiveness research

“ Collaborative Care in Healthcare”

A healthcare philosophy and movement that includes the provider of mental health , behavioral health ,and substance use in primary care

Agency for Healthcare Research and Quality

Published overview of outcomes of collaborative healthcare models and research to support them

Focus on treating whole person and whole family

Collaborative Family Healthcare Association

Promotes a comprehensive model of healthcare delivery that integrates mind and body , individuals and families, patients , providers and community

CFHA Goals

Develop Knowledge base of CFH Advocate for the CFH perspective Develop opportunities and projects in

healthcare related to CFH Create partnerships that will strengthen

the delivery of CFH

Collaborative Care in Dentistry

For the longest time dentistry has survived remaining isolated from the collaborative healthcare care model –an island all to itself.

Paradigm shift

Patient centered care and total body health is shifting the isolated model of dentistry .

Collaboration is occurring in disease management ( diabetes, heart disease , pregnancy and fetal health , oral medicine, head neck and facial pain , cancer, sleep breathing disorders.)

Collaborative care networks in sleep medicine Patients Sleep MD PCP PA/NP Behavioral Sleep /PHD Sleep Centers RPSGT RT ENT Dentist Oral Myologists Nutritionists

Barriers to success in collaborative networks Turf battles between professions Lack of models or systems utilizing

collaborative care Wide variations in regulations Lack of systems for referral and

communication Lack of evidence based protocols for

collaboration that provide basis for care

Key points for success in collaborative networks Organizational mandate Clear sets of responsibilities Team structure Team process Shared goals and outcomes Mutual trust and respect Communication

Dentists Role in Successful Collaborative Sleep Networks

Recognize and acknowledge that the physician oversees the treatment and management of the sleep breathing disorder

Understand the role of all therapy options available to patient and when they are beneficial

Be an expert on the treatment options you can provide for the patient .

Dentists Role Have well defined systems and protocols for the

network relationship ( referral systems , communication systems , treatment protocols)

Enhance patients access to care (become a contracted provider for medical insurance)

Propose and establish only medically /legal structured relationships

Be focused on patient care and patient outcomes and not only on financial gain

Be supportive of your other network providers and understand how your role can build their practices as well as yours.

Examples of Collaborative Networks Hospital Based Program – Dentist part

of sleep center/ hospital staff. Runs Awake group with RT and does grand rounds presentation with Sleep medical director.

Sleep ENT group - Dentist and Oral Myology evaluation done on all patients

Sleep Center central hub for all providers / manage patient referrals

Questions ?

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