Making It Work: Integrated Care from Start to Finish (571082) Jeri Turgesen, PsyD, Behavioral Health Consultant Providence Medical Group Laura Fisk, PsyD,

Making It Work: Integrated Care from Start to Finish (571082)

Jeri Turgesen, PsyD, Behavioral Health Consultant Providence Medical GroupLaura Fisk, PsyD, Wellness Center Behaviorist, Yamhill County Community OrganizationSeamus McCarthy, MTP, PhD, Director of Operations and Integration, Yamhill County Community OrganizationBenjamin Calvert, MD Providence Medical Group Mary Peterson, Phd/ABPP/CL, George Fox University

Collaborative Family Healthcare Association 17th Annual ConferenceOctober 15-17, 2015 Portland, Oregon U.S.A.

Session # C5aSaturday October 17, 2015

+Faculty Disclosure

The presenters of this session

have NOT had any relevant financial relationships during the past 12 months.

+Learning Objectives

At the conclusion of this session, the participant will be able to: Identify the motivating factors for healthcare

administrators to support an integrated care model.

Identify the key stages in program development for a multi-site integrated care program.

Understand how to communicate impact of the integrated model from a pilot project.

Learn a primary care provider’s perspective of before and after integrated care.

Bibliography / Reference

1. Beacham, A. O., Kinman, C., Harris, J. G., & Masters, K. S. (2012). The patient centered medical home: Unprecedented workforce growth potential for professional psychology. Professional Psychology: Research And Practice, 43(1), 17 23.

2. Blount, F. A., & Miller, B. F. (2009). Addressing the workforce crisis in integrated primary care. Journal of Clinical Psychology in Medical Settings, 16(1), 113 119.

3. Nash, J. M., Khatri, P., Cubic, B. A., & Baird, M. A. (2013). Essential competencies for psychologists in patient centered medical homes. Professional Psychology: Research and Practice, 44(5), 331 342.

4. Patient Protection and Affordable Care Act, 42 U.S.C § 18001 et seq. (2010).

5. Torrence, N. D., Mueller, A. E., Ilem, A. A., Renn, B. N., DeSantis, B., & Segal, D. L. (2014). Medical provider attitudes about behavioral health consultants in integrated primary care: A preliminary study. Families, Systems, & Health, 32(4).

+Learning Assessment

A learning assessment is required for CE credit.

A question and answer period will be conducted at the end of this presentation.

+Making it Work: Multiple Perspectives

1. Healthcare administrator

2. Program Developer

3. Pilot program Implementation

4. Primary Care Provider perspective.

+Yamhill Community Care Organization

Re-thinking Health!

+Building relationships

Communicating what matters

Development

Assessment&

Feedback

Developing a Pilot Program

+Pilot Program Outcome Results

PCP Visit prior BHC Visit

PCP Visit One Year after BHC Visit(s)

(Time varied on most recent PCP visit)

Metrics Averages Metrics AveragesBMI(79% of pts)

32.32(Min: 14.8; Max: 65.4)

BMI(79% of pts)

32.49(Min: 15.4; Max: 70)

A1C(17% of pts)

7.17(Min: 4.8; Max: 14)

A1C(19% of pts)

7.03(Min: 4.8; Max: 13.9)

Cholesterol*(19% of pts)

188.63(Min: 116; Max: 351)

Cholesterol(19% of pts)

179.5(Min: 120; Max: 284)

# of PCP Visits** (1 yr prior to BHC visit)

5.16(Min: 1; Max: 20)

# of PCP Visits(since BHC visit)

2.58(Min: 0; Max: 15)

# of ER Visits* (1 yr prior to BHC visits)

0.57(Min: 0; Max: 16)

# of ER visits(since BHC visits)

0.32(Min: 0; Max: 8)

#of Clinic Contact**

5.96(Min: 0; Max:

36)

#of Clinic Contact

3.44(Min:0; Max:25)

Note. Significance is indicated * = p<.05, ** = p<.01

+Program Development

Recruiting Model Cadence Limited pool

Training Bootcamp Competency Based

+Program Implementation

Behaviorist Learning Collaborative In clinic support Monthly team meetings Clinic consultation

Emphasis: Clinician Support Model adherence Burnout

+

0%

20%

40%

60%

80%

100% 92% 92% 88%

64%

80% 84%

PCP Satisfaction

Satisfaction

+Questions?

+Session Evaluation

Please complete and return theevaluation form to the classroom monitor before leaving this

session.

Thank you!