ppt课件-healthcarehomecoreylakins,projectdirector.pptVIP

* HEALTH CARE HOME Corey Lakins,Project Director MILESTONE CENTERS INC. SQURRIL HILL HEATH CENTER COHORT 2 LEARNING COMMUNITY REGION 5 PITTSBURGH, PA clakins@milestonecentersinc.org 412-371-3791 ext 117 * ABOUT OUR PROGRAMHEALTHCARE HOME (HCH) Integration Model Two out of three sites have integrated treatment teams where the mental health, primary care provider and HCH team comes together and discuss the consumer’s P/BH treatment plan. The team consist of the psychiatrist, primary care physician, clinicians, RN, care navigators and administrators. The integrated teams meet once a month. Strategies used to incorporate primary care Milestone already had an existing relationship with SHHC. Enrollment target 168 (70% =118 for FFY 2012). Currently served 96 consumers. Special populations served SPMI, IDD and Deaf consumers. * ABOUT OUR PROGRAMHEALTHCARE HOME (HCH) Milestone’s two sites are suburban setting Certified Peer Support role: Co-facilitate and facilitate groups, transports consumers to specialty doctor appointments, home visits, individual peer support, escort to mobile medical van and reminder call for all appointments EHR Vendor is Qualifacts Upgraded to ONC-ATCB certified version December 2011 Unique: We provide primary care and wellness services to deaf consumers. PCP is ASL fluent. * WHO ARE WE?“Staffing structure” (1) RN – provides non acute interim patient visits, routine screenings and oversees wellness services. Milestone M-F. (2) Care Navigators – enrollments, assessments/reassessments, provides linkage within healthcare system. (1) Health and Wellness Educator – facilitates wellness groups. (1) Peer Support Specialist – co facilitate/facilitates groups, transport consumers and provides individual peer support. (1) Project Director – oversees project. (2) Primary Care Physicians – MOU with SHHC (FQHC) Medical Director, Internal Medicine and Geriatrics (SHHC) Family Practice Physician – ASL (SHHC) (1) Physician assistant (SHHC) * * SUCCESSFUL S