Reverse Co-Location反向协同定位.pptVIP

* * * Ryan Collaborative Family Healthcare Association 12th Annual Conference * * How Will You Engage Consumers? Presumption: utilize their engagement with and trust in behavioral health team (‘warm handoffs’) Make co-located service a preferred choice for primary care (via screenings, wellness activities, incentives, good customer service) Certified Peer Specialists key members of the team trying to integrate care Motivational interviewing Who Will Coordinate Care? Traditional “case managers”—add this task to services already being provided Create/ hire/ train specialists in healthcare integration Combination of existing personnel (with additional training) and integration specialists Assumes coordination of primary/ medical specialty care via PCP Lessons Learned: Blending Cultures You need to work with your primary care providers to merge and adapt the different cultures that define each of you Two different worlds? FINDING A PARTNERChallenge of Information Sharing Two different and independent charting systems More stringent state regulations re sharing of BH info Participant concerns about sharing BH information with primary care providers (and vice versa) * Lessons Learned: Transforming Yourself You need to persistently work on changing the culture of your organization so that it sees itself as one that provides integrated health care, not just behavioral health care Lessons Learned: Choices You need to consciously balance your desire that all your participants choose primary care on site with with your desire to insure they can freely choose where to receive primary care Fairmount Primary Care Center at Horizon House: Accessing Care Fairmount PCC available to ALL HH staff and program participants Fairmount PCC must be selected as primary care provider Consistent with FQHC rules, Fairmount PCC will see people without health insurance Lessons Learned: Systems You need to create and monitor systems that support the collaborative care