Building A Team Over Time & Space: Strategies for Enhancing BHC Collaboration

Across Clinics in a Large Geographic AreaBrian E. Sandoval, Psy.D., Juliette Cutts, Psy.D., and Brian Chao, Psy.D.

Yakima Valley Farm Workers Clinic

Collaborative Family Healthcare Association 16th Annual ConferenceOctober 16-18, 2014 Washington, DC U.S.A.

Session # C3bOctober 17, 2014

Faculty Disclosure

• Brian Sandoval currently has or has had the following relevant financial relationships during the last 12 months:– Consultant, primarycareshrink.com

• Juliette Cutts and Brian Chao 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:

• Describe a process for rapidly on-boarding new BHC’s

• Identify at least 3 strategies for fostering teamwork and collaboration

• Discuss strategies for utilizing Distributed Leadership to maximize services, increase BHC engagement, and reduce burnout

Bibliography / Reference1. Serrano, N. (2014), The Implementer's Guide To Primary Care

Behavioral Health.

2. Bolden, R (2011), Distributed Leadership in Organizations: A Review of Theory and Research, ijmr_306 251..269. Retrieved 8/22/14 from http://onlinelibrary.wiley.com/doi/10.1111/j.1468-2370.2011.00306.x/pdf

3. Hoge M.A., Morris J.A., Laraia M., Pomerantz A., & Farley, T. (2014). Core Competencies for Integrated Behavioral Health and Primary Care. Washington, DC: SAMHSA - HRSA Center for Integrated Health Solutions. Retrieved 8/22/14 from http://www.integration.samhsa.gov/workforce/Integration_Competencies_Final.pdf

4. Interorganizational Work Group on Competencies for Primary Care Psychology, (2013), Competencies for Psychology Practice in Primary Care, Retrieved 8/22/14 from http://www.apa.org/ed/resources/competencies-practice.pdf

5. Mountain View Consulting Group, (2013), Primary Care Behavioral Health Toolkit, Retreived 8/22/14 from http://www.pcpci.org/sites/default/files/resources/PCBH%20Implementation%20Kit_FINAL.pdf

Learning Assessment

• A learning assessment is required for CE credit.

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

Humble Beginnings Prior to 2012

.7 - Patti

.5

.5

*NP

*NP

-- Open Position

-- Filled

-- Co-located

Current State of PCBH

*NP

*NP

-- Open Position

-- Filled

-- Co-located

*Psy, NP

GFU

Future of PCBH

GFU

HealthPoint

CWFM

Pacific

-- Open Position

-- Filled

-- Co-located

x2

x2

x2

x2*NP

*NP

x2

*Psy, NP

Future of PCBH

GFU

HealthPoint

CWFM

Pacific Lower ValleyW Oregon

Upper Valley

Rapid Expansion

• Prepping the Clinic

– Orienting Providers/Clinic Staff

– Understanding Clinic Workflows

– Scheduling/Scrubbing/Screening

– Finding a Central Location

Rapid Expansion

• Clarifying Expectations

– Training Manual

– Core Competencies

Rapid On-Boarding

• Define a clear on-boarding process

– Week 1: Corporate Orientation

– Week 2: Established Clinic with our Training Lead

– Week 3: Home Clinic with Program Manager

– Week 4: Home Clinic with Training Lead

Breaking It Down:Core Functions of every BHC

• Clinical (Serving Providers and Patients)

• Population management

• Connection with local resources

• Team Support and Coordination

Building It Out:BHC Specialty Areas• Administration/Policy

• Clinical Training

• Psychopharmacology

• Resources

• Technology/Communication

• Special Populations

• Groups

Bringing It Together: Distributed Leadership*

• The Challenge: meeting a wide base of need with

limited resources

• The Strategy: Each BHC becomes a “partner” in

our program and takes on chosen activities to

support the team

* Bolden, R (2011)

Benefits of Distributed Leadership: Bringing the Team Together

• Benefits of distributed leadership:

– Promotes shared learning/successes

– Capitalizes on individual strengths of team members

– Promotes team cohesion and prevents burnout

– Helps foster career development

Panel Presentation

• Developing Core Competencies and Best Practices

• Leveraging Technology

• Staying Connected Across the Miles and Other Ways to Fight Isolation

Questions?

Session Evaluation

Please complete and return theevaluation form to the classroom

monitor before leaving this session.

Thank you!