Partnerships for Successful Integration of Behavioral Health and Primary Care

Maribel Cifuentes, RN, BSN, Deputy Director, Advancing Care Together

Larry Green, MD, Director, Advancing Care Together

Shandra Brown Levey, PhD, Primary Care Psychologist

Linda Niebauer, Director of Communications, Advancing Care Together

University of Colorado, Department of Family Medicine

Collaborative Family Healthcare Association 15th Annual ConferenceOctober 10-12, 2013 Broomfield, Colorado U.S.A.

Session #G2a Friday, October 11, 2013

Faculty Disclosure

• We have not had any relevant financial relationships during the past 12 months.

Objectives

1. List key questions you and your partner should answer before “getting married.”

2. Identify key words and terms that you should define and agree on to describe your joint integration work.

3. Choose one or two strategies you can apply in your setting to improve the likelihood of success in your partnership.

Learning Assessment

Audience Question & Answerwill take place at the end of the

presentation.

Audience interaction is encouraged throughout the presentation.

Advancing Care Together

• 5-year program of The Colorado Health Foundation• 11 innovation sites • Rural, urban, suburban CO• Primary care practices and community mental health centers• Diverse innovative strategies to better integrate BH and

primary care services to meet the needs of patients and communities

• United as a learning community and by a multi-method learning evaluation

1. Miramont Family Medicine (Ft. Collins)

2. Westminster Medical Clinic (Westminster)

3. Salud Family Health Centers (Brighton)

4. Jefferson Center for Mental Health (Wheat Ridge)

5. Denver Health, Lowry Clinc (Denver)

6. Kaiser Permanente, Skyline (Denver)

7. Midvalley Family Medine (Basalt)

8. Primary Care Partners (Grand Junction)

9. CU Aging Center (Colorado Springs)

10.Southeast Mental Health Services (La Junta)

11.Axis Health System, Cortez Clinic (Cortez)

ACT Innovators

Duck billed platypus

Peek 7: Questions that Need Answers1. Why are you integrating primary care into your community

mental health center, or behavioral health into your primary care practice?

2. What is your vision for integrated care?3. What should you find out about your patient population to

make integrated care most successful?4. How will you make the patient experience of care seamless?5. What do you need to operationalize your integrated health

services?6. How will you integrate primary care providers / behavioral

health professionals into your clinic?7. What will be demonstrated and measured? How will you

measure success?

Language Matters

5 Key Words and Definitions

1. Primary care2. Behavioral health3. Integrated care4. Collaboration5. Leader

Primary Care

Behavioral Health

Term encompassing care for mental health,substance mis-use, health behavior change, lifestressors and crises, as well as stress-relatedphysical symptoms.

Integrated Care

Care rendered by a practice team of primary care and behavioral health providers, working together with patients and families, using a systematic and cost-effective approach to provide patient-centered care. This care may address diverse behavioral health needs. Models of integrated care may vary on numerous levels, including but not limited to characteristics of the care team, spatial arrangements, type of collaboration, and protocols for patient detection, treatment, and follow-up.Common integrated care models include collaborative depression care, primary care behavioral health, and co-located mental health and primary care services.

Collaboration

• Involves joint planning and execution, with two or more partnering entities working together to coordinate at multiple points to carry out a combined effort to accomplish a shared vision.

Organizational Relationships

Leader

Those who can create the conditions under which desired change can occur. They strongly influence how professional interactions unfold and whether teams are able to innovate, “fail”, and try again. They play a critical role engaging on-the-ground professionals in decisions. When multiple organizations partner, leaders from each setting must inform the integrated care approach. These individuals bridge organizations – frequently facilitating and mediating interpersonal relationships and organizational objectives. They help facilitate new ways of working together and foster camaraderie and culture change. Every member of the integrated care team can be a leader.

2 Partnership Stories

• Story 1

• Story 2

• What pitfalls do you think are in store for those in story 1? How about story 2?

• What are your stories of partnership?

• What pitfalls and benefits have you experienced?

5 Strategies for Success

1. Share a vision

2. Understand team strengths/weaknesses

3. Protect time and space for coming together

4. Understand costs and revenues

5. Establish outcomes measures

Lessons from Geese

http://www.youtube.com/watch?v=UdEjL9bVcCM

Session Evaluation

Please complete and return theevaluation form to the classroom monitor

before leaving this session.

Thank you!