Integrating Healthcare
Integrating pharmacy services in a patient-centered medical home community health center Melodie Gee, Director of Quality, Lower Lights Christian Health Center Allan Zaenger, Executive Director/Pharmacist, Charitable Pharmacy of Central Ohio
Integrating behavioral and physical healthcare Julie Erwin Rinaldi, CEO, Syntero Beth Whitted, Regional Director of Clinical Operations, Columbus Neighborhood Health Center
www.hcgc.org
Columbus Neighborhood Health Center and Syntero, Inc. Integrated Primary and Behavioral Health Care Partnerships
Why integrate care? • Behavioral health conditions effect 1 in 5 Americans annually. • Health care costs associated with Behavioral Health $57 billion per year-on par with cancer.
Why integrate care? • Health care costs for persons with comorbid mental health and/or substance abuse and primary health diseases is 2.5-3.5 times higher. • Higher readmission rates to hospital. Higher ER utilization. • Disciplines and care remain fragmented. • New payment models are rewarding improvement of health outcomes and simultaneously reducing health care costs.
CNHC • CNHC has various levels of BH integration across 9 sites. • Current BH partners also include, Maryhaven and NorthCommunity Counseling Center. • Most integrated at John Maloney-screening all patients. • Newest Site Dublin.
Syntero, Inc. • Two outpatient behavioral health centers-Dublin and Upper Arlington • Contract with Dublin Methodist Hospital-24/7 team provides behavioral health assessments and referral in ER • Two integrated/co-located sites in partnership with CNHC at Agler Road Clinic and at Dublin Site at 299 Cramer Creek Ct.
Dublin Integrated Site • Shared Entrance/Shared Waiting Room • Shared Front Office Reception • CNHC exams rooms, nurses station, triage imbedded in Syntero's Operations • OSU MEDTAPP social work students coordinating care between providers
• Started seeing patients on September 3, 2014 on Weds/Thurs from 2-6 pm • At capacity immediately • Opening up more capacity in December-9-6 pm Thursdays • Open to Syntero clients as well as community. • Approx. 2/3 patients from community to date. • Screening depression and substance abuse. • CNHC is tracking diabetes (A1C) data, Syntero is tracking improvement in functioning in life domains, decrease in depression/anxiety symptoms and substance use/abuse.
LESSONS LEARNED Choose a partner that you can work with and shares your values. Have patience with the process. Just get started! It doesn't all have to be figured out right away! Screening and brief visits with social workers in the exam room works well. Best screening tools are still being evaluated.
Challenges Building a complete, well functioning team-Social Workers/med-management between medical professionals Sharing information electronically-EHRs do not speak to each other Misperceptions about BHI model...Integration does not mean that the same professional provides all services.
Creating an interdisciplinary team.
Next Steps: • Integrate MedManagement • Look at systems that can facilitate sharing info electronically • Billing for services for optimal reimbursement • Replicate at other sites • Evaluate the Cost of the Integrated Model
What are your reflections and questions?
www.hcgc.org
Healthcare Transformation Learning Session December 5, 2014
Upcoming Regional Learning Sessions
Thank you for joining us today… We need each of you to complete the brief evaluation and leave on your chair!
Please save these dates from 8:30-11:30am: May 15, 2015 August 21, 2015
Happy Holidays!
December 4, 2015