[PC-BH-Integration] Assessing Primary Care Issues in BH Settings
Kathy Reynolds
reynoldk at ewashtenaw.org
Tue Nov 9 09:10:04 EST 2004
I've attached a Personal Health Review that we have developed in
Washtenaw County to screen SPMI consumers for commonly seen health
problems (cardiac, diabetes, obesity) and health care utilization (do
they have a PCP and are they seeing them). This instrument is
computerized and feeds a database that if certain items are checked a
health warning comes up on the screen indicating that the person is at
risk of a health problem and should be referred to their primary care
physician. We also use this form to identify the number of people
without primary care physicians and then get them hooked up, etc.
We are in the process of IRB approval to actually do research on the
validity of this instrument and would welcome other CMH orgs working
with us to test the instrument. Dr. Karen Milner at the University of
Michigan is the primary investigator and I've cc'd her on this message
if anyone is interested in contacting her.
I also owe the list serve some information on how we train CMH staff to
work in primary care settings. We've been so busy doing it that we don't
have it concisely written up, but I will get that information out very
soon.
Kathleen M. Reynolds, MSW, ACSW
Washtenaw Community Health Organization
555 Towner
Ypsilanti, MI 48197
Ph: 734-544-3000
Fax: 734-544-6732
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of
pc-bh-integration-request at lists101.his.com
Sent: Saturday, November 06, 2004 7:27 PM
To: pc-bh-integration at lists101.his.com
Subject: PC-BH-Integration Digest, Vol 6, Issue 14
Send PC-BH-Integration mailing list submissions to
pc-bh-integration at lists101.his.com
To subscribe or unsubscribe via the World Wide Web, visit
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or, via email, send a message with subject or body 'help' to
pc-bh-integration-request at lists101.his.com
You can reach the person managing the list at
pc-bh-integration-owner at lists101.his.com
When replying, please edit your Subject line so it is more specific
than "Re: Contents of PC-BH-Integration digest..."
Today's Topics:
1. Screening and referral for physical health in SMI population
(Barbara Mauer)
2. Primary care inside CMH systems (Heather Brock)
3. RE: CMH/Primary Care Integration (L Tynes)
----------------------------------------------------------------------
Message: 1
Date: Fri, 5 Nov 2004 08:15:49 -0800
From: "Barbara Mauer" <barbara at mcpphc.com>
Subject: [PC-BH-Integration] Screening and referral for physical
health in SMI population
To: <pc-bh-integration at lists101.his.com>
Message-ID:
<2ED24ACFAFC5A149BFA20EE0521544841C65D2 at MCPP-SBS.mcpp.local>
Content-Type: text/plain; charset="us-ascii"
Yes, the recently released Bazelon report highlights a project in
Chicago and the EXCEL program in Arizona as well as Cherokee, which has
primary care physicians imbedded in the teams serving their SMI
population. Steve Bartels at Dartmouth has been involved in several
research projects using nurse care managers who screen, educate, refer,
coach, accompany to health care visits. On the NCCBH website Primary
Care Resource center, there is a presentation from Judith Boardman,
Northeast Health System on their nurse practitioner model. Kathy
Reynolds, Washtenaw County Michigan, presented on the health screening
tool they use in their MH programs. Vermont has several Medical Home
projects that have placed nurses in MH programs. Universal Care, a
health plan in Southern California has a combined rehab/primary care
project for 400 SMI patients as a part of their staff model, all
Medicaid/Medicare.
So there is lots of emerging activity--please add to the list. Barb
Barbara J. Mauer
MCPP Healthcare Consulting
414 Olive Way, Suite 207
Seattle, WA 98101
Direct phone/voice mail: 206-352-2662
Office phone/voice mail: 206-613-3339, X 104
Fax: 206-332-1710
barbara at mcpphc.com
www.mcpphealthcare.com
This message and accompanying documents are covered by the Electronic
Communications Privacy Act, 18 U.S.C. 2510-2521, and contain information
intended for the specified individual(s) only. This e-mail, including
attachments, may include confidential and/or proprietary information,
and may be used only by the person or entity to whom it is addressed. If
the reader of this e-mail is not the intended recipient or his or her
authorized agent, the reader is hereby notified that any dissemination,
distribution or copying of this e-mail is prohibited. If you have
received this e-mail in error, please notify the sender by replying to
this message and delete this e-mail immediately.
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of
pc-bh-integration-request at lists101.his.com
Sent: Friday, November 05, 2004 12:02 AM
To: pc-bh-integration at lists101.his.com
Subject: PC-BH-Integration Digest, Vol 6, Issue 12
Send PC-BH-Integration mailing list submissions to
pc-bh-integration at lists101.his.com
To subscribe or unsubscribe via the World Wide Web, visit
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or, via email, send a message with subject or body 'help' to
pc-bh-integration-request at lists101.his.com
You can reach the person managing the list at
pc-bh-integration-owner at lists101.his.com
When replying, please edit your Subject line so it is more specific than
"Re: Contents of PC-BH-Integration digest..."
Today's Topics:
1. RE: CMH/Primary Care Integration (Wood, William)
----------------------------------------------------------------------
Message: 1
Date: Thu, 4 Nov 2004 12:59:15 -0500
From: "Wood, William" <WWood at amerigroupcorp.com>
Subject: RE: [PC-BH-Integration] CMH/Primary Care Integration
To: "'pc-bh-integration at lists101.his.com'"
<pc-bh-integration at lists101.his.com>
Message-ID:
<FA94F19156321B4CAA504B02C848707909289C9F at va4exc01.amerigroupcorp.com>
Content-Type: text/plain
I have another question related to PC-BH-Integration. Is there a model
for doing physical health screening and referral in the Behavioral
Health population?
William G Wood, MD
Medical Director Behavioral Services
AMERIGROUP Corporation
4425 Corporation Lane
Virginia Beach, VA 23462
757-473-2737 ext 36432
Cell 757-642-0463
Fax 757-963-0594
-----Original Message-----
From: Barbara Scott [mailto:scottb at cfmh.org]
Sent: Thursday, November 04, 2004 11:31 AM
To: pc-bh-integration at lists101.his.com
Subject: RE: [PC-BH-Integration] CMH/Primary Care Integration
Kathy
I would like to see the data you refer to re: what you have done in
training behavioral health staff in the primary care model.
Barbara J. Scott, COO
The Center for Mental Health, Inc.
(765) 641-8286 office
(765) 641-8238 fax
(765) 620-0454 cell
www.cfmh.org
********************
Please Note:
The information contained in this E-mail and/or attachments may contain
protected health, legally privileged, or otherwise confidential
information intended only for the use of the individual(s) named above.
If you, the reader of this message, are not the intended recipient, you
are hereby notified that you may not further disseminate, distribute,
disclose, copy or forward this message or any of the content herein. If
you have received this E-mail in error, please notify the sender
immediately and delete the original.
//cmh//
********************
_______________________________________________
Reply to this message to send to the group Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
Confidentiality Notice: This e-mail message, including any attachments,
is for the sole use of the intended recipient(s) and may include
AMERIGROUP member information that is legally privileged. Any
unauthorized review, use, disclosure or distribution is prohibited. If
you are not the intended recipient, please contact the sender by reply
e-mail and destroy copies of the original message.
------------------------------
_______________________________________________
Reply to this message to send to the group Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
End of PC-BH-Integration Digest, Vol 6, Issue 12
************************************************
------------------------------
Message: 2
Date: Fri, 5 Nov 2004 11:31:02 -0900
From: "Heather Brock" <heatherb at anhc.org>
Subject: [PC-BH-Integration] Primary care inside CMH systems
To: <pc-bh-integration at lists101.his.com>
Message-ID:
<43995AE303258A4AA2F2CB652C0917EB052B44 at anhc-mail2.anhc.org>
Content-Type: text/plain; charset="iso-8859-1"
I went through grad school at Ohio State University in Columbus. The
CMHs in Columbus had incorporated some limited-hour primary care clinics
into the CMH. This was very well-received. The exam room was simply a
very large office room with a screen / divider that you could pull
across to wall off the exam table, etc., and then use the room as a
regular interview room the rest of the time.
It does help to improve health maintenance in the high risk CSMI
population, which has specific high risks (diabetes, untreated GYN,
smoking sequelae, cardiac, HIV, hep, etc.) and Paps, STD screens, and so
forth were regularly done for the first time for many clients.
We don't have this model in Alaska yet, although I keep pushing for it.
You might want to contact either the Ohio Department of Mental Health or
the OSU College of Nursing / Psych-Mental Health NP program for more
details; I'm afraid I can't remember which clinics did this. Michelle
Whaley was the faculty member at OSU who was most heavily involved in
this.
Columbus did have one other huge advantage; the NP program there will
allow you to do a dual track in the adult health care or family health
care NP programs in conjunction with the mental health NP program. Those
of us who have gone through that were very happy with it - we were able
to really hone in on the specialty health needs of mental health
populations in some of our coursework.
Heather Brock RN ANP MNP
Anchorage Neighborhood Health Center
Anchorage, AK
heatherb at anhc dot org
------------------------------
Message: 3
Date: Fri, 05 Nov 2004 09:02:53 -0600
From: "L Tynes" <LTynes at jphsa.org>
Subject: RE: [PC-BH-Integration] CMH/Primary Care Integration
To: <pc-bh-integration at lists101.his.com>, <pearceka at pvi.org>
Message-ID: <s18b41b5.094 at ns1.jphsa.org>
Content-Type: text/plain; charset=US-ASCII
Kathy:
Can I too ask for this information? THanks...
Lee
L. Lee Tynes, MD, PhD
Medical Director
Jefferson Parish Human Services Authority
504-838-5215
504-838-5218 (fax)
>>> pearceka at pvi.org 11/04/04 10:58AM >>>
Kathy -- I would also like this information. Thanks.
Kathy Pearce, Ph.D.
Prairie View Integrated Behavioral Health
700 Medical Center Drive
Suite 240
Newton, KS 67114
-----Original Message-----
From: Patrick Schmitz [mailto:pspamhc at frontiernet.net]
Sent: Wednesday, November 03, 2004 10:09 AM
To: pc-bh-integration at lists101.his.com
Subject: RE: [PC-BH-Integration] CMH/Primary Care Integration
Kathy,
I would appreciate receiving this information. Thank You.
Patrick Schmitz, MA, LMHC
Executive Director
Plains Area Mental Health Center
180 10th Street S.E. Suite 201
P.O. Box 70
Le Mars, IA 51031
Phone: 712-546-4624 Fax: 712-546-9395
pspamhc at frontiernet.net
Notice: This e-mail (including attachments) is covered by the Electronic
Communication Privacy Act, 18 U.S.C. 2510-2521, is confidential and may
be
legally privileged. If you are not the intended recipient, you are
hereby
notified that any retention, dissemination, distribution, or copying of
this
communication is strictly prohibited. Furthermore, these records may
contain mental health information covered by Iowa Code Chapter 228 and
other
applicable law. Disclosures of this information may only be made
pursuant
to the written authorization of the individual to whom the mental health
information relates, or that individual's legal representative, or as
otherwise provided in Iowa Chapter 228. The unauthorized disclosure of
mental health information is unlawful, and civil damages and criminal
penalties may be applicable to the unauthorized disclosure of mental
health
information. (IA Code 228.2 (2) and 45 CFR Parts 160 through 164).
Please
reply to the sender if you have received the message in error and then
delete it.
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Kathy
Reynolds
Sent: Tuesday, November 02, 2004 1:13 PM
To: pc-bh-integration at lists101.his.com
Subject: [PC-BH-Integration] CMH/Primary Care Integration
Hi to all! We actually have very successful programs of integrating
current CMH workers into primary care environments successfully and even
have designed an approach for doing so that helps to ensure success. We
actually believe that keeping the CMH expertise of community resources
adds to service at primary care rather than detracting. While some
retraining is necessary for all involved, we have not found it any more
difficult to train CMH staff in the primary care model than it is to
train behavioral health staff in primary care in community work. I'd be
happy to share some data on what we've done if people are interested.
Kathleen M. Reynolds, MSW, ACSW
Washtenaw Community Health Organization
555 Towner
Ypsilanti, MI 48197
Ph: 734-544-3000
Fax: 734-544-6732
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of
pc-bh-integration-request at lists101.his.com
Sent: Tuesday, November 02, 2004 11:54 AM
To: pc-bh-integration at lists101.his.com
Subject: PC-BH-Integration Digest, Vol 6, Issue 3
Send PC-BH-Integration mailing list submissions to
pc-bh-integration at lists101.his.com
To subscribe or unsubscribe via the World Wide Web, visit
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or, via email, send a message with subject or body 'help' to
pc-bh-integration-request at lists101.his.com
You can reach the person managing the list at
pc-bh-integration-owner at lists101.his.com
When replying, please edit your Subject line so it is more specific
than "Re: Contents of PC-BH-Integration digest..."
Today's Topics:
1. development of coding/billing manual (Sally Smith)
2. Re: development of coding/billing manual (Miriam Schwarz out
of the office Nov 2-5) (Miriam Schwarz)
3. RE: development of coding/billing manual (Blount, Alexander)
4. RE: development of coding/billing manual (Miriam Schwarz out
of the office Nov 2-5) (Miriam Schwarz)
5. RE: development of coding/billing manual (Sally Smith)
6. RE: development of coding/billing manual (Miriam Schwarz out
of the office Nov 2-5) (Miriam Schwarz)
7. RE: cost-effectiveness of integrated care (Deckard, Julia S.)
----------------------------------------------------------------------
Message: 1
Date: Tue, 02 Nov 2004 09:22:50 -0500
From: "Sally Smith" <Sallys at MTN.NCAHEC.ORG>
Subject: [PC-BH-Integration] development of coding/billing manual
To: <pc-bh-integration at lists101.his.com>
Message-ID: <s18751fd.077 at grouper.mtn.ncahec.org>
Content-Type: text/plain; charset=US-ASCII
Hello Dr. Blount-
We had a couple of LCSW's attend the conference in Minnesota in October
. They told me that you were talking about developing a manuel for start
up and maintenance around coding and billing issues. I would love to
hear more about this and how we might collaborate about how to make this
happen in our state as well.
thanks
sally smith
>>> BlountA at ummhc.org 11/01/04 05:16PM >>>
I will send you the article which only talks about the evidence. If you
are
looking for "how to" info, you might want to look at Integrated Primary
Care: The Future of Medical and Mental Health Collaboration, Norton. Or
check www.integratedprimarycare.com. I have to tell you that programs
that
bring a worker or two from a community mental health center and
transplant
them in a primary care setting (if that is what you are doing) tend to
have
a difficult time. The mental health workers often want to import the
culture of specialty mental health, with its rules about
confidentiality,
its 50 min hours, and its preference for longer therapies. It is a poor
fit
with primary care. You may already be fully aware of all this and
planning
to do a very different program. If not, look at a few of the books
listed
on the book page of www.integratedprimarycare.com .
Alexander Blount, EdD
Professor of Clinical Family Medicine
University of Massachusetts Medical School
O. 508 856-2147, F. 508 856-1212
blounta at ummhc.org
www.IntegratedPrimaryCare.com/Blount.htm
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Deborah
Rattle
Sent: Monday, November 01, 2004 1:31 PM
To: pc-bh-integration at lists101.his.com
Subject: RE: [PC-BH-Integration] cost-effectiveness of integrated care
Good afternoon, Dr. Blount,
I work for a large community mental health/substance abuse center in
Louisville, KY. We are in the process of working w/ a rural primary
health
care center (Seven Counties Services, Inc.) to submit a funding request
for
integrating behavioral/physical health care services and substance abuse
services at the PHC center. I noticed your mention of an article you
wrote
re: the costs of such endeavors and wonder if you could send me a copy.
It
will be greatly appreciated. My mailing address is:
Deborah Rattle, MSSW, CSW
c/o 10515 Eagle Pines Lane
Louisville, KY 40223-6155
Thanking you in advance.
>>> BlountA at ummhc.org 10/29/04 02:38PM >>>
I would be happy to send you a copy of an article I wrote. It cites cost
studies in addition to many other outcomes. Blount, A. (2003).
Integrated
Primary Care: Organizing the Evidence. Families, Systems & Health, Vol.
21,
121-133. I tried attaching it, but it is too big for a list posting.
Also
see Nicholas A. Cummings, et al. Impact of Medical Cost Offset on
Practice
and Research. It is on Amazon.
Alexander Blount, EdD
Professor of Clinical Family Medicine
University of Massachusetts Medical School
Director of Behavioral Science
Department of Family Medicine and Community Health
55 Lake Avenue, North
Worcester, Massachusetts 01655
O. 508 856-2147 F. 508 856-1212
blounta at ummhc.org
www.integratedprimarycare.com/blount.htm
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com]On Behalf Of Elaine
Alfano
Sent: Friday, October 29, 2004 1:52 PM
To: pc-bh-integration at nccbh.net
Subject: [PC-BH-Integration] cost-effectiveness of integrated care
I attended the Oct. 25-27 Closing the Gap summit in DC. I noted that a
number of participants were looking for info about the
cost-effectiveness of
integrated care. I know there are a number of good acticles out there
that
touch on this issue, but does anybody know of a lit review of the topic
or
can you recommend an article that is particularly good at pulling
together
the research and presenting the economic case for integrated care?
Thank you.
Elaine Alfano
Policy Analyst
Bazelon Center for Mental Health Law
1101 15th Street, NW
Washington, DC 20005
202.467.5730
202.223.0409 (fax)
elaine at bazelon.org
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
CONFIDENTIALITY NOTICE:
This e-mail message, including any attachments, is for the sole
use of the intended recipient(s) and may contain confidential and
privileged information. Any unauthorized review, use, disclosure
or distribution is prohibited. If you are not the intended recipient,
please contact the sender immediately by reply e-mail and destroy all
copies of the original message.
<<<<gwavasig>>>>
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
------------------------------
Message: 2
Date: Tue, 02 Nov 2004 09:26:10 -0500
From: "Miriam Schwarz" <Miriam.Schwarz at sagepartnersinc.com>
Subject: Re: [PC-BH-Integration] development of coding/billing manual
(Miriam Schwarz out of the office Nov 2-5)
To: <pc-bh-integration at lists101.his.com>
Message-ID: <s18752c0.079 at grouper.mtn.ncahec.org>
Content-Type: text/plain; charset=US-ASCII
I will be out of the office November 2 through 5, 2004, returning on
November 8. If you need immediate assistance, please contact Denise
Lewis, Admin Assistant, at 828/771-4210
(denise.lewis at sagepartnersinc.com).
Please do not reply to this message or you will enter an endless vortex
of looping messages. Thanks for your email.
Miriam Schwarz, MPA
President and CEO
SAGE Partners, Inc.
501 Biltmore Ave.
Asheville, NC 28801
828/771-4206
miriam.schwarz at sagepartnersinc.com
www.sagepartnersinc.com
------------------------------
Message: 3
Date: Tue, 2 Nov 2004 10:02:04 -0500
From: "Blount, Alexander" <BlountA at ummhc.org>
Subject: RE: [PC-BH-Integration] development of coding/billing manual
To: "'pc-bh-integration at lists101.his.com'"
<pc-bh-integration at lists101.his.com>
Message-ID:
<EED8B3B57E1BDC46B038DCE9A98AAE04F73508 at hcmemexch01.ummhc.org>
Content-Type: text/plain
It was your state and the manual on billing that AHEC did that gave me
the
idea. What is missing is information about confidentiality and record
keeping and NC is ready to go.
Alexander Blount, EdD
Professor of Clinical Family Medicine
University of Massachusetts Medical School
O. 508 856-2147, F. 508 856-1212
blounta at ummhc.org
www.IntegratedPrimaryCare.com/Blount.htm
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Sally
Smith
Sent: Tuesday, November 02, 2004 9:23 AM
To: pc-bh-integration at lists101.his.com
Subject: [PC-BH-Integration] development of coding/billing manual
Hello Dr. Blount-
We had a couple of LCSW's attend the conference in Minnesota in October
.
They told me that you were talking about developing a manuel for start
up
and maintenance around coding and billing issues. I would love to hear
more
about this and how we might collaborate about how to make this happen in
our
state as well.
thanks
sally smith
>>> BlountA at ummhc.org 11/01/04 05:16PM >>>
I will send you the article which only talks about the evidence. If you
are
looking for "how to" info, you might want to look at Integrated Primary
Care: The Future of Medical and Mental Health Collaboration, Norton. Or
check www.integratedprimarycare.com. I have to tell you that programses
of
that
bring a worker or two from a community mental health center and
transplant
them in a primary care setting (if that is what you are doing) tend to
have
a difficult time. The mental health workers often want to import the
culture of specialty mental health, with its rules about
confidentiality,
its 50 min hours, and its preference for longer therapies. It is a poor
fit
with primary care. You may already be fully aware of all this and
planning
to do a very different program. If not, look at a few of the books
listed
on the book page of www.integratedprimarycare.com .
Alexander Blount, EdD
Professor of Clinical Family Medicine
University of Massachusetts Medical School
O. 508 856-2147, F. 508 856-1212
blounta at ummhc.org
www.IntegratedPrimaryCare.com/Blount.htm
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Deborah
Rattle
Sent: Monday, November 01, 2004 1:31 PM
To: pc-bh-integration at lists101.his.com
Subject: RE: [PC-BH-Integration] cost-effectiveness of integrated care
Good afternoon, Dr. Blount,
I work for a large community mental health/substance abuse center in
Louisville, KY. We are in the process of working w/ a rural primary
health
care center (Seven Counties Services, Inc.) to submit a funding request
for
integrating behavioral/physical health care services and substance abuse
services at the PHC center. I noticed your mention of an article you
wrote
re: the costs of such endeavors and wonder if you could send me a copy.
It
will be greatly appreciated. My mailing address is:
Deborah Rattle, MSSW, CSW
c/o 10515 Eagle Pines Lane
Louisville, KY 40223-6155
Thanking you in advance.
>>> BlountA at ummhc.org 10/29/04 02:38PM >>>
I would be happy to send you a copy of an article I wrote. It cites cost
studies in addition to many other outcomes. Blount, A. (2003).
Integrated
Primary Care: Organizing the Evidence. Families, Systems & Health, Vol.
21,
121-133. I tried attaching it, but it is too big for a list posting.
Also
see Nicholas A. Cummings, et al. Impact of Medical Cost Offset on
Practice
and Research. It is on Amazon.
Alexander Blount, EdD
Professor of Clinical Family Medicine
University of Massachusetts Medical School
Director of Behavioral Science
Department of Family Medicine and Community Health
55 Lake Avenue, North
Worcester, Massachusetts 01655
O. 508 856-2147 F. 508 856-1212
blounta at ummhc.org
www.integratedprimarycare.com/blount.htm
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com]On Behalf Of Elaine
Alfano
Sent: Friday, October 29, 2004 1:52 PM
To: pc-bh-integration at nccbh.net
Subject: [PC-BH-Integration] cost-effectiveness of integrated care
I attended the Oct. 25-27 Closing the Gap summit in DC. I noted that a
number of participants were looking for info about the
cost-effectiveness of
integrated care. I know there are a number of good acticles out there
that
touch on this issue, but does anybody know of a lit review of the topic
or
can you recommend an article that is particularly good at pulling
together
the research and presenting the economic case for integrated care?
Thank you.
Elaine Alfano
Policy Analyst
Bazelon Center for Mental Health Law
1101 15th Street, NW
Washington, DC 20005
202.467.5730
202.223.0409 (fax)
elaine at bazelon.org
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
CONFIDENTIALITY NOTICE:
This e-mail message, including any attachments, is for the sole
use of the intended recipient(s) and may contain confidential and
privileged information. Any unauthorized review, use, disclosure
or distribution is prohibited. If you are not the intended recipient,
please contact the sender immediately by reply e-mail and destroy all
copies of the original message.
<<<<gwavasig>>>>
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
------------------------------
Message: 4
Date: Tue, 02 Nov 2004 10:05:39 -0500
From: "Miriam Schwarz" <Miriam.Schwarz at sagepartnersinc.com>
Subject: RE: [PC-BH-Integration] development of coding/billing manual
(Miriam Schwarz out of the office Nov 2-5)
To: <pc-bh-integration at lists101.his.com>
Message-ID: <s1875bf7.056 at grouper.mtn.ncahec.org>
Content-Type: text/plain; charset=US-ASCII
I will be out of the office November 2 through 5, 2004, returning on
November 8. If you need immediate assistance, please contact Denise
Lewis, Admin Assistant, at 828/771-4210
(denise.lewis at sagepartnersinc.com).
Please do not reply to this message or you will enter an endless vortex
of looping messages. Thanks for your email.
Miriam Schwarz, MPA
President and CEO
SAGE Partners, Inc.
501 Biltmore Ave.
Asheville, NC 28801
828/771-4206
miriam.schwarz at sagepartnersinc.com
www.sagepartnersinc.com
------------------------------
Message: 5
Date: Tue, 02 Nov 2004 11:01:23 -0500
From: "Sally Smith" <Sallys at MTN.NCAHEC.ORG>
Subject: RE: [PC-BH-Integration] development of coding/billing manual
To: <pc-bh-integration at lists101.his.com>
Message-ID: <s1876914.075 at grouper.mtn.ncahec.org>
Content-Type: text/plain; charset=US-ASCII
terrific- will work on this
ss
>>> BlountA at ummhc.org 11/02/04 10:02AM >>>
It was your state and the manual on billing that AHEC did that gave me
the
idea. What is missing is information about confidentiality and record
keeping and NC is ready to go.
Alexander Blount, EdD
Professor of Clinical Family Medicine
University of Massachusetts Medical School
O. 508 856-2147, F. 508 856-1212
blounta at ummhc.org
www.IntegratedPrimaryCare.com/Blount.htm
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Sally
Smith
Sent: Tuesday, November 02, 2004 9:23 AM
To: pc-bh-integration at lists101.his.com
Subject: [PC-BH-Integration] development of coding/billing manual
Hello Dr. Blount-
We had a couple of LCSW's attend the conference in Minnesota in October
.
They told me that you were talking about developing a manuel for start
up
and maintenance around coding and billing issues. I would love to hear
more
about this and how we might collaborate about how to make this happen in
our
state as well.
thanks
sally smith
>>> BlountA at ummhc.org 11/01/04 05:16PM >>>
I will send you the article which only talks about the evidence. If you
are
looking for "how to" info, you might want to look at Integrated Primary
Care: The Future of Medical and Mental Health Collaboration, Norton. Or
check www.integratedprimarycare.com. I have to tell you that programs
that
bring a worker or two from a community mental health center and
transplant
them in a primary care setting (if that is what you are doing) tend to
have
a difficult time. The mental health workers often want to import the
culture of specialty mental health, with its rules about
confidentiality,
its 50 min hours, and its preference for longer therapies. It is a poor
fit
with primary care. You may already be fully aware of all this and
planning
to do a very different program. If not, look at a few of the books
listed
on the book page of www.integratedprimarycare.com .
Alexander Blount, EdD
Professor of Clinical Family Medicine
University of Massachusetts Medical School
O. 508 856-2147, F. 508 856-1212
blounta at ummhc.org
www.IntegratedPrimaryCare.com/Blount.htm
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Deborah
Rattle
Sent: Monday, November 01, 2004 1:31 PM
To: pc-bh-integration at lists101.his.com
Subject: RE: [PC-BH-Integration] cost-effectiveness of integrated care
Good afternoon, Dr. Blount,
I work for a large community mental health/substance abuse center in
Louisville, KY. We are in the process of working w/ a rural primary
health
care center (Seven Counties Services, Inc.) to submit a funding request
for
integrating behavioral/physical health care services and substance abuse
services at the PHC center. I noticed your mention of an article you
wrote
re: the costs of such endeavors and wonder if you could send me a copy.
It
will be greatly appreciated. My mailing address is:
Deborah Rattle, MSSW, CSW
c/o 10515 Eagle Pines Lane
Louisville, KY 40223-6155
Thanking you in advance.
>>> BlountA at ummhc.org 10/29/04 02:38PM >>>
I would be happy to send you a copy of an article I wrote. It cites cost
studies in addition to many other outcomes. Blount, A. (2003).
Integrated
Primary Care: Organizing the Evidence. Families, Systems & Health, Vol.
21,
121-133. I tried attaching it, but it is too big for a list posting.
Also
see Nicholas A. Cummings, et al. Impact of Medical Cost Offset on
Practice
and Research. It is on Amazon.
Alexander Blount, EdD
Professor of Clinical Family Medicine
University of Massachusetts Medical School
Director of Behavioral Science
Department of Family Medicine and Community Health
55 Lake Avenue, North
Worcester, Massachusetts 01655
O. 508 856-2147 F. 508 856-1212
blounta at ummhc.org
www.integratedprimarycare.com/blount.htm
-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com]On Behalf Of Elaine
Alfano
Sent: Friday, October 29, 2004 1:52 PM
To: pc-bh-integration at nccbh.net
Subject: [PC-BH-Integration] cost-effectiveness of integrated care
I attended the Oct. 25-27 Closing the Gap summit in DC. I noted that a
number of participants were looking for info about the
cost-effectiveness of
integrated care. I know there are a number of good acticles out there
that
touch on this issue, but does anybody know of a lit review of the topic
or
can you recommend an article that is particularly good at pulling
together
the research and presenting the economic case for integrated care?
Thank you.
Elaine Alfano
Policy Analyst
Bazelon Center for Mental Health Law
1101 15th Street, NW
Washington, DC 20005
202.467.5730
202.223.0409 (fax)
elaine at bazelon.org
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
CONFIDENTIALITY NOTICE:
This e-mail message, including any attachments, is for the sole
use of the intended recipient(s) and may contain confidential and
privileged information. Any unauthorized review, use, disclosure
or distribution is prohibited. If you are not the intended recipient,
please contact the sender immediately by reply e-mail and destroy all
copies of the original message.
<<<<gwavasig>>>>
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
------------------------------
Message: 6
Date: Tue, 02 Nov 2004 11:04:27 -0500
From: "Miriam Schwarz" <Miriam.Schwarz at sagepartnersinc.com121>
Subject: RE: [PC-BH-Integration] development of coding/billing manual
(Miriam Schwarz out of the office Nov 2-5)
To: <pc-bh-integration at lists101.his.com>
Message-ID: <s18769cc.080 at grouper.mtn.ncahec.org>
Content-Type: text/plain; charset=US-ASCII
I will be out of the office November 2 through 5, 2004, returning on
November 8. If you need immediate assistance, please contact Denise
Lewis, Admin Assistant, at 828/771-4210
(denise.lewis at sagepartnersinc.com).
Please do not reply to this message or you will enter an endless vortex
of looping messages. Thanks for your email.
Miriam Schwarz, MPA
President and CEO
SAGE Partners, Inc.
501 Biltmore Ave.
Asheville, NC 28801
828/771-4206
miriam.schwarz at sagepartnersinc.com
www.sagepartnersinc.com
------------------------------
Message: 7
Date: Tue, 2 Nov 2004 11:53:23 -0500
From: "Deckard, Julia S." <JDeckard at crh.org>
Subject: RE: [PC-BH-Integration] cost-effectiveness of integrated care
To: "'pc-bh-integration at lists101.his.com'"
<pc-bh-integration at lists101.his.com>
Message-ID:
<2CE969AC927959459A9B61D9CA0C7C91089CD1A8 at crh0000034088.crh.org>
Content-Type: text/plain; charset="iso-8859-1"
Craig,
I've tried to contact you directly, but e-mail keeps on getting
rejected.
Any suggestions for getting something through to you directly?
Julie
Quinco Behavioral Health Systems
and
Columbus Regional Hospital Psychiatric Services
-----Original Message-----
From: Craig M. Schneider, Ph.D. [mailto:craigvo at trion.net]
Sent: Saturday, October 30, 2004 8:31 AM
To: pc-bh-integration at lists101.his.com
Cc: Blount, Alexander; Wood, William
Subject: Re: [PC-BH-Integration] cost-effectiveness of integrated care
Greetings...I suggest you contact Sarah Bannon, MSW
(sbb at riverwoodcenter.org) who is a principal author, along with Michigan
State University staff, of our recently started research study to
investigate the efficacy and cost-savings of primary health care and
behavioral health care integration.
Or, you can feel free to contact me. I am a lead behavioral health
clinician, implementing the integration model in a primary health care
setting. This setting is InterCare Community Health Network, located in
Benton Harbor, MI. I am employed by the Berrien County, MI Mental
Health
Authority. The integration model is a collaborative effort between
these
two institutions and has been in place for more than two years. We have
provided integrated services to more than 1500 patients to date, ages 3
years to 90+ years. It is quite exciting.
Take care,
Craig M. Schneider, Ph.D.
----- Original Message -----
From: "Elaine Alfano" <Elaine at bazelon.org>
To: <pc-bh-integration at nccbh.net>
Sent: Friday, October 29, 2004 1:52 PM
Subject: [PC-BH-Integration] cost-effectiveness of integrated care
>I attended the Oct. 25-27 Closing the Gap summit in DC. I noted that a
>number of participants were looking for info about the
cost-effectiveness
>of integrated care. I know there are a number of good acticles out
there
>that touch on this issue, but does anybody know of a lit review of the
>topic or can you recommend an article that is particularly good at
pulling
>together the research and presenting the economic case for integrated
care?
>
> Thank you.
>
> Elaine Alfano
> Policy Analyst
> Bazelon Center for Mental Health Law
> 1101 15th Street, NW
> Washington, DC 20005
> 202.467.5730
> 202.223.0409 (fax)
> elaine at bazelon.org
>
>
> _______________________________________________
> Reply to this message to send to the group
> Help can be found at
> http://lists101.his.com/mailman/listinfo/pc-bh-integration
> or call Bob Beckwith at (301) 984-6200
>
>
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
CONFIDENTIALITY NOTICE:
This e-mail message, including all attachments, is for the sole use of
the
intended recipient(s) and may contain confidential and privileged
information. You may NOT use, disclose, copy or disseminate this
information. If you are not the intended recipient, please contact the
sender by reply e-mail immediately. Please destroy all copies of the
original message and all attachments. Your cooperation is greatly
appreciated.
Columbus Regional Hospital
2400 East 17th Street
Columbus, Indiana 47201
------------------------------
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
End of PC-BH-Integration Digest, Vol 6, Issue 3
***********************************************
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
IMPORTANT: This communication contains information from Prairie View
which
may be confidential and privileged and is solely for the use of the
intended
recipient. If it appears that this communication was addressed or sent
to
you in error, you may not use, copy, disclose, or distribute this
communication or any information contained therein. If you have
received
this in error, please notify me immediately by reply email or by
telephone.
(1-800-362-0180)
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
------------------------------
_______________________________________________
Reply to this message to send to the group
Help can be found at
http://lists101.his.com/mailman/listinfo/pc-bh-integration
or call Bob Beckwith at (301) 984-6200
End of PC-BH-Integration Digest, Vol 6, Issue 14
************************************************
-------------- next part --------------
A non-text attachment was scrubbed...
Name: Health Risk Appraisal - Handout #1.doc
Type: application/msword
Size: 279552 bytes
Desc: Health Risk Appraisal - Handout #1.doc
Url : http://lists101.his.com/pipermail/pc-bh-integration/attachments/20041109/a2cd7db2/HealthRiskAppraisal-Handout1.doc
More information about the PC-BH-Integration
mailing list