[PC-BH-Integration] New project in New Orleans, LA

[Becky Gentes]

Dear Dr Pincus:
Wow! That's a HUGE grant...I am conducting a very small HHS planning grant
in rural Vermont, developing a strategic plan for the sole Community Health
Center and only Community Mental Health Center in the County to integrate
services, ultimately implementing what is hoped to be a pilot for the State.
Your description of coordinating clinical operational and financial elements
and aligning incentives are of great interest...reaping the benefits of
validated work is of course the task at hand for our Steering
Committee...can you direct me to website location/publications of your work
with this project?
Thanks much,
Becky Gentes
  -----Original Message-----
  From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com]On Behalf Of Harold
Pincus
  Sent: Friday, August 08, 2008 10:49 AM
  To: 'pc-bh-integration at lists101.his.com'; Rodger S. Kessler
  Subject: Re: [PC-BH-Integration] New project in New Orleans, LA


  Rodger
  You are absolutely correct. That is why this initiative is "piggy-backed"
onto a $100 million grant from HHS to stabilize and redesign the NO primary
care system. These two efforts are designed so that clinical operational and
financial elements are coordinated and incentives are aligned.

  Best regards,

  Harold


  Harold Alan Pincus, M.D.
  Vice Chair for Strategic Initiatives
  Department of Psychiatry
  College of Physicians and Surgeons
  Associate Director
  Irving Institute for Clinical and Translational Research
  Columbia University
  Director of Quality and Outcomes Research, New York-Presbyterian Hospital
  1051 Riverside Drive, Unit 09
  New York, NY 10032
  Phone: 212.543.5401
  Fax: 212.543.6752
  Email: pincush at pi.cpmc.columbia.edu

  Senior Scientist, RAND Corporation
  4570 Fifth Avenue, Suite 600
  Pittsburgh, PA 15213-1516

  National Program Director, Health and Aging Policy Fellowship







  >>> "Kessler, Rodger S." <Rodger.Kessler at vtmednet.org> 8/7/2008 9:53 AM
>>>
  Best of luck with your efforts.
  An observation-
  There is ample research literature that suggests that consultation and
training as primary interventions do not, by themselves, generate
organizational change, impact provider behavior or influence patient
outcomes. Similarly screening efforts as primary interventions enhance
identification but just as often do not result in impact on provider
practice or patient outcomes (see Gilbody et al, and Coyne).

  The practice reengineering literature is clear that to really affect
patient outcomes, office systems reorganization with a focus on a specific
structured intervention that meets clinical operational and financial
dimensions of practice, that generates sustainable change (see Dietrich et
al).. Just a thought. Rodger

  Rodger Kessler Ph.D. ABPP
  Research Assistant Professor
  Department of Family Medicine
  Center for Translational Science
  University of Vermont College of Medicine
  Berlin Family Health
  Fletcher Allen Healthcare

  -----Original Message-----
  From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Sarah
Hoffpauir
  Sent: Wednesday, August 06, 2008 6:00 PM
  To: pc-bh-integration at lists101.his.com
  Subject: [PC-BH-Integration] New project in New Orleans, LA

  Greetings,

  The Collaborative to Improve Behavioral Healthcare Access (C-IBHA)
  launched its inaugural event last week in New Orleans, LA with technical
  assistance provided by Dr. Harold Pincus and his colleagues, Drs. Steve
  Cole, Amy Kilbourne and Karen Scott Collins.

  Seventeen non-profit healthcare organizations in Greater New Orleans,
  including primary care, mental health and substance abuse providers,
  attended the two day event and are working on their plans to integrate
  behavioral health screenings and quality improvement measures in their
  practices.

  It is encouraging to be a part of your list serv and I look forward to
  sharing C-IBHA progress reports as we move forward.

  Best regards,
  Sarah

  Sarah Hoffpauir, LCSW-BACS
  Director
  Behavioral Health Inititives
  Louisiana Public Health Institute (LPHI)
  1515 Poydras, Suite 1200, New Orleans, LA 70112
  504-301-9800
  504-301-9801 fax
  www.lphi.org

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  _______________________________________________
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