[PC-BH-Integration] Outcomes on Integrated Care Models

[Barbara Demming Lurie]

We've tried to assemble cost offset and cost effectiveness research, as well as satisfaction studies on our website, ibhp.org. Go to the home page, then to "Why Pursue Integrated Care", then to "Evidence That Integrated Behavioral Care Works". Hope it helps.

Barb Demming Lurie
IBHP - Integrated Behavioral Health Project
-----Original Message-----
From: Helen L. Coons, Ph.D. [mailto:hcoons at verizon.net]
Sent: Sunday, February 8, 2009 07:09 AM
To: pc-bh-integration at lists101.his.com, pc-bh-integration at nccbh.net
Subject: [PC-BH-Integration] Outcomes on Integrated Care Models

I am looking research based articles on the benefits of either integration or collaboration of psychologists and other providers in primary care and other medical settings. Any cost offset data would be useful, and especially benefits to patients such as increased satisfaction with care. There are some data on patient satisfaction in among women receiving integrated care at academic health centers. References and/or abstracts from your own and others? work would be greatly appreciated.

Thanks!

HLC

Helen L. Coons, Ph.D., ABPP
Clinical Health Psychology
Women?s Mental Health Associates
215-732-5590 office
hcoons at verizon.net
www.womensmentalhealthassociates.com



-----Original Message-----
From: pc-bh-integration-bounces at lists101.his.com [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Emily Neufeld
Sent:Thursday, February 05, 20098:36 AM
To: pc-bh-integration at nccbh.net
Subject: [PC-BH-Integration] patient seclusion

I am looking for suggestions or solutions related to patient seclusion....



During our last JCAHO visit, the surveyors criticized us for not having adequate verification that patients in seclusion were continuously monitored. We were using a log for each incident that included the signature of the staff person who continuously monitored the patient. The surveyors argued that this would be too easy to falsify. We have installed buttons on the outside of the seclusion rooms that staff press while monitoring patients (which produce a computer printout) as evidence of the monitoring. 



Our issue is how to verify that the patient is monitored after the first hour. JCAHO allows video observation beginning in the second hour of seclusion, but we need some system in our nursing station to verify that the person is watching the monitor.



I am very interested in hearing more about how other organizations are dealing with this or similar issues, and also successful seclusion/restraint reduction practices.



Thanks.

Emily Neufeld
Director of Quality Assurance
MadisonCenter
403 E. Madison St.
South Bend, IN46617
574/283-1295
fax 574/288-5047

emily at madison.org



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