[PC-BH-Integration] Outcomes

Sat Feb 14 11:30:07 EST 2009

Just an update on outcomes.  In working with the University of Michigan, the National Council and AHRQ, we have been able to create a Practice Based Research Network, based in Behavioral Health, focusing on the integration with healthcare.  Over the next year, we will be recruiting CMHC's and CHC's that are doing integrated health to be a part of our network and help develop standard data collection tools that we can all use to begin collecting common process and outcome measures.  If you are interested in becoming a part of this PBRN or learning more about it, please contact me at reynoldk at ewashtenaw.org.  

________________________________________
From: pc-bh-integration-bounces at lists101.his.com [pc-bh-integration-bounces at lists101.his.com] On Behalf Of pc-bh-integration-request at lists101.his.com [pc-bh-integration-request at lists101.his.com]
Sent: Friday, February 13, 2009 4:06 PM
To: pc-bh-integration at lists101.his.com
Subject: PC-BH-Integration Digest, Vol 49, Issue 7

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Today's Topics:

   1. New to List (Jaffy Phillips)
   2. Re: Outcomes on Integrated Care Models (Kessler, Rodger S.)
   3. Electronic records in collaborative care? (Jaffy Phillips)

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Message: 1
Date: Fri, 13 Feb 2009 15:24:52 -0500
From: Jaffy Phillips <jaffy at pobox.com>
Subject: [PC-BH-Integration] New to List
To: pc-bh-integration at nccbh.net
Message-ID: <2B5C0261-51FF-42E3-B32A-6822F2B0D3B0 at pobox.com>
Content-Type: text/plain; charset=US-ASCII; delsp=yes; format=flowed

Hi,

I've just recently signed up to join this list-serve. My impression
is that I am to send an email to this address by way of introduction?
If so, here goes:

I've been practicing as a psychotherapist for several years, and am
currently back in school for a Master's in Public Health, focussing
on health policy. I have a strong interest in collaborative care, and
I am currently working on a research paper for the Massachusetts
Health Data Consortium, exploring the barriers to and possibilities
for implementation of shared electronic medical records between
behavioral and non-behavioral providers in Massachusetts.

Thanks for letting me join in the conversation.

Jaffy

Jaffy Phillips, MA
Psychotherapist in private practice
Health Policy Intern: Massachusetts Health Data Consortium
MPH student: Boston University School of Public Health

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Message: 2
Date: Fri, 13 Feb 2009 15:49:21 -0500
From: "Kessler, Rodger S." <Rodger.Kessler at vtmednet.org>
Subject: Re: [PC-BH-Integration] Outcomes on Integrated Care Models
To: "'pc-bh-integration at lists101.his.com'"
        <pc-bh-integration at lists101.his.com>
Message-ID:
        <4CF36A3AB2AEF1408C6593AAE50EDD348439E70629 at EMAIL1.fahc.fletcherallen.org>

Content-Type: text/plain; charset="us-ascii"

My research team always talks about bad data. Best Available Data. These are great reports. When/ where are you going to publish them? R

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

________________________________
From: pc-bh-integration-bounces at lists101.his.com [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Bradley, Wendy D
Sent: Thursday, February 12, 2009 3:18 PM
To: pc-bh-integration at lists101.his.com
Subject: Re: [PC-BH-Integration] Outcomes on Integrated Care Models

Hi there I am at South Central Foundation in Alaska. We have developed a "data mall" in which we are populating all sorts of data fields. We have started by tracking "high utilizers". We have found a consistent 33% drop in ER, urgent care, family med and peds visits. We are working on tracking all the pts that BHC see to determine utilization of services post visit. We have see increases in our traditional healing, comp med and behavioral health services. We are still populating the data by provider. We have about 45 provider teams and 10 BHCs in our clinic. We are also beginning to look at cost offset. Also, we have done provider satisfaction surveys, all of which have been very positive
Overall, we have been working on these data projects for the last couple of years and just have had difficulty finding accurate measures that control for regression to the mean. Hopefully we will finally get it right this time. Nothing has been published yet, but we are hoping too.

Thank you,
Wendy D. Bradley LPC
907 729-3378

________________________________
From: pc-bh-integration-bounces at lists101.his.com [mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Helen L. Coons, Ph.D.
Sent: Sunday, February 08, 2009 6:10 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<mailto: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, 2009 8:36 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
Madison Center
403 E. Madison St.
South Bend, IN  46617
574/283-1295
fax 574/288-5047
emily at madison.org<mailto:emily at madison.org>
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Message: 3
Date: Fri, 13 Feb 2009 15:25:25 -0500
From: Jaffy Phillips <jaffy at pobox.com>
Subject: [PC-BH-Integration] Electronic records in collaborative care?
To: pc-bh-integration at lists101.his.com
Message-ID: <240AE92D-7265-44AC-A34D-A5717D9F0E72 at pobox.com>
Content-Type: text/plain; charset=US-ASCII; delsp=yes; format=flowed

Hi,

I'm interested in the "shared records" aspect of collaborative care-
particularly electronic records shared between different providers
and/or organizations. How have issues of privacy, consent and record
access (who has access) been addressed, in terms of the behavioral
health content? Has the content of the shared behavioral health data
been limited to medications and diagnoses, or is the complete record
made available to the the primary care physician? What has been the
response from patients? I'm interested in anything on the spectrum
from research papers to personal/anecdotal experiences (most of the
literature I have been able to find on collaborative care and/or EMRs
has not included this information).

Thanks very much.

Jaffy

Jaffy Phillips, MA
Psychotherapist in private practice
Health Policy Intern: Massachusetts Health Data Consortium
MPH student: Boston University School of Public Health

Jaffy at pobox.com
781-752-9599

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