[PC-BH-Integration] Outcomes

Mon Feb 16 10:40:15 EST 2009

Good morning Kathleen
   CLM is interested in this endeavor. Thanks

Vic Topo, President/CEO
Center For Life Management
10 Tsienneto Road
Derry, NH 03038
603-965-0729

CONFIDENTIALITY NOTICE
The information in this message (and any documents attached to it) is
CONFIDENTIAL AND PRIVILEGED.  It is intended solely for the addressee.
Access to this message by anyone else is unauthorized.  If you are not
the intended recipient you are hereby notified that any dissemination,
copying or distribution of this message, or files associated with this
message, is strictly prohibited.  If you are not the intended recepient,
please delete all electronic copies of this message (and the documents
attached to it), destroy any hard copies you may have created and notify
the information services department immediately at 434-1577 or at
issupport at clmbehav.org.

-----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: Saturday, February 14, 2009 11:30 AM
To: pc-bh-integration at lists101.his.com
Subject: [PC-BH-Integration] Outcomes

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

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

----------------------------------------------------------------------

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

------------------------------

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.or
g>

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>
-------------- next part --------------
An HTML attachment was scrubbed...
URL:
<http://lists101.his.com/pipermail/pc-bh-integration/attachments/2009021
3/9a324c13/attachment-0001.html>

------------------------------

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

------------------------------

_______________________________________________
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 49, Issue 7
************************************************
_______________________________________________
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