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

Tue Feb 17 14:06:57 EST 2009

Right now we are just working on scrubbing the data. We have no specific
plans to publish with any certain organization. We have been asked to
have a write up prepared as we are asked often for this info. Because we
have all services on our campus and we have access to the data, we are
able to really assess the impact that we are having on our specific
population in measured ways. At the same time, because customer service
is a paramount concern for my organization, data collection took a back
seat for some time. 

 I did notice you are developing a data network. Sounds fantastic! I
think having solid data is what we need to really move forward. How can
we be involved?

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
Kessler, Rodger S.
Sent: Friday, February 13, 2009 11:49 AM
To: 'pc-bh-integration at lists101.his.com'
Subject: Re: [PC-BH-Integration] Outcomes on Integrated Care Models

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

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

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