[PC-BH-Integration] co-location vs integration

Blount, Alexander Alexander.Blount at umassmemorial.org
Thu Jan 29 14:13:55 EST 2009


There is no univerally accepted definition.  I have a paper that is
cited often on the distinctions.  It is 

Blount, A. (2003). Integrated primary care: Organizing the evidence.
Families, Systems 

& Health: 21, 121-134, 2003.

 

If anyone wants a copy, I will send them one.

 

Alexander Blount, EdD 
Clinical Professor of Family Medicine and Psychiatry 
University of Massachusetts Medical School 
Director of Behavioral Science 
Department of Family Medicine and Community Health 
Editor, Families, Systems, & Health 
55 Lake Ave, N 
Worcester, Massachusetts 01655 
O. 508 856-2147, F. 508 856-1212 
blounta at ummhc.org <mailto:blounta at ummhc.org>  
http://www.IntegratedPrimaryCare.com
<http://www.integratedprimarycare.com/>  
http://www.umassmed.edu/fmch/faculty/Blount.cfm 


________________________________

From: pc-bh-integration-bounces at lists101.his.com
[mailto:pc-bh-integration-bounces at lists101.his.com] On Behalf Of Nancy
Halloran
Sent: Wednesday, January 28, 2009 1:20 PM
To: pc-bh-integration at lists101.his.com
Subject: [PC-BH-Integration] co-location vs integration


What are the key distinguishing characteristics between co-location and
integration?
I need to succinctly describe this to some clinics that are considering
their model for providing BH and PC on site. Is there a source that
conveniently describes the distinctions?

Nancy 
Nancy S. Halloran, MPH
Program Development, Proposals, & Project Management
Health Equity Partnership & Community Institute for Healthcare Equity
614 Grand Ave, Suite 400
Oakland, Ca 94610

510-847-3833
510-217-5940 (fax) 

At 09:57 AM 1/28/2009, you wrote:


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	Today's Topics:
	
	   1. Re: integration proposals (Bill Schlesinger)
	   2. HIPAA Issue Related to Computer Lock Out  Interval (Louise
Haddock)
	   3. Re: integration proposals (Kessler, Rodger S.)
	   4. Re: integration proposals (Blount, Alexander)
	   5. Re: integration proposals (Bill Rosenfeld)
	   6. Re: integration proposals (KINNEY Charmaine)
	
	
	
----------------------------------------------------------------------
	
	Message: 1
	Date: Tue, 27 Jan 2009 20:44:02 -0700
	From: "Bill Schlesinger" <bschlesinger.pv at tachc.org>
	Subject: Re: [PC-BH-Integration] integration proposals
	To: <pc-bh-integration at lists101.his.com>
	Message-ID: <0E7033AE8B274C51AD1629C60E74E6C0 at DGQV6V61>
	Content-Type: text/plain;        charset="us-ascii"
	
	We've been working with the Hogg Foundation for Mental Health
for about
	three years.  We're an FQHC and using the care manager model
similar to
	IMPACT.  We tried co-location - it didn't work.  We've been
funded for
	service expansion funds from HRSA which stabilized the project.
I'll be
	glad to respond to specific requests for information -- the Hogg
website has
	a lot of the model information at
	http://www.hogg.utexas.edu/programs_ihc.html
	
	
	Bill Schlesinger
	Project Vida
	3607 Rivera Ave
	El Paso, TX 79905
	(915) 533-7057 x 207
	(915) 490-6148 mobile
	(915) 533-7158 fax
	bschlesinger.pv at tachc.org
	
	
	
	
	
	
	------------------------------
	
	Message: 2
	Date: Wed, 28 Jan 2009 09:22:23 -0500
	From: Louise Haddock <lhaddock at yimaine.org>
	Subject: [PC-BH-Integration] HIPAA Issue Related to Computer
Lock Out
	         Interval
	To: "'pc-bh-integration at nccbh.net'"
<pc-bh-integration at nccbh.net>
	Message-ID:
	
<ABC7EF350BDC014483782625EF606EAC55490C9BE4 at chuck.ad.youthalternatives.l
ocal>
	        
	Content-Type: text/plain; charset="us-ascii"
	
	We are searching for information related to the length of time
that organizations have in place related to computers locking users out
of the system. We are attempting to gather information from our
colleagues to assist us in establishing a benchmark. We have had a
request from 2 areas within our organization to lengthen the amount of
time at which the system locks a user out. They are as follows:
	
	1. A 24X7 crisis hotline unit that is located in a secure area
with key pad entry. Currently the system locks the user out after 10
minutes of no activity causing frequent log ins. No clients enter this
area, only employees.
	
	2. An outpatient clinic providing medication management services
and outpatient psychotherapy services. The minimum length of service is
30 minutes and the maximum is 90 minutes. This unit is in a secure area
with key pad entry, each provider of service is in a private office,
clients are escorted in and out of the office area by the clinician
treating them. The system locks users out after 10 minutes of no
activity.
	
	We would appreciate any information you may will willing to
share with us.
	
	Thank you for your consideration.
	
	Louise Haddock
	VP Continuous Improvement
	Youth alternatives Ingraham
	lhaddock at yimaine.org< mailto:lhaddock at yimaine.org
<mailto:lhaddock at yimaine.org> >
	207-523-5043
	
	
	
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	------------------------------
	
	Message: 3
	Date: Wed, 28 Jan 2009 10:06:25 -0500
	From: "Kessler, Rodger S." <Rodger.Kessler at vtmednet.org>
	Subject: Re: [PC-BH-Integration] integration proposals
	To: "'pc-bh-integration at lists101.his.com'"
	         <pc-bh-integration at lists101.his.com>
	Message-ID:
	
<4CF36A3AB2AEF1408C6593AAE50EDD348439E704F0 at EMAIL1.fahc.fletcherallen.or
g>
	        
	Content-Type: text/plain; charset="us-ascii"
	
	Hi Bill, Why do you think the co location didn't work??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
<mailto:pc-bh-integration-bounces at lists101.his.com> ] On Behalf Of Bill
Schlesinger
	Sent: Tuesday, January 27, 2009 10:44 PM
	To: pc-bh-integration at lists101.his.com
	Subject: Re: [PC-BH-Integration] integration proposals
	
	We've been working with the Hogg Foundation for Mental Health
for about
	three years.  We're an FQHC and using the care manager model
similar to
	IMPACT.  We tried co-location - it didn't work.  We've been
funded for
	service expansion funds from HRSA which stabilized the project.
I'll be
	glad to respond to specific requests for information -- the Hogg
website has
	a lot of the model information at
	http://www.hogg.utexas.edu/programs_ihc.html
	
	
	Bill Schlesinger
	Project Vida
	3607 Rivera Ave
	El Paso, TX 79905
	(915) 533-7057 x 207
	(915) 490-6148 mobile
	(915) 533-7158 fax
	bschlesinger.pv at tachc.org
	
	
	
	
	_______________________________________________
	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
	
	
	
	------------------------------
	
	Message: 4
	Date: Wed, 28 Jan 2009 10:53:08 -0500
	From: "Blount, Alexander" <Alexander.Blount at umassmemorial.org>
	Subject: Re: [PC-BH-Integration] integration proposals
	To: <pc-bh-integration at lists101.his.com>
	Message-ID:
	
<1BB849C1E05F0F448C0A46B1B7B2F11B0160EA28 at UMMHCEXCHMB04.umassmemorial.or
g>
	        
	Content-Type: text/plain;        charset="US-ASCII"
	
	As someone who trains mental health professionals to work in
primary
	care
	(
http://www.integratedprimarycare.com/Certificate%20Program_Email.htm
<http://www.integratedprimarycare.com/Certificate%20Program_Email.htm> )
I
	am not surprised to hear you say the co-location doesn't work,
but I
	wonder if you would be willing to say a bit more about what is
behind
	that statement.  I think it could be helpful to people who are
earlier
	in the process.
	
	Alexander Blount, EdD
	Clinical Professor of Family Medicine and Psychiatry
	University of Massachusetts Medical School
	Director of Behavioral Science
	Department of Family Medicine and Community Health
	Editor, Families, Systems, & Health
	O. 508 856-2147, F. 508 856-1212
	blounta at ummhc.org
	http://umassmed.edu/fmch/faculty/Blount.cfm?start=0 
	http://www.IntegratedPrimaryCare.com
<http://www.integratedprimarycare.com/>  
	
	-----Original Message-----
	From: pc-bh-integration-bounces at lists101.his.com
	[ mailto:pc-bh-integration-bounces at lists101.his.com
<mailto:pc-bh-integration-bounces at lists101.his.com> ] On Behalf Of Bill
	Schlesinger
	Sent: Tuesday, January 27, 2009 10:44 PM
	To: pc-bh-integration at lists101.his.com
	Subject: Re: [PC-BH-Integration] integration proposals
	
	We've been working with the Hogg Foundation for Mental Health
for about
	three years.  We're an FQHC and using the care manager model
similar to
	IMPACT.  We tried co-location - it didn't work.  We've been
funded for
	service expansion funds from HRSA which stabilized the project.
I'll be
	glad to respond to specific requests for information -- the Hogg
website
	has
	a lot of the model information at
	http://www.hogg.utexas.edu/programs_ihc.html
	
	
	Bill Schlesinger
	Project Vida
	3607 Rivera Ave
	El Paso, TX 79905
	(915) 533-7057 x 207
	(915) 490-6148 mobile
	(915) 533-7158 fax
	bschlesinger.pv at tachc.org
	
	
	
	
	_______________________________________________
	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
	The information transmitted is intended only for the person or
	entity to which it is addressed and may contain confidential
and/or
	privileged material.  Any review, transmission, re-transmission,
	dissemination or other use of, or taking of any action in
reliance
	upon this information by persons or entities other than the
	intended recipient is prohibited.  If you received this in
error,
	please contact the sender and delete the material from any
	computer.
	
	
	------------------------------
	
	Message: 5
	Date: Wed, 28 Jan 2009 08:51:02 -0700
	From: "Bill Rosenfeld" <brosenfeld at mphc-az.org>
	Subject: Re: [PC-BH-Integration] integration proposals
	To: <pc-bh-integration at lists101.his.com>
	Message-ID:
	
<DC2C2E9D4E1497428DA242C644D4A7F4013BA30F at mail01-mph.MPHC.com>
	Content-Type: text/plain;        charset="us-ascii"
	
	Because the lucky 100 who get the service doesn't match the
mission of
	primary care, which serves everybody who walks through the door.
That
	is one of another 300 reasons that I could cite.    Hope you are
well!
	
	-----Original Message-----
	From: pc-bh-integration-bounces at lists101.his.com
	[ mailto:pc-bh-integration-bounces at lists101.his.com
<mailto:pc-bh-integration-bounces at lists101.his.com> ] On Behalf Of
	Kessler, Rodger S.
	Sent: Wednesday, January 28, 2009 8:06 AM
	To: 'pc-bh-integration at lists101.his.com'
	Subject: Re: [PC-BH-Integration] integration proposals
	
	Hi Bill, Why do you think the co location didn't work??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
<mailto:pc-bh-integration-bounces at lists101.his.com> ] On Behalf Of Bill
	Schlesinger
	Sent: Tuesday, January 27, 2009 10:44 PM
	To: pc-bh-integration at lists101.his.com
	Subject: Re: [PC-BH-Integration] integration proposals
	
	We've been working with the Hogg Foundation for Mental Health
for about
	three years.  We're an FQHC and using the care manager model
similar to
	IMPACT.  We tried co-location - it didn't work.  We've been
funded for
	service expansion funds from HRSA which stabilized the project.
I'll be
	glad to respond to specific requests for information -- the Hogg
website
	has
	a lot of the model information at
	http://www.hogg.utexas.edu/programs_ihc.html
	
	
	Bill Schlesinger
	Project Vida
	3607 Rivera Ave
	El Paso, TX 79905
	(915) 533-7057 x 207
	(915) 490-6148 mobile
	(915) 533-7158 fax
	bschlesinger.pv at tachc.org
	
	
	
	
	_______________________________________________
	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
	
	_______________________________________________
	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
	
	
	------------------------------
	
	Message: 6
	Date: Wed, 28 Jan 2009 08:48:45 -0800
	From: "KINNEY Charmaine" <charmaine.kinney at co.multnomah.or.us>
	Subject: Re: [PC-BH-Integration] integration proposals
	To: <pc-bh-integration at lists101.his.com>
	Message-ID:
	
<01BB3F15EC55414E9C407B342DBC5E1CEED26B at EXCH2.co.multnomah.or.us>
	Content-Type: text/plain;        charset="iso-8859-1"
	
	Are the "lucky" those who already have been identified and have
been in the Mental Health system? If so, how many are SMI?
	
	-----Original Message-----
	From: pc-bh-integration-bounces at lists101.his.com
	[ mailto:pc-bh-integration-bounces at lists101.his.com
<mailto:pc-bh-integration-bounces at lists101.his.com> ]On Behalf Of Bill
	Rosenfeld
	Sent: Wednesday, January 28, 2009 7:51 AM
	To: pc-bh-integration at lists101.his.com
	Subject: Re: [PC-BH-Integration] integration proposals
	
	
	Because the lucky 100 who get the service doesn't match the
mission of
	primary care, which serves everybody who walks through the door.
That
	is one of another 300 reasons that I could cite.    Hope you are
well!
	
	-----Original Message-----
	From: pc-bh-integration-bounces at lists101.his.com
	[ mailto:pc-bh-integration-bounces at lists101.his.com
<mailto:pc-bh-integration-bounces at lists101.his.com> ] On Behalf Of
	Kessler, Rodger S.
	Sent: Wednesday, January 28, 2009 8:06 AM
	To: 'pc-bh-integration at lists101.his.com'
	Subject: Re: [PC-BH-Integration] integration proposals
	
	Hi Bill, Why do you think the co location didn't work??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
<mailto:pc-bh-integration-bounces at lists101.his.com> ] On Behalf Of Bill
	Schlesinger
	Sent: Tuesday, January 27, 2009 10:44 PM
	To: pc-bh-integration at lists101.his.com
	Subject: Re: [PC-BH-Integration] integration proposals
	
	We've been working with the Hogg Foundation for Mental Health
for about
	three years.  We're an FQHC and using the care manager model
similar to
	IMPACT.  We tried co-location - it didn't work.  We've been
funded for
	service expansion funds from HRSA which stabilized the project.
I'll be
	glad to respond to specific requests for information -- the Hogg
website
	has
	a lot of the model information at
	http://www.hogg.utexas.edu/programs_ihc.html
	
	
	Bill Schlesinger
	Project Vida
	3607 Rivera Ave
	El Paso, TX 79905
	(915) 533-7057 x 207
	(915) 490-6148 mobile
	(915) 533-7158 fax
	bschlesinger.pv at tachc.org
	
	
	
	
	_______________________________________________
	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
	
	_______________________________________________
	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
	_______________________________________________
	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
	
	
	------------------------------
	
	_______________________________________________
	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 48, Issue 3
	************************************************

Nancy S. Halloran, MPH
Program Development, Proposals, & Project Management
Health Equity Partnership & Community Institute for Healthcare Equity
614 Grand Ave, Suite 400
Oakland, Ca 94610

510-847-3833
510-217-5940 (fax) 

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