My Background Family physician/geriatrician in rural Maine for almost 20 years Working at a national level on depression in primary care since 1997 – MacArthur, MHMC, RWJF National leadership on behavioral health quality measurement – AHRQ, NCQA, SAMHSA

Goals Specific short term goal – initial publication of some behavioral health measures on Get Better Maine website by Sept. 30, 2014 Measures that are important to providers and patients – What care do I want to give/receive? Scope – Primary care practices – Behavioral health organizations/practitioners

How will we accomplish short term goal? Align with current measurement requirements Small number of measures Choose those important to key constituencies Try for balanced set, covering a number of domains of quality – The Triple Aim (care, quality, cost) Initially report on ability to measure

Why include integration? Maine is a leader, and many primary care practices will be able to report on some aspect of integrated care The integration of behavioral and physical healthcare is essential to the ability to achieve quality outcomes