Supporting Population‐Based Care (BHI‐I Plan for Measurement)

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Presentation transcript:

Supporting Population‐Based Care (BHI‐I Plan for Measurement) Learning Session #1: Supporting Population‐Based Care (BHI‐I Plan for Measurement) Marc Avery, MD Dale Jarvis, CPA Todd Gilmer, PhD

LS#1: Supporting Population‐Based Care Session Objectives Understand BHI‐I Plan for Measurement: including options, requirements, timelines, measures and tools Learn about plans for Population Management Tool Understand how BHI‐I work will be evaluated and meet the evaluation team.

So much data, so little time!! What are the types of data that you will be using in BHII?

BHII Data Categories Measurement of team integration and engagement During PDSA cycles Clinical Outcomes Measurement Behavioral Medical Clinical registry Encounter / cost data Evaluation of the BHII effort itself

Why Measure Real-Time Outcomes? Maintain clinical focus Keep track of patients Determine if a change in care is needed Patient education, empowerment, self-management Because it results in better outcomes!

What Can Clinicians Expect? Screening and tracking tools Registry New workflows

Clinical Outcomes Tracking Behavioral PHQ9 plus optional second measure in 1st year Second measure must meet T2T criteria Kids tools need special consideration Medical BMI/Weight Blood pressure HBA1c (if diabetic or taking atypical antipsychotics).

Criteria for the optional Treat to Target tool Must measure a clinically relevant symptom, function or behavioral domain. Has a linear scoring scale that supports sequential measurement. The tool must help the client and clinician determine progress. The tool must be short and preferably be self-reported.