BH/PC Integration at Metrocare Services

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Presentation transcript:

BH/PC Integration at Metrocare Services

Metrocare Services– What are we? Serving the Dallas area for over 40 years Providing care for those with: Intellectual and Developmental Disabilities Mental illness Children and teens with severe behavior problems Infants with developmental delays Children and teens in foster care The following graphic illustrates the typical PI process: The following graphic illustrates the typical PI process:

Integration– What is it? Integration is designed to provide seamless care that is aligned between the services one provides. More so, working in collaboration amongst the multi-disciplinary teams that is the primary and behavioral health people.

Factors that affect Integration Clear job roles & expectations Coordination of care –workflow design Payment structure Staff buy-in Training

Integration– The Workflow See next slide for visual

Integration– Best Practices Dual functioning staff – Medical Assistants front/back office Integrated EHR system – behavioral and primary care Additional onsite services – labs, pharmacy, health insurance assistance (other available health, social service, pharmacy and other assistance programs)

Integration– Our Services Coughs & Flu Immunization & Physicals Well Child Care Asthma & Allergies Chronic Disease Management Labs Pharmacy Health Insurance Assistance

Integration– Challenges Ease of Access Facility Layout Billing Credentialing Adequate EHR coding/billing Marketing Internal/External awareness Productivity Patient enrollment Patient engagement Specialty Care Patient adherence

Performance Improvement Some Performance Improvement measures at Metrocare include: Patient Satisfaction Ensure post hospitalized clients are seen within 7-14 days after discharge (Project Navigation) Medical Peer Review to improve clinical care

Integration– Next Steps 3rd Adult Primary Care Site – Westmoreland, Summer 2015 2nd Pediatric Primary Care Site – Hillside, Summer 2015 Pathways (Adult/Pediatric) – Fall 2015 Design will emphasize a integration of services Midway (Adult/Pediatric) – Winter 2015

Questions Q&A