[Continuity of Care is maintained when one care provider links to another care provider, the transition of care is smooth and uninterrupted for the patient,

Slides:



Advertisements
Similar presentations
Chicago Police Department University of Illinois at Chicago
Advertisements

Arbor House Harrisonburg-Rockingham Community Services Board
Accessing Substance Abuse and Mental Health Services in Washtenaw County Barrier Busters Presentation July 24, 2013.
GP Link Program Susan Davis Clinical Nurse Consultant GP Clinical Liaison Officer (GPCLO)
Version 11Page 1 of 6 Improving Identification of Patients Infected with HIV Using Rapid Testing in the Emergency Department: A Systems-Based Approach.
Patient Receives Care in the ED or 23/59 Observation Unit Hospital Care Summary (electronic/faxed SNF and/or PC) Hospital/ED Schedule Patient Appointment.
© Provincial Health Services Authority Link: Connecting Patients and Families with Mental Health Resources Shawna Wilwand (BCMHSUS) Kristen Barnes (PHSA.
Collaboration Between a Health Plan and a Community Health System to Improve Care Coordination for a Medicaid Population Karen Michael, RN, MSN, MBA Vice.
Mental Health Needs: Meeting the Challenge Marsha G. Ansel, LCSW-C Howard County Mental Health Authority.
DSB Ontario North East Mental Health Team and Pathways to Care
SUSD Mental Health Referral Linkage Protocol Mental Health Screening Screening results negative Social/Emotional/Behavioral results positive Process stops.
Statewide Project #2 Behavioral Health Navigator STARK COUNTY Nicole Caudill, MSW, LSW Hospital and Community Liaison Crisis Intervention and Recovery.
Care Coordination Program for Heart Failure Susan Levine RN Director Clinical Resource Management Carolyn Timmons BSN,RN Lead Clinical Care Coordinator.
UNIQUE CLINICAL SERVICES OF DEPARTMENT OF PSYCHIATRY John Lauriello, M.D. Professor and Vice Chair UNM Department of Psychiatry.
Wraparound Milwaukee was created in 1994 to provide coordinated community-based services and supports to families of youth with complex emotional, behavioral.
SBIRT and Women’s Health LYNN CAMPANARIO NOVEMBER, 2014.
Tufts Health Unify Behavioral Health Model of Care & Member Experience
Mental Health Services for Our Campus: University Health Service Lori-Ann Lach, MD, CCFP Medical Director, University Health Service Student Support.
Rehabilitation Programs and Office Follow-up Steven R. Ey, M.D. Medical Director Genesis Chemical Dependency Unit South Coast Medical Center Laguna Beach,
Midwest AIDS Training & Education Center Health Care Education & Training, Inc. HIV/AIDS Case-Finding In Family Planning Clinics.
CMS National Conference on Care Transitions December 3,
The Mental Wellness Team pilot project An example of collaboration Health and Social Services Forum for the First Nations, Quebec January 29, 2014.
Patient-Centered Medical Home.
Virginia Department of Medical Assistance Services July 27, 2012
7 - 2 So far, we have covered:  Adolescent Development  Adolescent Psychiatric Disorders & Treatment  Crisis Intervention and De-escalation  The Family.
ENCIRCLE: A COLLABORATIVE PARTNERSHIP FOR OUR YOUTH Led by Center for Learning & Development thanks to a grant from the Office of the Governor Criminal.
Care Management Going Forward Connie Sixta, RN, PhD, MBA.
ECH Health Care Home.
An Innovative Community Collaborative. Central Oregon Complex Care Strategy – Centered Around the Patient 2 Imagine if Rebecca was at the center of multi-faceted.
Mental Health Crises & Police Contact in Midtown Detroit Bart W. Miles, PhD MSW Assistant Professor Wayne State University School of Social Work Center.
© Copyright, The Joint Commission Integration: Behavioral and Primary Physical Health Care FAADA/FCMHC August, 2013 Diana Murray, RN, MSN Regional Account.
Patient Centered Medical Home at a CHD Okaloosa County Health Department Opportunity Health Clinic.
NiaTx Project  Big Aim:  Reduce (re-) hospitalizations due to gaps in service delivery when consumers’ needs are immediate, multiple, and/or exceed.
The Center for Health Systems Transformation
Background Wraparound Milwaukee was created in 1994 to provide a coordinated and comprehensive array of community-based services and supports to families.
GEORGIA CRISIS RESPONSE SYSTEM- DEVELOPMENTAL DISABILITIES Charles Ringling DBHDD Region 5 Coordinator/ RC Team Leader.
Richard H. Dougherty, Ph.D. DMA Health Strategies Recovery Homes: Recovery and Health Homes under Health Care Reform 4/27/11.
Chapter 4 Settings for Psychiatric Care Copyright © 2014, 2010, 2006 by Saunders, an imprint of Elsevier Inc.
A Systems Approach to Improving Substance Abuse Treatment for Latino Youth: Latino Caucus of the APHA Annual Meeting November 6, 2006 URBAN LEAGUE OF GREATER.
Child/Youth Care Management 2015 training. WELCOME!
CMS National Conference on Care Transitions December 3,
1 North West Toronto Health Links. 2 1.Primary care attachment 2.Coordinated care planning 3.7-Day post-discharge primary care follow-up 4.Reduce avoidable.
Unscheduled Care In Cardiff &Vale Taking A Whole Systems Approach to Emergency & Urgent Care.
Model Development Task Team Report to Bullying Issues Committee.
KEY LIFE HEALTH Plan Features. Plan Highlights  Easy to be a member.  Coverage for preventive care.  Worldwide emergency care.  A part of the community.
Psychiatric Transitions in a Managed Care Environment.
Quality Improvement and Care Transitions in a Medical Home Maryland Learning Collaborative May 21, 2014 Stephanie Garrity, M.S., Cecil County Health Officer.
Implementing Community Suicide Protocol Susan Armstrong, M.Ed. R.C.C. Prince George, BC.
Striving Towards Excellence in Comprehensive Care: What do Children Need? July 10, 2007 Christopher A. Kus, M.D., M.P.H.
Nevada County Behavioral Health Crisis, Access, and Linkage Services Welfare & Institutions Code Section 5150 et al.
Service Delivery GOAL: To provide a comprehensive system of care designed in partnership with the community, service providers, and payors.
New Hampshire Mental Health TA Project IDEA Partnership National Community of Practice on Collaborative School Behavioral Health Share Fair Presentation.
Name of presentation Improving health in Greenwich: Linking integrated health & social care with primary care.
Readmissions Driver Diagram OHA HEN 2.0. Readmissions AIMPrimary Drivers Secondary DriversChange Ideas Reduce Readmissions Identify patients at high-risk.
1 The Mental Health Continuum of Care and Related Legal Issues in The State University System of Florida Vikki Shirley Dorothy J. Minear February 26, 2008.
Jennifer Havens, MD Director, Department of Child and Adolescent Psychiatry Bellevue Hospital Center.
Collaboration to Calm the Crisis – The London & Middlesex Experience of Creating a Walk-in Crisis Service Pam Hill, Director of Clinical Services, Addiction.
Purpose Of Training: To guide Clinicians in the completion of screens and development of Alternative Community Service Plans.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment
An Outpatient Service Continuum Approach to Addressing and Reducing Mental Health Crises CBHDA All Members Meeting August 11, 2016 Debbie Innes-Gomberg,
NYS Health Home 101.
Imagine Dutchess Dutchess County, NY.
SUNY Upstate University Health System Diane Nanno MS, CNS, RN DSRIP Learning Symposium September 18, 2015 Care Transitions.
EDC ©2016. All rights reserved.
MORES Mobile Outreach Response Engagement Stabilization Service
Unit 7 Connecting to Resources
So far, we have covered: Adolescent Development
Children and Families: The Elite DNA Approach
Community and Primary Care Grants
Building Public Health Nursing Capacity through Shared Services
Presentation transcript:

[Continuity of Care is maintained when one care provider links to another care provider, the transition of care is smooth and uninterrupted for the patient, and the essential clinical information is provided.] Identification Settings in which at risk youth are identified Emergency Department Inpatient Psychiatric Hospitalization Juvenile Justice Primary Care School Enhancing Linkages Strategies or services* to enhance linkages with the Aftercare/Ongoing Care provider Aftercare/Ongoing Care Settings in which at risk youth receive ongoing care/suicide risk management services Organizational MOUs, MOAs Crisis center follow-up Follow-up appointments made within 24 – 72 hours Caring contacts Warm handoffs Community resource listings for Referring Providers Continuity of care flow-sheets Communications between referring (identification) and referral orgs Patient consent protocols Informal caregiver involvement in aftercare planning Case management * Can be provided by the Identification organization, Crisis Center organizations, and/or Ongoing Care organizations Primary Care School Community Behavioral Health SPRC, 2014 State Community Behavioral Health Community Program

[Continuity of Care is maintained when one care provider links to another care provider, the transition of care is smooth and uninterrupted for the patient, and the essential clinical information is provided.] Identification Settings in which at risk youth are identified Emergency Department Inpatient Psychiatric Hospitalization Juvenile Justice Primary Care School Enhancing Linkages Strategies or services* to enhance linkages with the Aftercare/Ongoing Care provider Aftercare/Ongoing Care Settings in which at risk youth receive ongoing care/suicide risk management services Organizational MOUs, MOAs Crisis center follow-up Follow-up appointments made within 24 – 72 hours Caring contacts Warm handoffs Community resource listings for use by referring providers Continuity of care flow-sheets Communications between referring (identification) and referral orgs Patient consent protocols Informal caregiver involvement in aftercare planning * Can be provided by the Identification organization, Crisis Center organizations, and/or Ongoing Care organizations Primary Care School Community Behavioral Health SPRC, 2014 Tribal Culture / Community- Based Intervention Community Behavioral Health Culture / Community- Based Intervention

[Continuity of Care is maintained when one care provider links to another care provider, the transition of care is smooth and uninterrupted for the patient, and the essential clinical information is provided.] Identification Settings in which at risk youth are identified Emergency Department Inpatient Psychiatric Hospitalization Campus Health Clinic Campus Counseling Enhancing Linkages Strategies or services* to enhance linkages with the Aftercare/Ongoing Care provider Aftercare/Ongoing Care Settings in which at risk youth receive ongoing care/suicide risk management services MOUs – on campus MOUs – off campus Crisis center follow-up Follow-up appointments made within 24 – 72 hours Caring contacts (e.g., postcards) Warm handoffs Community resource listings for use by referring providers Continuity of care flow-sheets Communications between identification and aftercare providers Patient consent protocols Informal caregiver involvement in aftercare planning Case management * Can be provided by the Identification organization, Crisis Center organizations, and/or Ongoing Care organizations Campus Health Clinic Campus Counseling Community Behavioral Health SPRC, 2014 Campus Disability Services Campus Teams (e.g. BIT) Informal Sources (faculty/friends)