1. The Greater Baton Rouge Area’s Behavioral Health Collaborative, 2004-Present
A greater understanding of system weaknesses and development thru multi-sector participation
Collect and share system wide data for planning, development, implementation and CQI
Target specific populations
Educate providers and the public of services and processes, admission criteria

2. Examples of Developing and Implementing Evidence-based, Accountable Programs with Measurable Outcomes
Crisis Stabilization Unit with Mobile Linkage to Treatment Services
Integrated BH & Primary Care Services
Jail In-reach and Discharge Planning/Engagement
School Based Counseling
OB Clinic Screening/Treatment Services
Crisis Intervention Team (CIT) Training
Synthetic Marijuana Prevention Messaging

3. Integrated BH & Primary Care Services
Problem: People with SMI are being diagnosed, late or never, with common treatable chronic medical conditions that lead to disability and early death at younger ages than those in the general public.
Approach: Develop coordinated and integrated primary care services for publicly funded community-based behavioral health settings and co-locate BH brief interventionists into PC settings. (Needs to be resuscitated)
Partners: ARC ($500k), SAMHSA/PBHCI ($1.9M), FQHCs, Hospital-linked primary care clinic, Local EDs, LSU Clinic System, OPH, CAHS.

4. The Majority of MH Needs are Met by Physical Medicine Providers
Approximately 75% of all MH appointments are provided in primary care offices.
The vast majority of need can be managed outside of the mental health system.
There is an extreme shortage of psychiatrists and MH professionals worldwide.

5. “In pursuit of our bold goal, Humana will be guided by its core values” -Thrive Together-
We focus on shared success by breaking down silos, inviting collaboration and mentoring others. We believe in, and act with, positive intention to create an environment of trust and integrity.

6. Integrated Behavioral Health & Primary Care Focus
Problem: There are multiple problems for delivering seamless integrated care.

7. Heath B, Wise Romero P, and Reynolds K
Heath B, Wise Romero P, and Reynolds K. A Review and Proposed Standard Framework for Levels of Integrated Healthcare. Washington, D.C.SAMHSA-HRSA Center for Integrated Health Solutions. March 2013

8. KEY ELEMENT: COMMUNICATION
COORDINATED
KEY ELEMENT: COMMUNICATION
LEVEL LEVEL 2
Minimal Collaboration Basic Collaboration
at a Distance
Heath B, Wise Romero P, and Reynolds K. A Review and Proposed Standard Framework for Levels of Integrated Healthcare. Washington, D.C.SAMHSA-HRSA Center for Integrated Health Solutions. March 2013

9. KEY ELEMENT: PHYSICAL PROXIMITY
CO-LOCATED
KEY ELEMENT: PHYSICAL PROXIMITY
LEVEL LEVEL 4
Basic Collaboration Close Collaboration
Onsite Onsite with Some System
Integration
Heath B, Wise Romero P, and Reynolds K. A Review and Proposed Standard Framework for Levels of Integrated Healthcare. Washington, D.C.SAMHSA-HRSA Center for Integrated Health Solutions. March 2013

10. KEY ELEMENT: PRACTICE CHANGE
INTEGRATED
KEY ELEMENT: PRACTICE CHANGE
LEVEL LEVEL 6
Close Collaboration Full Collaboration in a
Approaching an Transformed/Merged Integrated Practice Integrated Practice
Heath B, Wise Romero P, and Reynolds K. A Review and Proposed Standard Framework for Levels of Integrated Healthcare. Washington, D.C.SAMHSA-HRSA Center for Integrated Health Solutions. March 2013

11. Key Messages
To address complex problems with limited resources we must rely on a full understanding of the problem from many facets through an inclusive, collaborative process.
We must redesign our services to support earlier, and at times, more intensive interventions, for people with mental health needs and addictive behaviors.
We can improve the physical health and emotional well being of the population through normalized and convenient access and specialty collaboration.

12. What’s Driving Integration?
Consumers
Providers
Payors
Affordable Care Act:
Meaningful Use
Triple Aim:
Population Health
Experience of Care
Per Capita Cost

13. Integrated Care Perception of Current System:
Desired Characteristics of System:

14. What Issues Must be Addressed for Integrated Care to Work?
Service Delivery – Level of Integration, Care Coordination/Communication, Health/ Wellness, Screening/Assessment Tools, Patient Placement Criteria, Treatment Continuum (EBP)
Finances - Health Insurance Marketplace/Exchange, Third Party Billing, Medicaid, Dual Eligibles
Infrastructure - Workforce Development, Performance Outcomes, Business Capabilities
Rules/Regs - Health IT/EHR, Compliance, Contracts, MOUs, Confidentiality

15. Alignment of Problem Statement & Objectives
Original Problem Statement: There are multiple problems for delivering seamless integrated care. Updated Problem Statement: (Why is this being undertaken and what factors need to be considered?) Objectives: (What we plan to accomplish to improve health outcomes.)

16. What Needs to be Done Before our Next Meeting
What Needs to be Done Before our Next Meeting? Proposed Next Meeting Date: July 22nd