1. IMPROVING HEALTH AND HEALTHCARE FOR MENTAL HEALTH CONSUMERS: FROM RESEARCH TO PRACTICE AND BACK AGAIN Benjamin Druss MD, MPH Knowledge Network Summit October 3, 2013

2. 1.Journal of the American Statistical Association Mar 1932;27(177A):160-174. 2. BMJ. 2011 Sep 13;343:d5422 3. 3. Nord J Psychiatry. 2012 Apr;66(2):97-106. Epub 2011 Aug 23.

3. A Widening Gap: Trends in Studies of Excess Mortality in Schizophrenia 1 Arch Gen Psychiatry. Oct 2007;64(10):1123-1131

5. Life Expectancy Psychiatry Res. 2010 Apr 30;176(2-3):242-5 Med Care. 2011 Jun;49(6):599-604

6. Preventable Causes of Death N Engl J Med. 2007 Sep 20;357(12):1221-8.

7. Risk Factors Lifestyle Medications Chronic Medical Illnesses A Public Health Approach Primary Prevention Wellness programs Environmental Policies Secondary Prevention Tertiary Prevention Treatment Screening

8. FOUR CORNERS WELLNESS PROGRAM Four Corners seeks to build upon the supportive capacity of the CCSB to expand the scope of wellness and whole health services. LET’S GET PHYSICAL! o Healthy Breakfasts Provided By Peers o Have YOU had Your Annual Physical? o Nationally Distributed Cookbook o Integrated Healthcare Peer Blog o Certified Fitness instructor o Cooking Demonstrations o Relaxation Room o Walking Groups o Fitness Room WELLNESS GROUPS o Stress Management o Recovery/Wellness o Healthy Living o Leisure Skills o WHAM COMMUNITY BASED PROGRAMS o Intensive Case Management o Linkage To Specialty Care o Home Based Assessments o Community Outreach o CSI Services LET’S GET PHYSICAL!

9. Schizophrenia and Bipolar Disorder Measure Set for HEDIS 2013 Measure Name First-Year Results for Medicaid HMOs Adherence to Antipsychotic Medications for Individuals with Schizophrenia 58.5% Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications 78.0% (Glucose or HbA1c test) Diabetes Monitoring for People with Diabetes and Schizophrenia 67.8% Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia 77.6%

10. Building a Health Home for People with SMI REFER

11. Buy: The VA Integrated Care Clinic

12. Refer: The Primary Care Access, Referral and Evaluation (PCARE) Project NIMH R01MH070437

13. Costs Probability of cost offset: 92.3% or 96.1% excluding extreme outliers

14. Medicaid Health Home State Plan Amendments

15. Rent NIMH R01MH070437

16. SAMHSA PBHCI Program

17. 1. Funded by NIMH R34MH078583\ 2. Lorig K et al. Med Care. 2001 Nov;39(11):1217-23. Engaging Patients in Health Care NIMH R01MH090584

18. Supporting Health Homes with IT

19. Registries and Measured Care

20. Patients: Personal Health Records

21. Going Mobile

22. MOBILE PERSONAL HEALTH RECORD mPHR Medical Records Medications Appointments Messages Health Goals

23. Building Data Infrastructure

24. Next Steps

25. A Virtuous Cycle Evidence-Based Practice Investigator-developed interventions Practice-Based Evidence Community-developed interventions