1. Coastal Behavioral Healthcare, Inc. Manatee County Rural Health Services Cohort 3 Southeast Region Sarasota, Florida Program Director: Les Stratford, RN, BSN, MA

2. Integration Model:  Four Quadrant Clinical Integration Model of Primary Behavioral Healthcare Integration Strategies Used to incorporate primary care:  One building, one floor  Co-location of mental health and primary care offices Enrollment target  440 Special Population Served:  Adult Seriously Mentally Ill with a GAF below 60 Setting:  Both Urban and Rural

3. Wellness Services offered:  Education in the following areas: Smoking Cessation, Diabetes, Hypertension, Obesity, Nutrition, Hyperlipedemia, Illness Self Management Use of Peers:  Advisory Committee EHR Vendor:  Netsmart Technologies, Inc. – CMHC/MIS

4. Staffing:  Physician’s Assistant (Contracted FQHC)  Director  2.2 Registered Nurses  PHD level pharmacy students (Affiliation)

5. Finance/Sustainability  FQHC partner to make formal application to the Federal Government to incorporate Coastal’s Primary Care Behavioral Integration program as an official FQHC site.  This FQHC status will allow for billing which will support sustainability for integrated services.  This approach will also allow for dual enrollment of the patient into both systems

6. Health Information Technology (HIT)  Developed a computerized NOMS Data Collection Services Tool  Scanning of paper record into a document management system for electronic availability as an interim step to EHR implementation.  Hired a PHD psychologist with 13 years experience in an EHR software development company as the HIT grant Director.  The revision of the Front Desk work flow to ensure accurate data collection with each visit.  The development of a new work flow process for the collection, monitoring, and accountability of Enrollment and Reassessment data for the TRAC system.

7. Other Wellness  Established a partnership with Lake Erie College of Medicine, School of Pharmacy to provide two students in the clinic for a total of 80 hours per week.  Access to pharmacy consultations for providers and patients  Developed a “Ask a Pharmacy Intern” call line  Every student develops and presents a health related presentation to patients and staff  Students develop educational handouts on medication classifications  Students assist in collection of data, assessment and screening.

8.  Continue recruitment and enrollment  Increase peer involvement  Promote increased patient centered care  Compare and contrast current vs. previous health status  Work towards the completion of an EHR.