1. Value Added Collaboration: Leveraging Foundation Support Francie Wolgin, MSN, RN, Senior Program Officer, Health Foundation of Greater Cincinnati Janice Bogner, MSW, Senior Program Officer, Health Foundation of Greater Cincinnati Cynthia Holstein, MA, Director, Standards & Certification, Shawnee Mental Health Center Marc Bellisario, CEO, Primary Health Solutions Collaborative Family Healthcare Association 13 th Annual Conference October 27-29, 2011 Philadelphia, Pennsylvania U.S.A. Session E3b October 28, 2011 4:15 PM

2. Faculty Disclosure We have not had any relevant financial relationships during the past 12 months.

3. Need/Practice Gap & Supporting Resources Foundations are often an untapped and underused source of support for accelerating integrated care programs

4. Objectives Explore ways foundation can support integrated care programs: Behavioral health providers adding primary care services Primary care providers adding behavioral health services

5. Expected Outcome Describe six ways foundations can support integrated care 1.Identify priorities & challenges of integrated care from the perspective of a behavioral health provider 2.Identify priorities & challenges of integrated care from the perspective of a primary care provider 3.Learn from others who are working in integrated care programs

6. Learning Assessment A learning assessment is required for CE credit.

7. FOUNDATIONS: TYPES, ROLES, & TIPS Francie Wolgin, MSN, RN, Senior Program Officer, Health Foundation of Greater Cincinnati Janice Bogner, MSW, Senior Program Officer, Health Foundation of Greater Cincinnati

8. TYPES OF FOUNDATIONS  Community Foundation  Health Foundation  Corporate Foundation  Family Foundation  Operating Foundation

9. ROLES FOUNDATIONS CAN PLAY  Share knowledge & experience to inform efforts  Support program planning & evaluation  Serve as neutral, unbiased conveners

10. ROLES FOUNDATIONS CAN PLAY  Provide technical assistance  Leverage greater impact through financial resources  Advocate & educate policymakers

11. TIPS FOR WORKING WITH FOUNDATIONS  Do your homework  Get connected  Sharpen your ideas  Collaborate and leverage  Follow instructions

12. BEHAVIORAL HEALTH PERSPECTIVE Shawnee Mental Health Center Cynthia Holstein, MA Director of Standards & Certification

13. ROLE OF HEALTH FOUNDATION  Partners  Arranged linkages  Educational opportunities  Program development  Additional funding opportunities  On-going supporter

14. PRIORITIES FOR INTEGRATION  Know & involve stakeholders  Develop knowledge & skills of billing/documentation  Educate, educate, educate…

15. CHALLENGES  Cultural differences  Sustaining services  Building an “integrated” workforce

16. ADVICE Mental Health Care + Primary Care ≠ Integrated Care

17. PRIMARY CARE PERSPECTIVE Primary Health Solutions Marc Bellisario CEO

18. ROLE OF HEALTH FOUNDATION  Evaluating community needs and working toward better health outcomes in the community  Champion for integrated care  Facilitator in the development of the program  Financial support  Ongoing support

19. PRIORITIES FOR INTEGRATION  Creating a health care delivery system where everyone understands the mind & body are interactive and inseparable  Maximize providers’ abilities  Addressing the needs of SMD adults who have a shorter life expectancy  Addressing the lack of equal access to primary health care for SMD adults

20. CHALLENGES  Understanding the funding streams for primary health care and behavioral health services  Cultural differences in client populations and associated problems  Fear of change and loss of control

21. ADVICE  Develop a common language

22. LESSONS LEARNED FROM GRANTEES  Integration is not easy  One size does not fit all  Integrated care programs take time to develop

23. LESSONS LEARNED FROM GRANTEES  It is essential to find the “right” partner  It is essential to find the “right” staff  Culture clash is expected  Buy-on from all levels is important

24. LESSONS LEARNED FROM GRANTEES  Build it and customers may or may not come – the importance of marketing  Regular structured communication (administrative & clinical) is critical

25. PARTICIPANT DISCUSSION Integrated care programs: What challenges have you faced? What advice do you have?

26. Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!