1. Funded under contract #HHSA290-2010-00002i by the Agency for Healthcare Research and Quality AHRQ Web-based Tools that Assess and Promote the Integration of Behavioral Health into Primary Care Neil Korsen, MaineHealth, Joshua Noda, Westat and Vasudha Narayanan, Westat Collaborative Family Healthcare Association 17 th Annual Conference October 15-17, 2015 Portland, Oregon U.S.A. Session # D4a October 17, 2015

2. Faculty Disclosure The presenters of this session have NOT had any relevant financial relationships during the past 12 months.

3. Learning Objectives At the conclusion of this session, the participant will be able to: Better understand the products available on the AHRQ Academy web-based portal that support and promote integration of behavioral health into primary care. Utilize the tools and resources available on the AHRQ Academy web-based portal to gain additional knowledge about, and develop an action plan of next steps for integrating behavioral health into primary care.

4. The care that results from a practice team of primary care and behavioral health clinicians, working together with patients and families, using a systematic and cost-effective approach to provide patient-centered care for a defined population. This care may address mental health, substance abuse conditions, health behaviors (including their contribution to chronic medical illnesses), life stressors and crises, stress-related physical symptoms, ineffective patterns of health care utilization. Peek, C. J., National Integration Academy Council. (2013). Lexicon for Behavioral Health and Primary Care Integration: Concepts and Definitions Developed by Expert Consensus. In Agency for Healthcare Research and Quality (Ed.), AHRQ Publication No.13-IP001-EF. Integrated Care-Definition

5. Providing fractured care yields poorer outcomes at a higher cost Integrated Care is simply quality care for the whole person You cannot achieve the Three Aims without integrated care Integrated Care should be the norm Why do we care about Integrated Care?

6. Mental health and primary care are inseparable; any attempts to separate the two leads to inferior care - IOM, 1996 Mental health and primary care are inseparable; any attempts to separate the two leads to inferior care - IOM, 1996 deGruy, F. (1996). Mental health care in the primary care setting. In M. S. Donaldson, K. D. Yordy, K. N. Lohr & N. A. Vanselow (Eds.), Primary Care: America's Health in a New Era. Washington, D.C.: Institute of Medicine.

7. Purpose of the Academy To build a centralized and respected resource hub to provide the tools and materials to advance integration, and to promote a collaborative environment for dialogue and discussion among leaders throughout behavioral health and primary health care arenas.

8. Lexicon Academy Portal Literature Collection Workforce competencies IBHC Measures Atlas Implementation Playbook – Self Assessment Checklist – The Community An Overview of Resources

9. The Lexicon http://integrationacademy.ahrq.gov/lexicon http://integrationacademy.ahrq.gov/lexicon

10. http://integrationacademy.ahrq.gov/

11. Map Feature

12. Literature Collection http://integrationacademy.ahrq.gov/literaturecollection

13. Atlas of Integrated Behavioral Health Care Quality Measures http://integrationacademy.ahrq.gov/atlas

14. A Guidebook of Professional Practices http://integrationacademy.ahrq.gov/sites/default/files/AHRQ_AcademyGuidebook.pdf

15. Identifies the key professional practices that are prominent among exemplary integrated primary care organizations. Aim is to help other sites achieve the goal of integrating care more effectively. Findings are organized into two categories: Organization-Level Professional Practices and Interpersonal and Individual Professional Practices. A Guidebook of Professional Practices

16. Coming Soon!

23. Academy Community

24. We’d appreciate your feedback on content and functionality & You will have access to an early release of the Playbook! Please contact NatalieTeixeira@westat.com Would you Participate in our Beta Release?

25. Bibliography / Reference 1.Kathol, Roger G., and Bruce L. Rollman. "Value-based financially sustainable behavioral health components in patient-centered medical homes." The Annals of Family Medicine 12.2 (2014): 172-175. 2.Massachusetts Patient Centered Medical Home Initiative (2012). Behavioral Health Integration Tool Box: http://pcmhlearning.ehs.state.ma.us/atutor/login.php 3.Melek, S. P., D. T. Norris, and J. Paulus. "Economic impact of integrated medical- behavioral healthcare: Implications for psychiatry." Arlington VA: American Psychiatric Association (2014). 4.Patient-Centered Primary Care Institute (2013). Primary Care Behavioral Health Toolkit: http://www.pcpci.org/sites/default/files/resources/PCBH%20Implementation%2 0Kit_FINAL.pdf 5.Safety Net Medical Home Initiative. Ratzliff A. Organized, Evidence-Based Care Supplement: Behavioral Health Integration. Phillips KE, Holt BS, eds. Seattle, WA: Qualis Health, MacColl Center for Health Care Innovation at the Group Health Research Institute, and the University of Washington’s AIMS Center; 2014

26. Thank You! Ben Miller Benjamin.Miller@ucdenver.edu Garrett Moran GarrettMoran@Westat.com (301) 294-3821 Neil Korsen KORSEN@mmc.org www.integrationacademy.ahrq.gov integrationacademy@westat.com www.integrationacademy.ahrq.gov integrationacademy@westat.com Natalie Teixeira NatalieTeixeira@westat.com Vasudha Narayanan vasudhanarayanan@westat.com Joshua Noda JoshuaNoda@westat.com