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Overview of Presentation

Overview of Presentation. Overview of the VISN 16 PCMH Program Description of PCMH models VISN 16 PCMH program outcomes The Rest of the Story. South Central VA Health Care Network—VISN 16. VISN 16 PCMH. All ten sites participated Implementation of PCMH in at least one clinic in each VAMC

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Overview of Presentation

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  1. Overview of Presentation • Overview of the VISN 16 PCMH Program • Description of PCMH models • VISN 16 PCMH program outcomes • The Rest of the Story

  2. South Central VA Health Care Network—VISN 16

  3. VISN 16 PCMH • All ten sites participated • Implementation of PCMH in at least one clinic in each VAMC • Option of implementing: • Care Management through TIDES • Co-located integrated care • Facilitation at the Network Level

  4. Scope and Clinical Roles:Co-Located Integrated Model • Usually consists of a prescribing provider and therapist team • Same Day visits • See All Comers – with few restrictions on diagnosis • Become part of the Primary Care Team • 15-45 min structured assessment • Medication and/or brief Psychotherapy • Consultation with Primary Care Providers • Chronic Severe patients referred to Specialty MH

  5. Scope and Clinical Roles • Care Manager Model • MDD, Alcohol Use • Patient Education • Symptom and Side Effect tracking • Brief, Structured intervention • Consultation/Weekly Supervision • Primary Care Physician • Team Psychiatrist

  6. Key TIDES Features • Focus is on patients with depressive disorders • Mostly telephone • Much appreciated by patients • CPRS/VistA tools based • Emphasis on patient self-management support • Initial decisions and prescribing primarily in primary care • Strong ties to mental health supervision

  7.  Mt Vernon CBOC Tulsa CBOC Oklahoma City  Ft. Smith CBOC Little Rock Shreveport Jackson Care Manager Alexandria Co-Located  Pensacola CBOC Biloxi New Orleans Houston VISN 16 PCMH Programs

  8. PCMH Provider Workload(June 2007 – May 2008) TOTAL 8,129 13,940

  9. Uniques seen in PCMH 10% 9% 91% 90%

  10. PCMH Uniques Monthly

  11. MH Consults per Quarter

  12. Program Evaluation • VISN 16 PCMH Program • Received 5.3% of the FTEE supported nationally • Comprised 9.44% of PCMH productivity to date

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