Integrating Medical Care into the CMHC setting

1. Integrating Medical Care into the CMHC setting Kirk Morton, RN, BSN Presentation to the VACPN May 8, 2014

2. What is the medical home model? • The medical home relies on a team of providers—such as physicians, nurses, nutritionists, pharmacists, and social workers—to meet a patient’s health care needs. Studies have shown that the medical home model’s attention to the whole-person and integration of all aspects of health care offer potential to improve physical health, behavioral health, access to community-based social services and management of chronic conditions.

4. Metrics and Outcomes

5. RBHA’s Answer:

12. Where We Are To Date • Build out complete • Target population identified and data collection begun • Workflow modifications • EMR adjustments • Building “Super Bill”(We haven’t starting yet, looking at spending some of grant money for consultant.) • Some staff hired (All staff hired now)

13. Challenges And Successes • Hiring of Full-Time FNP is proving to be more difficult than expected (Now hired) • Hiring MD likely to be less challenging but issues remain around utilization (Now hired) • Optimal billing will likely require the consultation of some experts (looking at options now) • Credentialing of Staff as insurance companies aren’t themselves prepared for new modalities (still in process) • New focus on integrated care has already shown benefits to consumers