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Benjamin Druss MD, MPH Knowledge Network Summit October 3, 2013

Improving health and healthcare for mental health consumers: from research to practice and back again. Benjamin Druss MD, MPH Knowledge Network Summit October 3, 2013.

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Benjamin Druss MD, MPH Knowledge Network Summit October 3, 2013

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  1. Improving health and healthcare for mental health consumers: from research to practice and back again Benjamin Druss MD, MPH Knowledge Network Summit October 3, 2013

  2. Journal of the American Statistical Association Mar 1932;27(177A):160-174. 2. BMJ. 2011 Sep 13;343:d5422 3. 3. Nord J Psychiatry. 2012 Apr;66(2):97-106. Epub 2011 Aug 23.

  3. A Widening Gap: Trends in Studies of Excess Mortality in Schizophrenia1 Arch Gen Psychiatry. Oct 2007;64(10):1123-1131

  4. Life Expectancy Psychiatry Res. 2010 Apr 30;176(2-3):242-5 Med Care. 2011 Jun;49(6):599-604

  5. Preventable Causes of Death N Engl J Med. 2007 Sep 20;357(12):1221-8.

  6. A Public Health Approach Tertiary Prevention Primary Prevention Secondary Prevention Chronic Medical Illnesses Risk Factors Lifestyle Medications Wellness programs Environmental Policies Screening Treatment

  7. FOUR CORNERS WELLNESS PROGRAM • Four Corners seeks to build upon the supportive capacity of the CCSB to expand the scope of wellness and whole health services. • LET’S GET PHYSICAL! • Healthy Breakfasts Provided By Peers • Have YOU had Your Annual Physical? • Nationally Distributed Cookbook • Integrated Healthcare Peer Blog • Certified Fitness instructor • Cooking Demonstrations • Relaxation Room • Walking Groups • Fitness Room LET’S GET PHYSICAL! • COMMUNITY BASED PROGRAMS • Intensive Case Management • Linkage To Specialty Care • Home Based Assessments • Community Outreach • CSI Services • WELLNESS GROUPS • Stress Management • Recovery/Wellness • Healthy Living • Leisure Skills • WHAM

  8. Schizophrenia and Bipolar Disorder Measure Set for HEDIS 2013

  9. Building a Health Home for People with SMI REFER

  10. Buy: The VA Integrated Care Clinic

  11. Refer: The Primary Care Access, Referral and Evaluation (PCARE) Project NIMH R01MH070437

  12. Costs Probability of cost offset: 92.3% or 96.1% excluding extreme outliers

  13. Medicaid Health Home State Plan Amendments

  14. Rent NIMH R01MH070437

  15. SAMHSA PBHCI Program

  16. Engaging Patients in Health Care NIMH R01MH090584 1. Funded by NIMH R34MH078583\ 2. Lorig K et al. Med Care. 2001 Nov;39(11):1217-23.

  17. Supporting Health Homes with IT

  18. Registries and Measured Care

  19. Patients: Personal Health Records

  20. Going Mobile

  21. mPHR Medical Records Medications Appointments Health Goals Messages

  22. Building Data Infrastructure

  23. Next Steps

  24. A Virtuous Cycle • Evidence-Based Practice • Investigator-developed interventions • Practice-Based Evidence • Community-developed interventions

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