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Integrated Health Care. Integrated primary and mental health care for individuals with severe mental illness (SMI). Integrated Health Care. Judith Lloyd Storfjell , PhD, RN, FAAN Professor & Associate Dean, Executive Director, Institute for Healthcare Innovation, UIC CON
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Integrated Health Care Integrated primary and mental health care for individuals with severe mental illness (SMI) Integrated Health Care Judith Lloyd Storfjell, PhD, RN, FAAN Professor & Associate Dean, Executive Director, Institute for Healthcare Innovation, UIC CON Lucy Marion, PhD, RN, FAAN, FAANP Dean & Professor Georgia Health Sciences University Kathryn Christiansen, PhD, RN, FAAN Associate Professor, UIC CON
IHC Overview (1998 to present) • Blending concepts & processes of both mental &physical health care in the context of SMI & co-morbid disease • Psych APN faculty identified need • Partner: Thresholds Psychiatric Rehabilitation Center • APRNs (Family, Adult, Pediatric, Psych), Care Managers • Healthcare home • Evidence-based practice vs. practice-based evidence • 4 Chicago locations • FQHC
Challenges—a practice perspective • Financial • Start-up & expansion funding (grant dependency) • Reimbursement • FQHC implementation ‘complexities’ • Systems/infrastructure development • University, Medical Center, Thresholds, FQHC • HR, hiring, competitive wages • Clinic space • Faculty time constraints • Science vs. Business • Data collection & analysis • Researcher involvement