Tag: Cohorts

On July 19, Dr. Tanya Keeble and Dr. Amy Burns of Providence joined us to discuss billing for the Collaborative Care model. Presenter contacts are below for any follow-up questions or discussions.

Slides PPT PDF

Dr. Tanya Keeble – tanya.keeble@providence.org
Dr. Amy Burns – amy.burns@providence.org

In place of a group Cohort meeting, we are conducting individual 1-hour Transformation Plan workshops. Providers will work one-on-one with BHT staff and consultants on their Plans.

Please come with a draft of your Final Transformation Plan template completed for us to review together.

The recording and slides from the June 11 webinar, which covered the revised August Cohort template, Aims statements, and Milestones, are available below.

The template will guide you in creating your Final Transformation Plan for each project area, along with a selection from this list of Pay-for-Achievement measures and a simple budget (see Resources below). There is also a large focus on your milestones and timeline for each project area. This template will be used as a basis for your contract and how you earn your available dollars.

BHT will send out a reminder with your workshop time in advance. Please email sarah@betterhealthtogether.org with any questions.

Resources

• June 27 Agenda

• Final Transformation Plan Template – August Cohort

• Transformation Plan Budget Template

• Pay-for-Achievement Measures Menu

• Webinar recording

• Webinar Slides

The recording and slides from the June 11 webinar, which covered the revised August Cohort template, Aims statements, and Milestones, are available below. Please email sarah@betterhealthtogether.org with any questions.

Webinar recording

Slides

Final Transformation Plan Template – August Cohort

Transformation Plan Budget Template

Pay-for-Achievement Measures Menu

Agenda

Evaluation (survey closed) – Evaluation Results

YouTube Livestream

Slide deck PPT PDF

Handouts

1. Shared Decision Making resource list

2. Healthier Washington Shared Decision Making fact sheet

3. AHRQ SHARE Approach

Remote participation information
While we highly encourage everyone to attend in-person if possible, we recognize that travel can be difficult for our rural partners. Use the information below to join remotely.

Watch the live stream on the BHT YouTube page

Join Zoom Meeting
https://zoom.us/j/272158074

 One tap mobile
+17207072699,,272158074# US

 Dial by your location
+1 720 707 2699 US
Meeting ID: 272 158 074

Resources & handouts from the May 8 joint NCACH/BHT AIMS Center Training on Primary Care in Behavioral Health. For any questions or assistance, contact Sara Barker at barkers@uw.edu.

Session 1: Core Principles & Team Roles in Whole Person Care

• New York Times Article: The Largest Health Disparity We Don’t Talk About: https://www.nytimes.com/2018/05/30/upshot/mental-illness-health-disparity-longevity.html

Session 2: Partnering with Primary Care

• AIMS Center Making an Elevator Speech Worksheet

• Ask Me 3: Good Questions for Your Good Health: http://www.ihi.org/resources/Pages/Tools/Ask-Me-3-Good-Questions-for-Your-Good-Health.aspx

Session 3: Supporting Medical Care of people with Serious Mental Illness

• In response to the Chantix study about increased suicidality -> Varenicline, smoking cessation, and neuropsychiatric adverse events: https://www.ncbi.nlm.nih.gov/pubmed/24030388

• Reliable Internet Sources for Medical Information

  • Medline plus

  • Mayo Clinic

  • American Heart Association

  • National Center for Complementary and Integrative Health

• Five Major Steps to Intervention (The “5 A’s”) https://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/tobacco/5steps.html

• WA DOH Tobacco Cessation Resources: https://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/HealthcareProfessionsandFacilities/ProfessionalResources/TobaccoCessationResources

• Choosing Wisely – 5 Things Physicians and Patients Should Question: http://www.choosingwisely.org/societies/american-psychiatric-association/

Session 4: Population Health & Risk Stratification

• AIMS Center Risk Stratification Exercise

• Population Management in Community Mental Health Center-Based Health Homes, SAMHSA HRSA 2014: https://www.integration.samhsa.gov/integrated-care-models/14_Population_Management_v3.pdf

• AAFP Risk Stratified Care Management Rubric: https://nf.aafp.org/Shop/practice-transformation/risk-stratified-care-mgmt-rubric

• National Council Webinar on Risk Stratification, 2018: https://www.nationalcouncildocs.net/wp-content/uploads/2018/03/CCBHC-Risk-Stratification-Webinar-March-2018.pdf

• Quick Reference Guide to Promising Care Models for Patients with Complex Needs, Commonwealth Fund 2019: https://www.commonwealthfund.org/sites/default/files/2019-03/Inventory_of_HNHC_Models_final_2.20.19.pdf

• Blueprint for Complex Care, Center for Health Care Strategies, December 2018: http://www.chcs.org/media/Blueprint-for-Complex-Care_UPDATED_030119.pdf

 

Session 5: Measurement Based Care – Using a Registry to Improve Client Outcomes

• AIMS Center Treat to Target Physical Health Measures Handout

• AIMS Center Physical Health Tracking Spreadsheet Quick Start Guide 

• AIMS Center Physical Health Tracking Spreadsheet –Template

 

Session 6: Evidence-Based Strategies  

• Medication Matters – Causes and Solutions to Medication Non-Adherence, National Council: https://www.nationalcouncildocs.net/wp-content/uploads/2018/09/medication-non-adherence-082918.pdf

• AIMS Center Behavioral Activation Action Plan Handout

• AIMS Center Behavioral Activation Ideas Handout

• New York Times Magazine, What Google Learned From Its Quest to Build the Perfect Team: https://www.nytimes.com/2016/02/28/magazine/what-google-learned-from-its-quest-to-build-the-perfect-team.html