1 / 11

Steven S. Sharfstein, M.D. AHRQ Conference September 27, 2010

Patient-Centered Care: Improving Outcomes that Matter to Patients in the Real World. Steven S. Sharfstein, M.D. AHRQ Conference September 27, 2010.

ganit
Download Presentation

Steven S. Sharfstein, M.D. AHRQ Conference September 27, 2010

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Patient-Centered Care: Improving Outcomesthat Matter to Patientsin the Real World Steven S. Sharfstein, M.D.AHRQ ConferenceSeptember 27, 2010 revised

  2. Mission Statement:Sheppard Pratt, a not-for-profit behavioral health system, is dedicated to the improvement of quality of life in communities by serving the behavioral health and special education needs of individuals, families, and organizations. Sheppard Pratt • Served more than 57,000 individuals in 2009, including children, adolescents, and adults • 37 locations in 12 Maryland counties, Baltimore City, and Northern Virginia • Comprehensive continuum, including hospitals, residential treatment centers, psychiatric rehabilitation programs, outpatient mental health and substance abuse treatment clinics, and special education schools.

  3. High Fidelity: Supported employment Assertive community treatment Integrated dual disorders treatment Family psycho-education Multisystemic therapy Seeking Fidelity: Illness Management and Recovery Planning This Year: Permanent Supportive Housing Evidence-supported Practice: Transition to Independence Process Evidence-Based PracticesPsychiatric Rehabilitation Programs

  4. Five-Year Pilot at 8 Sites in 7 Jurisdictions Serving More than 600 Low-Income SMI/Year Integrating Three Interventions: EBP supported employment Customized employment Benefits counseling Technical Assistance for Replication Public-Private Partnership Supported Employment Pilot –Components

  5. Dartmouth College Measuring Impact of benefits counseling Cost-benefit analysis of state funding Eight non-Sheppard Pratt organizations in two comparison groups Boston University Measuring impact of adding a vocationally-focused illness management and recovery curriculum to EBP SE Supported Employment Pilot - Research

  6. Challenge #1: EBPs More Expensive to Implement Recommendations: More research studies should include cost-benefit analyses relative to state funding More states should employ Maryland strategy of implementation, focusing on incentives vs. mandates Implementing EBP in Real World -Challenges and Recommendations

  7. Challenge #2: Difficult for Front-Line Stakeholders to Let Go of Traditional Approaches and Beliefs Zero exclusion and rapid job search for EBP SE Discovery process for customized employment Implementing EBP in Real World -Challenges and Recommendations

  8. Recommendations Use independent fidelity assessment process to reinforce and inspire provider staff States develop fidelity assessment expertise Providers do better job of articulating interventions for families and funders Implementing EBP in Real World -Challenges and Recommendations

  9. Challenge #3: Tension Between EBP Integration vs. Recovery Model Consumer Choice EBPs require integration of services, which is most effectively implemented by one provider agency Recovery model values consumer choice of providers, which can result in multiple agencies providing one EBP Implementing EBP in Real World -Challenges and Recommendations

  10. Recommendations Reframe choice as: between EBP providers between EBP and non-EBP services Compromise where possible for certain EPBs Coordination vs. integration States need flexible definition of coordination Implementing EBP in Real World -Challenges and Recommendations

  11. There is no EBP for acute inpatient care Need for comparative effectiveness studies Ultra-acute care versus acute care Hospital care versus residential diversion A major public health issue Final Comment

More Related