Four Key Components of a Successful Primary and Behavioral Healthcare MARRIAGE *

1. MAKING THE PRIMARY AND BEHAVIORAL HEALTH CARE MARRIAGE WORK Cheryl Holt, MA, NCP, BCCP Director of Integrated Healthcare Cobb-Douglas Community Services Boards METHODS RESULTS INTRODUCTION • Four Key Components of • a Successful Primary and Behavioral Healthcare MARRIAGE* • Health Outcome Measures • Cobb-Douglas CSB (CMHC) • West End Medical Centers, Inc. (FQHC) • Integrated Partnership Six Month Pilot Project • 295people served with co-morbid serious behavioral health and cardiometabolic disorders • Smoking Cessation: 15 of 120 identified smokers decreased/stopped smoking • Weight Management: 55 of 113 identified obese clients lost weight • Diabetes: 36 of 36 with DM have recent and ongoing HbA1c monitoring • Hypertension: 52 of 67diagnosed with hypertension have blood pressure controlled at ≤140/90 • Healthcare Integration Timeline • In 430 BC Hippocrates declared: “The Body must be treated as a whole and not just a series of parts.” • Literature dating back more than 75 years has reported excess mortality due to medical causes in persons with mental disorders* • 1999 Surgeon General’s Report on Mental Health • First major emphasis on integrated care • Dr. David Satcher declared: “There is no Health without Mental Health.” • 2006 NASMHPD Report, Morbidity and Mortality in People With Serious Mental Illness: • SMI dying 25 years earlier than the general population • 60% of premature deaths are due to modifiable and preventable medical conditions • *Maltzberg, B., 1934, Utica: New York State Hospital Press Health Screen Outcomes CONCLUSIONS STRATEGY • The Successful Primary and Behavioral Health Care Marriage • Coordinated collaborative care • Increased choice • More efficient resource allocation • Improved health outcomes for people with behavioral health disorders • Primary and Behavioral Healthcare Partnerships • Allow for individual choice in determining the Healthcare Home • Ideal for treatment of the whole person • Address the health disparities of people who live with serious behavioral health conditions • More efficient and effective use of Healthcare Dollars • CNN Report*Companies merge for a variety of reasons: • Expansion of market share • Acquisition of new lines of distribution or technology • Reduction of operating costs • Corporate mergers fail (up to 80%!) for some of the same reasons that marriages do – A clash of personalities and priorities* • *CNN.com 5/22/09, Mergers Fail More Often Than Marriages, K. Voigt NEXT STEPS • Changes in the Healthcare Industry • Modification/overhaul of current • Policy • Financing • Quality improvement • Research • Accountable Care Organizations (ACOs) • Person-Centered Healthcare Homes *adapted from Greg Schmieg and Bob Climko’s 1998, “Strategies to Preserve Public-Private Partnership ‘Best Practices’: Eight Keys to Genuine Collaboration,” Behavioral Health Management