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A NEW VISION FOR HEALTHCARE FragmentationIntegration Karen Wyatt, M.D. and Helen Royal, LPC Summit Community Care Clin

Fragmented Healthcare. MedicalCare. BehavioralHealthcare. PrescriptionMedications. SocialSupport. Fragmented Healthcare. Focus on only the medical symptomsCostly unnecessary diagnostic testsRecurrent visits due to poor outcomesPrescription of expensive medicationNon patient-focusedLack of

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A NEW VISION FOR HEALTHCARE FragmentationIntegration Karen Wyatt, M.D. and Helen Royal, LPC Summit Community Care Clin

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    1. A NEW VISION FOR HEALTHCARE Fragmentation?Integration Karen Wyatt, M.D. and Helen Royal, LPC Summit Community Care Clinic Frisco, Colorado

    2. Fragmented Healthcare

    3. Fragmented Healthcare Focus on only the medical symptoms Costly unnecessary diagnostic tests Recurrent visits due to poor outcomes Prescription of expensive medication Non patient-focused Lack of team support Poor communication among providers working on different symptoms Stigma of behavioral health referrals-patients and providers alike Lack of access to affordable behavioral health services Poor patient compliance with treatment recommendations Little measurement of treatment outcomes

    4. Integrated Healthcare

    5. Integrated Healthcare Holistic diagnoses Fewer patient visits=increased capacity and cost effectiveness Prescription of cost appropriate medication=better medication compliance Comprehensive medication monitoring-medical and behavioral health medication Patient centered treatment-no “shoulds” Universal screening for behavioral health issues Team approach to treatment-joint appointments Immediate “warm referral” to behavioral health services Linkage to resources and external support Outreach and follow up High patient engagement in treatment Measured outcomes

    6. How do we move from Fragmentation to Integration? Incentivize and monetarily support integrated care in community health and mental health settings Clarify the ability of Medicaid providers to bill for mental health services and primary care services provided on the same day. Include primary and behavioral healthcare integration in healthcare reform efforts such as medical homes. Require that persons with SMI be a mandatory target population in chronic care programs; need parallel Medicaid Demo.

    7. Sustainable Integrated Care

    8. A NEW VISION FOR HEALTHCARE: Work with patients and providers alike in a team approach that empowers patients to take charge of their health and improve their quality of life

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