A rising number of hospitals throughout the U.S. are applying a service model known as integrated health care (Kathol, Perez, Cohen 2010). The need for this is center around this area: Integration has made its approach into the health care settings gradually. This can assist in treating one’s medical and behavioral health needs within patient’s primary care provider’s office, recommending a proper evaluation as a whole person (Blout, 2003). Medical clinics have been used for a many years but its recognition is growing nationwide because of its effectiveness. Impact all parties involved, including but not limited to, patients, providers and insurance companies can be very effective. This can be tailored in different ways for each patient to …show more content…
Such as, several hospitalization for mental health concerns, lack of training and education in medical staff that lead to improper referrals and occasionally chart reviews by a provider after a massive emergency. This has provoked patient leaving with out referrals and not being linked to care or being managed poorly. Many patients have stigma even being associated with the term ‘mental health’, which can then lead to no treatment at all (CORRIGAN & WATSON (2002). Another main focus is to provide the necessary information/resources to prepare practitioners for the arrival of integrated health care. This includes the education being provided to staff members in hopes to engage patients in behavioral health services to improve their overall well-being, medical and behavioral health. Of the top five conditions driving overall health cost, depression is number one. There are financial benefits of integrated care. The ultimate challenges in an effort to have integration services are the funding’s and who is being billed for what services. This is a difficulty, it is not easy just to improve and create a economically sustainable integrated services delivery system. Many cities moving onward with Medicaid Health Homes are in the route of making modifications to guidelines, billing, and service delivery to support service providers to integrate behavioral health and …show more content…
Of the top five conditions driving overall health cost, depression is number one. There are financial benefits of integrated care (Korff , Katon, Unützer, Wells , Wagner (2001). The platform for this model is important to be in clinics where patients visit the most and supervised with a collaborative team of patient educators, social workers, nurses, physicians, and consultant psychiatrist (Hunter, Goodie, Oordit, & Dobmeye, (2009). The team should be available to the patient for a first encounter the same day to identify the patient’s needs. Each appointment is concise except the evaluation by the Social Worker. The purpose of the first meet and greet is to give an evaluation of the condition. Based on this a plan is formulated with the focus of improving there coping skills during treatment. Can this treatment model be effective in outpatient settings with evidence-based anxiety and depression? Based on several articles the team will be the effective system who are liable for outcomes and who direct he connections between different professions. Each member plays a specific role in the process of a patient’s intervention. Works together to approach a better treatment and better outcome (Seaburn, Lorenz, Gunn, Gawinski, & Mauksch,
To first answer your question about integrated health care systems in the U.S.; the answer is yes, there are some integrated health care systems available with all three delivery methods under one administration. An article titled “100 Integrated Health Systems to Know” listed out 100 of the most successfully integrated systems (Rodak, 2013). Kaiser Permanente is one such system. Considered the world’s largest not-for-profit integrated delivery system; Kaiser was founded in 1945, and currently serves 10.2 million people. It is based in Oakland, California but provide both insurance and health care services to patients across 8 states and the District of Columbia (Overland, 2013).
Certainly, I'd be happy to provide examples from the current US healthcare system to illustrate each of the six strategies: Promote integrated care delivery: One example of integrated care delivery is the patient-centered medical home (PCMH) model, in which primary care providers coordinate care across different settings and specialists to provide comprehensive and patient-centered care. Implement payment reforms: One example of payment reform is the shift towards value-based payment models, such as accountable care organizations (ACOs), which reward providers for delivering high-quality care at a lower cost. Invest in information technology: Electronic health records (EHRs) are a prime example of healthcare IT, which can help providers access
Serious Mental Illness (SMI) and Substance Use Disorders (SUD) each involve symptoms that can be rather debilitating. Approximately one half of the individuals diagnosed with a severe mental illness such as schizophrenia or bipolar disorder experience co-occurring substance use issues (Brunette et al., 2008). Individuals with a dual diagnosis of SMI and substance use are particularly vulnerable with complex service needs (Tsai et al., 2009). As a result of the high prevalence and serious consequences of these disorders, there is an increasing need for comprehensive treatment options to simultaneously address both issues.
Integrated healthcare is key to eliminating mental and physical health disparities by addressing the needs of people based on their differences in their race, socio-economic status, and culture. An integrated healthcare organization is competent of responding to a community with challenges of long standing health disparities. Healthcare professionals in an integrated system are cross-trained in both physical and behavioral health to handle the challenges of mental and physical health disparities. It improves the quality of care of the population by lowering costs, enhancing patient access, and improving the life of both individuals and families. The con of addressing the long standing health disparity is managing the care of patients and
Assignment Wk. 7: Interview Subject The purpose of this paper is to introduce the Mental health counselor I have chosen to interview for my final project. In this paper I will include the specialties, the age groups and the modality of clients she services. Further I will explain, why I chose to interview Ms. T Licensed Mental Health Counselor Interviewee
Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models.
The text book, The Theory and Practice of Group Psychotherapy by Irvin D. Yalom with Molyn Leszcz begins with the preface of the fifth edition. In the preface, Irvin D. Yalom introduced Molyn Leszcz as his collaborator and how they met at Stanford University in 1980. He then discussed how they both worked hard collaboratively to combine old and new material to make this edition. Their goals for this edition were to prepare student therapists for the present-day workplace and to keep the current methods from decaying, so that students can gather wisdom and techniques of the field when they get the opportunity to utilize those methods as therapists. Yalom briefly talked about what each chapter in the text would discuss.
PHYSICIAN/ HOSPITALS ALIGNMENT MODELS Introduction- “Hospital-physician alignment” can be described as the close relationship in which a hospital and physicians works in a cooperative way to achieve patient-centered goals and economical outcomes. History and evolution of alignment models In the United States health care system with increasing patient expectations towards better outcome coupled with a need to improve financial and clinical outcomes which force health systems and hospitals to relate with physicians.
By integrating patient engagement, coordination of care, quality of care, adopting health information technology and access to care, encouraging results in improving the quality of patient care, reducing hospitalization and ED visits were presented in some pilot projects mainly from integrated delivery systems and multi-payer sponsored PCMH initiatives. As the evidence is thin for the Medicaid population, especially for the people with disabilities, this dissertation presents timely and essential evaluation of the potential of the PCMH model in guarding against the explosion of Medi-Cal
The public system for mental health treatment functions more as a crisis management system that aims to solve problems over the long term. For example, a man in crisis is brought back to a hospital by the Mobile Crisis Intervention Team (MCIT), only days after he had been discharged from two weeks of hospital treatment. The Mental Health Act policy prohibits psychiatric facilities from holding people against their will unless a strict set of requirements are met. Having this in the Mental Health Act, hospitals become a revolving door for mental health treatment: they respond and help, but often do not effectively treat patients for long-term improvement. In 1963 the More of the Mind policy deinstitutionalization process began in Canada, which came from the Canadian Mental Health Association’s.
“Medicaid is the single largest payer for mental health services in the United States and is increasingly playing a larger role in the reimbursement of substance use disorder services” (Medicaid. org, 2015). The Affordable Care Act addressed the need to provide care for those suffering from mental health illnesses or substance abuse by introducing Medicaid Expansion. Medicaid Expansion would offer coverage to an additional 30% of uninsured American suffering from mental illness (Nami.org, 2015). Mental health continues to be the “black sheep” of health care.
Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two
To the Board of Directors of Southside HMO: As the Chief Executive Officer (CEO) of Southside Health Maintenance Organization (HMO), I am providing a detailed report of my strategies and recommendations to make sure that the quality and management processes of our healthcare organization are being provided to all members. There has been a complaint filed against the Southside HMO that patients that are enrolled in the Health Plan are not receiving quality healthcare delivery. Southside HMO provides healthcare services for over 495,000 members located in the eastern region of the United States. These strategies and recommendations are for resolving any complaints of denial of healthcare services for referrals to see a specialist by primary
Bodenheimer and Grumbach (2009) express that all healthcare systems strive to ensure patients receive the health care they require in a suitable place and time. However, they may all accomplish this through different methods to one another. Two distinct formats a country may operate under is the Regionalized Model and the Dispersed Model (Bodenheimer & Grumbach, 2009). The Regionalized Model is a structured system where the primary, secondary and tertiary levels of care are discrete, and primary care is the foundation (Bodenheimer & Grumbach, 2009).
Team members can then form an agreement on the prospective goals and processes involved in their treatment. This process allows the leader to create a therapeutic environment where the members can feel free to disclose their feeling about the therapy. Forming therapeutic inter-relationships between the group leader and members is vital in any working relationship whether voluntary or