142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Integration Highway: Bi-Directional Coordination and Integration at the Payor and Delivery System Levels

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 10:30 AM - 10:50 AM

Jennifer Clancy, MSW , California Institute for Behavioral Health Solutions, Sacramento, CA
Gale Bataille, MSW , California Institute of Mental Health, Sacramento, CA
Karen Linkins, PhD , Integrated Behavioral Health Project, Scottsdale, AZ
Karin Kalk, MBA , California Institute of Mental Health, Sacramento, CA
Dale Jarvis, CPA , Dale Jarvis and Associates, LLC, Seattle, WA
California, like many states, has a complex safety net healthcare ecosystem of separate funding structures for medical, mental health, and substance use treatment that support separate service delivery systems. This is further complicated by the central role of California’s 58 counties in managing significant portions of payor and provider systems including 57 Medicaid mental health plans, several county-operated health plans, a number of county owned Federally Qualified Health Centers, and over a dozen public hospitals. This complexity combined with a widespread passion for addressing the high morbidity and early mortality of persons with serious mental illness has been a catalyst for advancing primary care and behavioral health integration. 

This presentation provides an overview of how local initiatives supported by statewide resources and technical support from California Institute for Behavioral Health Solutions are enabling communities to craft individually tailored primary care/behavioral health integration solutions that defy the odds. The presentation offers lessons learned about how health plans are working with mental health plans and providers to study the quality and cost impact of integrated care coordination in order to build a business case for sustainability; practices that will help providers work together to braid and blend multiple funding sources that support integrated care; and how to engage foundations and payors to provide seed money to support these efforts.

Learning Areas:

Administration, management, leadership
Chronic disease management and prevention
Other professions or practice related to public health
Provision of health care to the public
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe how coordination at the payor level supports integration at the provider level. Discuss practices that help provider organizations work together to braid and blend funding and pilot effective local integration efforts. Assess approaches to financing integration pilots that demonstrate the potential for financial sustainability.

Keyword(s): Leadership, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Dr. Linkins has worked in the area of integrated systems and care for over 15 years, beginning as a Co-PI of a research demonstration targeting older adults with mental health and substance use disorders funded by SAMHSA and HRSA. She has led more than 50 research, evaluation, technical assistance, and strategic planning projects for Federal agencies, states, foundations, and community based organizations and clinics.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.