COE

The Center of Excellence for

Integrated

Care

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WHAT WE DO

The Center of Excellence assists health care clinics and systems in integrating their physical and mental healthcare. Our philosophy is simple: build buy-in across the organization and use evidence-based approaches flexibly to fit local needs. Our mission is to spur the creation of evidence based integrated care Models across health systems to improve the mental and physical healthcare of primary care patients and clients of mental health homes. We believe these models have great potential to decrease inappropriate utilization of healthcare resources such as some emergency department visits and therefore impact costs, especially among segments of the population that traditionally over-utilize resources. We use systematic tools and processes to help clinics determine their current state and needs and provide the nuts and bolts technical assistance needed from the board room to the exam room.

We Define integrated care functionally. That is, we believe integrate care can incorporate various elements but must meet certain goals. These include that the integrated care design should be evidence based and therefore able to be replicated across systems and clinics. Integrated care efforts should also be population based and therefore be able to show evidence of impact across populations compared to usual care. Integrated care efforts should also coincide with the prevailing goals of the health system in line with the Triple Aim and Patient Centered Medical Home movements. When integrated care efforts meet these goals we call them Models. When they do not meet all these functional criteria we call them Programs. The COE works with clinics and systems at all levels of integrated care from sites without any current efforts to sites with existing programs or models.

How we define Models.

How we define Programs.

How we define Reach.

 

WHO WE ARE

Interim

Executive

Director

CHRISTINE

Associate Director

Director of Operations

Contract Consultant

Integration Consultant

Integration Consultant

  MONICA

AMELIA

ERIC

LISA

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SARA

SAMPLE OUR WORK

OUR QUALITY COMES FROM OUR ATTENTION TO THE DETAILS OF INTEGRATED CARE AND TO THE NEEDS OF OUR CLIENTS

Working with the COE means working with experienced professionals with both clinical experience and technical assistance expertise. We usually begin our journey with clients with strategic meetings to define the scope of the work and the timetable. We quickly work to get on the ground as quickly as we can to promote fast learning across the organization. We use a variety of tools including project management software and online learning module software to promote this learning. Our work can take many shapes but can include:

  • Presentations to clinic leadership/ staff
  • Development of cross-site/ statewide learning collaboratives
  • Shadowing of clinical personnel; observation of clinic flow
  • Evaluation of integration level using the MeHAF tool
  • Curriculum development for training programs or health agencies
  • Facilitating state-wide workgroups

Some of our tools include:

HOW WE DO IT

THE COE

 

ALIGNMENT

WE ALIGN THE GOALS OF INTEGRATED CARE WITH THE OVERALL GOALS OF YOUR ORGANIZATION

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ON-SITE TA

COE STAFF TRAIN ON-SITE PROVIDING COACHING TO CLINICAL STAFF BY SHADOWING & OBSERVING PATIENT FLOW & CLINICAL PROCESSES

EVALUATION

 

WE ESTABLISH THE CURRENT LEVEL OF INTEGRATION OF THE SITE USING ESTABLISHED TOOLS

 

WE STAY CONNECTED

 

WE ARE ACTIVE PARTICIPANTS IN THE NATIONAL MOVEMENT TOWARDS INTEGRATED CARE WHICH MEANS WE KEEP YOU CONNECTED TO NATIONAL EXPERTISE LIKE OUR FRIENDS AT THE COLLABORATIVE FAMILY HEALTHCARE ASSOCIATION

CONTACT US

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