Description: As the District of Columbia and its Medicaid Managed Care Plans continue to build toward an integrated health system that delivers whole-person care
Practice leaders face more decisions than ever as the District of Columbia works to build an integrated health system that delivers whole person care. This learning series is designed to help organizational decision makers better manage change within a dynamic health system. Part 1 will introduce ways that leadership can transform ingrained policies and practices using new information, data points, and approaches to improve care access and outcomes. The session will also preview exciting next steps for the learning series moving into 2024.
This webinar will focus on the “why” of transitioning from fee-for-service to capitation to pay for community health center direct services. Dr. Jones will discuss how fee-for-service reimbursement limits patient access to care and hampers efforts to improve patient self-management and accountability for their own health. He will share examples of how innovators are using lessons learned from other service industries to disrupt the health care market. Participants will learn how moving away from the fee-for-service system can preserve revenue streams but also support new models of care, and how payment reform can help to address primary care workforce shortages.
PCBH services not only facilitate change at the individual level but impact the family system. Conversely, family engagement in PCBH services can expedite the achievement and sustainability of an individual’s health goals. Strategies will be discussed that can help enhance family engagement within the PCBH model of care.
View materials from this event hosted by Department of Health Care Finance, DBH Training Institute, & Integrated Care DC on May 9, 2023. The in-person workshop was designed for behavioral health providers and other organizations seeking to prepare for the integration of behavioral health into the District’s Medicaid Managed Care Program. Presenters shared information and facilitated exercises to help leadership, clinical and operational staff, and other stakeholders develop the organizational competencies needed to succeed in managed care, including an understanding of managed care principles, how to communicate effectively with managed care partners, and how to effectively demonstrate the value of care through quality measurement and population health.
Lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ+) individuals are frequently underserved and experience significant disparities in health outcomes and accessing preventive and ongoing healthcare. Sexual and gender minorities (SGM) often experience discrimination and bias in health care settings and may delay or avoid medical and preventive care.
Developing safe, culturally competent healthcare environments and practices for LGBTQ+ patients is critical and closely related to individuals’ willingness to openly share their sexual orientation and/or gender identity and expression (SOGIE). Capturing SOGIE data is critical as it allows providers to have a more comprehensive picture of key factors that influence care.
This session will start with a brief discussion of SOGIE terminology and a compilation of what is known about medical and behavioral health needs and disparities among the LGBTQ+ community. We will highlight the critical need for creating environments that improve patients’ psychological safety and increase their willingness to share SOGIE characteristics. We will share examples of how this data could be utilized to improve care and patient satisfaction, including capturing a patient’s preferred name and pronouns, and ways to engage in respectful conversations that could reveal key aspects of their medical history that could otherwise go unnoticed.
A core skill in caring for patients in primary care is the ability to dose and titrate care for individual patients in a way that produces quality outcomes for the patient and allows a provider to care for populations of patients effectively. This session will increase the mindfulness and skills clinicians employ for dosing and titrating care from within the PCBH model.
We often think of the treatment plan as a document to complete. However, it can be a tool to engage and empower the person served in their own recovery process. In this interactive webinar we will learn the core components of the treatment planning process from a person-centered and engagement-focused lens.
There are three main approaches to helping people make a change, directing, following, and a middle-of-the-road approach of guiding. Motivational Interviewing (MI) promotes guiding as an approach to discovering and uncovering an individual’s motivations, concerns, values, and options. This refresher workshop will provide the opportunity to directly practice using MI skills to build discrepancy and move conversations towards enhancing commitment to change.
Understanding, measuring, working to improve quality performance are critical to ensuring that patients have positive outcomes and providers are satisfied—they’re also critical to ensure your practice is meeting its regulatory requirements and maximizing payment opportunities. As the District of Columbia carves in behavioral health care to managed care arrangements and requires more providers to be in value-based care arrangements, it is even more imperative that quality measurement and improvement is understood and infused across your organization—from providers, to leaders, to auxiliary staff.
This two-part series will describe the quality measurement basics and why it matters, and then treatment planning for population health. In Part 1, we will explore why we need to infuse a culture of quality within healthcare organizations, including an understanding of what we value, who we serve, and who we are accountable to. Presenters will emphasize the importance of all staff understanding quality and its impact on our patients, staff and organization. We will review the basics of measurement and key measures in quality focused on integrated care.
In making the transition from practicing outpatient behavioral health to primary care behavioral health, clinicians often wonder, how can I do my work in 20 minutes, and is it really possible to make a meaningful difference in this amount of time? This training answers this question directly by simulating a 20 minute behavioral health consultation and discussing as a group each stage of the encounter, best practices, and the strengths and challenges that arise.
In this first workshop, will spend the majority of the time directly practicing foundational OARS skills to evoke interest and commitment to making health behavior changes.
This session will provide an open opportunity for DC Primary Care and Behavioral Health providers, practice administrators, care managers to drop in with questions or technical assistance requests. In this session, we will follow up on any questions or issues raised and unanswered in the first two sessions.
DC-based Medical Home Development Group, which successfully piloted CRISP DC HIE’s consent management tool, will discuss how it used the tool in its workflow and lessons learned. CRISP DC will also join the session to highlight key features and benefits of the consent management tool.
This session will focus on enhancing care coordination for patients with SUD and the importance of gaining permission to release information. We will review scenarios such as:
A 35-year-old patient is seeing her PCP. The patient has Type I diabetes and has been much better controlled since she has been in treatment for OUD for the past 5 years. Recently, the patient experienced some life stressors, lapsed and has not been back to treatment for two weeks.
A 60-year-old patient has just recently started treatment for co-occurring depression and AUD after discussing treatment for many years with the PCP. He has hypertension and diabetes, and the alcohol use has been exacerbating these conditions for years. The PCP is concerned about the patient’s ability to stay in treatment as the patient has recently lost his job and is separating from his partner of many years.
Staying informed of a patient’s recovery status can impact how you treat other health conditions and is an important component of their overall care. Have you hit barriers when trying to get the clinical information you need care for your patient? Are you aware of the new pathway to obtain this information? In this session, we will focus on consent management, how to talk with your patients about consent, the basics of 42 CFR Part 2, myth busting, use cases, and FAQs. We will introduce CRISP DC’s Consent Management tool, including a history of its development, gaps it will address, and key features and why this is a priority in the District.
A provider will demonstrate how it has decided to use the tools provided by AmeriHealth to start looking at integrated care outcomes. There will be time for audience questions and answers after a brief presentation.
We will talk with Dr. Yavar Moghimi, Chief Psychiatric Medical Officer of AmeriHealth Caritas about why integrated care is important and the ways AmeriHealth is working with providers to identify and ultimately achieve key physical and behavioral health outcomes. There will be time for audience questions and answers after a brief interview-style presentation.
Vice President of Human Resources at Mount Sinai Health System in NYC and Dr. Mary Awuonda Associate Professor of Howard University and Dean Mashonda Smith of UDC will be share lessons learned in the district and other large health systems. The aim of the conversation is to talk and learn from one another to develop solutions grounded in the realities of the Washington DC policy, regulatory and health care environment.
What’s the link between pay for performance and healthy eating on a budget? What about the link between quality metrics and understanding nutrition labels? These are all related topics that providers and practices address every day! Care teams work 1:1 with patients to better manage their chronic diseases while at the same time, measuring and reporting outcomes that are related to payments and incentives. During this webinar, we will make the connection between patient engagement strategies and meeting quality metrics. This webinar is designed for ALL AUDIENCES as everyone has a role in providing high-quality care- from the exam room to the boardroom.
Prior to the webinar, we invite you to view this short video “Bites on a Budget” created by HMA Senior Associate, Brandin Bowden, MSc., as he attempts to build a healthy dinner for under $5. In this #HealthyDinnerChallenge, Brandin puts on his nutrition educator hat to share healthful tips to help your patients and clients navigate the grocery store, increase nutrient intake and promote comfort in the kitchen.
The Primary Care Behavioral Health Consultation model (PCBH) is a psychological approach to population-based clinical health care that is simultaneously co-located, collaborative, and integrated within the primary care clinic. The goal of PCBH is to improve and promote overall health within the general population. This approach is important because approximately half of all patients in primary care present with psychiatric comorbidities, and 60% of psychiatric illness is treated in primary care. This webinar overs the framework of the PCBH model, the behavioral health consultant role, and a day-in-the-life look at integrated care using this model.
Because many women and persons of childbearing age pregnant with SUD may not readily share information with providers and because pregnancy is a period where the motivation for change is extremely high, positioning providers to identify and care for this population has great potential for establishing a recovery path and changing lives. This webinar will review the risks and effects of SUD among women of childbearing age, pregnant and parenting persons and their affected infants, including screening and treatment considerations, breastfeeding decisions and ideal mechanisms for engagement and support of women and other pregnant persons on their recovery journey. We will also cover the short and long-term effects of SUD exposure on the infants, including non-pharmacologic alternative interventions and follow-up considerations.
The Primary Care Behavioral Health Consultation model (PCBH) is a psychological approach to population-based clinical health care that is simultaneously co-located, collaborative, and integrated within the primary care clinic. The goal of PCBH is to improve and promote overall health within the general population. This short take is part of a series titled: A Day in the Life of a Behavioral Health Consultant (BHC) in Primary Care. Viewers will see example workflows for initial and follow up BHC visits including where referrals come from, the steps involved with BHC intervention and closing the loop with the primary care provider.
Universal screening is key to successful detection of who needs further assessment. Additionally most providers are unaware of the power a brie intervention can have or that what they may already be doing with their patients has an evidence base to support it. This webinar will review the difference between screening and assessment and will demonstrate screening, brief intervention and referral to treatment , referred to as SBIRT. We will also review the evidence base for SBIRT and talk to a DC provider who has implemented training on SBIRT in their clinic.
Even before Covid health care workers were expressing burn out and exhaustion. Covid realities have made this worse. Not only are staff working overtime, they are worried about putting themselves, their families and patients at risk every day. Covid concerns come at a time when healthcare providers are dealing with a lot of unknowns. The healthcare system is changing and providers are faced with the continuous need to adapt to new and innovative practice approaches and payment strategies. It’s no wonder everyone is feeling exhausted! This webinar will give time and space to talk about how to support staff and increase satisfaction and joy at work while still working in a tumultuous time.
Through the Action Collaborative on Clinician Well-Being and Resilience, the National Academy of Medicine argues that patient well-being is predicated on the clinician-patient relationship. The clinician’s well-being will highly influence the clinical encounter. The research base points to organizational and practice environment factors (among others) on the system side of the equation and personal factors, skills and abilities, on the clinician side of the equation for optimal clinician resilience. The past two years of clinical teams working under extraordinary COVID-19 circumstances have taken a heavy toll on clinician resilience and well-being, not to mention on resulting quality and safety of care.
This presentation explores the National Academy of Medicine model, focusing on clinician factors in well-being. Together, in an experiential and participatory presentation, we will examine the areas of meaningful and sustaining practice and collaborative and mindful practice. Participants will leave this training with tangible tools to navigate resilience through mindfulness, gratitude, decreased cynicism and enhanced connectivity. This presentation is built on both humanities and deepened human connections between healers.
This toolkit was designed to help community providers care for pregnant and parenting people who use drugs in a holistic manner. The kit includes information about stigma reduction, trauma-informed care, and legal services. While the guide was developed IN NY, there are engagement and other information that is useful regardless of location.
Burnout is common in healthcare and has increased during the Covid 19 pandemic. This brief presentation defines burnout and it's consequences. Building resilience is a strategy to reduce and prevent burnout. The presentation defines resilience and provides tips in increase personal resilience and organizational resilience.
Registries are important population health tools that allow organizations to collect, organize, aggregate, and utilize the information for a variety of purposes. Maintaining registries for certain disease states such as depression or diabetes provides easy access to results, identification of care gaps, and level of improvement and can lead to adjustments in care as needed. This Short Take video provides an introduction to registries and how to use them.
An online resource to provide broad access to resources to clarify best practices to support and improve the care for substance-exposed mothers and newborns. The toolkit includes resources to support screening, assessment, and level of care determination; treatment; transitions of care; and education.
The California Department of Health Care Services (DHCS) has implemented the California Medications for Addiction Treatment (MAT) Expansion Project to address the opioid epidemic throughout the state. This website serves as a separate yet complementary resource to the DHCS MAT Expansion Website and provides resources and information related to the four MAT Expansion Project initiatives operated by Health Management Associates.
The California MAT Expansion Project aims to increase access to MAT, reduce unmet treatment need, and reduce opioid overdose-related deaths through the provision of prevention, treatment, and recovery activities. The project focuses on individuals experiencing homelessness, youth, rural, and tribal populations with limited MAT access. The California MAT Expansion Project, composed of nearly 30 initiatives, is funded by grants from the Substance Abuse and Mental Health Services Administration (SAMHSA).
HMAedu.com is an educational resource specifically designed for training treatment teams about addiction, pain, and behavioral health. With over 25 hours of education through the lens of patient-centered care, users can explore topics of interest or follow the suggested curriculum path. Once a user signs in, the learning management system automatically loads modules that are pertinent to the user’s level of training. This automation allows for consistency in messaging to all providers without delivering information beyond the scope of practice. Each course starts with a TED Talks-style overview that is followed by patient-focused modules of 3-10 minutes each. Each module is traced for completion and can be reported back to the client and individual for tracking purposes.
This is a short reference guide to developing a structure to enhance the referral experience for providers and service recipients. It covers setting standards for partnership starting with your value proposition. It outlines the continuum of provider relationships from informal agreements through forming a business entity and finally provides initial guidance and further resources for establishing care compacts.
The research presented by these three groups seeks to prioritize desired treatment outcomes as defined by diverse people with lived experience. From this information, the researchers crafted recommendations that could help policymakers, providers and researchers develop, implement, reimburse and evaluate more engaging and perhaps effective substance use services.
The goal of the ICTA program is to improve care and Medicaid beneficiary outcomes within three practice transformation core competencies:
Delivering person-centered care across the care continuum
Using population health analytics to address complex medical, behavioral health, and social needs; and
Engaging leadership to support value-based care.
This document provides more detail, including sub-elements for each core competency.
People with substance use disorders are at particular risk for overdoses and developing one or more primary conditions or chronic diseases. During this webinar, presenters will discuss harm reduction as a public health approach that aims to reduce harms related to substance use. Presenters will discuss strategies, policies, programs, and practices that aim to minimize negative health, social and legal impacts associated with drug use, drug policies, and drug laws.
This webinar will focus on the foundational concepts of health care integration – including physical and behavioral health – will be reviewed and discussed. The presenters will also focus on integrating substance use disorders and reverse integration.
This module offers a 25-minute video of the neuroscience of addiction as a chronic brain disease presented by HMA’s Corey Waller, MD, MS, FACEP, DFASAM, with emphasis on Opioid Use Disorder (OUD).
"This lecture was developed for audiences of all backgrounds to absorb. From patients to nonspecialist docs. The intent was to move people past the preconceived notion that addiction is a moral failing or choice, to the reality that it is a chronic brain disease that creates maladaptive connections in large swaths of the brain. Over the hundreds of lectures, I have given in my career, I have come to realize that running through 30+ articles in a 70 slide PPT does not move people emotionally. But a good story will. The lecture has coalesced into a story form that is much more compelling than digging through the dense science of voxel dysmorphology, BOLD fMRI technology, and all of the structures postulated to drive craving. If I need a custody officer to "get it" or an administrator to understand the concept, I cannot give them the same lecture I would give a psychiatrist, addiction psychologist, addiction doc, or a neurologist."
An interactive exploration of the foundations of leadership and emotional intelligence, the importance of developing trust among team members, and strategies to channel conflict into a productive and necessary force for innovation.
An overview of health literacy, its impact on health outcomes, challenges facing patients, and health literacy resources and tips for communicating with patients.
This webinar includes a refresher on motivational Interviewing, presented tools to strengthen patient engagement and strategies for enhancing and maintaining clinician capacity to work with consistency, presence, and joy in the work.
This webinar presented the Stepped Care Approach, including validated screening tools, strategies and resources for patients with mild, moderate or urgent behavioral health care needs.
This webinar focused on the importance and potential impact of using ADT alerts to manage transitions of care, including an interview with Providence and a system demo from the Medical Home Network in Chicago, IL.
