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Creating and Managing an Integrated Primary Care Practice

Organization Type: 
Educational Institution
Program Type: 
Standing Program
Education Level: 
Continuing Education
Educational Elements: 
Lecture/Didactic
Program Description: 

This is a one day mini-course for administrators and physician leaders to learn how to leverage behavioral health integration into achieving a full-fledged patient-centered medical home (PCMH). Its curriculum includes the following content:

Creating and Managing an Integrated Primary Care Practice A Mini-Course for Administrators and Physician Leaders Faculty: Alexander Blount, EdD and Ronald Adler, MD

10:30am - 12:30pm Introduction to Integrated Primary Care (2 hours)

  • Health care crisis in the US and current transformation processes ( PCMH, Accountable Care Organization - ACO)
  • Role of primary care in health care transformation nationally and in each health system
  • Integrated Primary Care (IPC) is best thought of as an expansion and enrichment of primary care rather than as a changing of venue for mental health or substance abuse services
  • Behavioral Health needs in primary care and how these needs are presented
  • Program types for adding behavioral health services for primary care patients
  • Cost and outcome evidence related to truly integrated models when compared to coordinated and co-located models

1:00-3:00 Transforming the Organization  (2 hours)

  • Role of leadership in successful integration
  • Envisioning the future model of integrated practice and setting goals
  • The advantage of using the transformation to IPC as a platform for PCMH transformation
  • Make up of the leadership team that shepherds the organization through the process of integration (administrator, physician “champion”, behavioral health lead, nursing lead, office administration lead)
  • Areas of research that the leadership team needs to undertake
  • Planning for the transformation of workflows with minimal disruption

3:30 – 5:30pm Transforming Clinical Practice  (2 hours)

  • How leadership team members can bring clinical team members into the workflow change
  • From “physician led team” to “team supported physician”
  • The advantages of leveraging screening into a new workflow
  • Role clarity and task flexibility in successful teams
  • How team members learn to pass a relationship with the patient to other team members
  • The roles of behavioral health clinician, care manager and care coordinator on the team, especially where there is not a different person for each role
  • Team work-practices that save time and increase patient activation and patient team membership
  • Evolving documentation to maximize financial return

 

Evaluated: 
Yes
Targeted Professions
Physicians: 
Family Medicine
Internal Medicine
Pediatrics
Other: 
Health Care Practice Administrators
Program Website
Self-Reported Competencies
PCPCC’s Education and Training Task Force identified 16 interprofessional training competencies critical for preparing health professionals for practicing in team-based, coordinated care models such as patient-centered medical homes. Listed below are the self-reported competencies that this program has achieved, which have been organized by the five core features of a medical home as defined by the Agency for Healthcare Research and Quality
Patient-Centered Care Competencies: 
Advocacy for patient-centered integrated care
Cultural sensitivity and competence in culturally appropriate practice
Development of effective, caring relationships with patients
Patient-centered care planning, including collaborative decision-making and patient self-management
Comprehensive Care Competencies: 
Population-based approaches to health care delivery
Coordinated Care Competencies: 
Care coordination for comprehensive care of patient & family in the community
Interprofessionalism & interdisciplinary team collaboration
Team leadership
Quality Care & Safety Competencies: 
Business models for patient-centered integrated care
Quality improvement methods, including assessment of patient-experience for use in practice-based improvement efforts
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