- Anne Bird, MD, Medical Program Director, Mental Health Integration, Rady Children's Hospital; Associate Clinical Professor, University of California San Diego, San Diego, CA
- Sawyer Franklin, MSW, Integrated Health Therapist, Rady Children's Hospital, San Diego, CA
- Pamela Fish, RN, MSN, FNP-C, Nurse Practitioner, Children's Primary Care Medical Group, Lead Provider for Mental Health Integration, San Diego, CA
- Nicole Carr-Lee, PsyD, Licensed Clinical Psychologist, Clinical Supervisor, Transforming Mental Health, Rady Children's Hospital, San Diego, CA
Communication within an integrated-care team is a critical component to a successful patient-centered, access-orientated culture. With our nation struggling with a mental health crisis the Biden administration has prioritized the expansion of integrated-care. As clinicians tasked with this expansion, we need to focus on communication to develop effective and sustainable programs. Integrated-care often uses defined models. Regardless of model or population, the overarching prerequisite is flexible communication techniques, co-management and bi-directional education. Clinicians working in the Collaborative Care Model (CoCM) utilize a Registry to aid transparency around treatment plans. Our pediatric program is a complex network of sites and providers based on the Primary Care Behavioral Health Model. We adapted the CoCM approach, developing a unique communication/co-management strategy called Registry Conferences. These are weekly, zoom-enabled workgroups, bringing the multidisciplinary frontline team together, including our pediatricians, psychiatrists, therapists, care coordinators and supervisors. These Conferences are fast-paced, highly efficient opportunities to discuss shared-cases, consult, educate and support each other. We have found these Conferences to be successful in fine-tuning our co-management techniques. To our knowledge these Conferences have not been described before. We believe they can be adapted to a variety of models, across all age ranges, and scalable to a variety of program sizes. In this presentation we will highlight the goals, benefits, structure and logistics of our Conferences. We will discuss how to prioritize efficiencies and engage the team. We will provide data and case examples highlighting the successes, unanticipated benefits, and roadblocks. We will describe tools and skills needed to implement Conferences at other institutions. Registry Conferences are where we experience the true magic of our integrated-care culture.
- Describe components of the Registry Conference framework, that can be used to enhance team communication and co-management techniques.
- Identify strategies to implement, adapt and scale at home institutions.
- Discuss strategies to train members of the integrated-care multidisciplinary team around the benefits of this Registry Conference concept.