Presenters
- Rebecca Murray, LCSW, Director, Clinical Services, Oak Street Health, Chicago, IL
- Jennifer Noonan, LCSW, Position Leader--Behavioral Health Specialist , Oak Street Health, Chicago, IL
- Justin Hunt, MD, MS, Medical Director, Behavioral Health, Oak Street Health, Chicago, IL
Summary
The Oak Street Health (OSH) Care Model is different from traditional healthcare models. OSH is in the fortunate position to invest in interventions to improve patient care, in order to improve patient health outcomes. That improvement in outcomes generates a reduction in healthcare spending on avoidable ED visits and hospitalizations. These savings are then re-invested into the OSH Care Model to continuously improve our services for patients. The overarching goal has been the same since OSH started — to deliver excellent quality care to all our patients to improve their health outcomes. As a result of our value-based funding model, OSH is freed to be creative about upstream social and behavioral health interventions. One investment made to deliver excellent care was adopting elements of the Collaborative Care model as the foundation for integrating a behavioral health program. The foundations of the Oak Street Health Collaborative Care model will meaningfully improve the lives of our entire patient population. Aim of presentation This presentation aims to review the implementation of an integrated mental health program serving a high-need, largely dual-eligible Medicare population. The description will be organized around the 5 foundational elements of Collaborative Care.
Objectives
- How OSH has included care for an SPMI older adult population in Primary Care
- Knowledge of how a CoCM model has been shown to reduce health disparities across race/ethnicity
- Future next steps to evolve collaborative care to meet the needs of a Medicare population