Presenters
- Jodi Polaha, PhD, Professor/Director, Institute for Integrated Behavioral Health, East Tennessee State University, Johnson City, TN
- David Bauman, PsyD, Behavioral Health Education Director, Community Health of Central Washington, Yakima, WA
- Bridget Beachy, PsyD, Director of Behavioral Health, Community Health of Central Washington, Yakima, WA
- Aubrey Dueweke, PhD, Assistant Professor, East Tennessee State University, Department of Psychology, Johnson City, TN
- Matthew Tolliver, PhD, Assistant Professor, East Tennessee State University, Johnson City, TN
- Alex Melkonian, PhD, Clinical Assistant Professor, Institute for Integrated Behavioral Health, East Tennessee State University, Johnson City, TN
Summary
The CFHA listserv is a robust source of clinical innovation and has great potential for diffusion of ideas across its large network of clinical practices. That potential is only realized, however, if others try to replicate what innovators share. This presentation shows how Community Health of Central Washington developed an innovation around measuring variables associated with fidelity to the Primary Care Behavioral Health (PCBH) model and shared it to the listserv. In turn, ETSU’s Institute for Integrated Behavioral Health adapted the innovation to their system of practices. First, attendees will learn how leadership in a well-established system of clinics (CHCW) developed and implemented a data-based method for evaluating clinician performance associated with the PCBH model and began sharing the outputs with their behavioral health providers. Presenters from CHCW will also discuss their rationale for measuring fidelity to PCBH, as well as the why and how of their dissemination strategy. Next, attendees will learn how leadership in a newer clinic system (ETSU) adapted the innovation to measure progress in their efforts to establish PCBH across five clinics. Presenters from ETSU will discuss how they collaborated with their clinical informatics team to collect monthly fidelity metrics using the electronic medical record, and describe their process for sharing these data with behavioral health consultants. Clinicians from ETSU’s program will follow, presenting short, narrative style presentations in which they link their experience of the data with transformation in their professional work. Finally, ETSU faculty will discuss how they leveraged fidelity data to improve performance and demonstrate the value of their work above and beyond financial returns. The session will close with brief commentary regarding the importance of these data in research and clinical settings and CFHA’s role in fostering the spread of innovation in connection with scientific literature.
Objectives
- Describe metrics used to measure fidelity to PCBH model of integrated care.
- Explain the use of fidelity metrics in clinical and research endeavors.
- Discuss the utility of data in navigating professional and personal values.