- Marcy Doyle, DNP, MHS, RN, CNL, Quality and Clinical Improvement Director, Adjunct Professor, New Hampshire Citizens Health Initiative, Institute for Health Policy and Practice, University of New Hampshire, Durham, NH
- William Gunn Jr., PhD
- Vanessa Casillas, PysD, Director of Psychology, Providence Medical Group, Portland, OR
- Sandra Denoncour, BA, ASN, RN
Bringing primary health and behavioral health care together in integrated care settings can improve outcomes for both behavioral and physical health conditions. In its work to improve the health of NH residents and create effective systems of care, the NH Citizens Health Initiative partnered with Connections for Health: Integrated Health Services to provide facilitated assessment and strategic planning for 16 practices in Seacoast NH. The project team utilized the Blueprint for Integration™ to inform next steps and share recommendations based on the MeHAF Site Self-Assessment scores. This presentation focuses on a practical application of integration concepts to initiate concrete plans using QI methodology. We will offer an opportunity to engage in a prioritization activity and insight on how to generate action steps.
- Discuss the importance of harnessing inter-professional vertical and horizontal partnerships that 1). advance integration and 2). increase workforce capacity.
- Engage practices in a quality improvement process to maintain momentum in integration efforts.
- Use a quality improvement activity with inter-professional teams.
- Roderick, S. S., Burdette, N., Hurwitz, D., & Yeracaris, P. (2017). Integrated behavioral health practice facilitation in patient centered medical homes: A promising application. Families, Systems & Health: The Journal of Collaborative Family HealthCare, 35(2), 227-237. https://doi.org/10.1037/fsh0000273
- Scheirer, M., Leonard, B., Ronan, L., & Boober, B. (2015). Site Self-Assessment Tool for the Maine Health Access Foundation Integration Initiative (p. 11). Augusta, Maine: Maine Health Access Foundation. Retrieved from http://integrationacademy.ahrq.gov/measures/C8%20Site%20Self%20assessment%20Evaluation%20Tool
- Massoud, M., Nielsen, G., Nolan, K., Nolan, T., Schall, M., & Sevin, C. (2006). A Framework for Spread: From Local Improvements to System-Wide Change (Innovation Series). Cambridge, MA: Institute for Healthcare Improvement. Retrieved from http://www.ihi.org:80/resources/Pages/IHIWhitePapers/AFrameworkforSpreadWhitePaper.aspx
- Irwin, R., Stokes, T., & Marshall, T. (2015). Practice-level quality improvement interventions in primary care: a review of systematic reviews. Primary Health Care Research & Development (Cambridge University Press / UK), 16(6), 556-577. https://doi.org/10.1017/S1463423615000274
- McHugh, M., Brown, T., Liss, D. T., Walunas, T. L., & Persell, S. D. (2018). Practice Facilitators’ and Leaders’ Perspectives on a Facilitated Quality Improvement Program. Annals of Family Medicine, 16, S65-S71. https://doi.org/10.1370/afm.2197