Kent A. Corso, PsyD, BCBA-D; Christopher L. Hunter, PhD, ABPP; Owen Dahl, MBA, FACHE, LSSMBB; Gene A. Kallenberg, MD; Lesley Manson, PsyD
Integrating Behavioral Health into the Medical Home: A Rapid Implementation Guide offers up- to-the-minute guidance on how to integrate behavioral health (BH) into primary care in a manner which is legal, profitable, clinically effective, time-efficient, and reflective of best practices.
A one-of-a-kind practical resource not available anywhere else, the distinguished authors present the facts here to help you make rapid and accurate decisions while integrating for the first time or improving your current integrated BH program. The book is geared toward practice leaders or anyone responsible for launching and overseeing a BH service.
- Why? Understand how healthcare delivery and population management must incorporate behavioral health, especially in the medical home
- Which service delivery model is the right fit for your organization? And how to roll-out a program system-wide
- Learn how to leverage integrated behavioral health services in the medical home to help you achieve the Triple Aim
- How to develop and organize your team and get buy-in from all stakeholders
- Personnel selection and training all staff to deliver team-based success
- How to shoot past business competitors who do not have these programs
- Sample business tools: policy samples; templates for business case analyses; surveys for your medical staff; sample pro formas, funding and program evaluation tools, and much more...
- Insider Tips: A step-by-step guide to achieve the ROI (Return on Investment) desired
- Clear Do's and Don'ts to improve financial and clinical outcomes
- Best Practices: Case Examples of outcomes and cost savings
- How to make these programs worth developing and sustaining... clinically and financially
Table of ContentsSECTION I: GETTING STARTED
Chapter 1: Why Integrate Behavioral Health?
Chapter 2: Shared Interprofessional Skills: Language and Collaboration Optimize Operations
Chapter 3: What Are Your Needs?
Chapter 4: A Menu of Integrated Behavioral Health Options
SECTION II: BUSINESS DEVELOPMENT, POLICY, AND OPERATIONS
Chapter 5: Policy
Chapter 6: Business Development
Chapter 7: Calculating Value and Revenue Cycles
Chapter 8: Measuring Your Program’s Impact
Chapter 9: Hiring
Chapter 10: Training
Chapter 11: Facilitating the Transition Process to Integrated Care
SECTION III: CASE STUDIES, PROFILES, AND EXEMPLARS
Chapter 12: System Initiatives
Cherokee Health Systems
Edmonton Southside Primary Care Network
The Piedmont Health Group
About the Authors
Kent A. Corso, PsyD, BCBA-D, is a licensed clinical health psychologist and board certified behavior analyst. As a veteran of Operation Enduring Freedom, he is a former Air Force officer with 15 years of teaching and training experience in university and medical settings. Dr. Corso currently holds an adjunct assistant professor position in the Department of Family Medicine at the Uniformed Services University of Health Sciences. He leads the primary care behavioral health program for the Military Health System in the Washington, D.C., region, which enrolls more than 137,000 beneficiaries. Dr. Corso is the president of NCR Behavioral Health, a consultation group that assists diverse healthcare delivery systems in the United States and abroad in the development of profitable, cost saving, quality-enhancing integrated behavioral health programs by leveraging population health principles, cutting-edge practice models, sound business strategies, and high-quality training.
Christopher L. Hunter, PhD, ABPP, graduated from the University of Memphis specializing in behavioral medicine. He is board certified in clinical health psychology and works for the Defense Health Agency as the Department of Defense (DoD) program manager for behavioral health in primary care. As the DoD lead for the last seven years, he has worked to develop policy, secure funding, and oversee the rollout of primary care behavioral health services for 3.3 million Military Health System enrollees. He is a previous chair for the Society of Behavioral Medicine’s integrated primary care special interest group and is a Collaborative Family Health Care Association board member. He has extensive experience developing integrated primary care behavioral health services as well as training individuals to work in primary care settings to treat common mental health conditions (e.g., depression), health behavior problems (e.g., tobacco use, obesity) and chronic medical conditions (e.g., diabetes, chronic pain). He is also the lead author on the 2009 book, Integrated Behavioral Health in Primary Care: Step-by-Step Guidance for Assessment and Intervention and a co-editor of the 2014 Handbook of Clinical Psychology in Medical Settings: Evidence-based Assessment and Intervention
Owen Dahl, MBA, FACHE, CHBC, LSSMBB, has been active in healthcare management for almost 50 years. He received his bachelor’s degree from Concordia College, Moorhead, Minnesota, where he was a member of the first graduating class in the hospital administration program. He received his master’s degree from the University of Northern Colorado and has done additional study at NOVA Southeastern in Ft. Lauderdale, Florida. He spent more than a decade as a hospital administrator in various facilities in South Dakota. He also served in the United States Air Force and the Army National Guard. His move to New Orleans in 1983 brought a major career change. He started a practice management and billing company, which grew to manage 65 physicians in 11 different practices. In 1993, he advanced to Fellow in the American College of Health Care Executives with a paper on Total Quality Management and its application to the medical practice. Hurricane Katrina brought about another change that led to his current efforts as an author, consultant, public speaker, and adjunct professor. He has worked with Loyola University in New Orleans, the University of New Orleans, the Louisiana State University School of Medicine, and the University of Houston–Clear Lake on physician practice management programs. This change came about due to a long-standing passion to seek to improve the delivery of patient care through training and education. He developed the first certification program for the Professional Association of Health Care Office Managers (PAHCOM) and the certification program for the National Society of Certified Health Care Business Consultants (NSCHBC). Currently an independent consultant with an affiliation with the Medical Group Management Association (MGMA), he has developed training programs in various “belt” levels in Lean Six Sigma and the application to today’s medical practice. Mr. Dahl is married with three children and two grandchildren. He currently resides in The Woodlands, Texas.
Dr. Gene “Rusty” Kallenberg has been the chief of the Department of Family Medicine and Public Health and vice chair of the Department of Family and Preventive Medicine at the University of California, San Diego (UCSD) since 2001. Previously he was the chief of family medicine and assistant dean for curricular projects at George Washington University (1982–2001). He has been a member of the Collaborative Family Healthcare Association (CFHA) for the past 18 years and is the current president, having served on the board for the past three years and as treasurer. Dr. Kallenberg has overseen the development of integrated behavioral healthcare programs within the PCMH-certified family x Integrating Behavioral Health into the Medical Home: A Rapid Implementation Guide medicine practices of his Division of Family Medicine (DFM) since 2002. With over 23 part-time trainee, intern, and licensed MFTs and psychologists and psychiatrists, the DFM Collaborative Care Team serves several thousand patients each year. Dr. Kallenberg also is the director of the new UCSD Center for Integrative Medicine, which opened in 2010. Dr. Kallenberg’s interests include new models of primary care, mental health/primary care collaboration, integrative medicine and undergraduate/graduate medical education, and competency assessment in the content areas of communication skills, doctor-patient-family relationships, health systems, and professionalism.
Lesley Manson, PsyD, has spent over a decade providing direct service. Her dedication to behavioral health and integrated care models led her to directing behavioral health programs, providing continuing education to healthcare providers, and developing workshops and trainings for behavioral health and primary care providers to be successful and integral members of healthcare teams. She has advanced experience in continuous quality improvement, behavior change, and standardization and outcome measurement for behavioral health programs integrated into primary care. Dr. Manson has spearheaded multidisciplinary teams for primary care process improvement and population-specific quality improvement and standardization, which has led to improved healthcare outcomes, enhanced quality assurance, increased compliance and patient engagement, and reduced healthcare costs. She was an integral member of teams for the development of electronic medical health records with integrated shared behavioral health focusing on standardization, best practices, and evidence-based techniques. Her history as a healthcare executive has led her to developing national presentations and publications on integration with both clinical and management focus and providing consultation and training for primary care and medical/behavioral organizations in developing and auditing for integrated care sustainability. Historically, Dr. Manson has been an active member of her local and national professional primary care and behavioral health organizations, serving on numerous boards and receiving recognition. She is a former president of the North Coast Association of Mental Health Professionals in California and was honored with certificate training from the Johnson and Johnson UCLA Health Care Executive Program. She is also a master trainer for the Institute for Health Care Communication and conducts workshops in the area of clinician-patient interaction and communication to meet the Triple Aim. Dr. Manson serves as a clinical assistant professor and director of integrated training initiatives at Arizona State University’s Doctor of Behavioral Health Program.
"For those ready to move up to integrating behavioral health in primary care, this book should be the first stop. It is easy to read, comprehensive, and extremely practical— down to the level of job descriptions, worksheets, staffing ratios, and templates. The business and finance sections are easy to understand yet sophisticated—they should be required reading for all leaders working in primary care. These authors have produced something of real value. Bravo, and Thank You!"
Frank Verloin deGruy III, MD, MSFM
Woodward-Chisholm Professor and Chair
Department of Family Medicine
University of Colorado School of Medicine
"A welcome and timely resource for organizations looking to engage in integrated behavioral healthcare. It summarizes the published literature, information from case studies, and the authors' experiences from years in the field. Written in a concise, user-friendly format which will guide you step-by-step through the implementation process. I wish that this book existed years ago when KP started the integration journey."
Andrew Bertagnolli, PhD
Senior Manager—Integrated Behavioral Health Care Management Institute
"Physicians know that clinical outcomes can be improved by managing behavioral health comorbidities along with physical illnesses. But where do physicians and medical practices start?
Kent Corso and his distinguished co-authors give us the roadmap in Integrating Behavioral Health Into the Medical Home: A Rapid Implementation Guide. The book is well organized and provides a brilliant set of new tools to assess which service delivery model is right for your organization, how to master personnel selection and training of staff members, and a step-by-step guide on how to achieve the return on investment required to get the buy-in from your practice stakeholders."
Kevin Pho, MD Founder, www kevinmd.com
"Available at just the right time, this 'bottom line up front' book provides concise guidance for healthcare companies seeking to integrate behavioral health services into primary care. The authors provide a variety of forms to assist with selection of a service delivery model, develop a business plan, and evaluate return on investment. It concludes with a variety of case studies and exemplars to assure reader understanding and confidence in moving forward. Bravo!"
Patricia J. Robinson, PhD Director of Training and Program Evaluation
Mountainview Consulting Group
"I am tremendously excited to share this short book with all of my colleagues who are striving to establish and improve their own Primary Care Medical Home via integrating behavioral health—which means about everyone I know! The experienced authors achieve this book's stated purpose as 'A Rapid Implementation Guide' with succinct practical summaries of key points highlighted at the start of each chapter and often followed by easily understood appendices. This book is well referenced and written to help all of us, from novices to experienced pioneers."
Macaran (Mac) Baird, MD, MS
Professor and Chair, Department of Family Medicine and Community Health
University of Minnesota Medical School
"Just in the nick of time with healthcare reform, Corso, Hunter, Dahl, Kallenberg, and Manson bring us an eminently readable, highly practical manual to guide the process of integrating behavioral into physical healthcare. Healthcare reform provides the guidelines, this book provides invaluable blueprints that can be adapted to your context. It's even occasionally funny! We live in a period of rapid change in healthcare; new financing incents comprehensive integrated care without providing guidance about how to make the care a practical reality. This essential book fills that gap—everything from integrated care models, financing, personnel, skill development, and exemplars."
Susan H McDaniel, PhD ABPP
Dr. Laurie Sands Distinguished Professor of Families & Health
Director, Institute for the Family, Department of Psychiatry
Associate Chair of Family Medicine
University of Rochester Medical Center
"We all have a neck connecting our head and body. This means every aspect of physical health is influenced by our minds. Addressing either physical health or mental health without integrating the two leads to failure—something we can't afford to have happen. Integrating Behavioral Health into the Medical Home: A Rapid Implementation Guide is the tool everyone needs in order to facilitate truly integrated healthcare—a must read!!"
Paul Grundy, MD, MPH IBM's Global Director of Healthcare Transformation
President, Patient-Centered Primary Care Collaborative
Hopewell Junction, NY
"As momentum gains to truly embrace patient-centered healthcare, this how-to book is an essential component of your performance improvement library. Use Integrating Behavioral Health into the Medical Home: A Rapid Implementation Guide to architect your medical practice into a medical home successfully serving the whole person."
Elizabeth W. Woodcock, MBA, FACMPE, CPC
Author, PCMH Policies and Procedures Guidebook
Woodcock & Associates
"Integrating Behavioral Health into Medical Homes is a comprehensive guide to providing holistic care to patients. The authors have covered every essential question on team-based healthcare delivery: what to do, why and how to do it. The 'Bottom Line, Up Front' feature at the beginning of each chapter makes this well-referenced and evidence-based book exceptionally easy to navigate. An invaluable guide to the concepts and practice of integrated behavioral healthcare."
Joseph P. Napora, PhD
Johns Hopkins Comprehensive Diabetes Center
Author, Stress-Free Diabetes: Your Guide to Health and Happiness
"Most patients who are depressed or anxious or who need mental health treatment start at their primary care office. Most never get to a psychiatrist—they are treated by their PCP. Adding an organized behavioral health component will improve patient care and provide support for the primary care clinician. This book provides an invaluable, specific road map for practices."
Betsy Nicoletti, MS, CPC
Author, The Field Guide to Physician Coding, 3rd Edition