Name
Integrated Care is essential to the success of Tailored Care Management: Embracing the Paradigm Shift
Description

This presentation will describe the paradigm shift and unique model of Tailored Plans and Care Management Agencies (CMAs) leading whole-person care coordination across the healthcare continuum versus primary care practices. In reviewing an example of a member who has benefited from the focus on integrated whole-person care outcomes, we will discuss and amplify the transformational mindset required to effectively shift to the use of data-driven outcome metrics and convey how to harness the power of information to close care gaps and yield quality outcomes.

Speakers
Nicole McKinney PhD, LCMHC, CEO, Collaborative Health Network, Albemarle, NC
Cheryl Davis MD, Chief Executive Officer, Primary Health Choice, Inc,
Co-Authors
Comment: There may or may not be another presenter (physical health partner) or a video segment to complement Drs. Davis/McKinney presentation related to success story narrative
Content Level
All Audience
Tags
Care management, Collaborative Care Model of Integrated Care, Outcomes
Session Type
Concurrent
SIG or Committee
Collaborative Care Model (CoCM)
Objective 1
Describe how integrated care supports Tailored Care Management foundationally
Objective 2
Discuss the required shift behavioral health providers have and should embrace to support a member’s whole-person health
Objective 3
Identify how Care Management Agencies (CMAs) use data to support HEDIS gap closure for supported members
Content Reference 1

Smith, S. M., Wallace, E., O'Dowd, T., & Fortin, M. (2023). Interventions for improving outcomes in patients with multimorbidity in primary care and community settings. Cochrane Database of Systematic Reviews, 2023(1), CD006560.

Content Reference 2

Miller, B. F., Gilchrist, E. C., Ross, K. M., Wong, S. L., & Blount, A. (2022). Integrating behavioral health and primary care: Moving upstream to improve the health of the whole person. American Psychologist, 77(1), 15-27.

Content Reference 3

Peek, C. J., Cohen, D. J., & deGruy, F. V. (2021). Research and evaluation in the transformation of integrated behavioral health and primary care. American Psychologist, 76(6), 798-812.

Content Reference 4

Valentijn, P. P., Schepman, S. M., Opheij, W., & Bruijnzeels, M. A. (2022). Understanding integrated care: A comprehensive conceptual framework based on the integrative functions of primary care. International Journal of Integrated Care, 22(1), 1-12.

Content Reference 5

Goodwin, N. (2021). Understanding integrated care: A complex process, a fundamental principle. International Journal of Integrated Care, 21(4), 1-4.