TY - JOUR
KW - Adult
KW - Cohort Studies
KW - Delivery of Health Care, Integrated/economics/organization & administration
KW - Female
KW - Humans
KW - Male
KW - Mental Health Services
KW - Middle Aged
KW - Multi-Institutional Systems
KW - Organizational Case Studies
KW - Quality of Health Care
KW - Retrospective Studies
KW - Utah
KW - Young Adult
AU - B. Reiss-Brennan
AU - P. C. Briot
AU - L. A. Savitz
AU - W. Cannon
AU - R. Staheli
A1 - 
AB - Most patients with mental health (MH) conditions, such as depression, receive care for their conditions from a primary care physician (PCP) in their health/medical home. Providing MH care, however, presents many challenges for the PCP, including (1) the difficulty of getting needed consultation from an MH specialist; (2) the time constraints of a busy PCP practice; (3) the complicated nature of recognizing depression, which may be described with only somatic complaints; (4) the barriers to reimbursement and compensation; and (5) associated medical and social comorbidities. Practice managers, emergency departments, and health plans are stretched to provide care for complex patients with unmet MH needs. At the same time, payment reform linked to accountable care organizations and/or episodic bundle payments, MH parity rules, and increasing MH costs to large employers and payers all highlight the critical need to identify high-quality, efficient, integrated MH care delivery practices. Over the past ten years, Intermountain Healthcare has developed a team-based approach-known as mental health integration (MHI)-for caring for these patients and their families. The team includes the PCPs and their staff, and they, in turn, are integrated with MH professionals, community resources, care management, and the patient and his or her family. The integration model goes far beyond co-location in its team-based approach; it is operationalized at the clinic, thereby improving both physician and staff satisfaction. Patients treated in MHI clinics also show improved satisfaction, lower costs, and better quality outcomes. The MHI program is financially sustainable in routinized clinics without subsidies. MHI is a successful approach to improving care for patients with MH conditions in primary care health homes.
BT - Journal of healthcare management / American College of Healthcare Executives
C5 - Education & Workforce; Financing & Sustainability; Medically Unexplained Symptoms; Healthcare Policy
CP - 2
CY - United States
IS - 2
JF - Journal of healthcare management / American College of Healthcare Executives
N2 - Most patients with mental health (MH) conditions, such as depression, receive care for their conditions from a primary care physician (PCP) in their health/medical home. Providing MH care, however, presents many challenges for the PCP, including (1) the difficulty of getting needed consultation from an MH specialist; (2) the time constraints of a busy PCP practice; (3) the complicated nature of recognizing depression, which may be described with only somatic complaints; (4) the barriers to reimbursement and compensation; and (5) associated medical and social comorbidities. Practice managers, emergency departments, and health plans are stretched to provide care for complex patients with unmet MH needs. At the same time, payment reform linked to accountable care organizations and/or episodic bundle payments, MH parity rules, and increasing MH costs to large employers and payers all highlight the critical need to identify high-quality, efficient, integrated MH care delivery practices. Over the past ten years, Intermountain Healthcare has developed a team-based approach-known as mental health integration (MHI)-for caring for these patients and their families. The team includes the PCPs and their staff, and they, in turn, are integrated with MH professionals, community resources, care management, and the patient and his or her family. The integration model goes far beyond co-location in its team-based approach; it is operationalized at the clinic, thereby improving both physician and staff satisfaction. Patients treated in MHI clinics also show improved satisfaction, lower costs, and better quality outcomes. The MHI program is financially sustainable in routinized clinics without subsidies. MHI is a successful approach to improving care for patients with MH conditions in primary care health homes.
PP - United States
PY - 2010
SN - 1096-9012; 1096-9012
SP - 113; discussion 113
EP - 4
EP - 97+
T1 - Cost and quality impact of Intermountain's mental health integration program
T2 - Journal of healthcare management / American College of Healthcare Executives
TI - Cost and quality impact of Intermountain's mental health integration program
U1 - Education & Workforce; Financing & Sustainability; Medically Unexplained Symptoms; Healthcare Policy
U2 - 20402366
VL - 55
VO - 1096-9012; 1096-9012
Y1 - 2010
ER -