CONSULTING SERVICES IN INTEGRATED HEALTHCARE & HEALTH HOMES
Since 2002, the National Council for Mental Wellbeing has been a leader in integrated healthcare delivery and financing, shaping policies and programs that promote healthy communities and improve the lives and lifespans of persons with mental and substance use disorders. The National Council offers a complete suite of consulting, technical assistance, and workforce development programs to help you improve health outcomes for individuals with mental illnesses and addictions and help your organization respond to demands for one-stop healthcare.
National Council experts support integration in the trenches and work with the leadership and staff of state and local governments as well as safety net mental health, substance abuse, and primary care organizations to design and implement integrated care initiatives.
Our consulting engagements — delivered through one-on-one consulting arrangements and partnerships, conference presentations, and group learning experiences such as learning communities — help you address the opportunities and requirements ushered in by changing healthcare delivery and payment systems. We provide financial, operational, and clinical strategies and tactics required to implement integration and integrate into health homes and accountable care organizations.
Whether you are new to integration or facing hurdles on your journey, we help you devise long-term and immediate strategies and figure out an action plan. Having worked with hundreds of primary and behavioral health organizations on their integration efforts we are positioned to tell you what works and what doesn’t and to address the range of issues — from leadership buy-in and relationship building with community partners to staff training and billing.
We can adapt any of our current major integration and health home consulting, training and technical assistance initiatives to your needs or develop a custom suite of services to address your unique challenges. Ask us how (link to consulting form).
MAJOR NATIONAL COUNCIL INTEGRATION INITIATIVES
The National Council operates the SAMHSA-HRSA Center for Integrated Health Solutions under a cooperative agreement from the U.S. Department of Health and Human Services and funded jointly by the Substance Abuse and Mental Health Services Administration and the Health Resources Services Administration. CIHS is the first “national home” for information, experts, and resources dedicated to behavioral health and primary care integration. The center promotes the development of integrated primary and behavioral health services to better address the needs of individuals with mental health and substance use conditions, whether seen in specialty behavioral health or primary care provider settings. CIHS offers technical assistance and resources for all those who are committed to addressing the complete healthcare needs of these individuals.
In New Mexico, the National Council for Mental Wellbeing has partnered with Presbyterian Health Plan to develop the healthcare workforce in New Mexico to serve the integrated behavioral health, physical health, and long term care needs of the community. PHP has invested in National Council-led integrated health workforce trainings for more than 600 case managers, community health workers, and peers. Those trained will serve as an extension of PHP’s workforce in rural, urban and tribal communities to support health literacy and care coordination. Presbyterian recognizes the importance of preparing the workforce to serve patients in a manner that addresses their physical, behavioral health, and long-term care needs as well as socio-economic circumstances.
The State Integration & Medicaid Health Homes National Council Learning Community, launched in January 2013, brings state leaders together in a group learning model that accelerates change and helps participants tackle confounding problems of integration and Medicaid Health Homes for persons with disabilities. The 6-month learning community covers policy development, clinical models, and implementation strategies. Participants in this learning community will identify elements of successful Medicaid Health Home models for special populations across the country that are adaptable to needs in their state and explore clinical elements, financial models, key outcome measures, and necessary change in policy and regulations required for implementation. State mental health and substance use directors, Medicaid directors, and Medicaid Health Home lead staff are participating and will get help in drafting a statewide implementation process for bidirectional integration/health homes.
In the U.S., the number of older adults with mental illness is expected to double between 2000 and 2030. Older adults’ health issues are unique in the way they manifest and in the way patients use services. In response to these unique needs, the New York State Office of Mental Health funded a series of demonstration programs for organizations to develop integrated primary and behavioral healthcare services for adults 55 years and older. Grantee organizations have focused on coordinating medical and mental services for older adults, whether they seek services in primary or behavioral health settings. Experts from the National Council for Mental Wellbeing were chosen by OMH to operate the Geriatric Technical Assistance Center (G-TAC). The National Council G-TAC helps grantee organizations prepare — organizationally and financially — to sustain the integrated care programs beyond the grant period. The center works with grantees to ensure that they are implementing a program that actually works for their patients and staff and results in improved outcomes. National Council experts help organizations with patient engagement, workflow efficiencies, and understanding billing policies and procedures.
The National Council runs the Ohio Health-Home Implementation Office Training and Technical Assistance Center, which supports Ohio’s community mental health centers that are participating in various phases of Medicaid Health Homes or are interested in the integration of physical and behavioral health integration to transform delivery of healthcare services for Medicaid beneficiaries with serious and persistent mental illness. Based on an organizational assessment, OHIO-TTAC helps organizations in phases 1-3 of health home implementation develop individual technical assistance plans and provides onsite technical assistance. Individual and group coaching opportunities are available to assist sites as implementation moves forward. Training and technical assistance is targeted to Ohio-specific implementation needs and leverages the National Council’s expertise on bidirectional integration, health homes, and behavioral health practice improvement.
RESOURCES FOR INTEGRATED HEALTHCARE & HEALTH HOMES
SAMHSA-HRSA Center for Integrated Health Solutions
The CIHS website maintained by the National Council for Mental Wellbeing with oversight from SAMHSA and HRSA offers a complete array of research studies, white papers, models, and toolkits on every aspect of integration — financing, clinical practice, operations and administration, workforce, and wellness.
National Council Magazine
The Whole Health themed issue of National Council Magazine offers articles by experts and case studies from the field on why and how integrated healthcare succeeds. The issue also features a special tearout, ABCs of Wellness.
National Council Webinars:
A (Health) Home Run: Operationalizing Behavioral Health Homes
Laurie Alexander, Benjamin Druss, and Joe Parks, January 18, 2013
Integrated Care within the Patient Centered Medical Home: The Health Center Perspective
Ann Lewis, Judith Steinberg, and Marty Lynch, November 8, 2012
Enhancing Strategies to Promote Individual Change in Primary Healthcare Settings
Deborah Myers, September 5, 2012
Understanding the Disease of Addiction and the Recovery Process in Health Center Settings
John G. Gardin II, August 28, 2012
Integrating Behavioral Health in Community and Migrant Health Centers: Motivation, Readiness, & Cultural Challenges
Tillman Farley and Jennie McLaurin, August 23, 2012
Preparing for Bidirectional Integration: Lessons from the Field
David Lloyd, Anthony Zipple, and Frank Berry, June 14, 2012
Billing for Integrated Health Services
Kathleen Reynolds, June 12, 2012
Behavioral Health Homes: The Core Clinical Features
Laurie Alexander and Benjamin Druss, May 30, 2012
Integration Models: Lessons From the Behavioral Health Field
Karen Bassett, Jen DeGroff, and Kathy Bianco, May 23, 2012