The 2014 Collaborative Family Healthcare Association’s Policy Summit, “From Fragmentation to Integration: A Triple Aim Imperative” was co-hosted by the Robert Graham Center and held in conjunction with CFHA’s 16th Annual conference in Washington DC. Over sixty attendees, varying from congressional staffers to family physicians, gathered in the Dirksen Building of the US Senate Office to discuss one of the healthcare system’s principal problems: fragmentation.
| ||Armed with a panel of diverse stakeholders in the field of integrated care, the event highlighted the problems associated with fragmentation in healthcare's financial, operational, and clinical systems. The artificial separation of mind and body continues to lead patients down a path fraught with a siloed delivery of care that is all too often inefficient, costly, and ineffective. |
Targeting the achievement of the Triple Aim: improving patient experience of care, improving the health of populations, and reducing per capita cost of health care, the panelists offered specific solutions that underlined the need for the adoption and sustainability of collaborative care. Dr. Ben Miller kicked off the presentation with a brief introduction and background on integrated care, drawing specific attention to the ways in which our fragmented mental health and primary care delivery systems lead to poor patient experience and health outcomes. Dr. Parinda Khatri continued the conversation by offering examples of her experiences as a behavioral health provider and clinical officer at Cherokee Health Systems. She emphasized the importance of operationalizing integration on a practice level to facilitate improved quality, efficiency, and decreased costs.
Dr. Susan McDaniel supported the notion that a trained workforce is essential to the successful delivery of integrated care as outlined by Khatri. Comprehensive, integrated medical education in which both professional and interprofessional education and training exists prevents separate disciplines from continuing to function in general ignorance of each other’s knowledge and skill set. Patrick Gordon explored the nuts and bolts of financing integrated care as he compared cost statistics from traditional practices with those of more comprehensive exemplar practices in which integrated behavioral health is a key component.
|Lastly , the panel's reactor, former Colorado Governor Bill Ritter, brought a different perspective to the conversation as he emphasized a legislator's need to see the increased investment in comprehensive primary care as a path to better outcomes and ultimately reduced community costs. || |
After a brief Q and A session led by Andrew Bazemore of the Robert Graham Center, the event concluded with an audience not only more aware and informed on the problems associated with the institutionalized barriers manifested by fragmentation, but equipped with key takeaways that offered specific solutions which will ultimately lead to the achievement of the Triple Aim.
Click Here for The Policy Forum Packet
Click Here for the Policy Forum Slide Deck
- Andrew Bazemore, Director, The Robert Graham Center
- Bill Ritter, Jr. Former Colorado Governor, Director of the Center for the New Energy Economy at Colorado State University
- Benjamin Miller, PsyD Director of The Eugene S. Farley, Jr. Health Policy Center and Assistant Professor in the Department of Family Medicine at the University of Colorado Denver School of Medicine
- Parinda Khatri, PhD Chief Clinical Officer at Cherokee Health Systems
- Susan McDaniel, PhD, ABPP Dr. Laurie Sands Distinguished Professor of Psychiatry and Family Medicine, director of the Institute for the Family in Psychiatry, and associate chair of family medicine at the University of Rochester School of Medicine & Dentistry
- Patrick Gordon, MPA Associate Vice President Rocky Mountain Health Plans