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Concurrent Sessions, Period 5

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Use the "More in this Section" tool above for information about other Conference sessions.

Saturday, October 18, 2014 - 1:30 to 3:00 PM

Sessions vary in length from 20-90 minutes.

Click here for PDF of Period 5 Concurrent Sessions with objectives.

Period 5 Sessions - grid version

A5a: What Can Behavioral Health Providers Do? Improving Primary Care of Dementia Through Integration.

Awareness of the importance of integrating brief assessment to detect cognitive decline during annual examinations of older adults in primary care (PC) is growing, due in part to provisions associated with the Medicare Annual Wellness visit. However, rates of detection of dementia in PC remain low. This presentation will provide a brief overview of timely research findings and facilitate discussion of relevant clinical practice applications for behavioral health providers (BHPs) in PC. Presenters  will engage the audience in discussion about  ways BHPs can support the  identification of undetected dementia, with particular attention to integrating validated brief screening tools to assess for cognitive impairment into routine clinical practice, partnering with families to address management of dementia and co-morbid conditions, and collaborating with medical providers .

Laura O. Wray, PhD  Director, Education/Clinical Core Veterans Affairs VISN 2 Center for Integrated Healthcare; Christina L. Vair, PhD Psychology Post-Doctoral Fellow  Veterans Affairs Advanced Fellowship Program in Mental Illness Research and Treatment VA Center for Integrated Healthcare, Western New York Healthcare System;

Key Track: 1.  Content Level: Basic  (40 minutes)

A5b: Senior Weak: Improving Professional Expertise in Integrated Care for Older Adults

The American population is rapidly aging but few physical or mental health clinicians have particular expertise in providing integrated care for the complex medical, cognitive, psychological and social needs of older adults. In this workshop, we will identify the key components for educating professionals and improving elder care through presenting three innovative programs--a university-based, interdisciplinary training program; a community-based, dementia-focused psychoeducation and support program; and a health-system-based program of team-based care coordination for high-utilizing, frail elderly patients.

Barry J. Jacobs, PsyD, Director of Behavioral Sciences Crozer-Keystone Family Medicine Residency, Springfield, PA; Lauren DeCaporale-Ryan, PhD Family Geropsychologist & Senior Instructor Depts of Psychiatry, Medicine, & Surgery University of Rochester Medical Center; Ian M. Deutchki, MD Assistant Professor Departments of Family Medicine and Geriatrics University of Rochester; Janelle Jensen, MS, LMFTA Care Consultant Alzheimer's Association-Western and Central Washington Chapter

Key Track: 1.  Content Level: All audiences  (40 minutes)

B5a: How to Crash the Party: Bringing Behavioral Health Specialists to the Care Coordination Team

Care coordination of complex patients in primary care has traditionally focused on physical health and chronic illness. This workshop will discuss strategies for Behavioral Health Specialists to become active and valued members of care coordination teams through: role clarification, acknowledgement of differing expectations, development of foundational supports for the work, and other lessons learned. Participants will be encouraged to leave the workshop with an Action Plan focused on increasing behavioral health involvement in care coordination in their agency or program.

Mary Jean Mork, LCSW, Program Director Mental Health Integration, MaineHealth and MaineHealth Partners;

Key Track: 2.  Content Level: All audiences  (40 minutes)

B5b: Fast Track - Psychiatrist as Consultant Has Triple Impact  on Patient-Centered Medical Home

Fast Track is a collaborative solution to access challenges for psychiatric treatment. Using the shared EMR for effective real-time communication, the psychiatrist functions as consultant providing assessment and treatment planning. The PCP maintains responsibility for management. The model uses  both face-to-face interaction and remote access through telemedicine. Fast Track reduces fragmentation and improves outcomes by providing prompt access to psychiatric intervention within the medical home and educates PCPs while lowering costs of care.

Susan D. Wiley, M.D. Vice Chairman, Psychiatry Lehigh Valley Health Network Associate Professor of Psychiatry Morsani School of Medicine University of South Florida;

Key Track: 2.  Content Level: Advanced  (40 minutes)

C5a: We Need a Bigger Boat! Expanding the Integrated Team to Meet Triple Aim Goals

Vulnerable populations often have poor health outcomes due to life stressors that fall outside the expertise of medical or mental health providers.  By expanding the integrated care team to include legal services, job training, case managers, patient educators, community health navigators, and dentists, primary care clinics can go a long way to achieving triple aim goals.  These additional services can also reduce frustration and burnout among integrated providers who are otherwise left dealing with the fallout from unaddressed problems.

Tillman Farley, MD Executive Vice President for Medical Services Salud Family Health Centers Associate Professor, Dept of Family Medicine University of Colorado, Denver;

Key Track: 5.  Content Level: All audiences  (40 minutes)

C5b: Top-Down and Bottom-Up Strategies for Building a Robust Integrated Service

To initiate and sustain an integrated primary care service, both "Top-Down" and "Bottom-Up" approaches are needed. The Top-Down approach refers to the use of financial and clinical outcomes data that generates buy-in from administrators, while the Bottom-Up approach involves using the right clinical model to win support from primary care providers. Services that ignore one approach or the other are likely to falter. This presentation will equip attendees with the information they need for both approaches, to help ensure development of a robust integrated primary care service.

Jeff Reiter, PhD, ABPP Lead, Behavioral Health Consultation Service HealthPoint Community Health Centers; Lesley Manson, PsyD Clinical Assistant Professor Arizona State University Nicholas A. Cummings Doctor of Behavioral Health Program;

Key Track: 5.  Content Level: All audiences  (40 minutes)

D5a: Roles and Responsibilities of Behavioral Science Faculty within Family Medicine Residencies on Inpatient Medicine Teaching Service

There is limited research on the roles of Behavioral Science Faculty (BSF) fill on inpatient medicine teaching service within Family Medicine residencies.  This session will focus on current research on the roles and responsibilities of BSF and Behavioral Science fellows on inpatient medicine teaching service, and review the curriculum offered within such settings.

Laura Sudano, Medical Family Therapy Intern, UCSD Family Medicine; Keith Dickerson, MD, Faculty Physician, St. Mary's Family Medicine Residency; Mary Talen, PhD, Director, Primary Care Behavioral Health, Northwestern University Family Medicine Residency; Tina Runyan, PhD, Associate Director of Behavioral Science, University of Massachusetts Medical School; Jeanna Spannring, Primary Care Psychology Fellow, University of Massachusetts Medical School

Key Track: 6.  Content Level: All audiences  (40 minutes)

D5b: CFHA Research Fellow Presentation

Key Track: 7.  Content Level:   (40 minutes)

E5a: Home Based Primary Care:  An Interdisciplinary Model of Care in the Department of Veterans Affairs

This presentation describes the Department of Veterans Affairs' interdisciplinary, integrated model of in-home care known as Home Based Primary Care (HBPC). HBPC provides comprehensive, longitudinal care for Veterans with complex and chronic medical, social, and behavioral conditions. This care model is associated with reduced hospital and nursing home admissions and overall decreased costs as well as improved patient satisfaction. The application of HBPC in a rural area will be illustrated, including discussion of challenges, barriers, and successes.

Mandy McCorkindale, PsyD Clinical Psychologist, Home Based Primary Care Central Arkansas Veterans Healthcare System; Julie Ruple, PharmD, CGP Clinical Pharmacy Specialist, Home Based Primary Care Central Arkansas Veterans Healthcare System;

Key Track: 5.  Content Level: All audiences  (40 minutes)

E5b: Lessons from VA Integrated Care Implementers Part 2:  Secrets of Successful Programs

Mental health professionals are integrated into primary care clinics in nearly all VA medical centers and large community-based outpatient clinics.  At the 2013 CFHA meeting, we presented a review of the VA experience addressing resistance to integrated care.  In contrast, early in 2014, we convened representatives from the most successful VA integrated care teams together with national leaders for a 1.5 day meeting. VA clinicians and administrators from 12 sites across the country participated.  Our purpose was to distill the critical ingredients for integration success.  These "secrets" of successful teams will be  disseminated throughout VA.  We will share our findings with the audience and engage in an interactive session where participants can discuss how these key ingredients of integration might apply in any setting.

Laura O. Wray, PhD Director, Education/Clinical Core VA Center for Integrated Healthcare; Andrew S. Pomerantz, MD National Mental Health Director, Integrated Services Office of Patient Care Services, Mental Health  Veterans Health Administration VA Central Office (VAC0);

Key Track: 5.  Content Level: All audiences  (40 minutes)

F5a: Promoting Learning Communities to Support Integration, Innovation, and Impact

Maine Health Access Foundation, Hogg Foundation for Mental Health, and Mental Health America of Greater Houston have a long history of supporting learning communities (LC) as a tool to promote professional development, best practices, and collaboration for integrated health care. This interactive presentation will explore best practices of LC. Attendees will learn about key components of LC and gain practical information about implementing LC. Data from evaluation reports will be included.

Rick Ybarra, M.A. Program Officer Hogg Foundation for Mental Health; Becky Hayes Boober, Ph.D. Senior Program Officer Maine Health Access Foundation; Alejandra Posada, M.Ed. Director of Education and Training Mental Health America of Greater Houston;

Key Track: 6.  Content Level: All audiences  (40 minutes)

F5b: Joining Forces to Create Momentum to Overcome Policy Barriers to Integration

This presentation delineates key integrated health care policy issues and how they can be addressed at the state and regional levels through: (a) the work of Integrated Care Learning Communities in North Carolina and New England; (b) a New England learning network of state health, behavioral health and public health directors; and (c) New England regional directors of SAMHSA and HRSA.  This interactive presentation will include lecture, an interactive panel, and large and small group discussions to help participants: 1) Identify issues around policy reform, systems issues, reimbursement, privacy, education and training, workforce development, and other barriers to integration, 2) Understand the utility of joining forces with regional partners to influence policy and systems, and 3) Develop skills, identify partners and opportunities for taking action in one's own region to mobilize forces to address integration barriers.

Julie Schirmer, LCSW, Director Behavioral Health Education, Department of Family Medicine, Maine Medical Center; Bill Gunn, PhD, Director Behavioral Health Education, Dartmouth/Concord Family Medicine Residency Program; Robert A. Cushman, MD, Chair, Departments of Family Medicine, University of Connecticut School of Medicine & Saint Francis Hospital and Medical Center; Brenda Harvey, MSEd, Executive Director, New England States Consortium Systems Organization; A. Kathryn Power, MEd, Regional I Director, Substance Abuse and Mental Health Services Administration (SAMHSA); Chris Bersani, Psy.D, ABPP;  Cathy Hudgins, PhD, LMFT, LPC; Alejandra Posada, MEd

Key Track: 5.  Content Level: All audiences  (40 minutes)

G5a: An Approach to Fragmentation: Applying aspects of translational research to spread the word about the benefits of collaborative healthcare and increase the application of the field's knowledge base.

Healthcare research is often fragmented. The research of collaborative healthcare is fragmented by our different professional disciplines and our different journals and organizations. One evidence-based path to integration of our fields research is knowledge translation principles. For collaborative healthcare to make the move from knowledge fragmentation to integration we must identify, disseminate and integrate appropriate new research about our field, regardless of who creates it or where it is published. Application of these principles will allow the collaborative healthcare field to disseminate and implement new and evidence-based aspects of the triple aim (improved patient experience, reduced cost, and improved population health) into practice.

Peter Rainey MS  Medical Family Therapy Fellow Chicago Center for Family Health; Kate Rowland MD, MS  University of Chicago and Advocate Illinois Masonic & Editor-in-Chief of PURLs;

Key Track: 7.  Content Level: All audiences  (25 minutes)

G5b: Repaving the Road: Addressing the Challenges of Conducting Outcome Research in Primary Care

The purpose of this presentation is to discuss the barriers associated with conducting outcome research within integrated behavioral health practices in primary care settings.  The key points to be discussed in this presentation include providing an overview of current research protocols and designs used in primary care, increasing the flexibility of research protocols and designs beyond symptom reduction, understanding the challenges of performing and disseminating research in primary care settings, and replicating research protocols in a variety of ambulatory care settings.

Stacy Ogbeide, PsyD, MS, Healthcare for the Homeless-Houston, Instructor, Dept. of Family & Community Medicine, Baylor College of Medicine; David Bauman Post-Doctoral Resident Central Washington Family Medicine at Community Health of Central Washington; Bridget Beachy Post-Doctoral Resident Central Washington Family Medicine at Community Health of Central Washington

Key Track: 7.  Content Level: Basic  (25 minutes)

G5c: Evaluation of a Motivational Interviewing Course for Healthcare Providers

This presentation will report the results of  an evaluation of a course in Motivational Interviewing (MI) for 40 healthcare providers.  Each student provided a pre and post work sample of their use of MI consisting of a simulated patient encounter with an Acting Patient.  These work samples were coded by a reliable coder for consistency to MI spirit and technique.  Findings to be reported include the differences MI competency between students completing the course online and those completing the course in-person.  In addition, the relationship between student's self-reported MI competency and objective measurement of MI competency will be reported.

Daniel Mullin, PsyD, Assistant Professor, Center for Integrated Primary Care, University of Massachusetts Medical School;

Key Track: 7.  Content Level: All audiences  (25 minutes)

H5: Turning information to action: Gathering user perspective for design of the interactive AHRQ Academy web portal

The AHRQ Academy for Integrating Behavioral Health and Primary Care has established many excellent resources in tools available in its web portal. But users and potential users of web portals typically experience a gap between "information" and action—being able to use and act on information in websites. This session engages CFHA members—people who know the practical needs of the field—as a "design team" for interactive web-portal and community-building features to narrow the gap between information and acting on it.

Alexander Blount, EdD, Director, Center for Integrated Primary Care, University of Massachusetts Medical School; Neil Korsen, MD, MS, Medical Director, Behavioral Health Integration, MaineHealth; Ben Miller, PsyD, Director, Office of Integrated Healthcare Research and Policy, Department of Family Medicine, University of Colorado School of Medicine; C.J. Peek, PhD, Associate Professor, Department of Family Medicine and Community Health, University of Minnesota Medical School;

Key Track: 6.  Content Level: All audiences  (90 minutes)


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