Description: It is important for healthcare providers to understand the cost of the services they provide and compare that to reimbursement rates. In value-based care arrangements, they should also anticipate the impact of their care models on patient outcomes and...
Description: With the District of Columbia’s movement to a reimbursement system with services defined and paid through a procedure code, health care leadership must understand the costs that are directly provided and those that indirectly support the service....
Practice leaders face more decisions than ever as the District of Columbia works to build an integrated health system that delivers whole person care. This learning series is designed to help organizational decision makers better manage change within a dynamic health system. Part 1 will introduce ways that leadership can transform ingrained policies and practices using new information, data points, and approaches to improve care access and outcomes. The session will also preview exciting next steps for the learning series moving into 2024.
In the dynamic landscape of healthcare, crafting a compelling value proposition involves a strategic blend of audience understanding, innovation, and responsiveness to the needs of payers, community partners and other stakeholders. This short take describes the steps to creating a strong value proposition.
Transitioning to payment models that support value-based care means doing business differently. Many District healthcare providers are requesting assistance preparing for and implementing this important change. This virtual learning collaborative focused on legal agreements, contracting, and financial topics, including revenue cycle management and assessing risk. Presenters shared scenarios, assessments, and tools to advance capacity and understanding.
https://www.integratedcaredc.com/wp-content/uploads/2023/09/Risk-Mitigation-and-Risk-Reserves.mp4 Description: Once health care providers have demonstrated the ability to reach quality performance targets and generate surplus in a shared savings pool, they may...
A basic overview of the structure and function of Accountable Care Organizations (ACO) as well as an exploration of their challenges and opportunities in advancing value based care contracts with the government and private payers.
Managed care contracts, like many legal contracts, are challenging to understand. This session will provide a roadmap to key terms commonly found in managed care contracts. The session will explain what these terms mean in plain language and offer examples of favorable and unfavorable terms. In addition, the session will offer pointers for evaluating the favorability of contract terms and describe potential changes to standard terms that participants may wish to address during negotiations.
This is a self-assessment tool intended to help health care providers plan for negotiations around proposed managed care contracts. The tool can be used for internal conversations to analyze key terms, develop strategic direction, and set priorities for approaching negotiations. This tool can help providers determine if they are ready to contract, what level of risk they can tolerate, and what areas to focus on in negotiations.
This is a self-assessment tool intended to help healthcare providers plan for negotiations around proposed managed care contracts. The tool can be used for internal conversations to analyze key terms, develop strategic direction, and set priorities for approaching negotiations. This tool can help providers determine if they are ready to contract, what level of risk they can tolerate, and what areas to focus on in negotiations.
View materials from this event hosted by Department of Health Care Finance, DBH Training Institute, & Integrated Care DC on May 9, 2023. The in-person workshop was designed for behavioral health providers and other organizations seeking to prepare for the integration of behavioral health into the District’s Medicaid Managed Care Program. Presenters shared information and facilitated exercises to help leadership, clinical and operational staff, and other stakeholders develop the organizational competencies needed to succeed in managed care, including an understanding of managed care principles, how to communicate effectively with managed care partners, and how to effectively demonstrate the value of care through quality measurement and population health.
Lesbian, gay, bisexual, transgender, and questioning/queer (LGBTQ+) individuals are frequently underserved and experience significant disparities in health outcomes and accessing preventive and ongoing healthcare. Sexual and gender minorities (SGM) often experience discrimination and bias in health care settings and may delay or avoid medical and preventive care.
Developing safe, culturally competent healthcare environments and practices for LGBTQ+ patients is critical and closely related to individuals’ willingness to openly share their sexual orientation and/or gender identity and expression (SOGIE). Capturing SOGIE data is critical as it allows providers to have a more comprehensive picture of key factors that influence care.
This session will start with a brief discussion of SOGIE terminology and a compilation of what is known about medical and behavioral health needs and disparities among the LGBTQ+ community. We will highlight the critical need for creating environments that improve patients’ psychological safety and increase their willingness to share SOGIE characteristics. We will share examples of how this data could be utilized to improve care and patient satisfaction, including capturing a patient’s preferred name and pronouns, and ways to engage in respectful conversations that could reveal key aspects of their medical history that could otherwise go unnoticed.
Loss and grief are common and often come up during primary care encounters. Grief can be caused by separations, incapacity, bereavement, migration, job loss, birth, retirement, or professional loss. We will focus on addressing grief related to the loss of a loved one in this webinar. One-third of people affected by loss can experience physical or mental health problems, such as increased risk of heart disease, suicide, psychosomatic disorders, and psychiatric issues. However, loss can also lead to personal growth. Behavioral Health Consultants can help PCPs and patients prepare for grief and build coping skills for better health outcomes.
We often think of the treatment plan as a document to complete. However, it can be a tool to engage and empower the person served in their own recovery process. In this interactive webinar we will learn the core components of the treatment planning process from a person-centered and engagement-focused lens.
There are three main approaches to helping people make a change, directing, following, and a middle-of-the-road approach of guiding. Motivational Interviewing (MI) promotes guiding as an approach to discovering and uncovering an individual’s motivations, concerns, values, and options. This refresher workshop will provide the opportunity to directly practice using MI skills to build discrepancy and move conversations towards enhancing commitment to change.
Understanding, measuring, working to improve quality performance are critical to ensuring that patients have positive outcomes and providers are satisfied—they’re also critical to ensure your practice is meeting its regulatory requirements and maximizing payment opportunities. As the District of Columbia carves in behavioral health care to managed care arrangements and requires more providers to be in value-based care arrangements, it is even more imperative that quality measurement and improvement is understood and infused across your organization—from providers, to leaders, to auxiliary staff.
This two-part series will describe the quality measurement basics and why it matters, and then treatment planning for population health. In Part 1, we will explore why we need to infuse a culture of quality within healthcare organizations, including an understanding of what we value, who we serve, and who we are accountable to. Presenters will emphasize the importance of all staff understanding quality and its impact on our patients, staff and organization. We will review the basics of measurement and key measures in quality focused on integrated care.
In this first workshop, will spend the majority of the time directly practicing foundational OARS skills to evoke interest and commitment to making health behavior changes.
During this webinar, presenters discussed how proactive approaches to value-based care, including the use of VBP models, can improve individual and population health outcomes while enhancing efficiencies and reducing total costs. We also featured AmeriHealth’s new care coordination dashboard focused on helping providers close care gaps and achieve better patient outcomes.
During this webinar, participants will be able to identify the foundations of value-based care and the Health Care Payment Learning & Action Network (HCPLAN or LAN) value-based payment (VBP) framework. The presentation will also include the Department of Health Care Finance’s VBP strategy.
Fentanyl continues to have an increased presence in the drug supply necessitating reconsideration of prevailing treatment approaches for OUD. This session will explore inadvertent exposure and aspects of OUD treatment that may require updating given the high level of fentanyl now experienced in DC.
Vice President of Human Resources at Mount Sinai Health System in NYC and Dr. Mary Awuonda Associate Professor of Howard University and Dean Mashonda Smith of UDC will be share lessons learned in the district and other large health systems. The aim of the conversation is to talk and learn from one another to develop solutions grounded in the realities of the Washington DC policy, regulatory and health care environment.
Health Management Associates invites you to join us for a lunch and learn workshop to learn more about Overdose Prevention and how to save a life in DC. In this interactive lunch and learn we will discuss DC’s Naloxone Distribution Program and the organizations currently providing Naloxone and provide:
an overview of DC’s Standing Order and Samaritan Law
an overview of the uses of opioids
information on how naloxone stops an overdose and provide information on the action steps to take to save a life and stop an overdose.
Where and how individuals can access naloxone, syringe services, and fentanyl test strips in DC.
Xylazine is rapidly increasing in the illicit drug supply. A powerful animal sedative, xylazine causes respiratory depression, bradycardia, and hypotension, raising the risk of overdoses and complicating the reversal of overdoses. Xylazine also causes unique skin lesions and risk for severe infections. This quick take gives basic information about xylazine.
Because many women and persons of childbearing age pregnant with SUD may not readily share information with providers and because pregnancy is a period where the motivation for change is extremely high, positioning providers to identify and care for this population has great potential for establishing a recovery path and changing lives. This webinar will review the risks and effects of SUD among women of childbearing age, pregnant and parenting persons and their affected infants, including screening and treatment considerations, breastfeeding decisions and ideal mechanisms for engagement and support of women and other pregnant persons on their recovery journey. We will also cover the short and long-term effects of SUD exposure on the infants, including non-pharmacologic alternative interventions and follow-up considerations.
The Primary Care Behavioral Health Consultation model (PCBH) is a psychological approach to population-based clinical health care that is simultaneously co-located, collaborative, and integrated within the primary care clinic. The goal of PCBH is to improve and promote overall health within the general population. This short take is part of a series titled: A Day in the Life of a Behavioral Health Consultant (BHC) in Primary Care. Viewers will see example workflows for initial and follow up BHC visits including where referrals come from, the steps involved with BHC intervention and closing the loop with the primary care provider.
During this brief presentation, Kristan McIntosh, LMSW, shares an overview of what a Certified Community Behavioral Health Clinic (CCBHC) is, discusses why it is an important opportunity to build behavioral health system capacity, and talks about some upcoming opportunities to become (or partner with) a CCBHC.
This short take covers the basic concept of the Screening, Brief Intervention, Referral to Treatment (SBIRT) model. It reviews the reasons for why this approach is important, where SBIRT is delivered. Finally, each component of the model is briefly described.
This hour-long presentation will discuss the Value-Based Payment framework and where the Medicare bundled payment available to Opioid Treatment Programs (OTPs) fits. It will also include information about how to appropriately bill the bundled payment in various situations, and when to bill separately for additional services.
Even before Covid health care workers were expressing burn out and exhaustion. Covid realities have made this worse. Not only are staff working overtime, they are worried about putting themselves, their families and patients at risk every day. Covid concerns come at a time when healthcare providers are dealing with a lot of unknowns. The healthcare system is changing and providers are faced with the continuous need to adapt to new and innovative practice approaches and payment strategies. It’s no wonder everyone is feeling exhausted! This webinar will give time and space to talk about how to support staff and increase satisfaction and joy at work while still working in a tumultuous time.
Starting treatment for substance use disorders, like other medical and mental health conditions, requires close follow-up while stabilizing patients, followed by less frequent follow-up after stabilization. The frequency of visits can present an unnecessary barrier to getting care, which can be partially overcome by providing telehealth services. Regulations surrounding Medications for Addiction Treatment have been relaxed compared to years past and now allow for use of telehealth services. We will review the regulations around behavioral health (BH) and substance use disorder (SUD) treatment. Part of the regulatory changes now allow for buprenorphine to be prescribed over telehealth and it is important to become comfortable with the standard of care of home induction of buprenorphine. During this webinar, we will also discuss patient engagement and outcomes for both virtual individual and group treatments. This is the second webinar in a two-part series on Tele-MAT. We will hear from Tele-MAT grantees about their programs, successes and lessons learned during part 1 on January 11, 2021, 12:00pm – 1:00pm ET.
This one-page self-assessment can be utilized before individual or group MAT appointments; this tool aligns with ASAM criteria allowing the provider to plan for the current session and to aid in treatment planning. With a slight modification, this could also be used by persons not on MAT in preparation for individual or group appointments for substance use disorders. Critical questions required for all telehealth appointments are reviewed, such as the address and phone number where the person can be reached today.
The Department of Health Care Finance (DHCF) awarded grants to local organizations to support new telehealth services for residents in Wards 7 and 8 as well as residents of homeless shelters and public housing developments. These projects connect patients to specialists using interactive audio, video, or other new technology. DHCF also awarded grants to local organizations to support telemedicine services among the District’s medication-assisted therapy (MAT) network of providers, including providers authorized (“waivered”) to treat opioid dependency with buprenorphine. During this session, we will hear from the three Tele-MAT grantees about their programs’ successes, challenges and lessons learned. An overview of Tele-MAT will be provided in part 2 of this series on January 25, 2021, 12:00pm - 1:00pm ET.
The front of this handout reviews what providers need to know, do and have a plan for prior to individual or group telehealth sessions. The back of the handout reviews important features of Zoom (TM) for those staff using Zoom (TM) as a platform for delivering telehealth sessions.
This one-page handout is designed for busy outpatient providers who wish to start a patient on buprenorphine but need guidance on what to do before, important things not to forget when starting, how to monitor patients on buprenorphine, what to do if the patient is or is not doing well and duration of treatment.
This one-page handout will help patients understand when they will start buprenorphine, based on the last time they used opioids and their current level of symptoms. It describes how to take buprenorphine in order for it to help with cravings and withdrawal symptoms, what dose of medication to take when starting and afterwards, and other important information about buprenorphine.
This short take talks about the added importance of building trust and integrating culturally and linguistically evidence-informed social, physical and behavioral health services during pregnancy. The short take place particular emphasis on pregnant people who use drugs because historically stigma, racism and other isms have often meant their care has not been clinically appropriate.
This Clinical Guide provides comprehensive, national guidance for optimal management of pregnant and parenting women with opioid use disorder and their infants. The Clinical Guide helps healthcare professionals and patients determine the most clinically appropriate action for a particular situation and informs individualized treatment decisions.
Through the Action Collaborative on Clinician Well-Being and Resilience, the National Academy of Medicine argues that patient well-being is predicated on the clinician-patient relationship. The clinician’s well-being will highly influence the clinical encounter. The research base points to organizational and practice environment factors (among others) on the system side of the equation and personal factors, skills and abilities, on the clinician side of the equation for optimal clinician resilience. The past two years of clinical teams working under extraordinary COVID-19 circumstances have taken a heavy toll on clinician resilience and well-being, not to mention on resulting quality and safety of care.
This presentation explores the National Academy of Medicine model, focusing on clinician factors in well-being. Together, in an experiential and participatory presentation, we will examine the areas of meaningful and sustaining practice and collaborative and mindful practice. Participants will leave this training with tangible tools to navigate resilience through mindfulness, gratitude, decreased cynicism and enhanced connectivity. This presentation is built on both humanities and deepened human connections between healers.
This hour-long presentation will briefly review the empirical evidence on the appropriate use of telebehavioral health and the clinical approaches that have been demonstrated to be effective and/or ineffective. The majority of the presentation will cover the clinical strategies for preparing the clinician for the telehealth visit, including assuring safety, anticipating problems, and engaging the member effectively when on the phone and when on video.
This session focuses on patient engagement using telehealth kiosks; learning and discussing applications to your practice. The session was held live during Telehealth in a Post-Pandemic Era: Sustainable Approaches to Support Integrated Care – Part 2, held on September 29, 2021.
This session focuses on telehealth best practices; caring for patients via telehealth who have suicidal ideations and other urgent issues. The session was held live during Telehealth in a Post-Pandemic Era: Sustainable Approaches to Support Integrated Care – Part 2, held on September 29, 2021.
Cognitive Behavioral Therapy (CBT) is a type of psychotherapeutic treatment that helps people learn how to identify and change maladaptive thought patterns that have a negative influence on behavior and emotions. This short take video will cover the key principles of CBT and a few basic techniques that are utilized for various conditions.
Problem Solving Therapy (PST) provides tools to help individuals identify and solve problems that can have a negative impact on their day-to-day lives. PST improves an individual's overall quality of life, treats depression and other conditions. It is based on a model that considers the importance of real-life problem-solving, including managing life stressors when they arise. This short take video covers the fundamental principles of PST and the tools to use in everyday life.
Contingency management is an evidence-based treatment plan for substance use disorder. This type of treatment, a major topic in media and public policy circles, promotes behavior change and reinforces positive behaviors. This short take video discusses contingency management treatment in more detail and how to increase its use in more practices.
