There are three silo Integrated Care Teams in this clinic with three different reporting structure and duplication of efforts. The silo team structure and duplication of efforts makes it challenging to account for true integration and coordination of care between the physical and behavioral health teams. This silo has made creating staff education challenging. The following describes these three Integrated Care Teams:
1. Seriously Mentally Ill (SMI) integration (Connective Behavioral Health Category) – These are SMI members who were determined seriously ill but have active recovery and the skills and ability to independently manage their systems with quarterly medication management/refills.
2. Integrated Children Navigators …show more content…
Triple Aim
Improving the patient experience of care (including quality and satisfaction) – The goal of my project is to educate and staff on how receiving co-located integrated services in the same clinic improves the care of patients. The challenging part is helping the staff understand this is not a task just for the Physical Health team, but a collaborated effort between the Physical health and Behavioral Health Team at the clinic. Improving the health of populations – Educate staff on how to improve patient population through collaboration with the integrated team and external physical health specialist like endocrinologist, cardiologist etc. Reducing the per capita cost of health care - Staff and patients are unaware nor interested on how integrated care reduces cost of care. I hope staff and patient education will provide a better understanding on cost-savings through integrated care.
2) Context for the problem/situation [e.g., time frame, relevant business factors, protagonist and key