Unit Four: Systems Oriented Practice
Chapter 16: Primary care systems and management
Unit Four: Class One
Learning Objectives
4.1.1. Explain the current standards for systems oriented practice models for delivery of primary care.
4.1.2. List three way you might have to adjust the delivery of care under CMS guidelines, ACOs, MCOs, HMOs, medical homes, or health insurance exchanges.
4.1.3. Summarize three effective evidence-based practices identified in practice management case scenarios.
4.1.4. List the pros and cons of both clinical outcomes and cost-effectiveness strategies in decision-making about the organization and delivery of services.
4.1.5. Explain two successful strategies in combining problem-based and behavior-based systems oriented practices.
Reading Assignments
Textbook:
- Integrated Care: Working at the Interface of Primary Care and Behavioral Health; Behavioral Health Homes -Chapter 9, pgs 193-215
Online Articles:
Excerpts from:
- A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration: Observations From Exemplary Sites; AHRQ-funded guidebook (3/2015)
- Managing Populations, Maximizing Technology: Population Health Management in the Medical Neighborhood; Patient-Centered Primary Care Collaborative, 10/2013
-
The Primary Team Guide; The Robert Wood Johnson Foundation, “The Primary Care Team: Learning From Effective Ambulatory Practices”
The Collaborative Care Toolkit:
Advancing Integrated Mental Health Solutions, University of Washington
As recommended by the text: Integrated Care: Creating Effective Mental and Primary Health Care Teams
Link: https://aims.uw.edu/collaborative-care
- Job Descriptions: CM, Psychiatrist
- Template to Introduce the Team
- Building a Registry
- Initial Care Manager Assessment
- Follow-up Care Manager Note
- Relapse Prevention Plan
- Case Review: Care Manager with PCP
- Case Review: Care Manager with Psychiatric Consultant
- Brief Medication Prescribing
- A Guide for Developing Primary Care Protocols for Psychiatric Emergencies
- Clinical Workflow Plan
- Population-Based Tracking System
- Principles and Tasks Checklist
- Scope of Practice
