Riddle me this: I am a system that is active and essential in healthcare, but a complete mystery to most healthcare professionals. Answer: a patient attribution system! Hopefully you did not peek at the title of my post. Did you get the right answer? Don’t worry if you did not guess a patient attribution system. […]
Three years ago the Collaborative Family Healthcare Association (CFHA) set out to report on the spread of integrated care across the United States primary care system. Our initial report on findings in 2020 elicited interesting findings on the breadth and types of care being provided. Here we provided updated data which appears to demonstrate greater […]
5 Minute Read Family medicine residency programs have long had behaviorists as part of the educational experience for physicians-in-training, but the role has not kept up with the many changes in training and healthcare over the last few decades. And so you have behavioral science faculty with unclear and often conflicting mandates for their work, […]
Maybe one of the only positives of the COVID-19 pandemic has been an increase in attention to the long-standing crisis in behavioral health and the movement to address the systemic barriers which prevent people from getting care. President Biden has announced a national strategy to address the mental health crisis. The Department of Health and […]
5 minute read Once upon a time, I was a behavioral medicine director at a family medicine clinic in North Carolina. Part of my job was to monitor the patient waiting list. We had normal delays like confirmation of benefits and no appointment slots. My goal was to schedule new patient appointments within 1-2 weeks […]
3 minute read The history of medicine is a massive and fascinating subject. It shows that, over time, the goals and locations of doctors have changed. From the bedside to the library and from the hospital to the laboratory, doctors have sought out the innovation and evidence that compose our healthcare system today. In the […]
3 minute read The House Committee on Energy and Commerce recently advanced to the house a package of bipartisan legislation geared towards improving mental and behavioral health treatment, as well as providing substance use disorder care. If passed, this bill would have direct impact on integrated care programs throughout the U.S. I will highlight some […]
4 minute read. Original post available here With onboarding our new behavioral health consultant (BHC) interns and family medicine (FM) residents, we have had numerous conversations and presentations regarding the importance of integrating a contextual, compassionate approach to healthcare. Regardless of it being delivered by a BHC, by a primary care provider (PCP), by a […]
7 minute read Healthcare today is a team activity. The rapid accumulation of specialized knowledge in healthcare has created a substantial need for partnerships between medical and mental health practitioners. Physicians, nurses, psychologists, pharmacists, and other health professionals must work together for patient-centered care to become a reality. These partnerships are best reflected in a […]
15 minute read If you’re looking for the hottest research, then swipe right here. This serial post covers several categories of research in integrated behavioral healthcare over the past 4-6 months. As always, I include the titles and abstracts below each research category. Click on the titles to access the full article. The top article […]
Our community is a rarity in the healthcare world. We do not represent a guild. We do not represent a sector of the healthcare industry. We do not represent a disease category. We represent an idea. That idea is that healthcare works best when professionals, in tandem with families and their communities, work together within […]
3 minute read Efficient care and high productivity are essential elements for behavioral health consultants (BHC) practicing the Primary Care Behavioral Health (PCBH) model. But there can be quite a bit of variability in how clinics measure quality and productivity. Metrics can include the number of patients seen, the relative value of each intervention provided, […]
5 minute read “… I normally see patients for 3-6 visits.” “… we will focus on the symptoms that are getting in your way right now and help you to connect to something longer term if needed.” “… I can help with x, y, and z but if you need help with a, b, and […]
10 Minute Read Our conversations tell us a lot about who we are, so we thought it would be a good idea to review our top list serve conversations for 2020. Before those of you who are not members of the Collaborative Family Healthcare Association (CFHA) stop reading, let me convince you as to why […]
Five minute read Hearing a child or youth say that they want to die can be a scary experience for any behavioral health professional. When I was a newly minted BHC, I found myself in a complex juggling act of supporting my medical team, taking my patient’s suicidal ideation (SI) seriously while understanding variations in […]
5 minute read. Original post available here. Starting and sustaining a movement in healthcare is tough business, unless there is a plan and resources for dissemination. The movement to integrate behavioral health services into primary care began in diverse places, but now appears to have serious momentum. The challenges facing integration today are many and include […]
15 minute read If you’re looking for a break from election and pandemic news, you came to the right place. This post covers the best research in integrated behavioral healthcare over the past 4-6 months. First, check out the recent special issue on pediatrics and collaborative care in the Pediatrics Annal journal. You will find […]
5 Minute Read This is a first. To our knowledge no systematic effort to account for the number of practices providing integrated behavioral health services in the United States has been undertaken, other than efforts to identify colocated providers in a geographical space. To be sure the data collected has its limitations and this blog […]
