[NYAPRS Enews] OM: The 'Coordinated & Integrated' Care Continuum

[Harvey Rosenthal]

The 'Coordinated & Integrated' Care Continuum

Larry Cesare, Psy.D. Senior Associate, OPEN MINDS  July 31, 2012

 

Developed by OPEN MINDS, 163 York Street, Gettysburg PA 17325,
www.openminds.com.  All rights reserved.

 

With increasing payer and consumer interest in "integrated" and
"coordinated" care, it is important to understand the range of options
to achieve the overarching concept of "collaborative care." 

 

Typically, we think of three models in the collaborative care continuum:

Coordinated care - In this model, medical and behavioral providers
deliver care independently of one another, from separate facilities, and
using separate documentation, billing and business systems. The
"coordinated" aspect of this model relies heavily on remotely sharing
information about common patients. 

Co-located care - Within this model, medical and behavioral providers
still operate independently of each other but have offices in the same
location, thus making referrals and communication between primary and
behavioral providers more likely, and offering consumers a "one-stop"
option for health care needs. 

Integrated care - This is the goal of both consumers and payers -
medical and behavioral providers are on an established team that
operates under the same documentation, financial and business systems,
shares cases, communicate regularly, and cooperates to address the full
range of the patient's medical, psychological and social issues.

 

Even within these three models there can be notable differences based on
the population(s) served, staffing, patient identification,
patient-centeredness, documentation, financing, and outcomes evaluation
(for a deeper look into these differences, check out my article in the
upcoming August edition of the OPEN MINDS Management Newsletter
<http://r20.rs6.net/tn.jsp?e=001v4EQ1UsRT2wAl-UM_WwgNrE0Z-5dDc6Mw7qdCBxP
is45IAXndgGrvuWkBP-upZHPOaPDqnBWWqiGN6PzzHZe6UJqFQLwhYaYx5ZW5LfwLGoB49Rp
2dA1DzF1ZI8ShQeRkF5bLHSrSg3qyXCHjn0R7n9yGVVcOX5qrP7KH8-BHMFNTvw2BQ8yeGyi
uILC7uLWKUuqsC61HNs_6kPiVS6Ovg==> , "Integrated Primary Medical &
Behavioral Care: A Work In Progress"). And, emerging integrated service
delivery models such as ACOs, medical homes, and health homes are also
operating within any of these three models (see 221 Accountable Care
Organizations In Operation
<http://r20.rs6.net/tn.jsp?e=001v4EQ1UsRT2xidi56ACGktKQLvpHNCVDRZElf4rK3
oG5Ls6ZVZcyScH3XGnHOQARKvWGhDQ4gf4daTapvkdpsCTe4TA8fKlO0I_LkccS4-3T6oAVq
_LlaxL5Wm_E7lboVUgu0sYN2UUHj4MdcgzHLTahBdQW3I0zymrAFv1NXlpfixGDEGVhMmZES
IAInuugy>  all members and Medical Home V. Health Home - Confused?
<http://r20.rs6.net/tn.jsp?e=001v4EQ1UsRT2wWLNiblXZ0w7l_VldptqZLVamOYk7V
Fpb2GykJKOM5lFYMKwE4bfU9wKrArO47UvD8MrJy-Ou90P59UI9FRdwUqvEMwhkelogv0l8E
HC0DFWaGFM6-8U17a5_7bRH9ZAiwZJxsTjuMCs8UTNNOp_hJbFM7vD2Az0nbU4RvAVAJJgDB
lLLb-0bXXyxm5xpeR8w=>  all members). 

 

With increasing collaboration as a "must" in all health and human
service systems, the definition of models is an important first step.
And, if you have specific questions or comments about these approaches,
I would love to hear from you at openminds at openminds.com
<mailto:openminds at openminds.com> .

 

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