Presenters
Summary
Integrated care has been touted as a potential cost savings model based in part on the mechanism of medical (physical health) cost offsets (NASMHPD, 2015; Reiss Brennan et al., 2010). There is, however, limited replication of these savings/offsets and lack of consensus about impact of different integrated care models, levels, and interventions on economic outcomes (Damery et al., 2016; Hwang, 2013). In this presentation, we will share pre/post data on Emergency Department (ED) utilization (and primary diagnosis associated with ED visit) before and after participants enrolled in an integrated behavioral health care program based within their primary care clinic setting. We will discuss implications for future studies as well as for clinical, operational, and financial aspects of integrated care.
Workshop Downloads
Objectives
- Explore the relationship between ED utilization, behavioral health needs, and access to integrated behavioral health care.
- Discuss findings and implications of an economic analysis of ED utilization patterns before and after participant enrollment in an integrated behavioral health care program.
- Identify potential applications of care utilization findings to other primary care and/or specialty clinic settings.
References
- Chen, D., Torstrick, A. M., Crupi, R., Schwartz, J. E., Frankel, I., & Brondolo, E. (2019). Reducing emergency department visits among older adults: A demonstration project evaluation of a low-intensity integrated care model.Journal of Integrated Care, 27(1), 37-49. doi:10.1108/JICA-02-2018-0011
- Serrano, N., Prince, R., Fondow, M., & Kushner, K. (2018). Does the primary care behavioral health model reduce emergency department visits? Health Services Research, 53(6), 4529-4542. doi:10.1111/1475-6773.12862
- Waters, H. C., Furukawa, M. F., & Jorissen, S. L. (2018). Evaluating the impact of integrated care on service utilization in serious mental illness. Community Mental Health Journal, 54(8), 1101-1108. doi:10.1007/s10597-018-0297-x
- Breslau, J., Leckman-Westin, E., Han, B., Pritam, R., Guarasi, D., Horvitz-Lennon, M., . . . Yu, H. (2018). Impact of a mental health based primary care program on emergency department visits and inpatient stays. General Hospital Psychiatry, 52, 8-13. doi:10.1016/j.genhosppsych.2018.02.008
- Fryer, A., Friedberg, M. W., Thompson, R. W., & Singer, S. J. (2017). Patient perceptions of integrated care and their relationship to utilization of emergency, inpatient and outpatient services. Healthcare, 5(4), 183-193. doi:10.1016/j.hjdsi.2016.12.005
