|
Take the first step
Due to the different types of practices, uncertainty about
the prevalence levels within their patient population and
their specific funding situations, it is not always clear
what level of integration is optimal. Rather than trying
to plan, justify and fund an Integrated Behavioral Health
program in a single step, it is better to define a migration
path, demonstrate need and increase the level of integration
appropriately.
The first step in this migration path is to start an automated
screening program (screening is needed for all levels of integration
anyway). Within a relatively short period of time (100
- 200 cases) and small cost, a prevalence graph like the one
shown above, may be automatically generated that will break
down your practice's population with a reasonable degree of
certainty and you will have the data to show the initial level
of need for Behavioral Health services.
The natural reaction to taking this first step is that it will
open the flood gates.
This does not happen in practice. Adoption of the screening
program is a slow process and automated electronic screening
is at least time neutral. Specifically, the time required to
process screening results are offset by the time saved getting to the root causes of presented problems
that are masked by psycho-social issues (estimated nationally at
partially up to 70% of the time and exclusively 20% of the time).
The PCP is better able to treat (medications or counseling)
or refer appropriately and their job has not really changed,
they just have better information to do it.
Once your practice gets a handle on the prevalence distribution
for its population, you can take the next step, looking at
whether it would be cost-effective to support the PCPs with a
Behavioral Health Care Coordinator/program or possibly move to a
Triage Therapist or Behavioral Health Consultant on staff. Move to the higher
levels of integration, only when it makes sense.
|