VIable

NDHI
NAT IONAL DIALOGUE FOR
Healthcare Innovation
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Reviews patient case with the consulting psychiatrist
to obtain recommendations
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Communicates psychiatrist recommendations
to the PCP
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Follows up with the patient on the PCP’s care
plan, by:
--
Implementing stepped treatment, using
evidence-based guidelines and weekly
case reviews
--
Monitoring patient progress
--
Making referrals to therapy or psychiatry
when necessary
This coordinated care team enables a stepped approach
to treatment, ensuring that the most effective care
is delivered to patients when it is clinically required,
based on the patients’ responses to previous treatment
approaches.
The maximum length of the program is 12 months,
and patients are dis-enrolled if they:
• Transfer care
• Refuse care/services
• Remit and have three consecutive months
in remission
While the outcomes have not yet been validated,
Marshfield Clinic expects to see:
• A reduction in patient claims for mental
health treatment
• A reduction in ER visits
• A decrease in visits to the primary care
The health system is also hoping to work with one of
its payers to determine overall change in cost of care
to patient after 18 months in the program.
Path Forward
In the short term, Marshfield Clinic is in the process of
expanding the program to one site in the West District:
Marshfield Clinic Ladysmith Center. The health system
is also collecting outcomes data to determine the value
of the program in improving outcomes and reducing
costs over an 18 month period.
In the long term, Marshfield Clinic aims to demonstrate
the value of this program to insurers using outcomes
data, with the ultimate goal to achieve reimbursement
for this model as a billable service. Reimbursement
from insurers would enable expansion of the Integrated
Care Model at the health system.
• Are released, by physician discretion
Value Delivered
Marshfield Clinic is currently collecting outcomes data to
demonstrate changes in depression and anxiety symptoms
for patients enrolled in the Integrated Care Model.
Behavioral Health Integrated Care Model
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