Benjamin Fontes, MPH, CBSP CITI Developers Meeting Key West, FL May 20, 2009.
Benjamin Druss MD, MPH Knowledge Network Summit October 3, 2013
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Transcript of Benjamin Druss MD, MPH Knowledge Network Summit October 3, 2013
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IMPROVING HEALTH AND HEALTHCARE FOR MENTAL HEALTH CONSUMERS: FROM RESEARCH TO PRACTICE AND BACK AGAIN
Benjamin Druss MD, MPHKnowledge Network SummitOctober 3, 2013
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1. Journal of the American Statistical Association Mar 1932;27(177A):160-174. 2. BMJ. 2011 Sep 13;343:d5422 3. 3. Nord J Psychiatry. 2012 Apr;66(2):97-106. Epub 2011 Aug 23.
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A Widening Gap: Trends in Studies of Excess Mortality in Schizophrenia1
1970s 1980s 1990s1
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Arch Gen Psychiatry. Oct 2007;64(10):1123-1131
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Life Expectancy
Psychiatry Res. 2010 Apr 30;176(2-3):242-5Med Care. 2011 Jun;49(6):599-604
No Mental Disorder Any Mental Disorder General Population
Any Mental Disorder Public Sector
404550556065707580
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Preventable Causes of Death
N Engl J Med. 2007 Sep 20;357(12):1221-8.
Health Care; 10%
Health Behav-iors; 40%
Genetics; 30%
Social/ Env-iornmental;
20%
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Risk FactorsLifestyle
Medications
Chronic Medical Illnesses
A Public Health Approach
Primary Prevention
Wellness programs
Environmental Policies
Secondary Prevention Tertiary Prevention
TreatmentScreening
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FOUR CORNERS WELLNESS PROGRAM
Four Corners seeks to build upon the supportive capacity of the CCSB to expand the scope of wellness and whole health services.
LET’S GET PHYSICAL! o Healthy Breakfasts Provided By Peerso Have YOU had Your Annual Physical?o Nationally Distributed Cookbooko Integrated Healthcare Peer Blogo Certified Fitness instructoro Cooking Demonstrationso Relaxation Roomo Walking Groupso Fitness Room
WELLNESS GROUPSo Stress
Managemento
Recovery/Wellness
o Healthy Living o Leisure Skills o WHAM
COMMUNITY BASED PROGRAMS
o Intensive Case Management
o Linkage To Specialty Careo Home Based
Assessmentso Community Outreacho CSI Services
LET’S GET PHYSICAL!
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Schizophrenia and Bipolar Disorder Measure Set for HEDIS 2013Measure Name First-Year Results for
Medicaid HMOs
Adherence to Antipsychotic Medications for Individuals with Schizophrenia
58.5%
Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications
78.0% (Glucose or HbA1c test)
Diabetes Monitoring for People with Diabetes and Schizophrenia
67.8%
Cardiovascular Monitoring for People with Cardiovascular Disease and Schizophrenia
77.6%
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Building a Health Home for People with SMI
REFER
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Buy: The VA Integrated Care Clinic
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Refer: The Primary Care Access, Referral and Evaluation (PCARE) Project
NIMH R01MH070437
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Costs
0
2000
4000
6000
8000
10000
Tota
l Co
st (
$)
Cont rolCase Cont rolCase1-year 2-year
Probability of cost offset: 92.3% or 96.1% excluding extreme outliers
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Medicaid Health Home State Plan Amendments
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Rent
NIMH R01MH070437
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SAMHSA PBHCI Program
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1. Funded by NIMH R34MH078583\2. Lorig K et al. Med Care. 2001 Nov;39(11):1217-23.
Engaging Patients in Health Care
NIMH R01MH090584
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Supporting Health Homes with IT
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Registries and Measured Care
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Patients: Personal Health Records
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Going Mobile
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MOBILE PERSONAL HEALTH RECORD
mPHR
Medical Records
Medications
Appointments
Messages
Health Goals
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Building Data Infrastructure
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Next Steps
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A Virtuous Cycle
Evidence-Based Practice• Investigator-developed interventions
Practice-Based Evidence• Community-developed interventions