Cost and Quality Impact of Intermountain's Mental Health Integration Program

摘要: Most patients with mental health (MH) conditions, such as depression, receive care for their conditions from a primary physician (PCP) in health/medical home. Providing MH care, however, presents many challenges the PCP, including (1) difficulty of getting needed consultation an specialist; (2) time constraints busy PCP practice; (3) complicated nature recognizing which may be described only somatic complaints; (4) barriers to reimbursement and compensation; (5) associated medical social comorbidities. Practice managers, emergency departments, plans are stretched provide complex unmet needs. At same time, payment reform linked accountable organizations and/or episodic bundle payments, parity rules, increasing costs large employers payers all highlight critical need identify high-quality, efficient, integrated delivery practices. Over past ten years, Intermountain Healthcare has developed team-based approach-known integration (MHI)-for caring these families. The team includes PCPs staff, they, turn, professionals, community resources, management, patient his or her family. model goes far beyond co-location its approach; it is operationalized at clinic, thereby improving both staff satisfaction. Patients treated MHI clinics also show improved satisfaction, lower costs, better quality outcomes. program financially sustainable routinized without subsidies. successful approach homes.