The PCMHs are searching for ways to integrate tobacco screening and counseling into their workflows.
The increase in mental health concerns is overwhelming the PCMHs resources so they are looking to improve the structures and processes for knowing when and how to connect patients to the MCO SNU care teams and how to maintain communication with the SNU team to coordinate care and ensure engagement in mental health services and supports.

Agenda:

8:30 a.m. to 8:45 a.m. – Welcome – Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)

8:45 a.m. to 9:45 a.m. – Presentation: Tobacco Cessation Counseling Services – Casey Monroe, MSW, Senior Director, Health Promotion and Disease Prevention, Adagio Health

9:45 a.m. to 10:00 a.m. – Break

10:00 a.m. to 10:45 a.m. – Panel: Examples of How PCMHs, MCO Special Needs Units (SNUs), and the Behavioral and Physical Health Integrated Care Plan (ICP) Program Collaborate to Improve Whole Person Health 

10:45 a.m. to 11:00 a.m. – Transition to Breakouts

11:00 a.m. to 12:00 p.m. – Breakouts: How to Refer Patients to Special Needs Units (SNUs) and Coordinate Whole Person Care with Integrated Care Plans (ICPs) to Improve Outcomes – Facilitated by PRHI

Please be prepared to discuss:
When you receive the ICP Plan, what actions and roles does this trigger to help patients follow-up on referrals to behavioral health treatment and community services?
How and when do you call the SNU hotlines for your patients? What has been your experience when you make this referral and how have the SNUs helped your patients?

12:00 p.m. to 1:00 p.m. – Lunch

1:00 p.m. to 1:45 p.m. - Presentation: Why and How to Establish Roles and Competencies within Primary Care Settings to Follow-up and Care for Mental Health
Angela Kypriotis, MSW, LCSW, Manager Behavioral Health and Social Services, Allegheny Health Network

1:45 p.m. to 2:00 p.m. – Transition to Breakouts

2:00 p.m. to 3:00 p.m. – Breakouts: How to Integrate Mental Healthcare in Primary Care Offices

Please be prepared to discuss:

How does your PCMH introduce and describe the depression screen to patients either verbally, on the electronic screening form, or on the paper screening form?
What key messages and patient education materials do your providers use when reviewing positive depression screening results with patients?
What is your PCMH’s process and protocols for screening for and responding to suicide risk? Based on the regional sessions in the spring, what changes is your team considering?
How is your integrated care team configured (including credentials/type of provider and roles)? What challenges has your PCMH encountered and what has worked well?
If your PCMH team includes a behavioral health consultant or care manager, what is their standard work?
If your PCMH teams includes a consulting psychiatrist, what is their standard work?
How does your PCMH team track the outcomes of the mental health treatment plan to inform adjustments to the care plan (e.g., contact frequency, treatment type such as psychotherapy and/or pharmacotherapy, medication changes, community services/supports, etc.). As a follow-up to the spring sessions, how is your team incorporating the Response and Remission measures into this process?

3:00 p.m. to 3:15 p.m. – Transition to Main Room for Next Steps and Wrap Up

3:15 p.m. to 4:00 p.m. – Key Takeaways, Next Steps, and Wrap up

    We will ask you to reflect on the key takeaways and tactics that you can take back to your 
    team and report out on next steps