PCMH Northeastern PA Learning Session - July 27, 2022

July 27, 2022

The responses from the PCMHs after the last Learning Sessions informed us that due to COVID they where screening and responding to more mental health concerns and wanted to have more resources, especially via the managed care
organizations or other alternate roles for their staff or initiation of hiring for integrated care to respond to this demand. The data shows an increase in tobacco use and the PCMHs are wanting workflows and counselling information to
standardize their processes.

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 – Yvonne Kuhenbeaker, Manager, Health Promotions, American Lung Association in Pennsylvania

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 

Amie Hoffman, LCSW, MHA, Director of Behavioral Health Management, Geisinger Health Plan 
Scott Constantini, AVP of Primary Care and Recovery Services, The Wright Center

10:45 a.m. to 11:00 a.m. – Break

11:00 a.m. to 12:00 p.m. – Working Session: How to Refer Patients to Special Needs Units (SNUs) and Coordinate Whole Person Care with Integrated Care Plans (ICPs) to Improve Outcomes – Facilitated by Carol Frazer, LPC, Jen Condel, SCT(ASCP)MT, Pauline Taylor, and Robert Ferguson, PRHI 

MCOs: please be prepared to discuss:
How does your MCO send the ICPs to PCMHs?
If this process involves obtaining consents at the MCO-level to share information for care coordination purposes, which consent forms are used and for what purposes?
Does your MCO SNU team have a process for closing the loop on referrals from PCMHs?

PCMHs: 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 MCO 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 3:00 p.m. – Working Session: Why and How to Establish Roles and Competencies within Primary Care Settings to Follow-up and Care for Mental Health – Facilitated by Carol Frazer, LPC, Jen Condel, SCT(ASCP)MT, Pauline Taylor, and Robert Ferguson, PRHI 

PCMHs: 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 team 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. – Break

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

The PCMHs will have an opportunity to reflect and report out on their key takeaways, and complete the Depression Screening and Follow-up Survey for July 2022 to help prioritize next steps

 

Target Audience

Nurse

Physician

Social Worker

Learning Objectives

Describe how to become a certified, billable Tobacco Cessation Counseling provider or how to refer patients to Tobacco Cessation Counseling providers in your region

Describe best practices for receiving Integrated Care Plans (ICPs) and using this information to improve care coordination and outcomes for patients with serious mental illness

Describe how and when to refer patients to the Physical Health MCOs’ Special Needs Units (SNUs)

Discuss standard work for integrating mental healthcare and follow-up in primary care settings

 

Course summary
Available credit: 
  • 6.50 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 6.50 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 6.50 ASWB
  • 6.50 Attendance
Course opens: 
07/27/2022
Course expires: 
10/31/2022
Event starts: 
07/27/2022 - 8:30am EDT
Event ends: 
07/27/2022 - 4:00pm EDT

The responses from the PCMHs after the last Learning Sessions informed us that due to COVID they where screening and responding to more mental health concerns and wanted to have more resources, especially via the managed care
organizations or other alternate roles for their staff or initiation of hiring for integrated care to respond to this demand. The data shows an increase in tobacco use and the PCMHs are wanting workflows and counselling information to
standardize their processes.

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 – Yvonne Kuhenbeaker, Manager, Health Promotions, American Lung Association in Pennsylvania

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 

Amie Hoffman, LCSW, MHA, Director of Behavioral Health Management, Geisinger Health Plan 
Scott Constantini, AVP of Primary Care and Recovery Services, The Wright Center

10:45 a.m. to 11:00 a.m. – Break

11:00 a.m. to 12:00 p.m. – Working Session: How to Refer Patients to Special Needs Units (SNUs) and Coordinate Whole Person Care with Integrated Care Plans (ICPs) to Improve Outcomes – Facilitated by Carol Frazer, LPC, Jen Condel, SCT(ASCP)MT, Pauline Taylor, and Robert Ferguson, PRHI 

MCOs: please be prepared to discuss:
How does your MCO send the ICPs to PCMHs?
If this process involves obtaining consents at the MCO-level to share information for care coordination purposes, which consent forms are used and for what purposes?
Does your MCO SNU team have a process for closing the loop on referrals from PCMHs?

PCMHs: 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 MCO 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 3:00 p.m. – Working Session: Why and How to Establish Roles and Competencies within Primary Care Settings to Follow-up and Care for Mental Health – Facilitated by Carol Frazer, LPC, Jen Condel, SCT(ASCP)MT, Pauline Taylor, and Robert Ferguson, PRHI 

PCMHs: 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 team 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. – Break

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

The PCMHs will have an opportunity to reflect and report out on their key takeaways, and complete the Depression Screening and Follow-up Survey for July 2022 to help prioritize next steps

 

Zoom Meeting
Pittsburgh, PA
United States

Robert Ferguson, MPH, Chief Policy Officer, Pittsburgh Regional Health Initiative (PRHI)
Yvonne Kuhenbeaker, Manager, Health Promotions, American Lung Association in Pennsylvania
Amie Hoffman, LCSW, MHA, Director of Behavioral Health Management, Geisinger Health Plan 
Scott Constantini, AVP of Primary Care and Recovery Services, The Wright Center
Carol Frazer, LPC, Jen Condel, SCT(ASCP)MT
Pauline Taylor, and Robert Ferguson, PRHI 
Jen Condel, SCT(ASCP)MT
 

In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and The Jewish Healthcare Foundation. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 6.5 continuing education credits.

Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 6.5 contact hours.

Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 6.5 contact hours.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

Available Credit

  • 6.50 AMA PRA Category 1 Credit™
    The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  • 6.50 ANCC
    UPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
  • 6.50 ASWB
  • 6.50 Attendance
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