WILLIAM GUNN, PH.D. - - DIRECTOR OF PRIMARY CARE BEHAVIORAL HEALTH, NH-DARTMOUTH FAMILY PRACTICE RESIDENCY PROGRAM AT

CONCORD HOSPITAL, CONCORD, NH AND

CATHY M. HUDGINS, PH.D. , LPC, LMFT - - ASSISTANT PROFESSOR/DIRECTOR OF THE

RADFORD UNIVERSITY CENTER FOR INTEGRATED CARE TRAINING AND RESEARCH

Developing Regional Initiatives to Promote Integrated Care, Share Knowledge, and Influence Policy

Collaborative Family Healthcare Association 14th Annual ConferenceOctober 4-6, 2012 Austin, Texas U.S.A.

Session #D1bOctober 5, 2012

Faculty Disclosure

Please include ONE of the following statements:I/We have not had any relevant financial

relationships during the past 12 months.

Objectives

Introduce regional initiatives related to integrated care in which the presenters are currently involved.

Discuss the benefits of organizing regional initiatives for funding, expanding, training, and promoting integrated care systems.

Discuss how regions could be defined. Invite participants to join further discussions on

developing regional divisions across the country.

Learning Assessment

A learning assessment is required for CE credit.

Attention Presenters:Please incorporate audience interaction through a

brief Question & Answer period during or at the conclusion of your presentation.

This component MUST be done in lieu of a written pre- or post-test based on your learning objectives

to satisfy accreditation requirements.

Background

The evolution of CFHA as a national initiativeRegional initiatives began to form

Defining Your Region

How are regions defined?GeographicallyPoliticallyEconomicallyIntellectuallyOthers?

Regional Partnerships

Community-based partners Mental Health Medical

Academic partners Researchers Training programs

Government partnersOther stakeholders

Benefits of Forming Regional Initiatives

Information exchange and transfer to build more efficient, effective Integrated Care systems

Funding Collaborative projects to present to funding sources

Influence on policyFurthering Integrated Care as a model of

care

New Hampshire Experience

Very small state – 1.2 million lives, 50% very rural

Ten areas served by health centers and mental health centers

Variable cooperation and varying modelsMost have some degree of integration but all

separate entities

New Hampshire: The Beginning

2008, first meeting in the fall, called the NH collaborative sponsored by the newly formed Mental Health Council

Only involved people in programs which had invested some programming in integration

Mostly FQHC’s, some mental health center involvement

Mostly clinicians

Beginnings (cont.)

Half-day meetings on a Friday morningFirst two years met every other monthSome administrators, finance officers presentFocus was on clinical models and sharing

best (sustainable) practicesOne health center had engaged

Intermountain with a grant

Beginnings (cont.)

Stimulated by research project from Antioch NE University, Jim Fauth, principal investigator

Funded by a local foundation, the Endowment for Health

Five health centers involved, local control of process, each center chose its own focus – diabetes, chronic pain, etc.

2009-2011

Meetings moved to twice a year, plenary talks from local innovators from Massachusetts, Vermont, and Maine

Continued “check ins” and shared successes and barriers

Began to look at financial barriers and ways that these issues can be addressed

Continue to have good involvement

Current

April 2012 – meeting with Maine representatives and discussion of forming a regional collaborative with New England States

Current name is the Northeast Learning Community, values statement and mission evolving – Education, Advocacy, Quality improvement

Representatives from all six states identified, monthly phone calls

Partnership with other Organizations

Family Medicine Education Consortium – formerly Northeast STFM, focused on promoting primary care and developing initiatives that are cutting edge in primary care

CFHA – a model for developing regional “chapters’ or “learning communities in the country

Virginia Initiative: The Beginning

Bill McFeature, Director of Southwest Virginia Community Health Centers Integrative Behavioral Health Care Services

Virginia Health Association Meeting in 2009 focused on Integrated Care, featuring Kirk Stroshal

SVCHS’s growth and outreach

Regional Partnerships and Outreach

Growing support by the Virginia Community Health Association and the Virginia Community Foundation

The first Regional Integrated Care Conference at Radford University, Co-sponsored in 2011

The Development of the Radford University Center for Integrated Care Training and Research in 2011

Regional Initiatives Cont’d

Multi-disciplinary consulting Team formed to provide training sessions for the state and beyond

The Mid-Atlantic Integrated Care Conference in 2012

Community partnership projects to attract grant funding

Future projects

Conceptualizing Your Region

What makes sense in your region?

What are your community’s needs and capacities?

Current initiatives and partnerships?

Conclusion

A dream you dream alone is only a dream.A dream you dream together becomes reality.

- John Lennon

Session EvaluationPlease complete and return the

evaluation form to the classroom monitor before leaving this session.

Thank you!