@aalvarez: Here were Cherokee’s responses to your follow up questions:
1. Is there any information about their Integrated Care Training Academy or example training materials available? We can include you in our emails about the Training Academies – I will ask Tish Quillen, our national training coordinator, to send you the information for you to disseminate to the group. We would love to see folks again for a deeper dive into integrated care.
2. How long is a behavioral health appointment there (I think I heard 30 minutes?) For our behaviorists in primary care, we typically schedule 3 patients an hour – new patients are typically 22 -25 minutes, and follow ups are usually 20 minutes. For our speciality mental health folks, appointments are usually 30 minutes or 45 minutes (for intakes).
3. And how long is a medical (PCP) appointment? 30 min for new, 15 min for follow up. In our Center City clinic (where you visited), we are experimenting with 3 patients an hour, regardless if they are new or follow up (e.g. 3 (15 min blocks) with 1 (15 min) open block to allow for provider flexibility. So far this seems to be working well.
4. What are the productivity standards for BH Providers and infrastructure supports in achieving that, and what are the percentages of direct service time versus follow up and admin? Behavioral Health Consultants in primary care – 12-15 per day; Traditional therapists – 7 per day. We usually have all time except for treatment team and supervision dedicated for direct clinical time. If someone has administrative responsibilities (e.g. clinical director), they do have admin time blocked. We do periodically block time for care coordination (e.g. all of our alcohol and drug treatment clinicians have some time weekly allocated for team huddles for continuity of care).
5. Would they be willing to do a webinar on their BPSA stratification? This is really an internal way we decided to approach measurement of complexity – we wanted a paradigm for assessment of social and psychological, as well as medical, factors associated with complexity. Overall stratification is a culmination of a multitude of clinical, operational, and community factors. In short, it would be a reach to rely solely on BPSA as a standalone tool or topic for a webinar. We wish it was that simple!