The Primary Care Provider (PCP) Champion plays a key role on the Clinic Implementation Team (CIT). The CIT is created when a medical practice is planning to implement Collaborative Care. This document outlines the PCP Champion's key responsibilities with the team and their PCP colleagues, as well as the personal and professional characteristics that are most desirable in the role.
Last updated: 4/3/20
List of resources available to support training and ongoing use of the AIMS Center's Patient Tracking Spreadsheet
Based partly on team care models developed at the University of Washington, REACH NOLA trained primary care professionals, case managers, psychologists, and social workers to work together to make cognitive behavioral therapy available in their communities.
A randomized controlled trial that demonstrated the effectiveness of teleheatlh service model to treat ADHD in communities with limited access to specialty mental health services.
Collaborative care proven equally effective for rural American Indian and Alaska native people. Read the article here.
This study at Montefiore Health System found that patients in sites using CoCM experienced a significant reduction in depression symptoms compared with patients in sites using colocation.
A report published by SAMHSA that seeks "solutions to the barriers to the reimbursement of mental health services in primary care settings, specifically reimbursement by Medicare and Medicaid."
The workflow to support integrated behavioral health care models such as collaborative care is a data-driven process, requiring the care team to actively use a caseload management tool. It is important that these tools are used in conjunction with the practice’s electronic health record (EHR) if they are not already built into it. Patient tracking systems that support measurement-based care vary widely in their sophistication, functionality, cost, and scalability.
Options include:
Using a registry tool that tracks clinical outcomes for populations of patients and supports systematic changes in treatment for patients who are not improving as expected is an essential part of successful Collaborative Care programs.
The Centers for Medicare and Medicaid Services released a fact sheet detailing the four G codes that can be used to bill for behavioral health integration (BHI) and collaborative care management (CoCM) services.