The Integrated Care Podcast

The CFHA Podcast Team discusses a recent list serve discussion that went viral on warm handoffs.

The CFHA Team interviews Drs. Julie Oyemaja & Brian Sandoval along with the co-editors of a special edition in the Journal of Clinical Psychology in Medical Settings. It's all things PCBH in this podcast as we look at the big trends related to PCBH in this special edition.

The CFHA podcast team gets together to discuss their favorite upcoming sessions at the CFHA conference in October (http://integratedcareconference.com)and briefly discuss core competencies for team members on integrated care teams. Show notes coming soon.

The CFHA Podcast team discusses the models of integrated care, why they are important, how they have differing goals, and how they are the training wheels of workforce development. Also, featured is an interview with Joan Fleishman, PhD who discusses her history as a program developer and behavioral director in a now large integrated primary care clinic. April 2018 Show Notes Announcements: CFHA Annual Conference | October 18, Rochester, NY News Items: Grace: Congressman Vern Buchanan Says These are Seven Ways to Attack Opioid Epidemic | Bradenton Herald Jeffrey: Literacy-Adapted Cognitive Behavioral Therapy versus Education for Chronic Pain at Low-Income Clinics: A Randomized Controlled Trial | Annals of Internal Medicine Deepu: Senate Finance Panel's Opioid Hearing to Focus on Changes to Medicare, Medicaid | Morning Consult Senate Finance Committee Bipartisan Initiative: Addressing Substance Use Disorder and the Opioid Epidemic | Morning Consult Neftali: Does the Primary Care Behavioral Health Model Reduce Emergency Department Visits? | Health Services Research Also mentioned: Eugene S. Farley, Jr. Health Policy Center | Aurora, Colorado Creating a Culture of Whole Health | Eugene S. Farley, Jr. Health Policy Center Make Health Whole Website | Eugene S. Farley, Jr. Health Policy Center Topic Discussion: AIMS Center (Collaborative Care resources & Implementation Research) | University of Washington Collaborative Care Implementation Guide | AIMS Center Behavioral Health Integration and Complex Care Initiative Culture Eats Strategy for Lunch | Curt Coffman & Kathie Sorensen Special Segment: Faculty page of Dr. Joan Fleishman | Oregon Health & Science University Trauma Informed Care Benefiting Both Patients and Staff | Trauma Informed Oregon Brené Brown’s Website

The CFHA Podcast Team discusses the work of community health workers, promotoras, peer specialists, care managers and other new members of the modern medical care team. Special segments include a review of the Association for Community Health Improvement Conference by Dr. Jeffrey Ring and an interview with Family, Systems & Health co-editor Dr. Jodi Polaha who sponsored a conference recently on the podcast topic. News Items: Deepu: https://theincidentaleconomist.com/wordpress/do-antidepressants-work/ Grace: https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm599560.htm Amber: https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2017.9b9 More information about the Brief Addiction Monitor mentioned in Amber’s news item: https://manual.jointcommission.org/BHCInstruments/RomInstr00017 Neftali: https://www.macrumors.com/2018/01/24/apple-health-records-update/ Topic Discussion: Faculty webpage of Dr. Frank DeGruy, whose talk Deepu summarized for us: http://www.ucdenver.edu/academics/colleges/medicalschool/departments/familymed/about/faculty/Pages/FrankdeGruy.aspx The four websites Deepu was recommended to follow were: https://theincidentaleconomist.com https://morningconsult.com/ http://thehealthcareblog.com http://healthcare-economist.com Website for Dr. Parinda Khatri with Cherokee Health (also cited by Deepu): https://www.cherokeehealth.com/about-us/our-leadership-team Website for Dr. Katie Kanzler who is doing the work with Promotoras & Acceptance and Commitment Therapy: http://profiles.uthscsa.edu/?pid=profile&id=47C0WR06D; https://reach.uthscsa.edu/node/108 SAMSHA-HRSA Center for Integrated Health Solutions page on Peer Providers - https://www.integration.samhsa.gov/workforce/team-members/peer-providers The Rural Health Info Hub has a helpful, brief explanation of some of the types of care coordinators: https://www.ruralhealthinfo.org/toolkits/care-coordination/2/care-coordinator-model/types Jeff’s Segment Association for Community Health Improvement: http://www.healthycommunities.org/ The Institute for Diversity & Health Equity (Affiliate of the American Hospital Association): http://www.diversityconnection.org/ Equity of Care Pledge: http://www.equityofcare.org/pledge/online-form.shtml National Urban League: https://www.nuljobsnetwork.com/ American Public Health Association: https://www.apha.org/ Jodi’s Segment Dr. Jodi Polaha’s faculty page: https://www.etsu.edu/com/familymed/faculty/polaha_jodi.php A 2017 Profile of the work being done by Dr. Polaha’s team that was published in the Atlantic: https://www.theatlantic.com/health/archive/2017/06/therapy-for-everybody/531120/ AAFP Risk Stratified Care Management Rubric - Preview & link to purchase (free to AAFP members): https://nf.aafp.org/Shop/practice-transformation/risk-stratified-care-mgmt-rubric Peek, C.J., Baird, M.A., & Coleman, E. (2009). Primary care for patient complexity, not only disease. Families, Systems & Health, 27, 287-302. doi: 10.1037/a0018048 In this article from CFHA’s journal Families, Systems, and Health, the authors argue that an organized method for assessing complexity is necessary for providing patient-centered (rather than solely disease-focused) care. Reddy, A., Sessums, L., Gupta, R., Jin, J., Day, T., Finke, B., & Bitton, A. (2017). Risk stratification methods and provision of care management services in Comprehensive Primary Care Initiative practices. Annals of Family Medicine, 15, 451-454. doi: 10.1370/afm.2124 This study reviews four methods that practices use to stratify patient risk, including the AAFP rubric that Dr. Polaha mentioned. Closing Discussion The MeHAF Tool for assessing integration: http://www.mehaf.org/learning-resources/tools-materials/ (Neftali specifically referenced the Integrated Care Site Self Assessment Survey)

Social justice and integrated care overlap. Why? How? Listen in as the CFHA podcast team discusses how the two are inexorably intertwined. Show notes: Announcement Links: 2018 Conference Information: http://www.integratedcareconference.com/ March ACEs Webinar: http://www.cfha.net/page/Webinars IntegratedCareNews.com: http://www.integratedcarenews.com/ News Items: Fifty years after the Kerner Commission, a new report cites the same concerns about race and poverty | The Washington Post: https://www.washingtonpost.com/news/post-nation/wp/2018/02/26/fifty-years-after-the-kerner-commission-a-new-report-cites-some-of-the-same-concerns-about-race-and-poverty/ 50 Years After the Kerner Commission | Economic Policy Institute: https://www.epi.org/publication/50-years-after-the-kerner-commission/ "I Was Almost a School Shooter" | Youtube: https://www.youtube.com/watch?v=0szyYWi9rBo Respect first, Then gun control | The New York Times:https://www.nytimes.com/2018/02/19/opinion/parkland-gun-control-shootings.html

The CFHA (Collaborative Family Healthcare Association) podcast team gets off to a rocking start with team introductions and our first "In The News" segment where we riff off of the latest news impacting the world of healthcare and integrated care. Show notes are below! News Articles: Neftali - https://www.samhsa.gov/health-information-technology/laws-regulations-guidelines Jeff - https://www.nih.gov/news-events/news-releases/nih-study-shows-steep-increase-rate-alcohol-related-er-visits Grace - https://www.medscape.com/viewarticle/891504 Deepu - https://www.washingtonpost.com/national/health-science/what-ive-learned-from-my-tally-of-757-doctor-suicides/2018/01/12/b0ea9126-eb50-11e7-9f92-10a2203f6c8d_story.html Pamela Wible's Ted Talk: https://www.tedmed.com/talks/show?id=528918 Other resources referenced: Unbroken Brain: A Revolutionary New Way of Understanding Addiction by Maia Szalavitz Author's website: http://maiasz.com/books/unbroken-brain/ NPR Fresh Air feature: https://www.npr.org/sections/health-shots/2016/07/07/485087604/unbroken-brain-explains-why-tough-treatment-doesnt-help-drug-addicts The Heart and the Bottle by Oliver Jeffers Author's website: http://www.oliverjeffers.com/picture-books/heart-and-the-bottle A Return to Love: Reflections on the Principles of a Course in Miracles by Marianne Williamson Author's website: https://marianne.com/a-return-to-love/

This brief snippet introduces the podcast and teases our format for 2018. The podcast will cover all sorts of topics related to the world of integrated care. This podcast is sponsored by the Collaborative Family Healthcare Association.