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Creating and Managing an Integrated Primary Care Practice

 A Mini-Course for Administrators and Physician Leaders

Faculty: Alexander Blount, EdD and Ronald Adler, MD

10:30am - 12:30pm EST

Introduction to Integrated Primary Care (2 hours)

-     Healthcare crisis in the US and current transformation processes (PCMH, ACO)

-     Role of Primary Care (PC) in healthcare transformation nationally and in each health system.

-     Integrated Primary Care (IPC) is best thought of an expansion and enriching of Primary Care rather than as a changing of venue for mental health or substance abuse services.

-     Behavioral Health (BH) needs in PC and how these needs are presented.

-     Program types for adding BH services for PC patients.

-     Cost and outcome evidence related to truly integrated models when compared to coordinated and co-located models.


1:00-3:00pm EST

Transforming the Organization  (2 hours)

-          Role of leadership in successful integration.

-          Envisioning the future model of integrated practice and setting goals

-          The advantage of using the transformation to IPC as a platform for Patient Centered Medical Home transformation.

-          Make up of the Leadership Team (LT) that shepherds the organization through the process of integration (administrator, physician “champion”, behavioral health lead, nursing lead, office administration lead)

-          Areas of research that the LT needs to undertake.

-          Planning for the transformation of workflows with minimal disruption.


3:30 – 5:30pm EST

Transforming Clinical Practice  (2 hours)

-          How LT members can bring Clinical Team (CT) members into the workflow change.

-          From “physician led team” to “team supported physician” .

-          The advantages of leveraging screening into a new workflow.

-          Role clarity and task flexibility in successful teams.

-          How team members learn to pass a relationship with the patient to other team members.

-          The roles of BHC, Care Manager (CM) and Care Coordinator (CC) on the team, especially where there is not a different person for each role.

-          Team work-practices that save time and increase patient activation and patient team membership.

-          Evolving documentation to maximize financial return.