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Resources


CLINICAL

List-Serv Discussion on Caseload and No-Shows
List-Serv Discussion on Telemedicine

Memorial Healthcare System Sample Treatment Plan (Recieved via listserv)

Assessments
Sample Health and Wellness Questionnaire (Received via listserv)
The Providence Center Medical Screening Form (Received via listserv)
The Providence Center Mental Health Screening Form (Received via listserv)

Care Coordination Assessment Worksheets
Health Care Provider Agency - Integrated Care Coordination Worksheet
Social Service Agency - Care Coordination Worksheet

COHORT 8 PBHCI GRANTEES (AWARDED SEPTEMBER 2015)

Introduction to PBHCI
Slides | Recording | Resource guide
Project Management - Workflows and Building Buy-In
Slides | Recording
BHICA Webinar
Slides

  1. *To prepare for this webinar, it is encouraged that grantees review the below BHICA and IPAT tools, and view the BHICA webinar.
    BHICA
    IPAT
    BHICA & IPAT Frequently Asked Questions
  2. Creating Your Wellness Component – Selecting and Implementing Evidence-based Practices
    Wednesday, November 18, 2015 • 2:00 – 3:00 PM EST
    View the slides and recording
    Review evidence-based wellness programs and learn how to sustain these programs.
  3. Understanding and Using Data to Inform Implementation 
    Wednesday, December 2, 2015 • 2:00 – 3:00 PM EST • Register here
    Review data collection requirements and learn how population management informs client outcomes.
  4. Strategies and Workflows for Consumer Engagement and Retention 
    Wednesday, December 16, 2015 • 2:00 – 3:00 PM EST • Register here
    Learn how to engage consumers in PBHCI services and keep them engaged. 

Behavioral health disparities impact statement (DIS) resources to assist you in developing a DIS:

BHICA and IPAT: Value Added Assessment Tools 
Completing the BHICA and IPAT assessments will help provider teams, wherever they fall on the continuum of integration, assess the areas where enhancements to care are needed to achieve your integrated care goals. Whether you are a new PBHCI grantee or in your last year, these tools will help assess where you are today, and to identify strategies to move the needle forward in the future.

CONSUMER ENGAGEMENT

Health Interest Survey
Oregon Partnerships for Health Integration - Services Survey 

List-Serv Discussion on Advisory Committees
List-Serv Discussion on Incentives

Patient Satisfaction Survey
Coastal Behavioral Healthcare- Patient Satisfaction Survey (Received via listserv)
Central Oklahoma Community Mental Health Center- Patient Satisfaction Survey (Received via listserv)
ICD- Patient Satisfaction Survey (Received via listserv)
ICD- HealthConnect Patient Satisfaction Survey (Received via listserv)
Patient Satisfaction Survey Sample 1
Patient Satisfaction Survey Sample 2
Patient Satisfaction Survey Sample 3
Patient Satisfaction Survey Sample 4

The Patient Satisfaction Survey, based upon the review of integration literature and input from demonstration site representatives, is a general satisfaction survey developed to improve consumer satisfaction with services and the model, as well as comfort levels with treatment and treatment setting.Sample satisfaction surveys from the Midwest Clinicians Network can be found below:

Webinars
PBHCI Grantee Start Up: Challenges and Opportunities Slides
PBHCI Grantee Client Reassessment Slides and Recording

COMMUNICATION & MEDIA

InSHAPE Newsletter - The Providence Center
Health and Wellness Newsletter - Heritage Behavioral Health
Smoking Cessation Fact Sheet - Community Healthlink
Data Driven Newsletter - Miami Behavioral Health
Health Integration Newsletter - Apalachee Center
Stress Reduction Flyer - Zepf Center
Wellness Events Calendar - San Mateo County
PBHCI Pamphlet - Places for People
PBHCI Client Brochure - Central Minnesota Mental Health Center
Health Home Brochure: Front | Back - Jefferson Center for Mental Health

DATA & EVALUATION

Webinar recording of PBHCI data collection requirements

NOMs Interview & Section H Data Collection
Timeline of PBHCI Data Collection
Fillable PDF of NOMs Interview (developed by Aspenpointe)
Section H Tool

IPP
IPP FAQ

PBHCI Grantee Examples of Patient Registries

  • Population Health Management 101 webinar
    Tuesday, March 10, 2015
    Slides | Recording

Miscellaneous Data Tools from Grantees

Additional data collection

Information about H Indicators

Internal process and outcomes tracking

Measuring staff readiness for integration

Reporting health information to consumers

Reporting outcomes to external stakeholders

Tools to facilitate enrollment and reassessments

Mathematica Cross-Site PBHCI Evaluation

FINANCE/BILLING & SUSTAINABILITY

Sustaining Integrated Services Report - Lessons Learned from PBHCI Alumni

Fact Sheets
Sliding Fee Scale Requirements for Health Centers

Articles
Budget Impact and Sustainability of Medical Care Management for Persons with SMI
MHSA - New York Medicaid Costs Report

Webinars
April 2012 FQHC Billing Webinar Slides and Recording
March 2012 PBHCI Project Sustainability Slides and Recording
November 2011 Introduction to Billing and Reimbursement of Integrated Health Services Slides and Recording

HEALTH INFORMATION TECHNOLOGY

Articles
The HITECH Act and Health Information Technology’s Potential to Build Medical Homes

Webinars
Making HIT Decisions (August 2011)
Making HIT Decisions, Webinar Recording 
Clinical Registries (February 2011)
Clinical Registries, Webinar Recording

INTEGRATED CARE MODELS

Presentations
Healthcare Homes from the Primary Care Perspective (September 2011, Region 2 Meeting)

General Resources
Driving Outcomes in Integration: Profiles of High Achieving Grantees in PBHCI

PRIMARY CARE

Articles
2012 Barriers to Medicaid

Sample Tools
Central Oklahoma Community Mental Health Center-Primary Care Form Patient Form 1 and Primary Care Patient Form 2 (Received via listserv)
Family Guidance Center- Sample Goal Sheet 
Heritage Sample Letter to Non-PBHCI Doctors
 (Received via listserv)
Heritage Sample Health and Wellness Report Card for Physicians (Received via listserv)
The Providence Center Primary Treatment Plan (Received via listserv)

SPECIAL POPULATIONS 

Articles
National Latino and Asian-American Study
NAMI Integration Survey Report: Family Experience with Primary Care Physicians and Staff

SUBSTANCE USE

Articles
Changes in Using Opioids with Substance Use Disorders (Received via listserv) 
Opioid-Induced Hyperalgesia (Received via listserv)

Sample Tools
The Providence Center Substance Abuse Screening Form (Received via listserv)

TOBACCO CESSATION

List-Serv Discussion on Tobacco Cessation
 

Articles
Smokerlyzer Guide (Recevied via listserv)
How is tobacco treatment provided during drug treatment?

Smoking and Mental Illness – Breaking the Link
Smoking Reduction for Persons with Mental Illness: 6-Month Results from Community Interventions
Smoking Cessation
Integrating Tobacco Rx in Mental Health Settings, PTSD
Integrating Tobacco Rx in Mental Health Settings
Evaluation of the CHOICES Program of Peer-to-Peer Tobacco Education and Advocacy

Toolkits
Smoking Cessation for Persons with Mental Illness Toolkit
Tobacco Free Living in Psychiatric Settings Toolkit

Sample Tools
Weber Human Services- Tobacco Free 5x7 Flyer (Received via listserv)

Webinars
Tobacco Cessation (June 2011)
Tobacco Cessation, Webinar recording

TRAUMA

Posters and infographics can effectively communicate important messages. These materials can be displayed in common areas for staff and clients to observe and for staff to start a conversation on this important topic.

CIHS Trauma Poster

Articles
Child Maltreatment and Psychosis

Sample Tools
San Mateo Trauma Assessment Screen Shot (Recevied via listserv)

WELLNESS & HEALTH PROMOTION

Whole Health
Creating a Whole Health Goal with IMPACT 
SAMHSA's Wellness Initiatives: Final Report and Executive Summary
Peer Wellness Coaching Supervisor Manual
Journaling Resources
Wellness Resource Manual
Healthy Eating on a Budget - Sample Flyer 
Gardening Club - Sample Flyer 
Zumba Dance & Fitness - Sample Flyer 
Ikebana Japanese Flower Arranging - Sample Flyer 

Consent Forms
Heritage Behavioral Health Center- Consent Form (Received via listserv)
Mental Health Systems, Inc - Consent for Health Information Disclosure

Job Descriptions
Center for Families and Children- Director of Care Coordination and Wellness Education Job Description(Received via listserv)
Heritage Behavioral Health Center- PBHCI Health and Wellness Coach (Received via listserv)

Physical Activity
List-Serv Discussion on InShape
InShape Brochure
List-Serve Discussion on Exercise Waivers 

Presentations
Integrated Wellness Tools Slides (September 2011, Region 2 Meeting) 

Waivers
Waiver | Dupage County Health Department 
Waiver | Juneau Alliance for Mental Health, Inc. 
Waiver | Petersburg Mental Health Services, Inc. Physical Fitness and Rehabilitation Activities
Waiver | Mental Health Systems, Inc
Waiver | State of North Carolina
Waiver | The Mental Health Center of Denver Exercise Program 

Webinars
Prioritizing Prevention and Health Promotion (April 2011)
Prioritizing Prevention and Health Promotion, Webinar recording

WORKFLOW

(Tip Sheet) Workflow Design: A Focus on the Experience of the Recipient of Services by Anthony Salerno & Jeff Capobianco
(Slides) AHRQ Presentation, "How to Conduct a Workflow"

Webinars
Clinical Workflows 101 Slides and Recording
Clinical Workflows 201 Slides and Recording

Call Our Helpline: 202-268-7457


CLINICAL

List-Serv Discussion on Caseload and No-Shows
List-Serv Discussion on Telemedicine

Memorial Healthcare System Sample Treatment Plan (Recieved via listserv)

Assessments
Sample Health and Wellness Questionnaire (Received via listserv)
The Providence Center Medical Screening Form (Received via listserv)
The Providence Center Mental Health Screening Form (Received via listserv)

Care Coordination Assessment Worksheets
Health Care Provider Agency - Integrated Care Coordination Worksheet
Social Service Agency - Care Coordination Worksheet

COHORT 8 PBHCI GRANTEES (AWARDED SEPTEMBER 2015)

Introduction to PBHCI
Slides | Recording | Resource guide
Project Management - Workflows and Building Buy-In
Slides | Recording
BHICA Webinar
Slides

  1. *To prepare for this webinar, it is encouraged that grantees review the below BHICA and IPAT tools, and view the BHICA webinar.
    BHICA
    IPAT
    BHICA & IPAT Frequently Asked Questions
  2. Creating Your Wellness Component – Selecting and Implementing Evidence-based Practices
    Wednesday, November 18, 2015 • 2:00 – 3:00 PM EST
    View the slides and recording
    Review evidence-based wellness programs and learn how to sustain these programs.
  3. Understanding and Using Data to Inform Implementation 
    Wednesday, December 2, 2015 • 2:00 – 3:00 PM EST • Register here
    Review data collection requirements and learn how population management informs client outcomes.
  4. Strategies and Workflows for Consumer Engagement and Retention 
    Wednesday, December 16, 2015 • 2:00 – 3:00 PM EST • Register here
    Learn how to engage consumers in PBHCI services and keep them engaged. 

Behavioral health disparities impact statement (DIS) resources to assist you in developing a DIS:

BHICA and IPAT: Value Added Assessment Tools 
Completing the BHICA and IPAT assessments will help provider teams, wherever they fall on the continuum of integration, assess the areas where enhancements to care are needed to achieve your integrated care goals. Whether you are a new PBHCI grantee or in your last year, these tools will help assess where you are today, and to identify strategies to move the needle forward in the future.

CONSUMER ENGAGEMENT

Health Interest Survey
Oregon Partnerships for Health Integration - Services Survey 

List-Serv Discussion on Advisory Committees
List-Serv Discussion on Incentives

Patient Satisfaction Survey
Coastal Behavioral Healthcare- Patient Satisfaction Survey (Received via listserv)
Central Oklahoma Community Mental Health Center- Patient Satisfaction Survey (Received via listserv)
ICD- Patient Satisfaction Survey (Received via listserv)
ICD- HealthConnect Patient Satisfaction Survey (Received via listserv)
Patient Satisfaction Survey Sample 1
Patient Satisfaction Survey Sample 2
Patient Satisfaction Survey Sample 3
Patient Satisfaction Survey Sample 4

The Patient Satisfaction Survey, based upon the review of integration literature and input from demonstration site representatives, is a general satisfaction survey developed to improve consumer satisfaction with services and the model, as well as comfort levels with treatment and treatment setting.Sample satisfaction surveys from the Midwest Clinicians Network can be found below:

Webinars
PBHCI Grantee Start Up: Challenges and Opportunities Slides
PBHCI Grantee Client Reassessment Slides and Recording

COMMUNICATION & MEDIA

InSHAPE Newsletter - The Providence Center
Health and Wellness Newsletter - Heritage Behavioral Health
Smoking Cessation Fact Sheet - Community Healthlink
Data Driven Newsletter - Miami Behavioral Health
Health Integration Newsletter - Apalachee Center
Stress Reduction Flyer - Zepf Center
Wellness Events Calendar - San Mateo County
PBHCI Pamphlet - Places for People
PBHCI Client Brochure - Central Minnesota Mental Health Center
Health Home Brochure: Front | Back - Jefferson Center for Mental Health

DATA & EVALUATION

Webinar recording of PBHCI data collection requirements

NOMs Interview & Section H Data Collection
Timeline of PBHCI Data Collection
Fillable PDF of NOMs Interview (developed by Aspenpointe)
Section H Tool

IPP
IPP FAQ

PBHCI Grantee Examples of Patient Registries

  • Population Health Management 101 webinar
    Tuesday, March 10, 2015
    Slides | Recording

Miscellaneous Data Tools from Grantees

Additional data collection

Information about H Indicators

Internal process and outcomes tracking

Measuring staff readiness for integration

Reporting health information to consumers

Reporting outcomes to external stakeholders

Tools to facilitate enrollment and reassessments

Mathematica Cross-Site PBHCI Evaluation

FINANCE/BILLING & SUSTAINABILITY

Sustaining Integrated Services Report - Lessons Learned from PBHCI Alumni

Fact Sheets
Sliding Fee Scale Requirements for Health Centers

Articles
Budget Impact and Sustainability of Medical Care Management for Persons with SMI
MHSA - New York Medicaid Costs Report

Webinars
April 2012 FQHC Billing Webinar Slides and Recording
March 2012 PBHCI Project Sustainability Slides and Recording
November 2011 Introduction to Billing and Reimbursement of Integrated Health Services Slides and Recording

HEALTH INFORMATION TECHNOLOGY

Articles
The HITECH Act and Health Information Technology’s Potential to Build Medical Homes

Webinars
Making HIT Decisions (August 2011)
Making HIT Decisions, Webinar Recording 
Clinical Registries (February 2011)
Clinical Registries, Webinar Recording

INTEGRATED CARE MODELS

Presentations
Healthcare Homes from the Primary Care Perspective (September 2011, Region 2 Meeting)

General Resources
Driving Outcomes in Integration: Profiles of High Achieving Grantees in PBHCI

PRIMARY CARE

Articles
2012 Barriers to Medicaid

Sample Tools
Central Oklahoma Community Mental Health Center-Primary Care Form Patient Form 1 and Primary Care Patient Form 2 (Received via listserv)
Family Guidance Center- Sample Goal Sheet 
Heritage Sample Letter to Non-PBHCI Doctors
 (Received via listserv)
Heritage Sample Health and Wellness Report Card for Physicians (Received via listserv)
The Providence Center Primary Treatment Plan (Received via listserv)

SPECIAL POPULATIONS 

Articles
National Latino and Asian-American Study
NAMI Integration Survey Report: Family Experience with Primary Care Physicians and Staff

SUBSTANCE USE

Articles
Changes in Using Opioids with Substance Use Disorders (Received via listserv) 
Opioid-Induced Hyperalgesia (Received via listserv)

Sample Tools
The Providence Center Substance Abuse Screening Form (Received via listserv)

TOBACCO CESSATION

List-Serv Discussion on Tobacco Cessation
 

Articles
Smokerlyzer Guide (Recevied via listserv)
How is tobacco treatment provided during drug treatment?

Smoking and Mental Illness – Breaking the Link
Smoking Reduction for Persons with Mental Illness: 6-Month Results from Community Interventions
Smoking Cessation
Integrating Tobacco Rx in Mental Health Settings, PTSD
Integrating Tobacco Rx in Mental Health Settings
Evaluation of the CHOICES Program of Peer-to-Peer Tobacco Education and Advocacy

Toolkits
Smoking Cessation for Persons with Mental Illness Toolkit
Tobacco Free Living in Psychiatric Settings Toolkit

Sample Tools
Weber Human Services- Tobacco Free 5x7 Flyer (Received via listserv)

Webinars
Tobacco Cessation (June 2011)
Tobacco Cessation, Webinar recording

TRAUMA

Posters and infographics can effectively communicate important messages. These materials can be displayed in common areas for staff and clients to observe and for staff to start a conversation on this important topic.

CIHS Trauma Poster

Articles
Child Maltreatment and Psychosis

Sample Tools
San Mateo Trauma Assessment Screen Shot (Recevied via listserv)

WELLNESS & HEALTH PROMOTION

Whole Health
Creating a Whole Health Goal with IMPACT 
SAMHSA's Wellness Initiatives: Final Report and Executive Summary
Peer Wellness Coaching Supervisor Manual
Journaling Resources
Wellness Resource Manual
Healthy Eating on a Budget - Sample Flyer 
Gardening Club - Sample Flyer 
Zumba Dance & Fitness - Sample Flyer 
Ikebana Japanese Flower Arranging - Sample Flyer 

Consent Forms
Heritage Behavioral Health Center- Consent Form (Received via listserv)
Mental Health Systems, Inc - Consent for Health Information Disclosure

Job Descriptions
Center for Families and Children- Director of Care Coordination and Wellness Education Job Description(Received via listserv)
Heritage Behavioral Health Center- PBHCI Health and Wellness Coach (Received via listserv)

Physical Activity
List-Serv Discussion on InShape
InShape Brochure
List-Serve Discussion on Exercise Waivers 

Presentations
Integrated Wellness Tools Slides (September 2011, Region 2 Meeting) 

Waivers
Waiver | Dupage County Health Department 
Waiver | Juneau Alliance for Mental Health, Inc. 
Waiver | Petersburg Mental Health Services, Inc. Physical Fitness and Rehabilitation Activities
Waiver | Mental Health Systems, Inc
Waiver | State of North Carolina
Waiver | The Mental Health Center of Denver Exercise Program 

Webinars
Prioritizing Prevention and Health Promotion (April 2011)
Prioritizing Prevention and Health Promotion, Webinar recording

WORKFLOW

(Tip Sheet) Workflow Design: A Focus on the Experience of the Recipient of Services by Anthony Salerno & Jeff Capobianco
(Slides) AHRQ Presentation, "How to Conduct a Workflow"

Webinars
Clinical Workflows 101 Slides and Recording
Clinical Workflows 201 Slides and Recording

© 2011 NCBH, all rights reserved.
1400 K Street NW | Suite 400
Washington, D.C. 20005

Email: integration@thenationalcouncil.org

Phone: 202-684-7457