Model Fidelity and Core Principles
Patient centered, population-based care, measurement-based treatment to target, evidence-based care and accountable care.
What are the five components of CoCM?
The most important member within the BH CC team. This team member is the driver of care.
Who is the patient?
Two standardized tools used to measure a patient's progress. They could be considered the 5th vital sign.
What are the PHQ-9 and GAD 7?
An evidence-based treatment that encourages engagement in pleasurable and rewarding activities to improve mood and well-being
What is Behavioral Activation?
A way to meet the patient at the same time/day they meet with their PCP. It can quickly build rapport and improve return visits.
What is a warm hand off?
The ideal range of minutes for a follow up visit.
What is 20-30 minutes?
The team member who is ultimately responsible managing care for the patient.
Who is the PCP?
It ensures treatment is guided by patient outcomes, not just the time spent with a patient or provider intuition.
What is measurement based care?
Reminders, flexible scheduling, rapport building, reinforcing progress, and collaboration
What are strategies to assist in appointment adherence?
Adjusting care until clinical goals (Reduction of 50% of PHQ-9 or PHQ-9 of 10 or less) are met.
What is treatment to target?
The key fidelity element that ensures that symptom change drives treatment decisions.
What is Measurement -based treatment to target?
The responsibility of what CoCM team member who makes sure the PCP is updated with the patient's status in a timely manner.
Who is the BH CM?
The tool used to ensure systematic follow-up and proactive care for an entire population, preventing individuals from "falling through the cracks".
What is the registry?
CoCM offers care in the primary care setting which helps reduce this for patients.
What is stigma?
This should occur at least once every four weeks or sooner if the patient symptoms worsen or do not improve.
What is a psychiatry consult?
The birthplace of the Collaborative Care Model.
What is the University of Washington, AIMS? 1990's
This team member gathers patient information from the registry and BH CM to discern patient diagnosis, medication changes and to provide recommendations to consider in the patient's plan of care.
Who is the consulting psychiatrist?
This should be considered if a patient's status is not improving within 5-6 months of the CoCM episode.
What is a referral to a higher level of care? REF 8
A motivational interviewing strategy that helps reduce resistance?
What is rolling with resistance and reflecting ambivalenc?
Name 3 evidence-based interventions used in Collaborative Care.
What is MI, BA, DBT skills, problem solving.
The term used to describe how each team member is responsible for clinical outcomes, tracked through data, not just service delivery.
What is accountable care?
.
An ideal way in which a BH CM would want a PCP to describe you to the patient.
What is a care team member in the clinic who helps manage the symptoms the patient is experiencing?
Research suggests that for every $1 spent on care through CoCM, this dollar amount is the estimated return on investment in improved health and productivity.
What is $6.50? DAILY DOUBLE
The process to follow if a patient expresses passive suicidal ideation without a plan or intent.
What is conduct a risk assessment, document, consult as needed with PCP and/or psychiatrist and continue active monitoring?
The ideal number (give or take) of billing minutes per patient per month.
What is 60 minutes?