Thats also the language used in the affordable care

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for a number of years the notion of person-centered healthcare home. That’s also the language used in the Affordable Care Act. We like it because it focuses on the person as well as on the notion of their entire healthcare need, as opposed to just their medical needs. And again what this model is about is fundamentally transforming the way care is organized and delivered in this country and I think that’s a really important thing to remember that this is not about primary care efforts delivered today. This is really ______________________________________________________________________________________ 25193ea6062d74eaa1fb4080b67349c6a7de8baf.doc Page 3 of 20
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envisioning a new way of delivering primary care and the recognition that this approach can be housed in other kinds of settings, like behavioral health treatment organizations. So what’s really important is the way that the practice is organized and the way it functions in order to meet individual client preference and need. [0:12:13] So the idea here again, as I mentioned earlier is moving from fragmented episodic care, to care that is based on an ongoing relationship and that there’s a care team that takes responsibility and helps individuals to manage the healthcare system. And I think this is really an important concept, that it’s - and one that perhaps behavioral health is more familiar with - that there is a team of people who share perspectives, who share in the treatment planning process with the consumer, that patient preference is also very important. And the idea here is to help individuals navigate the healthcare system over time to achieve better health outcomes to reduce the number and types of chronic illnesses experienced and to have increased quality of life. So that quality and safety is the hallmarks of this. I think also important is the notion of enhanced access. I think this is a concept that might challenge us, the behavioral health field particularly, ideas of 24-hour, 7-day-a-week access to care managers, same day appointments. The idea here is that people get, people who are involved in health homes get care when they need it and as quickly as possible. And also it’s important to recognize that this is part of a larger vision of redesigning the way care is organized and paid for in this country so that there’s also a component of this would change the reimbursement occurs. So right now reimbursement occurs - in most of the healthcare systems reimbursement is based on the number of procedures or the types of care that you receive. But there’s an incentive, actually, sometimes to provide more care even if it’s not needed. And the idea here is that there are quality indicators and clinical indicators that are being used to assess the success of that practice. Teah (ph), can we go to the next slide, please? [0:14:46] I think it’s also important to realize that healthcare homes are conceptual model of a way of thinking about the way care is organized. That there will be individual practices who choose to become health homes and that there are required services and mechanisms in place that allow for that care coordination for free-flow of information. But health homes are not - sometimes I think in our field people confuse them with a residential setting. So
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  • Fall '19
  • Center for Integrated Health Solutions, Teah, LARA HOKEN, Mr. Chuck Ingoglia

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