Funded under contract #HHSA i by the Agency for Healthcare Research and Quality Turning Information into Action: Gathering user perspective for design of the AHRQ Integration Playbook Collaborative Family Healthcare Association 16 th Annual Conference October 16-18, 2014 Washington, DC Session H5 October 18, 2014

Alexander Blount, Ed. D, Director, Center for Integrated Primary Care, University of Massachusetts Medical Center Neil Korsen, M.D., M.S., Medical Director, Behavioral Health Integration, MaineHealth Benjamin Miller, PsyD, Director, Office of Integrated Healthcare Research and Policy, Department of Family Medicine, University of Colorado Medical School Vasudha Narayanan, MA, MBA, MS. Associate Director Westat C.J. Peek, PhD, Professor, Department of Family Medicine and Community Health, University of Minnesota Medical School Presenters

National Integration Academy Council Garrett Moran, PhD, Vice President, Westat, and other Westat staff Agency for Healthcare Research and Quality Acknowledgements 3

Faculty Disclosure Dr. Blount is the owner of Integrated Primary Care, Inc. Dr. Korsen is the owner of Korsen Healthcare Consulting and receives consulting fees Other presenters have not had any relevant financial relationships during the past 12 months. 4

Learning Objectives At the conclusion of this session, the participant will be able to: 1. Describe how components of the AHRQ Academy web portal are intended to unify and advance the field 2. List the kinds of gaps that potential users (gathered together for this presentation) experience between kinds of information on the web portal and taking specific action in their practices 3. Name the kinds of developmental steps for the field that the Academy portal or other resources will probably need to address over the next 5 years 4. List potential users’ best ideas for interactive web portal features that they would actually use – to narrow the gap between information and action – and hence enhance the usefulness of the website 5

Learning Assessment This presentation will facilitate peer to peer learning through discussion of resources currently being used and needed resources There will be multiple opportunities for Questions and Answers over the course of the presentation 6

The AHRQ Academy—an elevator speech Why does the Academy exist? The Academy exists to improve the effectiveness and to accelerate the pace of making best use of behavioral health in medical care to hit the Triple Aim. 1) health of populations, 2) experience of care, and 3) reduced per capita cost. That is, The Academy exists to help build behavioral healthcare into primary care—a key functionality required to hit the Triple Aim. Most care systems don't do it systematically, though a great many are trying. The Academy exists to aid those who are trying—and spread what they learn to others. OK, but what does the Academy actually do? The Academy defines and organizes the subject matter, the research, and best wisdom on why to do it and how to do it effectively on a meaningful scale—using a web portal. This session is to gather user input

Academy Portal

Goal of the Lexicon was to develop conceptual & definitional clarity Provides a basis for effective research and communication for all stakeholders The Lexicon serves as the foundation for much of the Academy’s work LEXICONhttp://integrationacademy.ahrq.gov/lexiconhttp://integrationacademy.ahrq.gov/lexicon

Literature repository

Atlas of Integrated Behavioral Health Care Quality Measures (IBHC Measures Atlas)

Funded under contract #HHSA i by the Agency for Healthcare Research and Quality Academy Community

What is the Academy Community?: The Academy focuses particularly on integrating behavioral health care into primary care practices and promotes a collaborative environment that fosters dialogue among leaders and other stakeholders in integrating behavioral health and primary care. Development of the Academy Community will help further this dialogue. Goals: The goals of the Membership/Online community are to: Promote practice change Offer a platform for providers to connect, network, and share experiences Foster teambuilding in the field of integration Educate primary care and behavioral health providers Academy Community Membership/Online Community

How would you use the Community? 1. Describe a situation you would likely encounter when you would immediately think: “I need to go to the Academy Community”. Then, 2. Describe what you would be looking for there, and from whom. 3. What would keep you coming back to the Community?

Funded under contract #HHSA i by the Agency for Healthcare Research and Quality The Integration Handbook -aka Playbook

Provide guidance on “How to integrate” Targeted to Primary Care Practices and Other Ambulatory Care settings Use the Lexicon’s Integration Framework Acknowledge that Integration isn’t “all or nothing” – Hence the need to customize/adapt to the User’s profile Connect users with similar needs Purpose and Guiding Principles

A tool within the Academy Portal Build using existing “look n feel” and database platform Provide cross linkages to resources within the portal Where relevant, direct users to existing external resources Playbook Format

We are at a ‘white board’ stage in the development of the Behavioral Health Integration Playbook You are our design team We first want to know: – Who you are and what you are working on – What resources you have been using as you work on or plan for behavioral health integration Please answer the questions on the sheets on each table and return User design exercise

1. People considering integration or in the planning stages 2. People working on better relationships with external BH providers such as enhanced access or communication protocols, telemedicine or other offsite (“action at a distance”) approaches 3. People within first 2 years of starting onsite integration 4. People with more than 2 years experience who are working on expanding or enhancing their program in some way Small groups

A. Divide up into those 4 small groups—with someone to report out. B. Individual reflection (5 min) Center yourself in your own reality: First picture the actual work in front of you—and a situation where you would think, “If only I had a playbook, I would go right to it” Then, everyone answer for themselves: Given what work I imagined myself facing, what would I hope to encounter in a Playbook to help me out? Write one idea on each post-it note C. Now, share and collect the answers to “what I hope to encounter in the Playbook” in brainstorm style (no editing or critique). Up to 15 min. Small group discussion--instructions

Reporter reads all non-redundant items Everyone at your group gets 3 “votes” Top vote-getters get reported out (But save the others for us—hand in) In your groups—prioritize to top 3 things you hope to encounter in a playbook

Reflect and wrap-up of small group sessions

We value your input and feedback during the design and development stages This would include – Participation in exploratory interviews during this early design stage – Usability testing of draft sections – Testing the complete beta application – Continued feedback via the Community pages as you use the Playbook Staying Involved

If you wish to stay involved please send an to

26 Session Evaluation Please complete and return the evaluation form to the classroom monitor before leaving this session. Thank you!