1. Measurement-based Care
Behavioral Health Integration Complex Care Initiative
EICC Webinar:
Measurement-based Care
Thursday, May 11, 2017
8:30am-9:30am

2. Penny + Chickens

3. EXP Clinical Outcomes Evaluation
We collect three primary types of data in BHICCI: EXP, including team and patient EXP, clinical outcomes such as the PHQ-9, GAD-7, HbA1c, BP, and BMI, and evaluation data like the PROMIS Global Health Scale. We want to focus on clinical outcomes data that’s integrated into the visit and supports health literacy and patient self-management.

4. How do we know if people are getting better?
Generally, how do we currently use data to inform who we focus our services on? Often, we ask, “Who’s on my schedule today,” or “Who’s call the office,” or who is the RN talking to me about? It’s human nature to form a gut feeling about how well our patients are doing, but often this isn’t informed by reliable data. So today we want to talk about a measurement-based care, which may represent a significant shift, especially in the behavioral health world where there have historically been fewer standardized measurement tools used in practice. But what we want to talk about is how measurement-based care is an apparatus to assist us in helping patients get better faster. <BP story>

5. Stratify Prioritize With Team With Patient
So, in MBC real-time data is used at four different levels to:
Stratify a population by severity/acuity (mild, medium, high) and by diagnosis or condition (i.e. depression, diabetes).
Prioritize people within each strata – who do we want to focus on and why?
Use with our team when assessing patient progress and making changes in treatment.
Use with patients as a teaching tool, to help patients understand their progress, and to make sure we’re creating space for patient voice even in the realm of measurement.

6. Team Exercise
For our exercise, we want you to talk with your team about your experience using data associated with medical, mental health, or substance use conditions to inform care, and how it went.

7. How have you, or how would you, incorporate measurement data in a session? In particular, if you're a BH person, consider your use of medical data, and if you're a Medical person, consider your use of BH data.
How does using the BHICCI registry or your EMR registry impact who your team decides to talk about at the SCR?
Discuss this vignette: A patient dx with depression
one year ago was started on an anti-depressant.
At the last visit told her doctor she "feels better."
Her last PHQ-9 is 16. What does this data tell you?
What do you do?

8. What will you test or change about how you use data to inform care over the next week?