What we do

How Integrus Health Group works with your organization

Integrus Health Group specializes in the integration of physical and behavioral health. This is both our passion and our expertise. We work shoulder-to-shoulder with you to make integration a reality.

 

We assess your needs accurately and plan for no more, but no less, than you need.

 

We move in. We move out. We build on your system’s strengths while addressing those areas of need -- leaving behind a core capacity to sustain and improve upon the integration as you move forward. Our prism, which we bring unabashedly, is a core set of values about PBHCI reflecting person-centered care and the importance of family and natural supports within communities and cultures. We share a respect for the ‘front-end’ while translating national and state priorities into sustainable operations.

 

We move through these five critical phases tailored to your needs:

 

  1. Engagement
  2. Readiness assessment
  3. Strategic planning
  4. Phased implementation
  5. Broader scalability and dissemination

 

 

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Catalyzing Integration

An ongoing reporting and accountability structure between your Executive and Management Team (as well as any other critical stakeholders) and Integrus Health Group functions throughout the process to support and promote the evolution of PBHCI.

1. Engagement

Listening well is the backdrop for everything we do. It is coupled with working hand-in-hand with your organization’s leadership, front-line staff, patients and family members, and other key stakeholders. Through this initial period, we identify your stakeholder community, establish a preliminary time frame for the readiness assessment and work with you to adapt an existing reporting and accountability structure for receiving regular reports and facilitating problem-solving that requires management buy-in and approval..

 

We move seamlessly between program-system, advocacy and regulatory groups. While we begin as external consultants, we become true partners by rolling up our sleeves and working with you from the inside.

2. Assessing Readiness

Integrus Health Group does this through formal and informal means, by the use of tools as well as by an embedding process, through which members of our Team temporarily join with your operations for one or several days depending on your size. We assess as colleagues rather than as outsiders to more fully understand the context within which services are currently being delivered.

 

We recognize the several phases in PBHCI – moving from early use of referral to collocation and full integration. We look at your clinical practice, the availability of mental health as well as alcohol and addiction services, with many systems having yet to integrate these into ‘behavioral health.’ We look at your QA, administrative supports in place (IT systems, billing and medical record keeping), budgetary allocation, existing and potential revenue streams together with regulatory and legal issues, including HIPAA compliance. Legal and regulatory variability between states and communities make it essential to incorporate these differences into all planning. We understand that political factors can help or hinder PBHCI and we fold this into your readiness assessment and planning.

 

Integrus Health Group then moves into design and implementation for your organization without getting bogged down in endless, long-term and expensive evaluation and analysis.

3. Strategic Planning

PBHCI is the central driver in developing a tailored Strategic Plan with phases of implementation. While there are best practices that can and should become a part of each operation – from screening to motivational interviewing and dual diagnosis services to primary care for people with serious mental illness -- these may require adaptation in order to thrive in local conditions.

 

Part of the Strategic Plan is a visual roadmap designed for building integration into your ongoing operations. Many consulting groups bring a cookie-cutter approach that often ‘straight-jackets’ programs and systems. Integrus Health Group tailors your Plan, building on the strengths in each system and capturing the mission and values of your organization.

 

The Plan prepares for the impending shifts in reimbursement methodology, data elements and coding within a HIPAA compliant environment. Electronic medical record implementation and sharing of critical data between physical and behavioral health records to support PBHCI must be addressed, as well as the necessary shift in labor and the use of human resources.

 

Sustainability is best addressed early in the planning process.

 

An outgrowth of this planning is the identification and empowerment of a multi-disciplinary work group that becomes the core engine for PBHCI, one of the transforming elements in moving from planning and early seeds or ‘pilots’ to system-wide adaptation. We recognize the spectrum of integration in the field -- from some systems with ‘pilots’ to others that may be in the earlier or even more advanced phases. PBHCI Pilots may be funded through the SAMHSA-HRSA initiative or through other means and encompass innovative projects within larger systems designed to test new ideas and work through changes in flow, the use of data and its collection and outcomes in a time-limited manner.

 

We incorporate an appreciation for competing demands in every setting, recognizing the need for tailored implementation based on organizational development, potential vacancies in your staffing and external drivers.

 

The Strategic Planning Process and Plan include the selection of outcome indicators for quality, cost and patient-family (and staff) satisfaction, reflecting the Triple Aim goals within health reform.

4. Phased Implementation

By initiating this new seed with management and executive support, a ‘living-learning laboratory’ has now been established. The groundwork is being laid for PBHCI.

 

Through didactic training, modeling, coaching and other technical assistance (including phone consultation and other off-site means), Integrus Health Group addresses each facet of practice and support needed to translate your Strategic Plan into operation.

 

Capacity is built in core competencies within your existing staff, including front-end clinical practice, administrative supports and quality improvement tailored to PBHCI. Billing, HR and HIT will be modified for the Pilot initially, with attention to scalability for future dissemination

5. Planning for Scalability and Broader Dissemination

This includes impact analysis of adapting new processes to existing systems and addresses costs, revenues and resource needs for the broader implementation. Central to sustainability is the collection and use of integrated data and structural changes to provide ongoing support for integration while assuring dynamic growth into the future. Ultimately, broad implementation of PBHCI becomes a cost-saving mechanism.1

 

In summary, Integrus Health Group works shoulder-to-shoulder, moving in, and then out -- providing on-going technical assistance until your organization’s leadership is comfortable moving forward on its own.

 

  1. The Economics of Behavioral Health Services in Medical Settings: A Summary of the Evidence - Professional Psychology: Research and Practice Copyright 2007 by the American Psychological Association 2007, Vol. 38, No. 3, 290 –297

 

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