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California’s SUD/Health Care Integration Learning Collaborative (ILC)

California’s SUD/Health Care Integration Learning Collaborative (ILC). April 27, 2011 11:00AM 866-740-1260; Code 2675486#. Meeting 1. Integration Learning Collaborative (ILC) Introductions. Name Role Organization What you hope to gain from participating in the ILC.

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California’s SUD/Health Care Integration Learning Collaborative (ILC)

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  1. California’s SUD/Health Care Integration Learning Collaborative (ILC) April 27, 2011 11:00AM 866-740-1260; Code 2675486# Meeting 1

  2. Integration Learning Collaborative (ILC)Introductions • Name • Role • Organization • What you hope to gain from participating in the ILC Meeting 1

  3. Integration Learning Collaborative (ILC)What do we want to accomplish? • GOALS for the ILC • Continue our work generated from the CA Integration Forum (ref. Summary Report) • Review integration activities at the local level • Work collaboratively through current obstacles • Generate ideas for ongoing integration planning and implementation activities • Discuss measuring impact of integration work • Receive technical assistance as integration activities are developed and/or implemented Meeting 1

  4. Integration Learning Collaborative (ILC)Expectations of participants • Review the Forum Summary Report • Attend monthly ILC calls/meetings • Present on your county integration activities (if applicable) • Ask questions • Contribute to solution-based discussions • Suggest topics for further discussions • Request for Technical Assistance needs Meeting 1

  5. Integration Learning Collaborative (ILC)Role of the facilitator(s) • Set up up monthly ILC calls/meetings • Coordinate agenda and presenters as needed/requested • Provide the forum for information sharing and collaboration • Encourage and facilitate solution-based discussions • Suggest topics for further discussions • Provide Technical Assistance as needed Meeting 1

  6. Integration Learning Collaborative (ILC)Logistics • Set up regularly scheduled day/time for monthly Collaborative calls • Call length • Communication mechanisms • Website for ILC information and materials: • http://www.uclaisap.org/Affordable-Care-Act/index.html • Administrative contact • Grace Kim – gracekim@ucla.edu Meeting 1

  7. Integration Learning Collaborative (ILC)Review of what we know • Primary care integration is the collaboration between SUD service providers and primary care providers (e.g., FQHC’s, CHC’s) • Collaboration can take many forms along a continuum* MINIMAL BASIC At a Distance BASIC On-Site CLOSE Partly Integrt CLOSE Fully Integrt Coordinated Co-located Integrated Meeting 1

  8. Minimal Coordination The Primary Care System SUD Care System MH Care System • BH and PC providers • work in separate facilities, • have separate systems, and • communicate sporadically. Meeting 1

  9. Basic On Site (co-location of services) The Primary Care System Referral SUD Care System SBI Counseling Counseling Referral MH Care System MH Services • BH and PC providers • Still have separate systems • Some services are co-located (e.g., screening, groups, etc). Meeting 1

  10. Integrated Integrated Care System The Primary Care System SUD Care System MAT MH Care System • PC providers • Develop and provide their won services Meeting 1

  11. Integrated Integrated Care System The Primary Care System SUD Care System MH Care System • BH and PC providers • share the same facility • have systems in common (e.g., financing, documentation • regular face-to-face communication Meeting 1

  12. Integration Learning Collaborative (ILC)Open Discussion • What are counties doing/planning? • What issues are counties facing? • What can we identify for upcoming topics for discussion? • What experts can be brought into our discussions? • What are other technical assistance needs? Meeting 1

  13. There is a lot more to learn Questions for further discussion • What other integration models will work? • What kinds of SUD services will be delivered in PC? • How should we address all of the workforce issues? • Reimbursement for non-licensed counselors? • Billing for more than one visit per day? • Will there be changes to 42 CFR and HIPAA regulations? • Brief Treatment – what do they consist of? • How do we know if these brief interventions work? • What are elements should we measure? • Electronic health records? • Others??? Meeting 1

  14. For more information and access to the Forum Summary Report and information for the ILC: http://www.uclaisap.org/Affordable-Care-Act California SUD/Health Care Integration Learning Collaborative Meeting 1

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