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Implementing Patient Information, Education and Referral (our version of SBIRT)

Implementing Patient Information, Education and Referral (our version of SBIRT). A Partnership between San Mateo County Medical Center and Behavioral Health and Recovery Services. Background. CSAT SBIRT 2002 AOD move to Health and integrate with MH Med/Psych Services

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Implementing Patient Information, Education and Referral (our version of SBIRT)

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  1. Implementing Patient Information, Education and Referral (our version of SBIRT) A Partnership between San Mateo County Medical Center and Behavioral Health and Recovery Services

  2. Background CSAT SBIRT 2002 AOD move to Health and integrate with MH Med/Psych Services Primary Care Interface Team PES Embedded Nurse Practitioners Ravenswood Health Clinic CADPAAC March 2010

  3. Partnership Discussions Behavioral health and primary care linkages Opportunities for continued collaboration and joint planning to meet the behavioral health needs of clients within primary care settings, as well as the medical needs of clients with mental illness and/or addiction. CADPAAC March 2010

  4. Partnership Discussions Agreement on: Models valuable in meeting client needs and supporting PCPs to address clients’ SA/MH needs. Sharing of key data and outcomes Fully integrating a co-occurring approach Health System – HPSM partnership on these issues is critical. Valuable to work across organizational boundaries CADPAAC March 2010

  5. MOU SMMC and BHRS Goals: Improve identification of patients with co-occurring disorders Reduce negative consequences of alcohol and other drug use/abuse Improve compliance with patient health care plan CADPAAC March 2010

  6. MOU SMMC and BHRS Project: Screen for co-occurring mental health and substance abuse services, provide brief intervention and treatment, and refer to more intensive levels of care. $300,000 MHSA Funding 1.0 FTE Psychologist II .5 FTE Psychologist I .5 FTE Health Assistant .5 AOD Case Manager CADPAAC March 2010

  7. CADPAAC March 2010

  8. Screening Tools CAGE (modified) AC-OK CADPAAC March 2010

  9. Outcome Measures Clinical outcome measures: To assess how effective our service is for patients who have received treatment through the SBIRT process Process outcome measures: To assess how well the program is operating Financial outcome measures: This is mainly cost savings to the medical center CADPAAC March 2010

  10. Year to Date CAGE completed since start date: 721 (520 Feb 1- 28) 37 referrals since start date 6 to MPC – score 1 or 2 31 to AOD Case Manager – score 3 or 4 CADPAAC March 2010

  11. Challenges PCP and Physician Extenders Attention Capacity of PC staff/clinics Space Timely Referrals Follow up Appts Client Engagement CADPAAC March 2010

  12. Quality Improvement • Client Satisfaction • PCP Satisfaction • Track Outcomes • Enhance PCP engagement • Implement Groups • Identify potential billing codes • Pediatrics

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