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Connecting Integrated Case Management with Integrated Complex Inpatient and Outpatient Care

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Abstract

ICM and PICM are specialty programs that will increasingly contribute to health improvement and cost reduction for patients with health complexity in the future. They, however, do not provide service in isolation. Rather, theirs is a synergy between (1) the clinical and non-clinical assistance and support function they perform and (2) the clinical services that are directed at evaluation and treatment of medical and BH conditions. Unless these two complementary components of care work effectively together, the value that either one can produce will be limited. This chapter suggests interim and long-term steps to which physicians working with ICM and PCIM managers can be substantial contributors.

If you don’t go after what you want, you’ll never have it. If you don’t ask, the answer is always no. If you don’t step forward, you’re always in the same place.

—Nora Roberts

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References

  1. Hickam DH, Weiss JW, Guise JM, et al. Outpatient case management for adults with medical illness and complex care needs. Rockville: Agency for Healthcare Research and Quality; 2013.

    Google Scholar 

  2. Kathol R, Butler M, McAlpine D, Kane R. Barriers to physical and mental condition integrated service delivery. Psychosom Med. 2010;72(6):511–8.

    Article  PubMed  Google Scholar 

  3. Kathol R, Gatteau S. Healing body and mind: a critical issue for health care reform. Westport: Praeger; 2007.

    Google Scholar 

  4. Kathol RG, Melek SP, Sargent S, Sasks L, Patel KK. Nontraditional mental health and substance use disorder services as a core part of health in CINs and ACOs. In: Yale KRT, Bohn J, Konschak C, editors. Clinical integration: population health and accountable care. 3rd ed. Virginia Beach: Convurgent Publishing, LLC; 2015. Chapter 11.

    Google Scholar 

  5. von Esenwein SA, Druss BG. Using electronic health records to improve the physical healthcare of people with serious mental illnesses: a view from the front lines. Int Rev Psychiatry. 2014;26(6):629–37.

    Article  Google Scholar 

  6. Kessler RC, Demler O, Frank RG, et al. Prevalence and treatment of mental disorders, 1990 to 2003. N Engl J Med. 2005;352(24):2515–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Wang PS, Aguilar-Gaxiola S, Alonso J, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007;370(9590):841–50.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Wang PS, Berglund P, Olfson M, Pincus HA, Wells KB, Kessler RC. Failure and delay in initial treatment contact after first onset of mental disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):603–13.

    Article  PubMed  Google Scholar 

  9. Katon WJ, Seelig M. Population-based care of depression: team care approaches to improving outcomes. J Occup Environ Med. 2008;50(4):459–67.

    Article  PubMed  Google Scholar 

  10. Prince M, Patel V, Saxena S, et al. No health without mental health. Lancet. 2007;370(9590):859–77.

    Article  PubMed  Google Scholar 

  11. Seelig MD, Katon W. Gaps in depression care: why primary care physicians should hone their depression screening, diagnosis, and management skills. J Occup Environ Med. 2008;50(4):451–8.

    Article  PubMed  Google Scholar 

  12. Thomas MR, Waxmonsky JA, Gabow PA, Flanders-McGinnis G, Socherman R, Rost K. Prevalence of psychiatric disorders and costs of care among adult enrollees in a Medicaid HMO. Psychiatr Serv. 2005;56(11):1394–401.

    Article  PubMed  Google Scholar 

  13. Cunningham PJ. Beyond parity: primary care physicians’ perspectives on access to mental health care. Health Aff (Millwood). 2009;28(3):w490–501.

    Article  Google Scholar 

  14. Bradford DW, Kim MM, Braxton LE, Marx CE, Butterfield M, Elbogen EB. Access to medical care among persons with psychotic and major affective disorders. Psychiatr Serv. 2008;59(8):847–52.

    Article  PubMed  Google Scholar 

  15. Kathol RG, Kunkel EJ, Weiner JS, et al. Psychiatrists for the medically complex: bringing value at the physical health & mental health substance use disorder interface. Psychosomatics. 2009;50:93–107.

    Article  PubMed  Google Scholar 

  16. Archer J, Bower P, Gilbody S, et al. Collaborative care for depression and anxiety problems. Cochrane Database Syst Rev. 2012;10:CD006525.

    PubMed  Google Scholar 

  17. Katon W, Russo J, Lin EH, et al. Cost-effectiveness of a multicondition collaborative care intervention: a randomized controlled trial. Arch Gen Psychiatry. 2012;69(5):506–14.

    Article  PubMed  Google Scholar 

  18. Katon WJ, Lin EH, Von Korff M, et al. Collaborative care for patients with depression and chronic illnesses. N Engl J Med. 2010;363(27):2611–20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Mercer T, Bae J, Kipnes J, Velazquez M, Thomas S, Setji N. The highest utilizers of care: individualized care plans to coordinate care, improve healthcare service utilization, and reduce costs at an academic tertiary care center. J Hosp Med. 2015;10:419–24.

    Article  PubMed  Google Scholar 

  20. Xing J, Goehring C, Mancuso D. Care coordination program for Washington state medicaid enrollees reduced inpatient hospital costs. Health Aff (Millwood). 2015;34(4):653–61.

    Article  Google Scholar 

  21. Andrews G, Sunderland M. Telephone case management reduces both distress and psychiatric hospitalization. Aust N Z J Psychiatry. 2009;43(9):809–11.

    Article  PubMed  Google Scholar 

  22. Basu A, Kee R, Buchanan D, Sadowski LS. Comparative cost analysis of housing and case management program for chronically ill homeless adults compared to usual care. Health Serv Res. 2012;47(1 Pt 2):523–43.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Bernabei R, Landi F, Gambassi G, et al. Randomised trial of impact of model of integrated care and case management for older people living in the community. BMJ. 1998;316(7141):1348–51.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Parthasarathy S, Mertens J, Moore C, Weisner C. Utilization and cost impact of integrating substance abuse treatment and primary care. Med Care. 2003;41(3):357–67.

    PubMed  Google Scholar 

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Kathol, R.G., Knutson, K.H., Dehnel, P.J. (2016). Connecting Integrated Case Management with Integrated Complex Inpatient and Outpatient Care. In: Physician's Guide. Springer, Cham. https://doi.org/10.1007/978-3-319-28959-5_9

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  • DOI: https://doi.org/10.1007/978-3-319-28959-5_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28957-1

  • Online ISBN: 978-3-319-28959-5

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