Erschienen in:
18.06.2018 | Letter to the Editor
Behavioral health integration model
verfasst von:
Sanjay Basu, MD, PhD, John W. Williams Jr, MD, MHS, Russell S. Phillips, MD
Erschienen in:
Journal of General Internal Medicine
|
Ausgabe 10/2018
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Excerpt
We appreciate Dr. Tynan’s letter but respectfully disagree with some of his contentions. First, our CoCM model simulation was not purely telephone based, having included components of in-person evaluation, follow-up, and referral when needed. CoCM studies do have primarily telephone-based intervention but allow for face-to-face interactions,
1 and our simulation matched the Medicare implementation guidelines for telephone and face-to-face visit frequency.
2, 3 Our staffing metrics were similarly concordant with actual implementation; per the University of Washington’s Advancing Integrated Mental Health Solutions (AIMS) center, “a full-time behavioral health care manager typically oversees 100–150 patients,” and our psychiatrist consult time was additionally based on real-world implementation experience and varied widely in Monte Carlo simulations to reflect practice variations.
4, 5 …
