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Integrating Care:From Evidence to OperationsSecond Annual Statewide Forum on IntegrationPresented by:DCU Center, Worcester, MAMay 12, 2015
Integrating Care:From Evidence to OperationsSecond Annual Statewide Forum on IntegrationWelcome! The Massachusetts Behavioral Health Partnership (MBHP) is pleased to present thisevent on behalf of the MassHealth Primary Care Clinician (PCC) Plan and in collaboration withthe University of Massachusetts Medical School.In our work with providers across Massachusetts, we have been struck by the incredible efforts underway tointegrate medical and behavioral health care. We are also mindful of the many opportunities – and challenges– facing our community as we undertake this important work. Today’s program has been designed with thisin mind. It brings together a wide range of providers and subject matter experts to speak to both clinical andoperational dimensions of integration. We invite you to engage with them and each other in dynamic discussionof what is working, and what is needed, to bring us closer to realizing a shared vision of integrated, whole-personhealth care.We are grateful to the many staff, providers, and subject matter experts who have contributed to preparing andpresenting this event, and extend our deepest thanks to Secretary Sudders for providing our keynote address.We hope you will take some time to visit the resource tables in the lobby for useful information to take backto your organizations and practices. And please go to aspxfor conference materials, a summary of today’s proceedings, upcoming provider education events, and additionalresources related to integration.Thank you for being here and enjoy the forum!Robin CallahanDeputy Medicaid DirectorJoão EvoraDirectorPCC PlanMassHealthStephanie Jordan BrownVice PresidentTransformation and IntegrationJudith Steinberg, MD, MPHDeputy Chief Medical OfficerCommonwealth MedicineNancy Norman, MD, MPHMedical Director of IntegrationGail WinslowAssociate Director, Marketing AnalyticsCommonwealth MedicineMassachusetts BehavioralHealth PartnershipUMass Medical SchoolKEYNOTE SPEAKERMarylou SuddersSecretary, Massachusetts Executive Office ofHealth and Human ServicesAppointed as Secretary of the Executive Office of Health andHuman Services (EOHHS) by Governor Charlie Baker in January 2015,Marylou Sudders leads the largest executive agency in state government,a 19.4 billion state budget with 22,000 dedicated public servants,and oversees critical services that touch almost one in six residents ofthe Commonwealth. Professionally trained as a social worker, Sudders has dedicated her lifeto public service and to some of our most vulnerable citizens. She has been a public official,provider executive, advocate, and college professor.With a long record of public service, Sudders was the Massachusetts Commissioner ofMental Health from 1996 to 2003, helping to create the state’s first children’s mental healthcommission and championing the rights and wellbeing of children, adults and elders withmental illness and their loved ones. For almost ten years, she headed the MassachusettsSociety for the Prevention of Cruelty to Children, promoting the rights and well-being ofsome 24,000 children and families.In 2012, Sudders was appointed to the state’s Health Policy Commission (HPC) for herbehavioral health expertise; she remains on this important commission in her capacity asSecretary. The HPC is charged with improving health care quality while curbing costs. Shealso spent time as an associate professor and Chair of Health and Mental Health at the BostonCollege School of Social Work. Sudders has served on many charitable boards throughout hercareer, including the Pine Street Inn, Massachusetts Association for Mental Health, and theNational Alliance on Mental Illness.Secretary Sudders’ talent and dedication has been recognized multiple times. She received anHonorary Doctorate from the Massachusetts School of Professional Psychology and was namedSocial Worker of the Year from the Massachusetts Chapter of the National Association of SocialWorkers. She was also nationally recognized with the Knee-Whitman Outstanding Achievementfor Health and Mental Health Policy from the National Association of Social Workers Foundation.The Planning Committee: Ken Bates, Carlos Cappas, Erin Donohue, Andrea Gewirtz, Jonna Hopwood, Kim Kamins,Tamara Lange, Marcy Ravech, Amy Rosenstein, Rose TedescoThe Primary Care Clinician Planserves nearly 400,000 MassHealthbeneficiaries with its network ofover 3,000 primary care cliniciansat 1,750 sites statewide. PCCPlan members receive a full rangeof mental health and substanceuse disorder services through theMassachusetts Behavioral HealthPartnership (MBHP).Integrating Care: From Evidence to Operations I Second Annual Statewide Forum on Integration l 2MBHP provides mental health andsubstance use disorder services fornearly 400,000 PCC Plan beneficiariesand state-agency involved clientsthroughout the Commonwealth.The MBHP network includes over1,200 clinics, inpatient programs,and individual practitioners. MBHPalso provides management supportservices to the primary care networkof the MassHealth PCC Plan. MBHPis a wholly owned subsidiary ofBeacon Health Options.The University of Massachusetts Medical Schoolis an academic health sciences center of 6,800professionals, positioned at the forefront of healthcare delivery and policy development. It is hometo Nobel Prize-winning research aimed at advancesin areas of HIV, cancer, diabetes, and infectiousdisease. It is ranked in the top 10 percentof academic medical schools in primary care(2015 U.S. News & World Report). The MedicalSchool’s public service consulting and operationsdivision, Commonwealth Medicine, offers healthpolicy, research, financing and service delivery inthe public interest.Integrating Care: From Evidence to Operations I Second Annual Statewide Forum on Integration l 3
LUNCHEON ADDRESSSCHEDULESean KennedyTrack 1:Nuts and Bolts of Integrated CareTrack 2:Addressing Substance Use DisordersTrack 3:Optimizing Integrated Care ManagementTrack 4:Integration in the Pediatric SettingHear how integration is playing out in differentmedical and behavioral health settings anddiscuss strategies for strengthening thefinancial and organizational sustainabilityof integration efforts.Examine best practices for substance use disordertreatment and prevention, including approaches topain management, Screening, Brief Intervention,and Referral to Treatment (SBIRT) protocols, andguidelines for medication-assisted treatment.Take an in-depth look at integrated care management,including core principles of care coordination,integrated care plans, and the role of peers andcommunity health workers.Explore protocols for identifying and addressingbehavioral health needs among children, learnabout a community-based response to suicideprevention, and hear the latest recommendationsregarding SBIRT for adolescents.Session 1:Session 1:Session 1:Session 1:Director of eHealth Programs,Massachusetts eHealth InstituteSean Kennedy, MS,PMP, MPH servesas the Director ofeHealth Programs forthe MassachusettseHealth Institute(MeHI). In thisrole, Sean leadsthe institute’s twosignature programs– Connected Communities and eHealtheQuality. These programs aim to hasteninteroperability – among the communityat large as well as more specifically to thebehavioral health and long-term post-acutecare sectors – through awareness campaigns,incentive grants, education, and toolkitdevelopment. They will also serve as thecenterpiece of MeHI’s health IT adoptionand use efforts for the next three years.Additionally, Sean is leading development ofthe Statewide eHealth Plan for Massachusetts,which will be informed by broad stakeholderfeedback and ready for release in summer2015. Prior to joining MeHI, Sean workedat Massachusetts General Hospital wherehe directed key technology and innovationleadership activities.Before MassGeneral, Sean was a MedicalService Corps officer in the United StatesArmy specializing in health informationsystems. Upon completion of his activeservice, he worked for Oracle and thenjoined IMC, an information managementorganization, as its health careprogram director.Sean is a certified Project ManagementProfessional and holds graduate degrees inTelecommunications and Public Health fromthe University of Maryland and the JohnsHopkins School of Public Health, respectively.10:15 am - 11:45 amMaking it Work Today:Provider Perspectives on Financing IntegrationModerator:Judith Steinberg, MD, MPH, Deputy ChiefMedical Officer, Commonwealth Medicine,UMass Medical SchoolPanelists:Mark Alexakos, MD, Chief Behavioral Health Officer,Lynn Community Health CenterScott Early, MD, CMO,Lynn Community Health CenterGlenn Focht, MD, CMO, Pediatric Physicians’Organization at Children’sKatherine Moss, PhD, Director of Healthcare andCommunity Integration, Behavioral Health NetworkSession 2:1:00 pm - 2:30 pmBi-Directional Integration: Bringing PrimaryCare into the Behavioral Health SettingModerator:Daniel Mullin, PsyD, MPH, Assistant Professor, Centerfor Integrated Primary Care, UMass Medical SchoolPanelists:Deborah Ekstrom, President and CEO,Community HealthlinkDaniel Mumbauer, President and CEO,High Point Treatment CenterNancy Paull, CEO, Stanley Street Treatment andResources (SSTAR)Session 3:2:45 pm - 4:15 pmBuilding the Workforce for Integration:Challenges and Opportunities, Now and forthe FutureModerator:Angelo McClain, PhD, LICSW, CEO,National Association of Social WorkersPanelists:Jonas Bromberg, PsyD, Program Manager,Behavioral Health Integration, Pediatric Physicians’Organization at Children’sJulita Mir, MD, CMO, DotHouse HealthRaymond Tamasi, President and CEO,Gosnold on Cape Cod10:15 am - 11:45 am10:15 am - 11:45 amPain Management and Opioid Addiction:Strategies to Ensure Safe Prescribing andCollaborative CareThe Role of Peers and CommunityHealth Workers in Engaging Members:What’s Working and What’s NeededModerator:Karen Pressman, MS, LCSW, LADC 1, Director,Planning and Development Unit, Bureau ofSubstance Abuse Services, MassachusettsDepartment of Public HealthPresenter:Lisa Renee Holderby-Fox, Director, Workforce,Central Massachusetts Area Health Education CenterSherry Nykiel, MD, Medical Director, OutpatientPsychiatry, Boston University School of Medicine,Boston Medical Center1:00 pm - 2:30 pmManaging Behavioral Healthin the Pediatric Setting: Evidence-BasedApproaches to Identifying and Addressing theNeeds of Children and FamiliesModerator:Barry Sarvet, MD, Chief, Child and AdolescentPsychiatry Division, Baystate HealthPanelists:Betsy Brooks, MD, MPH, Pediatrician,Holyoke PediatricsFred Kern, MD, Pediatrician, Bridgewater PediatricsSafdar Medina, MD, Pediatrician, Tri-River FamilyHealth Center, UMass Memorial Medical GroupBarbara Wilson, LICSW, CEO, Family ContinuityPanelists:Daniel Alford, MD, MPH, Director, Clinical AddictionResearch and Education (CARE) Unit, Boston UniversitySchool of Medicine, Boston Medical CenterSession 2:10:15 am - 11:45 amSession 2:1:00 pm - 2:30 pmSession 2:1:00 pm - 2:30 pmDeconstructing SBIRT: An In-Depth Lookat Workflows, Tools, and Techniques fromScreening to TreatmentWalking Before Running: Developing CareCoordination Capacity to Achieve High ValueOutcomes for Patients with Behavioral Health NeedsPreventing Adolescent Suicide by JoiningForces in the Community: The Screening forMental Health SOS ProgramModerator:Lee Ellenberg, LICSW, Training Manager,MASBIRT/Boston Medical CenterPresenter:Richard C. Antonelli, MD, MS, Medical Director ofIntegrated Care and Physician Relations and Outreach,Boston Children’s HospitalModerator:Alan Holmlund, MSW, Director, Suicide PreventionProgram, Massachusetts Department of Public HealthPanelists:Lynn Kerner, LICSW, Director, Outpatient Services,AdvocatesDavid Roll, MD, Cambridge Health Alliance RevereFamily Health CenterSession 3:2:45 pm - 4:15 pmSession 3:2:45 pm - 4:15 pmBest Practices in Medication-AssistedTreatment: The Current EvidenceCreating an Integrated Care Plan and Using It:Systems and Processes at WorkPresenters:Nicole Jerome, Community Health Worker,North Shore Community HealthKiame Mahaniah, MD, CMO,North Shore Community HealthLisa Schott, LICSW, Clinical Supervisor,North Shore Community HealthModerator:Alexa Connell, PhD, Assistant Director, Center forIntegrated Primary Care, UMass Medical SchoolIntegrating Care: From Evidence to Operations I Second Annual Statewide Forum on Integration l 4Panelists:Jessie Gaeta, MD, CMO, Boston Health Care for theHomeless ProgramKaren Rogers Lynch, RN, Nurse Coordinator,SPARK Center, Boston Medical CenterAlysa Veidis, MSN, FNP-BC, Nurse Coordinator,The Family Medicine Center at BMCPanelists:Joanna Bridger, LICSW, Clinical Services Director,Riverside Trauma CenterTricia Buonacore, Health Educator,Littleton Middle SchoolMeghan Diamon, MSW, LCSW, Youth ProgramsManager, Screening for Mental HealthSarah Dorfman, Adjustment Counselor,Littleton Public SchoolsStuart Jacoby, EdD, School Psychologist,Boston Public SchoolsSession 3:2:45 pm - 4:15 pmSBIRT for Adolescents:Implementing the Latest EvidencePresenter:Sharon Levy, MD, MPH, Director,Adolescent Substance Abuse Program,Boston Children’s HospitalIntegrating Care: From Evidence to Operations I Second Annual Statewide Forum on Integration l 5
ADDITIONAL INFORMATIONContinuing Medical Education (CME)and Continuing Education (CE)InformationIn order to receive any type of continuing educationcredits, you must sign into the event at the check-intable and sign out again when you leave. CME/CEcertifications will be presented at the end of the eventor e-mailed/mailed to you at the address providedupon registration.This activity has been approved for the followingcontinuing education credits: AMA PRA Category 1 Credits – 5.75Nursing – 6.9 CE creditsPsychologists – 6.5 CE creditsLMFT – 7 CE creditsLMHC – 6 CE creditsLADC – 7 CE creditsCADAC – 5.75 CE creditsSocial Workers (LICSW, LCSW,LSW, LSWA) – 6 CE creditsTMThe University of Massachusetts Medical Schooldesignates this live activity for a maximum of 5.75AMA PRA Category 1 CreditsTM and 6.9 hours of NursingCEUs. Physicians and nurses should only claim creditcommensurate with the extent of their participation inthe activity.This activity is being sponsored by the MassachusettsPsychological Association (MPA) and the MassachusettsBehavioral Health Partnership (MBHP). MPA is approvedby the American Psychological Association to sponsorcontinuing education for psychologists. MPA maintainsresponsibility for this program and its content.Please go tomasspartnership.com to find: Slide presentations for today’sconference sessions Speaker Bios Published articles fromconference faculty Additional resourcesrelated to integration And check backfor a summary offull ider/integrationforum.aspxPhoto and Video PolicyThe Massachusetts Behavioral Health Partnership andthe University of Massachusetts Medical School maybe photographing, videotaping or otherwise recordingsessions and events at Integrating Care: From Evidenceto Operations. By attending this event, attendeesacknowledge these activities and agree to allow theirimage to be used on the conference website and inmarketing and promotional materials.Please complete the programevaluation provided in this folderand return it to the table whenyou sign out of the event.This program has been approved for 6 Category 1MaMHCA/MMCEP hours for re-licensure, in accordancewith 262 CMR.The Alcohol and Drug Counselor Licensing Unit of theMassachusetts Bureau of Substance Abuse Services hasapproved this activity for 7 hours of LADC continuingeducation credit.This program has been approved for 6 Social WorkContinuing Education hours for re-licensure, inaccordance with 258 CMR. Collaborative of NASW andthe Boston College and Simmons Schools of Social WorkAuthorization Number D70648.Integrating Care: From Evidence to Operations I Second Annual Statewide Forum on Integration l 6
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Tamara Lange, Marcy Ravech, Amy Rosenstein, Rose Tedesco KEYNOTE SPEAKER Robin Callahan Deputy Medicaid Director João Evora Director PCC Plan MassHealth Stephanie Jordan Brown Vice President Transformation and Integration Nancy Norman, MD, MPH Medical Director of Integration Massachusetts Behavioral Health P
