Brenda Reiss-Brennan, MS, APRN, CS
Mental Health Integration Leader, Primary Care Clinical Program
Friday, 3:45 p.m. – 5:00 p.m.
Enhancing Primary Care Capacity in Managing Chronic Conditions at Lower Costs to the Community
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This presentation will review the specific Mental Health Integration (MHI) delivery strategies that have improved the efficient management and outcomes of chronic diseases and complex comorbid conditions. This includes promoting "whole health" and well being in the management of chronic disease in the primary care setting. Results will describe the cost benefit of collaborative primary and mental health care that leads to improved functional status in patients and improved satisfaction and confidence among physicians in managing mental health problems as part of routine medical care at a neutral cost with specific reduction in ER utilization. Presenters will share current results of descriptive (qualitative) and comparative analyses related to factors that promote or deter improved outcomes across medical group clinics in various stages of MHI implementation.
Upon completion of this activity, participants should be able to identify key universal medical group operational MHI measures that would promote sustained delivery of team based coordinated quality care required to prepare practices to meet the standards for integrated health homes and ACOs; explain how Intermountain’s full clinical integration model can be adapted to help local primary care redesign advance beyond speciality collocation challenges in managing the social process and cost of multiple complex chronic diseases (depression, diabetes, asthma, substance abuse, bipolar, heart disease, ADHD, CHF, obesity, chronic pain); identify key social factors among primary care providers and staff and patients that account for improved quality outcomes; describe key social factors that impede patients and their families from experiencing positive outcomes in managing their health conditions beyond the medical encounter; and define institutional norms and rules of exchange required to sustain improved quality at lower cost to our communities.
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Brenda Reiss-Brennan is a psychiatric nurse practitioner practicing in primary care for over 30 years. As a principal investigator she is leading Intermountain’s (IH) adoption and diffusion of clinical integration for mental health and primary care. The evidence and quality of Mental Health Integration (MHI) program has spread rapidly in over 70 medical group clinics including uninsured, rural and 20 non-IH community clinics. She holds a longstanding faculty appointment at the University Of Utah College Of Nursing and is currently a doctoral candidate in Medical Anthropology. She serves as a local and international consultant for MHI implementation and research.
