Preconference Options

CFHA will offer five optional preconference workshops on Thursday, October 21, prior to the CFHA Conference.

There are three morning workshops and two afternoon workshops.

Additional fees will apply to register for these preconference options.

Pre-Conference Workshops

Thursday, October 21, 2010 - 8:30 a.m. to 12:00 noon

• PC1: "Best Financial Practices for Billing and Sustaining Collaborative Care" (Roger Kathol)
• PC2: "Vertical Collaboration: Tackling the Big Things Together That None of Us Can Do Alone" (Frank deGruy, Gary Oftedahl, C.J. Peek)
• PC3: "Orientation to Collaborative Care for Physicians" (Gene Kallenberg, JoEllen Patterson, Chris Searles)

Thursday, October 21, 2010 - 1:30 to 5:00 p.m.

• PC4: "Orientation to Collaborative Care for Mental Health Specialists" (Alexander Blount, Ronald Adler)
• PC5: "Enhanced Care for Depression: IMPACT and Beyond" (Jürgen Unützer)

MORNING WORKSHOPS

PC1: "Best Financial Practices for Billing and Sustaining Collaborative Care"

• Roger Kathol, MD, President, Cartesian Solutions, Inc.; Adjunct Professor, University of Minnesota, Internal Medicine and Psychiatry

PC2: Vertical Collaboration: Accomplishing Big Things Together That None of Us Can Do Alone

• C.J. Peek, PhD, Associate Professor, Dept of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota USA
• Gary Oftedahl, MD, Chief Knowledge Officer, Institute for Clinical Systems Improvement, Bloomington, Minnesota USA
• Frank Verloin deGruy, III, MD, MSFM, Woodward-Chisholm Professor and Chair, Dept. of Family Medicine, University of Colorado Denver School of Medicine, Denver, Colorado USA

Many clinicians or health system leaders begin in their own backyards, among each other, to improve the care and health for their patients-often starting only with ideas, then pilots, then rolling them into larger more visibly led projects-that give rise to aspirations for mainstream adoption in an entire organization, community or state. But as efforts mature from pilot to mainstream, more and more system elements and stakeholders at higher and higher levels are swirled into the picture and become necessary to take the next step. This is vertical collaboration-and is done to move projects up to a meaningful scale with built-in sustainability-with providers, health plans, employers, state agencies, QI organizations, patients or policymakers in the room-because each of these stakeholders is a "moving part" in that larger picture. At some point almost all successful innovators reach the intimidating point that "Our work is now big enough that we can no longer carry it forward alone. If we don't convene a larger more diverse group representative of the real world out there, our idea will fail-or exist only as a curiosity in some isolated pocket". This workshop is for anyone who has reached that point-or expects to.

PC3: "Orientation to Collaborative Care for Physicians: Teaching Doctors to Collaborate on Behavioral Issues in Practice "

• Gene "Rusty" Kallenberg, MD, Chief, Division of Family Medicine, University of California, San Diego
• JoEllen Patterson, PhD, Professor, Marital and Family Therapy, University of San Diego
• R. Christopher Searles, MD, FAAP, Associate Clinical Professor of Family Medicine and Psychiatry University of California, San Diego School of Medicine

This workshop is for doctors who have realized that many of their patients have emotional or behavioral needs they would like to address in an effective way.  This workshop will cover basic attitudes, sensitivities, knowledge and skills that are required to carry out this part of clinical primary care with greater quality and comfort.  Attendees will also learn how to reach out to behavioral colleagues in their community to establish collaborative professional relationships that can assist them in practice.

AFTERNOON WORKSHOPS

PC4: "Orientation to Collaborative Care for Mental Health Specialists"

• F. Alexander Blount, EdD, Clinical Professor of Family Medicine and Psychiatry, Dept of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts USA

• Ronald N. Adler, MD, FAAFP, Director for Primary Care Practice Improvement, Center for the Advancement of Primary Care

Many competent mental health professionals have been unable to succeed as behavioral health clinicians in primary care. This experience will describe a 36-hour course designed to provide the knowledge, tools and attitudes necessary, and it will offer some of the content from that course. We will touch on the difference between primary and specialty care, the way that difference is seen in differences in mental health practice, routines of collaborative care, and the example of the teamwork and careful language necessary to care for patients presenting challenging somatizing symptoms.

PC5: "Enhanced Care for Depression: IMPACT and Beyond"

Presenter

• Jürgen Unützer, MD, MPH, Professor, Psychiatry & Behavioral Sciences, Adjunct Professor, Health Services, University of Washington School of Public Health

Patients often feel most comfortable receiving treatment for common mental disorders as part of their primary care and recent data shows that 70-80% of antidepressant medication prescriptions are written by primary care providers. In a nationwide study, IMPACT care more than doubled the effectiveness of depression treatment provided in primary care while also significantly improving physical functioning and quality of life. These improvements persist for at least one year after the end of treatment and recent analyses show that total healthcare costs for IMPACT patients are $3,300 less over four years than for patients in usual care. This workshop will describe the IMPACT model of collaborative depression care and the evidence supporting it, including evidence of its implementation in community settings following the study. Workshop participants will learn about the key components of IMPACT care and how to implement a program like this in their clinical practice.