This Oklahoma Health Homes will provide a forum for identifying and sharing best practices in Health Home design and implementation.
Health Homes is a Medicaid State Plan option that provides an opportunity to build a person-centered system of care that achieves improved outcomes and better services and value for the Oklahoma SoonerCare program. The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) has partnered with Oklahoma Health Care Authority OHCA to expand upon the patient-centered medical home model and existing behavioral health case management and System of Care (SOC) infrastructure to provide coordinated primary and behavioral health integration.
What is Integrated Care?
The systematic coordination of general and behavioral healthcare. Integrating mental health, substance abuse, and primary care services produces the best outcomes and proves the most effective approach to caring for people with multiple healthcare needs.
Hogg Foundation for Mental Health, Connecting Body & Mind: A Resource Guide to Integrated Health Care in Texas and the U.S.
What is a Health Home?
A place where individuals can come throughout their lifetimes to have their health care needs identified and to receive the medical, behavioral and social supports they need, coordinated in a way that recognizes all of their needs as an individual, not just patients.
What services will a Health Home Provide?
In accordance with the Centers for Medicare and Medicaid Services (CMS), a Health Home must have the capacity to provide all of the following services, as appropriate based on members’ changing needs:
Comprehensive care management;
Comprehensive transitional care (including appropriate follow-up from inpatient to other settings);
Individual and family support;
Referral to community and social support services.
Use of health information to link services as feasible and appropriate
The expectation is that behavioral health homes will result in improved quality of care and more cost efficiencies; improved experience with care on the part of members; and reductions in the use of hospitals, emergency departments, and other expensive facility-based care.
Health Home Videos
Part 1: Integrated Care 101
Part 2: Chronic Care Model I
Part 3: Chronic Care Model II
Part 4: Chronic Care Model III
Part 5: Principles of Chronic Care; Data, Registries, Measurement and Population-Based Care
Part 6: Principles of Chronic Care; Engaging and Sustaining the Care Team
Part 7: Patient Engagement; The Final Frontier of Healthcare