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Comprehensive Collaborative Care for FQHCs

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The Collaborative Care Model (CoCM) has proven to be the strongest and most efficiently integrated method in delivering psychiatric services into the primary care setting. Proven to scale access, deliver clinical outcomes, and manage costs. According to the APA, the CoCM has five essential elements: 1. Patient-centered team care 2. Population-based care 3. Measurement-based treatment to target 4. Evidence-based care 5. Accountable care What is the Collaborative Care Model (CoCM)? The Integrated Collaborative Care team includes: Care Manager Health System's Care Manager or SilverCloud by Amwell's Behavioral Health Coach Participates in diagnosis & treatment planning: y Uses evidence-based brief interventions (motivational interviewing, etc.) y Alerts FQHC provider of concerns patient is having y Facilitates communication with Psychiatric Consultant y Manages registry Treating Provider FQHC Provider Oversees all aspects of patient's care: y Coordinates with Care Manager y Obtains support and consultation from Psychiatric Consultant y Manages prescriptions y Issues referrals Registry SilverCloud by Amwell Dashboard y Identifies at risk patients to prioritize treatment adjustment or psychiatric case review y Enables efficient, systematic psychiatric caseload review y Tracks clinical outcomes and progress at both the individual patient level and overall caseload level for the target population Psychiatric Consultant Amwell Psychiatric Care Provider Supports FQHC Provider: y Makes medication recommendations y Does not typically treat patients directly y Suggests changes in treatment plan if patient is not improving

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