Integrated Care Systems: Maximizing Partnerships for Success Under Health Care Reform

Dates: 2011-2012

State: Colorado

Client(s): Metro Community Provider Network

Services: Health Care & Public Health Planning, Health Systems Transformation

Technical Expertise: Behavioral Health, Health Care Reform, Integrated Care Models, Primary Care, Safety Net

Federally Qualified Health Centers (FQHCs) and Community Mental Health Centers (CMHCs) both serve populations that are typically underserved yet require higher levels of service because of comorbidity involving chronic illness and behavioral health problems. Because these organizations are respectively becoming more patient-centered, many FQHCs and CMHCs that serve overlapping service areas have begun to integrate their services and form collaborations that benefit the patient. Metro Community Provider Network (MCPN), Clinica Campesina (two leading edge Federally Qualified Health Centers), and five mental health centers with overlapping service areas in metropolitan Denver that have already integrated their primary care and mental health services, decided to investigate maximizing their integration efforts and pursuing further collaborations that would be beneficial under health care reform.

The two FQHCs and five mental health centers contracted with JSI to facilitate their deliberations regarding shared outcomes and shared service integration strategies that would be of benefit in the newly emerging health care environment, particularly one that includes Accountable Care Organizations. The aims of the engagement included outlining the framework/boundaries for a potential partnership and creating a marketable entity based on a branded set of benefits and standards of care.