The Integrated Care Podcast

Collaborative Family Healthcare Association

Integrated healthcare. Behavioral Health and medicine. Person-in-context. Teams working together. That's what the Collaborative Family Healthcare Association (CFHA) is about and that's what this podcast is about.

All Episodes

Ep. #45: Lifelong Learning by Collaborative Family Healthcare Association

Nov 11

1 hr 4 min

Ep. #44: Leadership For BHCs by Collaborative Family Healthcare Association

Sep 7

57 min 1 sec

Ep.# 43: Measurement by Collaborative Family Healthcare Association

Aug 2

56 min

Ep. # 42: Value-based Care by Collaborative Family Healthcare Association

Jul 9

1 hr 1 min

Ep. # 41: Your First Day Of Integrated Care by Collaborative Family Healthcare Association

Jun 7

45 min 42 sec

Ep. #40: Screening In Integrated Care by Collaborative Family Healthcare Association

May 3

1 hr 15 min

Ep. #39: Pandemic Year In Review by Collaborative Family Healthcare Association

Apr 3

1 hr 20 min

Ep. #38: Documentation And Open Notes by Collaborative Family Healthcare Association

Mar 9

1 hr 1 min

Ep.# 37: Social Isolation And Loneliness by Collaborative Family Healthcare Association

Feb 1

54 min 14 sec

Ep. #36: Reflections on and Lessons from 2020 by Collaborative Family Healthcare Association

Dec 2020

59 min 16 sec

Ep. # 35: Suicidal Ideation In Integrated Care by Collaborative Family Healthcare Association

Dec 2020

1 hr 18 min

Ep.# 34 - Conference Reflections and Supervision in Integrated Care by Collaborative Family Healthcare Association

Oct 2020

1 hr 1 min

Ep. #33: Pregnancy & Perinatal Health by Collaborative Family Healthcare Association

Oct 2020

1 hr 20 min

Opening music by audionautix.com

Sep 2020

1 hr 22 min

Ep. #31: Current Research In Integrated Care by Collaborative Family Healthcare Association

Aug 2020

1 hr 4 min

This month, we invite you to join us for a conversation on anti-racism facilitated by our past co-host Jeffrey Ring. Please help us continue the conversation and our collective efforts to be active in anti-racism by emailing the CFHA List-Serv or calling (984)-206-1636 x 1636 and leaving us a voicemail. Show notes: 00:13:16 Martha Saucedo: https://theundefeated.com/features/ibram-kendi-leading-scholar-of-racism-says-education-and-love-are-not-the-answer/ 00:14:36 Deepu George: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446334/pdf/10936998.pdf 00:16:27 Deepu George: https://www.youtube.com/watch?v=GNhcY6fTyBM 00:17:23 Deepu George: https://brenebrown.com/podcast/brene-with-ibram-x-kendi-on-how-to-be-an-antiracist/ Music bed ‘Undertow’ by Scott Buckley https://www.scottbuckley.com.au/

Jun 2020

51 min 29 sec

Ep. #29: Domestic Violence in Integrated Care by Collaborative Family Healthcare Association

May 2020

49 min 49 sec

Ep. #28: Integrated Family Care by Collaborative Family Healthcare Association

Apr 2020

1 hr 2 min

Please join us for a few mindful moments in the midst of the pandemic with this series of bonus episodes. Poem: Search the Darkness, by Rumi Music: Monomyth - The Vision, by Scott Buckley – www.scottbuckley.com.au

Apr 2020

1 min 26 sec

Please join us for a few mindful moments in the midst of the pandemic with this series of bonus episodes. Poem: Pandemic, by Lynn Ungar Music: Reverie, by Scott Buckley – www.scottbuckley.com.au

Apr 2020

2 min 9 sec

Please join us for a few mindful moments in the midst of the pandemic with this series of bonus episodes. Poem: The Guesthouse, by Rumi Music: Monomyth - The Restoration, by Scott Buckley – www.scottbuckley.com.au

Apr 2020

1 min 48 sec

Please join us for a few mindful moments in the midst of the pandemic with this series of bonus episodes. Poem: For a Friend on the Arrival of Illness, by John O'Donahue, from the book To Bless the Space Between Us Music: Monomyth - The Things that Keep Us Here, by Scott Buckley – www.scottbuckley.com.au

Apr 2020

4 min 40 sec

Ep. #27: Managing Team Conflict by Collaborative Family Healthcare Association

Mar 2020

1 hr 12 min

Listen to the CFHA podcast team tackle some of the most uncomfortable situations in integrated care. And speaking of hard, Medication Assisted Treatment is no walk in the park for providers. Listen to an interview with emergency medicine trained toxicologist Serge Emile-Simpson, MD talk about the nuances of MAT work. Links: http://integratedcareconference.com David Brooks article: https://www.theatlantic.com/magazine/archive/2020/03/the-nuclear-family-was-a-mistake/605536/ APA State Toolkit: https://www.apadivisions.org/division-31/publications/toolkit/index

Mar 2020

1 hr 7 min

Ep. #25 Geriatrics And Primary Care by Collaborative Family Healthcare Association

Jan 2020

52 min 23 sec

Ep. #24: Sleep And Integrated Care by Collaborative Family Healthcare Association

Dec 2019

48 min

The CFHA podcast team discusses the role of spirituality in integrated care. How do you integrated spirituality into healthcare and why? Why does this make sense for integrated care? Notes: General resources: https://www.integration.samhsa.gov/about-us/esolutions-newsletter/e-solutions-june-2014 HOPE Questions: https://www.aafp.org/afp/2001/0101/p81.html#afp20010101p81-t4 Good review article on the topic (note section on PCMH & team-based care): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4814294/

Nov 2019

54 min

The CFHA Podcast team, live from the 2019 CFHA conference in Denver, CO! We share our highlights from the conference, complete with a "failure bow." Links: Post by Dr. Frank DuGruy: https://www.integratedcarenews.com/2019/the-never-ending-story-of-integrated-care/ Massachusetts New Health Plan Proposal: https://www.boston.com/news/health/2019/10/18/charlie-baker-health-care California Implicit Bias Training: https://www.latimes.com/california/story/2019-09-12/california-implicit-bias-legislation-doctors-lawyers 2019 & 2020 CFHA Conference info: http://integratedcareconference.com

Oct 2019

48 min 53 sec

The CFHA podcast crew invites special guest Andy Valeras, DO, to discuss two of his articles on complexity science and its application to healthcare. "Embrace complexity" is his message! The crew also interviews the founders of a new startup in Arizona pioneering collaborative care. Healthcare's wicked questions: https://doi.org/10.1037/fsh0000425 Caring is complex: https://www.ncbi.nlm.nih.gov/pubmed/30920271 EvolvedMD:http://www.evolvedmd.com

Sep 2019

1 hr 14 min

The CFHA team tackles the central role of food in health/ healthcare and the gaps in our knowledge as teams in providing nutritional guidance and support. Also, two special segment featuring the planners of the plenary experiences of the annual conference and a conversation with Christine Runyan, PhD on the ethics of integrated care. Helpful links: https://www.forbes.com/sites/brucejapsen/2019/07/25/congress-warms-to-paying-for-social-determinants-and-health-industry-cheers/#4d06afca4ac3 Congress is potentially getting in on the act of attending to social determinants including nutrition. Cleveland Clinic's food as medicine initiative (https://www.greaterclevelandfoodbank.org/programs/food-as-medicine) or Boston Medical's preventive food pantry (https://www.bmc.org/nourishing-our-community/preventive-food-pantry) Nutrition and behavioral health: https://psychscenehub.com/psychinsights/the-simplified-guide-to-the-gut-brain-axis/ https://nutritionfacts.org/topics/mental-health/ - plant-based diet and its impact on mental health

Aug 2019

1 hr

The CFHA team discusses burnout, compassion fatigue, moral injury and wellness for healthcare providers. Resources discussed: http://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Improving-Joy-in-Work.aspx https://nam.edu/clinicianwellbeing/wp-content/uploads/2019/07/Factors-Affecting-Clinician-Well-Being-and-Resilience-July-2019.pdf https://www.sciencedirect.com/science/article/pii/S0002934318311550#! https://zdoggmd.com/moral-injury/ https://www.amazon.com/Resilient-Clinician-Robert-J-Wicks/dp/0195316975/ref=sr_1_1?crid=3TBQGSYVW5HKK&keywords=the+resilient+clinician&qid=1564066638&s=gateway&sprefix=the+resiliant+%2Caps%2C130&sr=8-1 Penwell-Waines, L. (2018). Perspectives on Healthcare Provider Well-Being: Looking Back, Moving Forward. Journal of Clinical Psychology in Medical Settings, 25(3), 295–304. http://doi.org/10.1007/s10880-018-9541-3 Penwell-Waines, L., Runyan, C., Kolobova, I., Grace, A., Brennan, J., Buck, K., et al. (2019). Making Sense of Family Medicine Resident Wellness Curricula: A Delphi Study of Content Experts. Family Medicine, 1–7. http://doi.org/10.22454/FamMed.2019.899425

Jul 2019

50 min 20 sec

The CFHA crew discusses the importance of family, broadly defined, in the provision of high quality healthcare. Shownotes: Genograms reference for show notes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2380035/ Ecomaps reference for show notes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2218299/ https://uhfnyc.org/publications/publication/plan-and-provider-opportunities-move-toward-integrated-family-health/ ACGME1 and experts from STFM2 recommend family doctors gather familial, social, cultural & spiritual context information from their patients 1Accreditation Council for Graduate Medical Education (ACGME). (2014, July 1). ACGME program requirements for graduate medical education in family medicine. 2 Schirmer, J. M., Taylor, D., & Zylstra, R. (2008). New Set of Core Principles of Behavioral Medicine. Society of Teachers of Family Medicine. https://www.aafp.org/afp/2011/1001/p780.html https://www.ajpmonline.org/article/S0749-3797%2898%2900017-8/fulltext

Jul 2019

1 hr 16 min

The CFHA podcast team reviews the latest integrated care research along with special guest Matt Martin (blogger, researcher at ASU). Also, Dr. Serrano interviews Kent Corso on the topic of innovators in integrated care. Shownotes: Poetry at end of show: https://psycnet-apa-org.cfha.idm.oclc.org/doi/10.1037/fsh0000397 Health payment literacy article: https://psycnet-apa-org.cfha.idm.oclc.org/doi/10.1037/fsh0000402 Meta-analysis of pediatric integrated care: https://jamanetwork.com/journals/jamapediatrics/fullarticle/2422331 High value aspects of primary care article: http://www.annfammed.org/content/17/3/221.full Childhood obesity: https://academic.oup.com/tbm/advance-article-abstract/doi/10.1093/tbm/ibz055/5445306 Suicide in primary care: https://www.ncbi.nlm.nih.gov/pubmed/29809038 Buprenorphine care: https://annals.org/aim/fullarticle/2708164/next-stage-buprenorphine-care-opioid-use-disorder Depression screening and detection: https://uhfnyc.org/media/filer_public/61/87/618747cf-9f4b-438d-aaf7-6feff91df145/bhi_finalreport.pdf Integration framework: https://uhfnyc.org/publications/publication/continuum-based-bh-integration-among-small-primary-care-practices/ Bonus (not discussed): https://bmcemergmed.biomedcentral.com/articles/10.1186/s12873-019-0223-8

May 2019

1 hr 25 min

The CFHA team discusses the intersection of race/ culture and the provision of health care by teams. Implicit bias and cultural humility are discussed as foundational frameworks for teams to embody. Also mixed in, a reference to Dr. Serrano's love of the band, Chicago. Black Moms Die More http://www.precinctreporter.com/2019/04/25/health-crisis-black-moms-die-more/ Dr. Dana Matthew video: http://integratedcarenews.com

Apr 2019

1 hr 10 min

The CFHA Podcast team discusses how to assess your clinic's level of integrated care and why being self-reflective about this is important. Check in for insights, tools and perspectives on how to do this. Many thanks to our sponsor: UW Health (http://careers.uwhealth.org). Also, check out the links below discussed during the podcast: Article: https://jamanetwork.com/journals/jama/fullarticle/2729345?resultClick=1 List of Assessment Tools: https://www.integration.samhsa.gov/operations-administration/assessment-tools#SSA MeHAF: https://www.integration.samhsa.gov/MeHAF_Site_self_assessment_tool.pdf PIP: http://pip.w3.uvm.edu/pip.php Our Amazon Smiles Link: https://smile.amazon.com/ch/13-3832381

Apr 2019

1 hr 12 min

The CFHA podcast team describes the varied ways in which we often miss sexuality as a key piece of primary care and some tips on dealing with particularly challenging situations. Dr. Travis Cos is also interviewed around his work in training a large network of Behavioral Health Consultants in Philadelphia, PA. This podcast is sponsored by UW Health (Madison, WI). Go to careers.uwhealth.org for more on great careers at UW Health. Show notes as always located at: https://www.cfha.net/blogpost/1730738/CFHA-Podcast-Shownotes

Feb 2019

1 hr 25 min

The CFHA podcast team discusses the challenge of determining BHC ratios. Also hear an interview with Dr. Boris Todorov, Clinical Psychologist, Vice President and Director of Clinical Services of Primary Care Psychology Associates, LLC. in Northbrook, IL. Dr. Todorov discuses PCPA’s private practice business model in which they deploy Behavioral Health Clinician (BHC) to medical clinics to provide care as part of the primary/specialty care medical team.

Jan 2019

1 hr 12 min

Hear the CFHA podcast team reflect on the gifts of integrated care in 2018. See our show notes at: https://www.cfha.net/blogpost/1730738/315455/December-2018--Integrated-Care-in-2018-Episode-Show-Notes or go to integratedcarenews.com for the link and other integrated care news!

Dec 2018

56 min 16 sec

Ep. 10: Structuring the Primary Care Consult & Welcome from the New FSH Journal Editors.

Dec 2018

1 hr 8 min

Join the CFHA podcast team live at the CFHA 2018 conference in Rochester, NY. We discuss the plenary session by Dr. Eduardo Salas on the science of teams and interview Christine Borst (ASU professor) and David Humphreys (UK Family Therapist).

Oct 2018

1 hr 4 min

The CFHA Podcast team takes on the issue of workforce development and the challenges of improving capacity by building a workforce in the context of multiple, confusing mental health guilds. See our show notes also at: https://www.cfha.net/blogpost/1730738/310248/To-Guild-or-Not-To-Guild-The-New-Integrated-Care-Professional-Identity

Sep 2018

1 hr 25 min

Hear the CFHA podcast team discuss the role of integrated care in working at the opioid crisis. See our show notes at: https://www.cfha.net/blogpost/1730738/308520/August-2018--The-Opioid-Crisis--Integrated-Care or go to integratedcarenews.com for the link and other integrated care news!

Aug 2018

1 hr 16 min

Interviews with Dr. Ronald Epstein and Dr. Andrew Philip highlight the past, present and future of integrated care. Dr. Epstein gets us excited about the Rochester conference and its historical significance. Dr. Philip talks to us about the Center for Integrated Health Solutions.

Aug 2018

48 min 52 sec

The CFHA Podcast Team discusses a recent list serve discussion that went viral on warm handoffs.

Jul 2018

1 hr 5 min

The CFHA Team interviews Drs. Julie Oyemaja & Brian Sandoval along with the co-editors of a special edition in the Journal of Clinical Psychology in Medical Settings. It's all things PCBH in this podcast as we look at the big trends related to PCBH in this special edition.

Jun 2018

1 hr 8 min

The CFHA podcast team gets together to discuss their favorite upcoming sessions at the CFHA conference in October (http://integratedcareconference.com)and briefly discuss core competencies for team members on integrated care teams. Show notes coming soon.

May 2018

1 hr 5 min

The CFHA Podcast team discusses the models of integrated care, why they are important, how they have differing goals, and how they are the training wheels of workforce development. Also, featured is an interview with Joan Fleishman, PhD who discusses her history as a program developer and behavioral director in a now large integrated primary care clinic. April 2018 Show Notes Announcements: CFHA Annual Conference | October 18, Rochester, NY News Items: Grace: Congressman Vern Buchanan Says These are Seven Ways to Attack Opioid Epidemic | Bradenton Herald Jeffrey: Literacy-Adapted Cognitive Behavioral Therapy versus Education for Chronic Pain at Low-Income Clinics: A Randomized Controlled Trial | Annals of Internal Medicine Deepu: Senate Finance Panel's Opioid Hearing to Focus on Changes to Medicare, Medicaid | Morning Consult
Senate Finance Committee Bipartisan Initiative: Addressing Substance Use Disorder and the Opioid Epidemic | Morning Consult Neftali: Does the Primary Care Behavioral Health Model Reduce Emergency Department Visits? | Health Services Research Also mentioned: Eugene S. Farley, Jr. Health Policy Center | Aurora, Colorado Creating a Culture of Whole Health | Eugene S. Farley, Jr. Health Policy Center Make Health Whole Website | Eugene S. Farley, Jr. Health Policy Center Topic Discussion: AIMS Center (Collaborative Care resources & Implementation Research) | University of Washington Collaborative Care Implementation Guide | AIMS Center Behavioral Health Integration and Complex Care Initiative Culture Eats Strategy for Lunch | Curt Coffman & Kathie Sorensen Special Segment: Faculty page of Dr. Joan Fleishman | Oregon Health & Science University Trauma Informed Care Benefiting Both Patients and Staff | Trauma Informed Oregon Brené Brown’s Website

Apr 2018

1 hr 15 min

The CFHA Podcast Team discusses the work of community health workers, promotoras, peer specialists, care managers and other new members of the modern medical care team. Special segments include a review of the Association for Community Health Improvement Conference by Dr. Jeffrey Ring and an interview with Family, Systems & Health co-editor Dr. Jodi Polaha who sponsored a conference recently on the podcast topic. News Items: Deepu: https://theincidentaleconomist.com/wordpress/do-antidepressants-work/ Grace: https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm599560.htm Amber: https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2017.9b9 More information about the Brief Addiction Monitor mentioned in Amber’s news item: https://manual.jointcommission.org/BHCInstruments/RomInstr00017 Neftali: https://www.macrumors.com/2018/01/24/apple-health-records-update/ Topic Discussion: Faculty webpage of Dr. Frank DeGruy, whose talk Deepu summarized for us: http://www.ucdenver.edu/academics/colleges/medicalschool/departments/familymed/about/faculty/Pages/FrankdeGruy.aspx The four websites Deepu was recommended to follow were: https://theincidentaleconomist.com https://morningconsult.com/ http://thehealthcareblog.com http://healthcare-economist.com Website for Dr. Parinda Khatri with Cherokee Health (also cited by Deepu): https://www.cherokeehealth.com/about-us/our-leadership-team Website for Dr. Katie Kanzler who is doing the work with Promotoras & Acceptance and Commitment Therapy: http://profiles.uthscsa.edu/?pid=profile&id=47C0WR06D; https://reach.uthscsa.edu/node/108 SAMSHA-HRSA Center for Integrated Health Solutions page on Peer Providers - https://www.integration.samhsa.gov/workforce/team-members/peer-providers The Rural Health Info Hub has a helpful, brief explanation of some of the types of care coordinators: https://www.ruralhealthinfo.org/toolkits/care-coordination/2/care-coordinator-model/types Jeff’s Segment Association for Community Health Improvement: http://www.healthycommunities.org/ The Institute for Diversity & Health Equity (Affiliate of the American Hospital Association): http://www.diversityconnection.org/ Equity of Care Pledge: http://www.equityofcare.org/pledge/online-form.shtml National Urban League: https://www.nuljobsnetwork.com/ American Public Health Association: https://www.apha.org/ Jodi’s Segment Dr. Jodi Polaha’s faculty page: https://www.etsu.edu/com/familymed/faculty/polaha_jodi.php A 2017 Profile of the work being done by Dr. Polaha’s team that was published in the Atlantic: https://www.theatlantic.com/health/archive/2017/06/therapy-for-everybody/531120/ AAFP Risk Stratified Care Management Rubric - Preview & link to purchase (free to AAFP members): https://nf.aafp.org/Shop/practice-transformation/risk-stratified-care-mgmt-rubric Peek, C.J., Baird, M.A., & Coleman, E. (2009). Primary care for patient complexity, not only disease. Families, Systems & Health, 27, 287-302. doi: 10.1037/a0018048 In this article from CFHA’s journal Families, Systems, and Health, the authors argue that an organized method for assessing complexity is necessary for providing patient-centered (rather than solely disease-focused) care. Reddy, A., Sessums, L., Gupta, R., Jin, J., Day, T., Finke, B., & Bitton, A. (2017). Risk stratification methods and provision of care management services in Comprehensive Primary Care Initiative practices. Annals of Family Medicine, 15, 451-454. doi: 10.1370/afm.2124 This study reviews four methods that practices use to stratify patient risk, including the AAFP rubric that Dr. Polaha mentioned. Closing Discussion The MeHAF Tool for assessing integration: http://www.mehaf.org/learning-resources/tools-materials/ (Neftali specifically referenced the Integrated Care Site Self Assessment Survey)

Mar 2018

1 hr 18 min

Social justice and integrated care overlap. Why? How? Listen in as the CFHA podcast team discusses how the two are inexorably intertwined. Show notes: Announcement Links: 2018 Conference Information: http://www.integratedcareconference.com/ March ACEs Webinar: http://www.cfha.net/page/Webinars IntegratedCareNews.com: http://www.integratedcarenews.com/ News Items: Fifty years after the Kerner Commission, a new report cites the same concerns about race and poverty | The Washington Post: https://www.washingtonpost.com/news/post-nation/wp/2018/02/26/fifty-years-after-the-kerner-commission-a-new-report-cites-some-of-the-same-concerns-about-race-and-poverty/ 50 Years After the Kerner Commission | Economic Policy Institute: https://www.epi.org/publication/50-years-after-the-kerner-commission/ "I Was Almost a School Shooter" | Youtube: https://www.youtube.com/watch?v=0szyYWi9rBo Respect first, Then gun control | The New York Times:https://www.nytimes.com/2018/02/19/opinion/parkland-gun-control-shootings.html

Feb 2018

57 min 32 sec

The CFHA (Collaborative Family Healthcare Association) podcast team gets off to a rocking start with team introductions and our first "In The News" segment where we riff off of the latest news impacting the world of healthcare and integrated care. Show notes are below! News Articles: Neftali - https://www.samhsa.gov/health-information-technology/laws-regulations-guidelines Jeff - https://www.nih.gov/news-events/news-releases/nih-study-shows-steep-increase-rate-alcohol-related-er-visits Grace - https://www.medscape.com/viewarticle/891504 Deepu - https://www.washingtonpost.com/national/health-science/what-ive-learned-from-my-tally-of-757-doctor-suicides/2018/01/12/b0ea9126-eb50-11e7-9f92-10a2203f6c8d_story.html Pamela Wible's Ted Talk: https://www.tedmed.com/talks/show?id=528918 Other resources referenced: Unbroken Brain: A Revolutionary New Way of Understanding Addiction by Maia Szalavitz Author's website: http://maiasz.com/books/unbroken-brain/ NPR Fresh Air feature: https://www.npr.org/sections/health-shots/2016/07/07/485087604/unbroken-brain-explains-why-tough-treatment-doesnt-help-drug-addicts The Heart and the Bottle by Oliver Jeffers Author's website: http://www.oliverjeffers.com/picture-books/heart-and-the-bottle A Return to Love: Reflections on the Principles of a Course in Miracles by Marianne Williamson Author's website: https://marianne.com/a-return-to-love/

Jan 2018

58 min 33 sec