Clinical Transformation

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Our clinical transformation work aims to shift the question from “What’s the matter with you?” to “What matters to you?” and work to ensure health care embraces a whole-person (spirit, mind, and body), whole-systems design for services and supports across the continuum of care.

Well Being Trust worked with Providence St. Joseph Health system leaders to establish a Clinical Performance Group (CPG) for Mental Health & Substance Use Disorders—an enterprise learning collaborative addressing three of the most pressing and cost-driving challenges within the health system: integrating behavioral health into primary care; transforming substance use treatment and services; and finding better ways to care for people with mental health issues in the emergency department. One year in, the work has resulted in a coordinated network of behavioral health leaders and caregivers throughout the system; cross-divisional alignment between behavioral health, primary care, community health investment and population health; emerging progress toward a system-wide behavioral health registry; four pilot locations working on digital solutions that support treatment for depression; development of an inpatient opioid withdrawal and maintenance management clinical pathway; and a substance use disorder model of care value proposition. In 2019, the CPG plans to partner with cross-disciplinary regional leaders to convene a Zero Suicide Focus Group to prevent deaths of despair.

Well Being Trust, alongside Kaiser Permanente, Providence St. Joseph and others, provided investment to Be Well OC (Orange County), resulting in the creation of the Be Well Blueprint, which established a plan for a dynamic ecosystem of interconnected stakeholders, each charged with improving access, quality of care, and population health outcomes more cost-effectively and with better value. This ecosystem, with three different “anchor wellness hubs” across the county, will address prevention, early intervention, crisis aversion, stabilization and acute care, and recovery by focusing on whole person care, mental health, and well-being.

To date, Be Well OC has engaged more than 100 organizations across multiple sectors, including public and private healthcare, law enforcement, elected leaders, academic and faith communities, and businesses large and small. Be Well Orange County is advancing a distributed model of leadership and driving county-wide, community-centric action.

Going forward, the coalition will focus on significantly improving crisis care for Orange County via a Regional Wellness Hub, and establishing a foundation for a new county-wide system of care, one driven by cross-sector partnerships toward a common vision—the Blueprint. This Regional Hub will be a first-of-its-kind in Orange County and a potential model for other communities. To activate the Blueprint, Be Will OC will empower backbone and impact organizations, forging a fundamental shift in how Orange County works together to meet big needs. Success in this area will create demonstrable new workflows and partnerships with metrics on outcomes, experience, and cost. Equally importantly, success also will create a new narrative for a community long at odds with each other in the face of increasing mental health needs, strained resources, outdated policies and adversarial politics.

Additionally, Well Being Trust, in partnership with the Institute for Healthcare Improvement, brought together eight leading health systems paired with community partners in an 18-month Learning Community, set within pilot emergency departments. Participants are testing a change package that includes fully integrating behavioral health in emergency departments and the community. The project will demonstrate that health systems can improve patient outcomes and experience while, at the same time, reducing emergency room utilization by optimizing patient access to community resources, like social safety net programs. Once completed, the models can be scaled to additional sites across systems.

Only one in 10 individuals with substance misuse or addiction concerns actually receives necessary care, and only four of every nine adults with any type of mental health need receive care.