Module 4
Integrating the Whole Patient
Bringing behavioral health into the practice through collaborative care, addressing social needs proportionately, and managing chronic disease and prevention systematically.
By the end of this module, you will be able to:
- Explain how the collaborative care model integrates behavioral health into primary care
- Connect a practice to community partners that address social needs
- Organize chronic disease management and prevention around the whole panel
- Behavioral Health Integration Mental health is primary care's business whether or not the practice is ready. This lesson covers the Collaborative Care Model and how it is paid for. About 5 min
- Social Needs and Community Primary care sees the consequences of social conditions daily. This lesson covers addressing them without overwhelming the practice. About 4 min
- Chronic Disease and Prevention The bread and butter of primary care value. This lesson covers systematic chronic disease management and prevention done at panel scale. About 4 min
Module quiz
Answer all questions to see your score.
1. In the Collaborative Care Model, which three roles work together?
Caseload consultation is what lets one psychiatric consultant support far more patients than seeing them individually, and Medicare has paid for it since 2017.
2. What is the most important precondition for a social-needs screening program?
Screening creates an obligation; without funded community capacity it is diagnosis without treatment.
3. What distinguishes systematic chronic disease management from usual care?
Same clinical knowledge, radically different panel-level results, because nobody falls through for not booking an appointment.