TRICARE Online received a significant update, with patients are now able to:
Through a team-based approach to health care, specialty providers, mental health experts, physical therapists, clinical pharmacists, social workers, and others are embedded into primary care clinics to work closely together and deliver trusted care for each patient. This has proven instrumental in removing barriers to health care and driving efficiencies within medical facilities.
Goal: Right care, right provider, right time, right venue
Behavioral Health Optimization Program includes:
Embedded clinical pharmacists collaborate with teams to:
Goals of embedded clinical pharmacists include:
The prototype of an effective Enhanced Access Team Member includes:
Please note, some military treatment facilities have started providing direct access to physical therapy for active duty personnel with acute musculoskeletal complaints.
Other members based on local availability include:
The purpose of the Behavioral Health Optimization Program is to work with patients and their primary care manager’s team to identify, assess, and manage medical and behavioral health conditions, and to link patients to needed resources.
Almost every human condition has a behavioral component and some of the most frequently treated conditions include:
Internal Behavioral Health Consultant: IBHCs can be either a social worker or a psychologists. The IBHC works with the primary care managers in situations where good health care involves paying attention to physical health, habits, behaviors, emotions, and how they interact.
Anytime the primary care team and the patient decide that medical care could be enhanced by consulting with a behavioral scientist the IBHC may be asked to contribute to the care.
Typical Patient Visits with IBHC: A typical visit is about 25 minutes and the IBHC will ask several questions about your health, and then together, you and the IBHC will come up with a plan. The plan could involve reading materials or practicing skills on your own and following up with the PCM's team or coming back to see the IBHC for another two or three appointments.
If you and the IBHC think a specialty care is the best option, the IBHC can help with the referral. The IBHC will write the plan in your medical record and share with your PCM after the appointment.
Behavioral Healthcare Facilitator: The BHCF is generally a registered nurse in the Patient-Centered Medical Home who has been trained to help patients experiencing depression, anxiety, and/or post-traumatic stress disorder. The BHCF supports the PCM by providing frequent contact with the patient to answer questions, encourage adherence to the treatment plan, and monitor treatment response. BHCFs provide feedback to the PCM through face-to-face communication, telephone, email, and through the electronic medical record.
Who should be working with a BHCF? Appropriate patients for care facilitation are adult patients with depression, anxiety or PTSD whose medication for depression, anxiety or PTSD is being managed by the PCM. Ideally, you will be referred for care facilitation as soon as a diagnosis is made and/or the medication started.
BHCFs have a structured set of interview questions related to the following: