JAMES CARDON, MD, Executive Vice President and Chief Clinical Integration Officer, Hartford HealthCare
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“Where we’re really challenged is the psychosocial and economic barriers that prohibit people from managing their conditions. My background is clinical cardiology practice. I have had very complex people who are managed beautifully. The people you’re challenged with are those who have issues with compliance to medication and confusion about their plan of care that is, more often than not, related to unaddressed psychosocial issues.
We focus on two themes: One is filling the gaps in care that we know exist. The care coordination team we built — nurses, social work, pharmacy — supports our primary care physician to understand what’s going on with that patient and provide the touchpoint to coordinate care. The second piece is embedding a behavioral health clinician that’s integrated into primary care practices. These behavioral health providers aren’t there to do chronic cognitive therapy; they are there for the acute handoff, often times with people who need a couple of visits to solve a problem. If they need longer term therapy, the patient is transitioned to a provider who can provide that.”
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