This Market Insights report from the AHA Center for Health Innovation offers options on how hospitals and health systems can improve the availability and coordination of behavioral health services in three areas of patient care. On the ED/inpatient side, hospitals and health systems can: (1) Make behavioral health assessments routine for all patients, either directly or through telemedicine services, and have a process in place for referral/treatment if needed. (2) Use their electronic health record (EHR) systems to prompt clinicians to assess all patients for behavioral health issues and ensure that they are shared with and addressed by all providers. (3) Open geriatric psychiatric (geropsych/complexity intervention) units that are equipped to treat elderly patients' chronic physical conditions in addition to their psychiatric needs, or med-psych units that specialize in treating patients with dual physical and behavioral health diagnoses. On the outpatient side, hospitals and health systems can: (1) Embed behavioral health clinicians in outpatient settings in a collaborative care model. (2) Equip and educate affiliated primary care practices with evidence-based behavioral health screening and assessment tools to use during each patient care visit. (3) Document behavioral health screening, diagnosis and treatment in EHRs to improve care coordination. (4) Open behavioral health urgent care centers that are integrated into urgent care centers that treat physical illnesses and injuries. (5) For people with serious mental illness and substance-use disorders, develop a behavioral health home option. To help extend behavioral health access and care into the community, hospitals and health systems can: (1) Collaborate with, joint venture with, or merge with a community mental health center, certified community behavioral health center, and/or a variety of other community-based providers and stakeholders. (2) Partner with other providers and community services to invest in data integration and develop innovative service delivery models for patient-centered care. (3) Make virtual behavioral health triage services available to community groups, their members and federally qualified health centers. The net results of successfully integrating behavioral health services are better behavioral and physical health for patients and their communities and better fiscal health for all.
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