Steps in Transitioning to Sustainable Integrated Medical and Psychiatric Care

Roger G. Kathol, M.D.

Introduction

Roger G. Kathol, MD, CPE, President of Cartesian Solutions, Inc.™, is a health care consultant who assists employers, government agencies, health plans, hospitals and clinics, and care management vendors develop integrated medical and behavioral health programs for patients with high cost health complexity. Dr. Kathol is board certified in internal medicine, psychiatry, and medical management with extensive experience gained during 22 years as a physician/teacher/researcher at the University of Iowa and 16 years as an international health complexity and integrated care consultant. His background positions him to assist stakeholders in the health industry as they create integrated health solutions, which improve care quality, augment outcomes, and lower total health care and health-related costs. Clients include: general hospitals and clinics; accountable care organizations; general medical health plans; case management programs and vendors; and employers and government agencies.

Dr. Kathol is an adjunct professor of internal medicine and psychiatry at the University of Minnesota. He has published more than 165 peer reviewed articles and 25 book chapters. In his book Healing Body and Mind: A Critical Issue for Healthcare Reform (2007) with co-author Suzanne Gatteau, he brings to life the negative impact that segregated physical and mental health care has on the lives of patients and outlines the steps that can be taken today which improve health, reduce impairment, and lower total health care costs through health service integration. In collaboration with the Case Management Society of America, Dr. Kathol and co-authors introduce the industry-changing steps to integrated case management in their book, The Integrated Case Management Manual: Assisting Complex Patients Regain Physical and Mental Health (June 2010).

Learning Objectives

1. Describe “traditional” core health system factors that impede delivery of value-added integrated medical and psychiatric services in medical settings. 
2. Summarize the health and cost impact of untreated or poorly treated psychiatric conditions on medical health outcomes and total health related costs.
3. Create a vision for the development of a system in which it is possible to deliver financially sustainable value-added integrated psychiatric services in medical settings and contribute to the Triple Aim.

Live webcast available at:  http://videos.mayo.edu/live

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ACCREDITATION

• Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. 
• Mayo Clinic College of Medicine designates this live activity for a maximum of 1 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.   

Archived webcast available at: Psychiatry & Psychology Video Library

Industry Acknowledgment (if applicable): 

Disclosure Summary
As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of Continuous Professional Development), must ensure balance, independence, objectivity and scientific rigor in its educational activities.   Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity.  Safeguards against commercial bias have been put in place.  Faculty also will disclose any off label and/or investigational use of pharmaceuticals or instruments discussed in their presentation.  Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

Listed below are individuals with control of the content of this program who have disclosed…

Relevant financial relationship(s) with industry: 

Roger Kathol, MD – Consultant and Stock Shareholder with Cartesian Solutions, Inc.

 No relevant financial relationship(s) with industry:
Brian Palmer, M.D., Michael Bostwick, M.D., Karen Grothe, Ph.D., Lois Krahn, M.D., Jarrod Leffler, Ph.D., Larissa Loukianova, M.D., Mary Machulda, M.D., Patricia Maus, M.D., Amber Pearson, Jeffrey Staab, M.D., Cosima Swintak, M.D., Kristin Vickers Douglas, Ph.D., Cynthia Harbeck-Weber, Ph.D., Michael Zaccariello, Ph.D., Georgina Rink

References to off-label usage(s) of pharmaceuticals or instruments in their presentation: None

Questions regarding this program can be directed to rstpsychgr@mayo.edu.