What they’re watching: HMA’s Dr Marc Avery discusses integrated care – State of Reform
In this issue of “What They Are Watching,” Marc Avery, MD, director of Health Management Associates (HMA), explains what integrated care means to him and how the COVID-19 pandemic has put that care approach to the fore. foreground.
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According to Avery, integrated care is a series of system transformation efforts that aim to address some of the problems in the health care system in order to create healthier communities. He said the concept of integrated care includes several components that fit together like a puzzle.
âIntegrated care isn’t just about taking two things and putting them together. You need several concepts and make them work together in a transparent way … And these [concepts] would include teamwork and efficient sharing of tasks between different team members. [This would occur] while all members of this team simultaneously adopt a person-centered approach to health careâ¦ Another way of saying this is to welcome the client or patient to the health care team.
Other solutions that fit into the integrated care puzzle, Avery said, are things like the incorporation of care based on evidence-based measures and practices, as well as a people-centered approach to care. to make sure that no one in the system falls into the cracks.
Avery also mentioned the impact of COVID-19 on integrated care, saying COVID-19 has simply exacerbated and made more apparent the many pain points already present in the healthcare system. He specifically focused on the behavioral health workforce shortages.
He said the principles of integrated care needed to be applied in response to the pandemic, but that also posed new challenges with the move to a virtual environment.
âHow do you provide person-centered care? It’s a little less difficult when you see a patient in person. It’s more difficult when you see someone over a remote connection. How do you share the tasks? When you are two different clinicians on a team deciding who does what, [task-sharing] is of critical importance when providing telehealth services because you really don’t have time to waste.