discuss what you would do to re-launch a population health management program after this episode of chaos in the clinic. What would you do differently?

Dr. Lynn is a DBH and a relatively new member of the Patient-Centered Medical Home team in a busy, but small urban primary care clinic. Dr. Lynn has been working in the clinic for 9 months as the first and only Behavioral Health Consultant. She took great care to establish herself with the team. From the office administrator to the four PCP’s, four nurses and the nutritionist. Dr Lynn educated the team about the importance of integrated behavioral health and demonstrated the value of the hallway hand-off. Over the past few months the team gained increased understanding, confidence and interest in referring patients with appropriate problems – poor medication adherence, difficulty making and maintaining changes in nutrition and physical activity, depression and anxiety co-morbid with medical disease.

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