Bonal, J.

Company, X.

Galvez, E.

Gil, T.

Monreal, J.A.

Morea, S.

Moret, L.

Palao, Diego

Ramos, E.

Universitat Autònoma de Barcelona. Core Salut Mental

Monreal, J. A.

Diposit Digital de Documents de la UAB

iCORE: An innovative experience of resources coordination in mental health Moret L1, Bonal J1 , Morea S1, Gil T2, Company X2, Galvez E3, Ramos E2,  Monreal JA2, Palao D2 and iCore group.  Ambar Informàtica1 , Parc Taulí Sabadell-Universitary Hospital-UAB2,, Institut Català de la Salut3  iCORE is a software tool based on the  interoprability, tha allows automatically  schedule a visit between different centers  applying defined criteris.  Scheduling rules Criteria definition that must be metaccomplish to schedule automatically a visit to another center      Flow rules authorization Definició  of what typoes of visits of a center / speciality can be scheduled from anoher center Origen center Speciality Destíination center Specialty Type of visit Scheduling flow between levels. Control compliance rules Messaging between centre  The information systems dialog is done using standard messages   Engine to control the compliance rules The objective is to control if the compliance rules are accomplish, the results are exploited lately. When the rules are not accomplish a message is showed in the screen informing the criteria that  are not ok. Scheduling criteria by flow, visite type anv priority Scheduling Mental health specialty form primary care depending on visit type and priority Type of visit Criteria Criteria values Interconsultation (visits without the resence of the patients. Primary care doctors an specialists are involved) Clinical criteria: cases with diagnostics and/or therapeutics doubts.  1. It must exists an interconsultation  of the patient Existence of interconsultation = Yes Must accomplish Criteria 1 First visit with priority   1.  First visit to Mental Health Criteri 1º visita a Salut Mental 2.Suicide risk 10.Aggression risk 11.Vital risk •Suicide: Mini-plus: moderate or high •Aggression: value = Yes •Vital risk: value= Yes 6.  Previous interconsultation •Result of the interconsultation: schedule a visit to the specialist Must accomplish • (Criteria 1 + (criteria 2   and/or criteria 10 and/or criteri 11 )) or • Criteria 1 + criteria 5 + criteria 6 Tha date assigned to the visit must no exceed 15 days  First visits without priority 1.First visit to Mental Health Criteria Fisrt visit to mental healt 2.Risks •Suicide risk: low 3.Specific list of diagnostics TM •Specific list of diagnostics ICD-9-CM and CIM-10 corresponding codes  •CIE10: F20.xx, F21, F20.8, F25.x, F22.0, F23.8, F24, F06.x, F29 •ICD-9-CM: 295.xx, 301.22, 295.40, 295.70, 297.1, 298.8, 297.3, 293.xx, 298.9 4.Clinical severity / functional impact9.Prolonged work absence for mental illness •Global assessement scale activity <=50  and/or•Prolonged work absence due to mental illness (> 2 months) 5.Any diagnostic TM •ICD9:   from code 290 to 319 •ICD10: from code F00 to F99 6.Previous Interconsultation Result of the interconsultation: schedule a visit to the specialist Must accomplish • Criteria 1 + criteria 3    • Criteria 1 + criteria 2  + criteria 5 • Criteria 1 + (criteria 4 and/or criteria 9)  + criteria 5 • Criteria 1 + criteria 5 + criteria 6 Priority follow-up visits without risks (advance scheduled visit to CSM / CAS) 7.Existence of a scheduled visit to mental health Existence of a scheduled follow-up visit to mental health  Must accomplish Criteria 7 Subsequent visites  (brief interventions) The profile of the petiotioner  must be: doctor or psycologist Petiotioner: psyquiatrist or psycologist Must accomplish Criteria 8 Conclusions The iCORE project is a real opportunity to integrate SSII that facilitates the development of integrated working model AP / SM (basic requirement for the work processes). Mental health patients to be visited by a specialist out of the primary care consultation with a scheduled a visit with the psychiatrist prioritized with clinical criteria. Availability of some basic indicators of strategic and operational management should facilitate the integrated management of mental health patients.  Implementation: Phase I: Development of the project.  Phase II: Pilot implementation at 3 Primary Care Centres at Vallès Occ. Est (EAP’s Barbera, Cap Nord,  St. Oleguer). Main results:  > 80% of first psychiatric appointments from primary care setting is done directly thought the iCore platform, taking account the clinical priority. Phase III: Extension at all Primary Care Centres that are inclouded in the integrated health area of Taulí and, finally others areas of Catalonia.   Acknowledgment: Catalan Department of Health and Mental and Addiction Plan for financing and support the project.   Composed by the modules•Scheduling rules defined by an authorized user •Flow rules authorizacion defined by an authorized usur  •Messaging between centres  •Engine to control the compliance of rules •Statistics    Flow type Specialty Type of visit Priority Criteria Patient  data Admission data Clinical data Criteria assignement 

iCORE : an innovative experience of resources coordination in mental health

http://ddd.uab.cat/pub/posters/2014/133277/CSM14_lmoret.pdf

iCORE : an innovative experience of resources coordination in mental health

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