Resolution on Psychologists in Integrated Primary Care and Specialty Health Care Settings

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• Support the development of quality data registries (such as the Qualified Clinical Data Registry Initiative [QCDR]) for integrated healthcare, with input from psychologists and behavioral health consumers, and using reliable, valid, appropriate and meaningful measures of evidence based quality indicators.
• Support future research evaluating specific components of integrated care models in an attempt to determine which elements are most necessary for successful outcomes such as patient satisfaction, improvement inpatient physical and psychological health, reduced costs, and population health indices.
• Support integration of psychologists in value-based, bundled and global reimbursement models and the role of psychologists in improving population health Promote the inclusion of practice, research, and health policy by psychologists in integrated primary and specialty healthcare settings to improve patient, family, and population health. Formal collaborations should be considered with other influential healthcare organizations such as organizations representing physicians in primary and specialty care, health policy organizations, commercial insurers, federal agencies such as Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA) and Center for Medicare and Medicaid Services (CMS), as well as consumer groups such as AARP.
• Promote the recommendations and products from the

2014 APA Presidential Taskforce on Patient Centered Medical Homes through evidence-based articles, social media and briefing papers on the value of including psychologists in Patient Centered Medical Homes for children and adults across the lifespan Work to educate primary and specialty care physicians and hospital systems on the value of psychologists in integrated care, as well as how to best incorporate psychologists into their work setting and environment through workforce training and development Identify workforce training and development resources for psychologists and organizational leaders in primary and

specialty integrated care and provide education on their availability with a particular emphasis on mid-career psychologists and psychologists involved in training settings.
• Educate APA members on how to locate and apply for available grant-funded and other opportunities for psychologists working in integrated care settings Develop a strategy for ongoing data collection reflecting a variety of integrated care settings and practice areas and sizes, across as broad a geographic area as possible Advocate for the creation of new codes that will enable psychologist providers to provide preventative and treatment adherence, support services to patients, communication and consultation to the integrated healthcare team members, settings.
• Educate members about barriers to integrated care and how to navigate them in health systems and with health systems and with payers and regulatory bodies including where and how to access information on salaries and how to promote the appropriate valuation of psychological services RVU expectations.

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