Right Care, Right Place, Right Time

Case Study

Montefiore Health System – The Bronx, Westchester and the Hudson Valley, N.Y.

App improves outcomes in Collaborative Care Model

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In 2015, Montefiore Health System in New York City began implementing a program using the Collaborative Care Model (CoCM) to better serve its large population of low-income and minority patients with significant medical and mental health comorbidity and socioeconomic challenges. The health system initiated the CoCM with a grant from the Centers for Medicare & Medicaid Services’ Innovation Center, which helped Montefiore design, implement and sustain the model to increase the availability and quality of behavioral services and test innovative reimbursement methods. At the same time, Montefiore began looking for ways to leverage digital tools, including a smartphone application that could be used by caregivers and patients. The app has been used to enhance care management capabilities and allow care managers to increase the number of patients with whom they interact. The aim was to improve patient outcomes, and facilitate faster recovery and better communication with providers. The program has helped the health system improve care for both pediatric and adult patients with mental health conditions, including depression, post-traumatic stress disorder, general anxiety disorder, panic disorder and alcohol use disorder.

Case Studies

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