Behavioral Health Identification, Treatment and Referral in Primary Care--Part One: Depression and Follow-up After Higher Levels of Care
Depression significantly impacts both mental and physical health and can result in serious long-term morbidities. Screening tools are routinely used in clinical practice for measurement-based treatment decisions and adjustments. HEDIS serves as a standard measurement tool for comparing performance with a focus on quality improvements. This activity will explain HEDIS measures related to the treatment of depression and the referral process for behavioral health treatment.
This activity is jointly provided by OptumHealth Education, Optum Behavioral Health and UnitedHealthcare, Employer & Individual.
There was no commercial support received for this activity.
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This activity is designed to meet the educational needs of primary care physicians, PAs, nurses and nurse practitioners who are interested in learning about pertinent topics in behavioral health, including the screening, referral, diagnosis, and treatment for depression, along with the related aspects of Healthcare Effectiveness Data and Information Set (HEDIS) measures.
At the end of this educational activity, participants should be able to:
- Discuss the screening, diagnosis, treatment and medication adherence for depression.
- Describe the aspect of HEDIS measures related to the treatment of depression through antidepression medication management (AMM).
- Define HEDIS qualified aftercare appointments for follow-up after hospitalization (FUH) and follow-up after emergency department visit for mental illness (FUM).
- Explain the referral process for behavioral health treatment.
|Yusra Benhalim, MD|
Senior National Medical Director
Optum Behavioral Health
|Diane Sanders-Cepeda, DO, CMD |
Senior Medical Director
UnitedHealthcare Retiree Solutions
About the presenters
Dr. Yusra Benhalim is a triple board-certified psychiatrist in adult, child & adolescent, and addiction psychiatry. She serves as a Senior National Medical Director at Optum. Prior to joining Optum she partnered with pediatric care providers within a collaborative care model offering both physical and behavioral health care treatment services within a public sector setting. She also provided pediatric and family psychiatric care through the telehealth platform. Her special interests include preventative, whole-person care and engagement with a focus on family and systems of care approaches to care.
Dr. Diane Sanders-Cepeda is a Geriatrician and Certified Medical Director who has focused her career on Geriatric care across the Post-Acute & Long-Term Care Continuum. She began her career at Nova Southeastern University as an Assistant Professor in the Department of Geriatrics. Her passion for program development and the practical application of medical models lead her to starting her own medical practice which focused on Geriatric Medical Care, Resource Management, and Transitions of care across the Post-Acute & Long-Term Care Continuum. As Dr. Sanders-Cepeda grew her practice, her expertise in Geriatric Medicine lead her to create an Inpatient Geriatric Care unit at South Florida Hospital, develop Palliative Care initiatives for Home Health’s and SNFs, and serve in the capacity of Physician advisor and Medical Director for multiple Skilled Nursing Facilities, Inpatient Units, and Hospice Groups. Dr. Sanders-Cepeda, then transitioned into United Health Group as an Optum Medical Director for the South Florida Market. While in Optum, she used her skills to focus on Clinical Strategic Planning, Educational initiatives, and Clinical Development of Optum’s Advanced Practice Clinicians. Currently, Dr. Sanders-Cepeda works with United Health Group as a Senior Medical Director for United Healthcare Retiree Solutions. She remains active in the American Medical Directors Association on the Program Planning subcommittee, the Education Committee and serves as chair of AMDA’s Online Education Subcommittee. She is an active member of the Florida Medical Directors Association, and serves as the Vice-President of the organization, and as the chair of FMDA’s Journal Club. Dr. Sanders-Cepeda serves on the statewide Medical Care Advisory Committee for the state of Florida upon appointment by the Secretary of State. Dr. Sanders-Cepeda has presented regionally and nationally on a multitude of topics.
Rebecca Gleason, RN, CCM
Eden Prairie, MN
Valerie Peszka, MS
Director, Quality Improvement
Optum Behavioral Health
Rebecca L. Roberts Martin, Ph.D., LPCC-S
Manager, Clinical Quality Improvement–Ohio, Michigan
UnitedHealthcare Community Plan, Optum Behavioral Health
Disclosures of relevant financial relationships
In accordance with the Accreditation Council for Continuing Medical Education's (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, OptumHealth Education (OHE) requires all those in control of educational content to disclose their financial relationships with ineligible companies within the prior 24 months. Ineligible companies are defined by the ACCME as companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients. Individuals must disclose all financial relationships, regardless of the amount, with ineligible companies and regardless of their view of the relevance of the relationship to the education. OHE ensures that the content is independent of commercial bias.
The activity faculty and planners have no financial relationships to disclose.
Method for calculating CE credit
CE credit was calculated by the complexity of content.
In support of improving patient care, this activity has been planned and implemented by OptumHealth Education and Optum Behavioral Health. OptumHealth Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE) and the American Nurses Credentialing Center (ANCC), to provide continuing education for the health care team.
Credit designation statements
The participant will be awarded up to 1.00 contact hour(s) of credit for attendance and completion of supplemental materials.
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.
OptumHealth Education designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.
A certificate of attendance will be provided to learners upon completion of activity requirements, enabling participants to register with licensing boards or associations that have not been preapproved for credits. To apply for credit types not listed above, participants should use the procedure established by the specific organization from which they wish to obtain credit.
- 1.00 AMA
- 1.00 ANCC
- 1.00 Attendance
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