Value Based Care For Transitions Of Care In Behavioral Health – The Brave Health Case Study

Follow up, consumer compliance, and adherence to treatment regiments are often the metrics used to determine quality of care and outcomes. However, this ignores a host of social determinants of health and only examines the consumer within the confines of their visit. Follow up is generally a passive process, where, where consumers must reach out of their own volition to schedule appointments, find a follow-up care provider organization, and show up to the appointment. These were the limitations Anna Lindow wanted to overcome at Brave Health with their Transitions of Care program. Brave practices proactive consumer engagement, they actively seek out their consumers to establish a relationship with them while they are still lucid from their most recent mental health hospitalization. Brave’s proactive and reactive consumer outreach and engagement creates a collaborative dynamic, and the engagement team begins building a relationship with the consumer immediately. This has led to double the follow-up visits versus the traditional engagement model. Furthermore, at Brave Health, everything is entirely virtual. Consumers can submit health data, vitals, and even mood check ins directly from the convenience of their own home. This provides huge amounts of data, by consumer, that can be used to craft more detailed care plans, and drive decision-making at an organizational level. Brave’s proactive and reactive consumer outreach and engagement, where they actively seek out the consumer, following referral, to begin creating a collaborative dynamic and building a relationship immediately.

Brave Health is an entirely virtual clinic that specializes in behavioral health delivering telehealth-enabled counseling, therapy, psychiatry, and medication management, including medication assisted treatment. Brave Health treats consumers with a broad spectrum of mental health and substance use disorders. Brave Health’s programs are evidence based and data driven. They advance and refine their treatment plans constantly using clinically proven effective treatments. This is what has led to their Transitions of Care program success. Brave Health has a team comprised of licensed psychiatrists, nurses, and counselors that specialize in mental health and substance use disorders. Brave Health provides highly personalized treatment plans. Anna Lindow will discuss how evidence informs every decision and treatment plan at Brave Health through their data-driven decision-making processes. Ms. Lindow will share Brave Health Transitions of Care program’s pillars of engagement for consumer outreach, establishing outreach loops, and integrating primary care providers into the follow-up journey.

Executive attendees will learn:

• How to develop a culture of data informed decision-making
• Identifying processes and developing outreach loops to improve consumer engagement
• How to improve consumer outreach and engagement through technology, including integration of primary care providers into the follow-up journey
• Medicaid as an episodic model