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How Addressing
Mental Health Can
Improve Chronic
Disease Outcomes
and Cut Costs
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
The Mental Health Aspect of Improving Care
Mental health is one of the largest unmet
needs in our country today, representing a
significant opportunity for health systems and
providers to achieve better health outcomes
and reduce the total cost of care.
The Centers for Disease Control and
Prevention reports that the cost of caring for
people with chronic disease and mental
health conditions comprises 90 percent of
the nation’s $3.8 trillion spend on healthcare.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
The Mental Health Aspect of Improving Care
While health systems often invest resources
to manage chronic diseases, such as
diabetes and heart failure, organizations
can further improve chronic disease
management by increasing their investment
in co-existing mental health disorders.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
The Mental Health Aspect of Improving Care
A strong link connects chronic disease outcomes
and mental health disorders, making it difficult to
improve chronic disease outcomes without
addressing comorbid mental health conditions.
The relationship suggests that clinicians who
embrace a holistic, patient-centric approach to
chronic disease in individuals with comorbid
mood disorders can achieve better health
outcomes and an overall lower total cost of care.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Mental Health Complexity Can Lead to Worse
Chronic Illness Outcomes and Costly Care
A critical step in effective chronic
disease management is addressing
how a patient’s mental health may
impact their chronic condition.
For example, effective treatment of
Type 2 diabetes must include address-
ing coexisting mood disorders.
Health systems that incorporate mental
health treatment into chronic care
management programs often see
big results in health outcomes and
reductions in total cost of care.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Mental Health Complexity Can Lead to Worse
Chronic Illness Outcomes and Costly Care
A health system could reduce costly
emergency department (ED) visits—a
common source of care for patients
seeking mental health assistance—among
patients with heart disease (e.g.,
congestive heart failure (CHF)) by
understanding mental comorbidities.
By using data to identify patients with CHF
and mental health conditions, clinicians
could better engage individuals at
increased risk of further mental decline,
leading to decreased ED visits and
lower costs.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Mental Health Challenges Make
Chronic Disease Management Difficult
Given the research highlighting the causal link
between mental health and chronic disease, why
don’t health systems invest more in the
treatment of mental health patients?
While the answer is complicated, organizations
can consider three primary reasons systems
have deprioritized mental health treatment and
how these factors impact a system’s approach
to mental health.
 Lost Revenue
 Lack of Access
 Limited View of Mental health
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Mental Health Challenges Make
Chronic Disease Management Difficult
1: Lost Revenue
Treating patients with mental health
disorders can cost a health system up
to twice as much as treating a patient
without a mental health disorder.
This costly care often results in operating
losses due to poor reimbursements from
payers as well as a lack of efficient care
delivery models from providers.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Mental Health Challenges Make
Chronic Disease Management Difficult
2: Lack of Access
There is a lack of access to mental health
tools and clinicians, particularly in rural and
poverty-stricken areas.
This lack of access worsens already
existing healthcare inequities and is a great
example of how social determinants, such
as mental health, affect health outcomes.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Mental Health Challenges Make
Chronic Disease Management Difficult
2: Lack of Access
Healthcare professionals must rethink their
care delivery model, utilizing telemedicine
platforms to improve access and data-
driven patient engagement tools to drive
better overall mental health outcomes.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Mental Health Challenges Make
Chronic Disease Management Difficult
3: Limited View of Mental Health
Lastly, the healthcare community often
thinks too narrowly about mental health,
relegating it to psychiatric conditions only.
Healthcare professionals should consider
patient decisions, activities, or behaviors
that impact overall health as additional
aspects of mental health.
By more broadly defining the activities
that make up mental health, care teams
can better link behaviors to physical
health in an impactful way.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Step 4:
Measure the
Impact and
Show ROI
Step 3:
Develop a
Plan with
Experts
Step 2:
Identify the
Financial
Impact
Step1:
Identify the
Patient
Population
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Health systems can start the journey to better chronic disease management for
patients with associated mental health disorders by following a four-step process:
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 1: Identify the Patient Population
First, improvement teams should create
data-informed patient population definitions.
Understanding the patient group’s specific
concerns helps the care team design
effective interventions.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 1: Identify the Patient Population
For example, team members can evaluate
whether the total cost of care attributable to
diabetes is higher in diabetics with poorly
managed mood disorders, such as those with
higher hemoglobin A1c (HbA1C), compared
to those with effective mood disorder
management or without mood disorders.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 1: Identify the Patient Population
Care teams can define populations according
to risk in minutes with a patient stratification
tool, such as the Health Catalyst Population
Builder: Stratification Module™.
After the system defines the patient
populations, care teams can identify
patients with chronic diseases and risk
factors for undiagnosed mental health
disorders (e.g., patients with Type 2
diabetes and early signs of a possible
mood disorder).
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 1: Identify the Patient Population
In addition to a stratification tool, health
systems need access to traditional data
sources, including clinical EMR and
claims data, to more rapidly identify at-
risk patients within a given population.
Early identification of high-risk patients
also requires a technology platform that
ingests and normalizes data from
sources outside of the hospital setting
(e.g., ambulatory clinics).
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 1: Identify the Patient Population
An open data management platform and
customizable analytics tools aggregate
diverse data sources that health systems
need to drive better outcomes.
This need far exceeds the capabilities of
any EHR and requires dedicated data
and analytics infrastructure.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 2: Identify the Financial Impact
Second, improvement teams can take the
claims data of these newly stratified cohorts
and see the entire cost of care for specific
populations with a tool such as the Health
Catalyst Per Member Per Month Analyzer.
For example, if 1,000 patients with Type 2
diabetes and a mood disorder are more costly
than patients with Type 2 diabetes without a
mood disorder, the health system can target
the first group with more aggressive
monitoring and proactive interventions.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 2: Identify the Financial Impact
Given the possibility of mood disorders in all
cohorts of patients, data analytics tools (e.g.,
the Health Catalyst Population Builder
Application) that identify comorbid conditions
and help stratify financial and clinical risks
across a population are necessary if a system
hopes to scale a mental health initiative.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 3: Develop a Plan with Experts
After identifying the financial implications of
providing care for a specific patient group, the
next step is to create a plan.
Care team leaders should work with clinical
improvement experts with proven track records
of delivering success, such as the Heath
Catalyst Professional Services business unit.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 3: Develop a Plan with Experts
Team members and experts can work
together to develop care processes
that target common health barriers for
the at-risk patient group.
Using the example of patients with
Type 2 diabetes and early signs of a
possible mood disorder from Step 1,
care teams can focus on interventions
that promote better mood disorder
management.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 3: Develop a Plan with Experts
Treating mood disorders can improve a
patient’s mental health condition and may
lessen the emotional and physical
burdens associated with mental illness
that interfere with self-care.
This self-care improvement can also lead
to better chronic disease management,
including lowering HbA1C levels for
patients with Type 2 diabetes.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 3: Develop a Plan with Experts
Combining data with expertise increases
an improvement program’s efficiency.
With data highlighting specific
improvement opportunities, experts can
proactively address early warning signs of
mental health conditions and prevent
worsening conditions.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 3: Develop a Plan with Experts
The benefits include better health for
patients and reduced costs for health
systems that lead to greater profit margins
in a fee-for-service environment and
value-based arrangements.
In other words, the health and financial
benefits exist regardless of payer model.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 3: Measure the Impact and Show ROI
Lastly, to earn the ongoing leadership support
to sustain mental health improvement
initiatives, health systems must measure the
impact of their programs’ interventions and
demonstrate ROI.
Teams must consider how they’ll measure
change when beginning any project to
ensure the proper protocols are in place.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 3: Measure the Impact and Show ROI
Throughout the mental health improvement
project, leaders can use data visualization
tools to track progress and communicate
results to the appropriate team members.
Visualization tools remove complexity,
allowing non-data experts to understand
and measure the effectiveness of each
mental health intervention in improving
chronic disease management.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Four Mental Health-Centered Steps to
Effective Chronic Disease Management
Step 3: Measure the Impact and Show ROI
For example, if care teams implement an
additional weekly telehealth visit for
patients with high HbA1C, they can
create a dashboard to regularly review
any change in the HbA1C levels after
they implemented the telehealth visits.
Seeing results allows team members to
monitor patient and intervention progress
and generate organizational support for
current and future improvement projects.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Addressing Mental Health Can Lead to
Optimal Chronic Disease Management
Following the four-step framework for
chronic disease and mental health
management allows care teams to treat
the underlying behavioral factors that
may worsen chronic disease and
impede effective management.
Targeting and improving mental health
within chronic disease management
can lead to significant improvement,
reductions in the total cost of care,
and a clear return on the improve-
ment investment.
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
For more information:
“This book is a fantastic piece of work”
– Robert Lindeman MD, FAAP, Chief Physician Quality Officer
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
More about this topic
Link to original article for a more in-depth discussion.
How Addressing Mental Health Can Improve Chronic Disease Outcomes and Cut Costs
Improving Sepsis Care: Three Paths to Better Outcomes
Health Catalyst Editors
Healthcare Process Improvement: Six Strategies for Organizationwide Transformation
Health Catalyst Editors
Six Ways Health Systems Use Analytics to Improve Patient Safety
Health Catalyst Editors
Using Improvement Science in Healthcare to Create True Change
Heather Schoonover, MN, ARNP-CNS, PHCNS-BC, FCNS, VP
The Top Five Insights into Healthcare Operational Outcomes Improvement
Health Catalyst Editors
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Will Caldwell attended Davidson College where he prepared for a career in medicine,
studying biology and working in East Africa as a wildlife manager. Dr. Caldwell
completed residency training in otolaryngology – head and neck surgery at the
University of Maryland Medical System and the Shock Trauma Center of Maryland, and
went on to achieve triple board certification in otolaryngology, allergy and immunology,
and sleep medicine. In 2013, Dr. Caldwell became a board member and medical director
of Give Hope Global, a not-for-profit entity dedicated to the development of health
systems focused on the use of community health workers. He also serves as Senior Medical Advisor to
Zanmi Lasante, the name for Partners in Health in Haiti. His work there was documented in a film that
won two Emmy Awards. Dr. Caldwell earned his MBA With Highest Honors and was named for
Academic Distinction from Wake Forest University. He served as the Senior Vice President for Clinical
Integration at Novant Health, building the Novant Health Clinically Integrated Network, a value-based
platform comprised of over 2800 providers across 26 specialties. In his current role as Senior Vice
President for Physician and Market Development at Health Catalyst, he promotes the use of data
analytics to promote good health and save lives. His area of expertise rests in technology enabled health
care delivery models and value-based care platforms. He continues to see patients and has received
over 26 awards for clinical excellence during his 17-year career as a clinician.
Other Clinical Quality Improvement Resources
Click to read additional information at www.healthcatalyst.com
Will Caldwell, MD, MBA
© 2021 Health Catalyst
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Other Clinical Quality Improvement Resources
Click to read additional information at www.healthcatalyst.com
Health Catalyst is a mission-driven data warehousing, analytics and outcomes-improvement
company that helps healthcare organizations of all sizes improve clinical, financial, and operational
outcomes needed to improve population health and accountable care. Our proven enterprise data
warehouse (EDW) and analytics platform helps improve quality, add efficiency and lower costs in
support of more than 65 million patients for organizations ranging from the largest US health system
to forward-thinking physician practices.
Health Catalyst was recently named as the leader in the enterprise healthcare BI market in
improvement by KLAS, and has received numerous best-place-to work awards including Modern
Healthcare in 2013, 2014, and 2015, as well as other recognitions such as “Best Place to work for
Millenials, and a “Best Perks for Women.”

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How Addressing Mental Health Can Improve Chronic Disease Outcomes and Cut Costs

  • 1. How Addressing Mental Health Can Improve Chronic Disease Outcomes and Cut Costs
  • 2. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Mental Health Aspect of Improving Care Mental health is one of the largest unmet needs in our country today, representing a significant opportunity for health systems and providers to achieve better health outcomes and reduce the total cost of care. The Centers for Disease Control and Prevention reports that the cost of caring for people with chronic disease and mental health conditions comprises 90 percent of the nation’s $3.8 trillion spend on healthcare.
  • 3. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Mental Health Aspect of Improving Care While health systems often invest resources to manage chronic diseases, such as diabetes and heart failure, organizations can further improve chronic disease management by increasing their investment in co-existing mental health disorders.
  • 4. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. The Mental Health Aspect of Improving Care A strong link connects chronic disease outcomes and mental health disorders, making it difficult to improve chronic disease outcomes without addressing comorbid mental health conditions. The relationship suggests that clinicians who embrace a holistic, patient-centric approach to chronic disease in individuals with comorbid mood disorders can achieve better health outcomes and an overall lower total cost of care.
  • 5. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Mental Health Complexity Can Lead to Worse Chronic Illness Outcomes and Costly Care A critical step in effective chronic disease management is addressing how a patient’s mental health may impact their chronic condition. For example, effective treatment of Type 2 diabetes must include address- ing coexisting mood disorders. Health systems that incorporate mental health treatment into chronic care management programs often see big results in health outcomes and reductions in total cost of care.
  • 6. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Mental Health Complexity Can Lead to Worse Chronic Illness Outcomes and Costly Care A health system could reduce costly emergency department (ED) visits—a common source of care for patients seeking mental health assistance—among patients with heart disease (e.g., congestive heart failure (CHF)) by understanding mental comorbidities. By using data to identify patients with CHF and mental health conditions, clinicians could better engage individuals at increased risk of further mental decline, leading to decreased ED visits and lower costs.
  • 7. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Mental Health Challenges Make Chronic Disease Management Difficult Given the research highlighting the causal link between mental health and chronic disease, why don’t health systems invest more in the treatment of mental health patients? While the answer is complicated, organizations can consider three primary reasons systems have deprioritized mental health treatment and how these factors impact a system’s approach to mental health.  Lost Revenue  Lack of Access  Limited View of Mental health
  • 8. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Mental Health Challenges Make Chronic Disease Management Difficult 1: Lost Revenue Treating patients with mental health disorders can cost a health system up to twice as much as treating a patient without a mental health disorder. This costly care often results in operating losses due to poor reimbursements from payers as well as a lack of efficient care delivery models from providers.
  • 9. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Mental Health Challenges Make Chronic Disease Management Difficult 2: Lack of Access There is a lack of access to mental health tools and clinicians, particularly in rural and poverty-stricken areas. This lack of access worsens already existing healthcare inequities and is a great example of how social determinants, such as mental health, affect health outcomes.
  • 10. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Mental Health Challenges Make Chronic Disease Management Difficult 2: Lack of Access Healthcare professionals must rethink their care delivery model, utilizing telemedicine platforms to improve access and data- driven patient engagement tools to drive better overall mental health outcomes.
  • 11. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Mental Health Challenges Make Chronic Disease Management Difficult 3: Limited View of Mental Health Lastly, the healthcare community often thinks too narrowly about mental health, relegating it to psychiatric conditions only. Healthcare professionals should consider patient decisions, activities, or behaviors that impact overall health as additional aspects of mental health. By more broadly defining the activities that make up mental health, care teams can better link behaviors to physical health in an impactful way.
  • 12. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Step 4: Measure the Impact and Show ROI Step 3: Develop a Plan with Experts Step 2: Identify the Financial Impact Step1: Identify the Patient Population Four Mental Health-Centered Steps to Effective Chronic Disease Management Health systems can start the journey to better chronic disease management for patients with associated mental health disorders by following a four-step process:
  • 13. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 1: Identify the Patient Population First, improvement teams should create data-informed patient population definitions. Understanding the patient group’s specific concerns helps the care team design effective interventions.
  • 14. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 1: Identify the Patient Population For example, team members can evaluate whether the total cost of care attributable to diabetes is higher in diabetics with poorly managed mood disorders, such as those with higher hemoglobin A1c (HbA1C), compared to those with effective mood disorder management or without mood disorders.
  • 15. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 1: Identify the Patient Population Care teams can define populations according to risk in minutes with a patient stratification tool, such as the Health Catalyst Population Builder: Stratification Module™. After the system defines the patient populations, care teams can identify patients with chronic diseases and risk factors for undiagnosed mental health disorders (e.g., patients with Type 2 diabetes and early signs of a possible mood disorder).
  • 16. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 1: Identify the Patient Population In addition to a stratification tool, health systems need access to traditional data sources, including clinical EMR and claims data, to more rapidly identify at- risk patients within a given population. Early identification of high-risk patients also requires a technology platform that ingests and normalizes data from sources outside of the hospital setting (e.g., ambulatory clinics).
  • 17. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 1: Identify the Patient Population An open data management platform and customizable analytics tools aggregate diverse data sources that health systems need to drive better outcomes. This need far exceeds the capabilities of any EHR and requires dedicated data and analytics infrastructure.
  • 18. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 2: Identify the Financial Impact Second, improvement teams can take the claims data of these newly stratified cohorts and see the entire cost of care for specific populations with a tool such as the Health Catalyst Per Member Per Month Analyzer. For example, if 1,000 patients with Type 2 diabetes and a mood disorder are more costly than patients with Type 2 diabetes without a mood disorder, the health system can target the first group with more aggressive monitoring and proactive interventions.
  • 19. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 2: Identify the Financial Impact Given the possibility of mood disorders in all cohorts of patients, data analytics tools (e.g., the Health Catalyst Population Builder Application) that identify comorbid conditions and help stratify financial and clinical risks across a population are necessary if a system hopes to scale a mental health initiative.
  • 20. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 3: Develop a Plan with Experts After identifying the financial implications of providing care for a specific patient group, the next step is to create a plan. Care team leaders should work with clinical improvement experts with proven track records of delivering success, such as the Heath Catalyst Professional Services business unit.
  • 21. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 3: Develop a Plan with Experts Team members and experts can work together to develop care processes that target common health barriers for the at-risk patient group. Using the example of patients with Type 2 diabetes and early signs of a possible mood disorder from Step 1, care teams can focus on interventions that promote better mood disorder management.
  • 22. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 3: Develop a Plan with Experts Treating mood disorders can improve a patient’s mental health condition and may lessen the emotional and physical burdens associated with mental illness that interfere with self-care. This self-care improvement can also lead to better chronic disease management, including lowering HbA1C levels for patients with Type 2 diabetes.
  • 23. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 3: Develop a Plan with Experts Combining data with expertise increases an improvement program’s efficiency. With data highlighting specific improvement opportunities, experts can proactively address early warning signs of mental health conditions and prevent worsening conditions.
  • 24. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 3: Develop a Plan with Experts The benefits include better health for patients and reduced costs for health systems that lead to greater profit margins in a fee-for-service environment and value-based arrangements. In other words, the health and financial benefits exist regardless of payer model.
  • 25. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 3: Measure the Impact and Show ROI Lastly, to earn the ongoing leadership support to sustain mental health improvement initiatives, health systems must measure the impact of their programs’ interventions and demonstrate ROI. Teams must consider how they’ll measure change when beginning any project to ensure the proper protocols are in place.
  • 26. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 3: Measure the Impact and Show ROI Throughout the mental health improvement project, leaders can use data visualization tools to track progress and communicate results to the appropriate team members. Visualization tools remove complexity, allowing non-data experts to understand and measure the effectiveness of each mental health intervention in improving chronic disease management.
  • 27. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Four Mental Health-Centered Steps to Effective Chronic Disease Management Step 3: Measure the Impact and Show ROI For example, if care teams implement an additional weekly telehealth visit for patients with high HbA1C, they can create a dashboard to regularly review any change in the HbA1C levels after they implemented the telehealth visits. Seeing results allows team members to monitor patient and intervention progress and generate organizational support for current and future improvement projects.
  • 28. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Addressing Mental Health Can Lead to Optimal Chronic Disease Management Following the four-step framework for chronic disease and mental health management allows care teams to treat the underlying behavioral factors that may worsen chronic disease and impede effective management. Targeting and improving mental health within chronic disease management can lead to significant improvement, reductions in the total cost of care, and a clear return on the improve- ment investment.
  • 29. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. For more information: “This book is a fantastic piece of work” – Robert Lindeman MD, FAAP, Chief Physician Quality Officer
  • 30. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic Link to original article for a more in-depth discussion. How Addressing Mental Health Can Improve Chronic Disease Outcomes and Cut Costs Improving Sepsis Care: Three Paths to Better Outcomes Health Catalyst Editors Healthcare Process Improvement: Six Strategies for Organizationwide Transformation Health Catalyst Editors Six Ways Health Systems Use Analytics to Improve Patient Safety Health Catalyst Editors Using Improvement Science in Healthcare to Create True Change Heather Schoonover, MN, ARNP-CNS, PHCNS-BC, FCNS, VP The Top Five Insights into Healthcare Operational Outcomes Improvement Health Catalyst Editors
  • 31. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Will Caldwell attended Davidson College where he prepared for a career in medicine, studying biology and working in East Africa as a wildlife manager. Dr. Caldwell completed residency training in otolaryngology – head and neck surgery at the University of Maryland Medical System and the Shock Trauma Center of Maryland, and went on to achieve triple board certification in otolaryngology, allergy and immunology, and sleep medicine. In 2013, Dr. Caldwell became a board member and medical director of Give Hope Global, a not-for-profit entity dedicated to the development of health systems focused on the use of community health workers. He also serves as Senior Medical Advisor to Zanmi Lasante, the name for Partners in Health in Haiti. His work there was documented in a film that won two Emmy Awards. Dr. Caldwell earned his MBA With Highest Honors and was named for Academic Distinction from Wake Forest University. He served as the Senior Vice President for Clinical Integration at Novant Health, building the Novant Health Clinically Integrated Network, a value-based platform comprised of over 2800 providers across 26 specialties. In his current role as Senior Vice President for Physician and Market Development at Health Catalyst, he promotes the use of data analytics to promote good health and save lives. His area of expertise rests in technology enabled health care delivery models and value-based care platforms. He continues to see patients and has received over 26 awards for clinical excellence during his 17-year career as a clinician. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Will Caldwell, MD, MBA
  • 32. © 2021 Health Catalyst Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Health Catalyst is a mission-driven data warehousing, analytics and outcomes-improvement company that helps healthcare organizations of all sizes improve clinical, financial, and operational outcomes needed to improve population health and accountable care. Our proven enterprise data warehouse (EDW) and analytics platform helps improve quality, add efficiency and lower costs in support of more than 65 million patients for organizations ranging from the largest US health system to forward-thinking physician practices. Health Catalyst was recently named as the leader in the enterprise healthcare BI market in improvement by KLAS, and has received numerous best-place-to work awards including Modern Healthcare in 2013, 2014, and 2015, as well as other recognitions such as “Best Place to work for Millenials, and a “Best Perks for Women.”