Utah-based Intermountain Healthcare has been named winner of the 2017 Hearst Health $100k Prize for its Mental Health Integration program, which embeds mental health screening and treatment within primary care and select specialty practices. The Hearst Health Prize is an annual $100,000 award given in recognition of an organization’s or individual’s outstanding achievement in managing or improving health in the U.S.
The Hearst Health Prize apps were evaluated by a distinguished panel of judges based on the program’s population health impact or outcome, demonstrated by measurable improvement; use of evidence-based interventions and best practices to improve the quality of care; promotion of communication, collaboration and engagement; scalability and sustainability; and innovation. Intermountain Healthcare was the highest scoring in these criteria based on the judges’ evaluation.
In 2000, Intermountain Healthcare created a Mental Health Integration program for patients that made mental health evaluation and service part of the routine care for all patients seeking care at Intermountain, with an emphasis on primary care. It utilizes a team-based approach, built upon systematic, evidence-based medicine that is collaborative and measurable, to help patients and their families manage the complexity of both mental and physical health.
More than 100,000 patients were tracked over a 10-year period to observe their outcomes and interactions. Below are statistics highlighting the impact of the program, based on this retrospective longitudinal cohort study between 2003 and 2013 comparing Team-Based Care to Traditional Practice Medicine:
– Patients perceived physicians were more sensitive to their emotional or mental health concerns, explained things better, and provided better overall quality of care and services under the Mental Health Integration approach (p<.05)
– The Team-Based Care model had higher rates of active depression screening (46 vs. 24.1 percent); adherence to diabetes care bundle (24.6 vs. 19.5 percent); and documentation of self-care plans (48.4 vs. 8.7 percent)
– Rates of healthcare utilization were lower for Team-Based Care patients (18.1 vs. 23.5 visits per 100 person-years)
– Significant reductions in payments to the delivery system were associated with the Team-Based Care group vs. the Traditional Practice Medicine ($3,400.62 vs. $3,515.71) and were lower than the investments in the Team-Based Care program
The two Hearst Health Prize finalists are (in alphabetical order):
– American Heart Association/American Stroke Association: “Target: Stroke” is a national initiative aimed at increasing the number of eligible stroke patients receiving tissue plasminogen activator (tPA) within the specified time frame in order to break up blood clots to protect the brain from damage that may cause disability or death. Hospitals participating in the program dropped average treatment times from 74 minutes to 59 minutes. For more information visit: http://www.heart.org/HEARTORG/
– California Maternal Quality Care Collaborative based at Stanford University (CMQCC): CMQCC’s mission is to reduce preventable maternal mortality and morbidity, and reduce racial-ethnic disparities in birth outcomes. Through a series of data-driven quality improvement projects, CMQCC’s work contributed to a significant decline in maternal mortality in California at a time when U.S. rates doubled. For more information visit: https://www.cmqcc.org/.
The following organizations received Honorable Mention for their programs (in alphabetical order):
– Baylor College of Medicine
– Children’s Health System of Texas
– Corporation for Supportive Housing (CSH)
– Dornsife School of Public Health, Drexel University
– Metropolitan Chicago Breast Cancer Task Force
– NewYork-Presbyterian Hospital
– Rush University Medical Center