The Market-Leading Solution for Tech-Enabled Integrated Care

NeuroFlow’s technology and staffing support make it easy to implement and scale integrated care models efficiently.

Integrated Care is Most Impactful at Scale

Whole Population Screening & Digital Care

Identify CoCM-appropriate patients and deliver self-care resources across the population

Purpose-Built Registry

Gain insight into patient progress, enhanced with collaboration tools and EHR integration

Digital Care Companion

Deliver tailored digital programming to patients in between appointments

Post-Graduation Monitoring

Extend support after CoCM through ongoing monitoring and self-care resources

Fill Caseloads Quickly

Increase BHCM Capacity

Patients Improve Quicker

Reduction in Utilization

Whole Population Screening & Digital Care

Traditional approaches to CoCM enrollment are highly manual and time-consuming. NeuroFlow quickly identifies at-risk population through retrospective analysis and ongoing monitoring.

Purpose-Built CoCM Registry

Rather than navigate a complex EHR, care managers can easily prioritize caseloads, track patient progress, and assign content, while surfacing critical data to providers through EHR integrations. 

CoCM Digital Care Companion

Keep patients engaged by reinforcing sessions through tailored digital programming. Deliver your valuable content on NeuroFlow’s platform and leverage existing resilience and CBT resources.

Post-Graduation Monitoring

NeuroFlow continually assesses and supports patients post-graduation, flagging those who may benefit from higher levels of care before they escalate and utilize costly services. 

Increased Efficiency

Care managers increase their patient capacity 36-40% thanks to added efficiency and faster patient recovery.

Sustained Improvement

Care managers fill caseloads 4X faster using NeuroFlow’s population-wide screening technology.

Ongoing Support

70% of patients agreed NeuroFlow supported their mental health in between appointments.

CoCM the Usual Way

CoCM is introduced through an initial pilot, limiting impact and delaying financial sustainability.

Shortage of BH providers slows or prevents implementation and scaling of integrated care.

Manual referral processes slow the filling of caseloads, leading to underutilized staff and creating financial burden.

Static tools like spreadsheets are used for patient tracking and management, making collaboration difficult and scaling inefficient.

CoCM the NeuroFlow Way

NeuroFlow engages your entire population to guide appropriate patients into CoCM or other care programs.

Staffing support from experienced NeuroFlow BH care managers expedites rollout while ensuring quality care.

Omnichannel assessments (spanning SMS, web, tablet, and more) rapidly identify CoCM-appropriate patients, filling caseloads faster.

NeuroFlow’s cloud-based registry simplifies patient panel management and syncs directly with your EHR.

Providers See Improvement in Mental and Physical Health Among Patients Using NeuroFlow

NeuroFlow helped evolvedMD, a behavioral health integration services company, scale CoCM at several provider locations. Providers observed improvements in care quality and patient outcomes after implementing NeuroFlow.

Digitally Enhanced CoCM Drove Improved Behavioral Health Outcomes Among Chronic Pain Patients

PASS invested in NeuroFlow to deliver collaborative care to chronic pain patients in a scalable way. Patients enrolled in CoCM who also had access to NeuroFlow had higher response (82%) and remission (75%) rates than patients who did not have NeuroFlow.

Request your demo today to see NeuroFlow in action!

See why hundreds of leading organizations are using NeuroFlow’s platform to:

  • Understand population risk
  • Improve care program efficiency
  • Enhance suicide prevention
  • Scale integrated care models

See below for some helpful responses to FAQs on collaborative care

Collaborative care is a model of integrated care that was developed at the University of Washington AIMS Center to treat mental health conditions like depression and anxiety which require regular follow-up due to their persistent nature. Collaborative care focuses on defined populations that are tracked within a registry and leverages a care team made up of primary care providers, behavioral health care managers, and psychiatric consultants, who provide evidence-based, brief interventions and prescribe medication when necessary.

Over 90 randomized trials have proven collaborative care to be one of the most effective ways to treat diverse populations that have a variety of behavioral health and comorbid medical conditions, enhancing both mental and physical well-being.

Collaborative care requires new workflows and team members. In a typical medical care scenario, the treatment team has two members, the primary care provider (PCP) and the patient. In collaborative care, there are two additional roles, the behavioral health care manager (BHCM) and the psychiatric consult. These additional care team members are critical for closing the gap between physical and mental health care, ensuring behavioral health conditions are not left untreated as is often the case in primary care settings.

The primary care provider determines whether the patient should be enrolled in collaborative care based on behavioral health symptoms, medications needs, or the patient’s level of support. Treating behavioral health conditions in a primary care setting improves access for patients who already have an existing relationship with their PCP.

The PCP then introduces the patient to the BHCM who will conduct regular, brief interventions with the patients. These interventions include conducting validated assessments like the PHQ-9 for depression or GAD-7 for anxiety as well evidence-based therapies like cognitive-based therapy (CBT).

In addition to communicating with the PCP and patient regularly, the BHCM also works with a psychiatric consultant to determine prescription needs and adjust the care plan based on patient outcomes. The care manager and psychiatric consult collaborate through a patient registry to effectively manage the patient caseload and monitor the population. This workflow makes it easier to identify, treat, and monitor patients who have behavioral health conditions within a primary care setting and drives significantly improved outcomes. In the groundbreaking IMPACT Study, collaborative care doubled the effectiveness of depression treatment for older adults in the primary care setting.

According to the University of Washington AIMS Center, there are five core components of the collaborative care model, and each element must be in place in order to deliver effective care to the patient population.

Patient-Centered Team Care

The patient must be at the center of the care team to deliver high-quality collaborative care. Providing both physical and mental health care through a single care team is comfortable and convenient for the patient and improves engagement. Greater patient engagement leads to a better health care experience and improved patient outcomes.

Population-Based Care

Collaborative care is delivered across a population to ensure no individual falls through the cracks. A patient registry enables care teams to track every patient in the population and identify when behavioral health conditions worsen and regular interventions are required.

Measurement-Based Treatment to Target

Also known as stepped care, measurement-based treatment to target means that patients have a specific goal or clinical outcome to reach through collaborative care, such as a score that’s 10 or lower on a PHQ-9 assessment. Treatment plans are measured against those results and change if a patient’s behavioral health is not improving.

Evidence-Based Care

Collaborative care provides treatments that are backed by credible research, including evidence-based therapies like cognitive-based therapy (CBT) and problem-solving treatment (PST). The care manager delivers these therapies in the form of brief interventions, taking the burden of care off the PCP.

Accountable Care

Collaborative care can be billed through a fee-for-service arrangement using CPT codes. CoCM is also compatible with a value-based care billing model. In that arrangement, providers are reimbursed for the quality of care and clinical outcomes, not just the volume of care provided.

CoCM programs are inherently patient-centric because they are proven to increase patient engagement by treating physical and behavioral health together. Providers empower patients to set goals for themselves and to make sure those goals are communicated to every member of the care team. For patients, goals should be about improving their lives—not just their diagnosis.

Patients work directly with their behavioral health care managers to set their personal goals so that clear communication is formed at the onset of the program. The care manager discusses the patient’s desires with the psychiatric consultant who then uses this information to provide patient-focused recommendations to the medical provider.

A patient-centric program should also provide behavioral health resources, such as digital health content, that patients can explore outside of a healthcare setting. Some collaborative care technology solutions offer patients tools to track their well-being or self-guided dCBT curricula. These collaborative care platforms provide diverse options for patients to manage their behavioral health in a way that works best for them.

Implementing collaborative care requires significant upfront investment of time and resources to establish new workflows, train staff, and invest in the technology necessary to manage population-wide data. The right technology can streamline workflows and create the necessary connections between an EHR and the patient registry so that no patient is overlooked.

Technology can also empower care teams to deliver assessments and treatment remotely to a much larger population and personalize care plans based on patient engagement and scores. For example, a digital collaborative care solution can quickly identify an individual’s depression symptoms, flag that patient in the registry for the care team, and immediately deliver customized depression content so that the patient receives timely support.

After a patient completes collaborative care, behavioral health technology can continue to engage that patient with evidence-based content and monitor well-being over time. This is incredibly valuable if a patient relapses in between primary care visits. When a patient’s well-being declines, the primary care provider is alerted immediately, and the patient receives the appropriate level of care before symptoms worsen.

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