Implementation of a Collaborative Model of Integrated Medical and Behavioral Healthcare that Provides Chronic Disease Management via Telehealth
The Bicycle Health model of tele-OUD includes three primary pillars: patient-centered care, including chronic disease management and behavioral health; creation of tech-enabled systems and resources; and data-driven decision-making. The implementation studies being conducted focus on modifiable organization and provider-level factors that are central to collaborative and integrated care, as well as evolution of various technology platforms built specifically to support patients’ needs and treatment goals, including the pharmacy finder tool and buprenorphine induction tool.
Implementation of the Novel Telehealth Patient & Family Advisory Council (PFAC)
Patient Advisory Councils or Boards have recently become a standard of care within organizations that provide in-person health services, as patient-centered systems seek to include the unique and invaluable perspectives of patients in care delivery, quality improvement, and innovation efforts. At Bicycle Health, we believe that innovation is driven by people with unique perspectives working towards a common goal. We recognize that placing our patients’ insights and experience at the forefront is essential for making meaningful change. Thus, our Patient & Family Advisory Council (PFAC) is a forum for Bicycle Health patients, loved ones, and staff to share ideas and work together to improve our program for current and future patients. Central to PFAC processes is creating an environment in which all voices are valued, and all perspectives are incorporated into our improvement efforts.
Implementation and Evaluation of a Comprehensive Model to Address Social Determinants of Health
As Bicycle Health continues to expand its innovative tele-OUD model, we recognize the need to address psychosocial components of patients’ lives, which is of critical importance for maintaining long-term recovery from opioid use disorder. Thus, Bicycle Health has partnered with an academic affiliate to screen Bicycle Health patients with electronic computerized adaptive testing (CAT) for mental health and social determinants of health, which can help identify patients who need social support services, comprehensive mental health evaluation, stress reduction skill building, or some combination. This study implements a motivational interviewing intervention to guide patients toward achieving their individual goals related to social determinants of health and/or mental health and wellness.