Center for Integrative Medicine
The Spectrum Health Medical Group Center for Integrative Medicine (CIM) is a multi-specialty clinic that employs a new model of care to assess and treat high-frequency patients from the West Michigan area emergency departments (EDs). The central goal of the CIM is to use a bio-psycho-social model of care to improve the overall health, function and societal integration of at-risk and non-mainstream patients.
The center formed as a result of study conducted by emergency and addiction medicine specialist, R. Corey Waller, MD, MS, in 2008. During that year approximately 950 patients visited Spectrum Health Butterworth and Blodgett hospital EDs over 10 times each. They had major medical, hard to diagnose conditions such as psychiatric illness, chronic pain and/or addiction. These patients were responsible for more than 20,000 total visits and 40-50 million dollars in costs. A pilot study of 30 patients showed an 85 percent decrease in ED visits and close to one million dollars in savings.
Integrative Team Approach
Patients with more than ten ED visits a year are identified as potential patients for the center. New patients undergo a series of in-depth evaluations that include:
- A comprehensive exam by a specialty trained physician
- Behavioral health evaluation by a mental health professional
- Comprehensive addiction assessment
- A medical social work case management evaluation and intervention
The team develops a care guide for each patient. Patients are seen for a three to six month period to monitor their progress. After successful completion of this period, patients are discharged to a permanent medical home under the care of a primary care physician.
Partnership with Network180
Behavioral health services within the center are provided in partnership with Network180. Most patients, identified as frequent ED users, have current or past Network180 involvement or they are involved with Network180's providers. Employees from Network180 provide mental health and addiction assessments and treatment plans as part of the in-depth patient evaluations. Network180's goal is to assure that patients' behavioral health care needs are met by authorizing needed services and/or fine-tuning existing treatment efforts.
CIM provides enhanced medical management, aggressive social services and intensive psychiatric evaluation and treatment. The center consists of a team of seven people, including Dr. Waller who serves as medical director. According to Dr. Waller, "this model of care is a win for patients, providers and insurers. We are dealing with patients who need an in-depth care plan and a continuum of care that can't be delivered efficiently in an ED setting."
Initially, the center will identify high-frequency visitors from Butterworth and Blodgett hospital EDs, and then begin to accept referrals from other hospitals. Dr. Waller plans to meet with ED directors from local hospitals to discuss high-frequency ED patients who benefit from this model of care.
For further information, to schedule an appointment or make a referral, call 616.391.6120.
Center for Integrative Medicine
75 Sheldon Boulevard SE, Suite 100
Grand Rapids, MI 49503
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