Program Strategies for Better Community Health

We are the principal consultant for OPelix. He has been a driving force in the integration of primary care, primary behavioral health, and the access to affordable pharmacy services. This focus has enabled the effective use of the attributes of enhanced reimbursement and the federal Drug Pricing Program (340B) of Federally Qualified Health Centers to develop and field models of integrated care on a local and state-wide level. His involvement includes:

Researched and constructed models of the variables associated with integrating behavioral health services into comprehensive primary care systems

Identified of experts in the field of integrative care, including Dr. Kirk Strosahl. We invited Dr. Strosahl to his state on three occasions and studied the model in association with him during these visits. .

Funded an integration project at a community health center in which data was collected to identify successes and barriers to Strosahl's model in a first-year situation.

Convened a meeting of graduate psychology and counseling faculty of West Virginia's two leading universities to discuss current curricula and the training needs for behavioral providers going into primary care settings.

Conducted a series of seminars by Strosahl and a symposium during which a number of primary care centers and a community mental health center presented information on their respective behavioral health/primary care programs.

We have dealt with the implementation of these programs in terms of the organizational, financial, and operational aspects of integrated services. This has included working to resolve the personnel staffing, recruitment, financial management, and physical plant issues that must be addressed at the health center. Further, We seeks to address the policy issues that pose both advantages and constraints on the state-wide level, particularly as pertains to Medicaid regulations and reimbursement.

We work with representatives of two Governors to expand the number of 340B pharmacies in West Virginia. Over a period of 4 years, We worked in the small group that led the effort which resulted in doubling the number of in-house and contracted 340B pharmacies in the state. During this time, We became very well educated in the intricacies of 340B and acted in an advisory role to a number of community health centers in relation to 340B. He also represented community health centers in speaking before West Virginia's Pharmaceutical Cost Management Council on numerous occasions and was an invited speaker at the annual 340B conference in Washington, DC in 2005. We also studied the area of "free pharmacy" programs and was a leader in efforts to look at a state-wide central fill pharmacy for indigent drug programs.

In the area of Children's health, We Schenk has been a leader in expanding school-based health and mental health programs. He was instrumental in totally revamping reporting criteria for school-based health centers in the state. We organized and received funding for a program to link child development training in primary care settings. We also helped develop and work with programs to provide more health care for children who "slip through the cracks" and have little or no health coverage.