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Aligning Behavioral Health Quality Measures with Real-World Care

Zachah (Sachie) Koufalis, CCM, LMSW, MPH
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Information

Date & Time

Description

This session will explore the gap between behavioral health quality expectations and the realities patients and care teams face across healthcare settings. Drawing from experience in both managed care quality and frontline inpatient social work, the presentation will examine common barriers to follow-up, engagement, and continuity of care particularly within Medicaid populations. Participants will gain practical strategies to strengthen care transitions, improve interdisciplinary collaboration, and support better behavioral health outcomes in real-world practice.

Learning Objectives

Participants will be able to:

  • Identify at least three common barriers that impact behavioral health follow-up, patient engagement, and continuity of care within Medicaid and high-risk populations.

  • Examine the relationship between behavioral health quality measures, care transitions, and real-world clinical practice across managed care and hospital settings.

  • Apply at least two practical care coordination and case management strategies to improve patient engagement, transitions of care, and behavioral health outcomes.

Educational Goal

The educational goal of this workshop is to enhance participants' understanding of the factors that influence successful follow-up after emergency department visits for mental health and substance use disorders, and to provide practical care coordination and case management strategies.

Target Audience

  • Addiction Professional
  • Counselor
  • Marriage & Family Therapist
  • Psychologist
  • Social Worker

Presenters

Zachah (Sachie) Koufalis, CCM, LMSW, MPH
Sachie German Koufalis, LMSW, MPH, CCM, is a Behavioral Health HEDIS Manager at Healthfirst with more than 15 years of experience in behavioral health, case management, utilization management, clinical programs, and clinical quality. She also works as a medical social worker at Montefiore Medical Center, providing psychosocial assessments, discharge planning, and care coordination. Sachie serves on the Care Management Test Item Writing Committee for The Commission and the Education Committee for the Case Management Society of America.

Financially Sponsored By

  • Case Management Society of America