Leaders: Principal

Roger G. Kathol, M.D., C.P.E.

Illness Complexity and Integrated Physical and Mental Health Care Consultant

Roger G. Kathol, President of Cartesian Solutions, Inc.™, is an innovative health strategist in the development of integrated programs and systems for patients with health complexity, many of whom have concurrent general medical and mental health/substance use disorders. Dr. Kathol is board certified in internal medicine, psychiatry, and medical management with extensive clinical and administrative experience gained during 22 years as a physician/teacher/researcher at the University of Iowa, 2 years as a Medical Director at Blue Cross Blue Shield of Minnesota, and 15 years as an international health complexity and integrated care consultant. His background ideally positions him to assist stakeholders in the health industry create integrated health solutions which improve care quality, augment outcomes, and lower total health care and health-related costs. Cartesian Solutions, Inc.™ consultants, under the direction of Dr. Kathol, assist employers, government agencies, health plans, hospitals and clinics, care management vendors, and professional organizations build quality-enhancing and cost-saving programs, which integrate biological, psychological, social, and health system factors that improve delivery of clinical services and the ability to support these services in difficult to treat and high-cost patients with health complexity.

Dr. Kathol has received numerous national research and recognition awards. He serves as strategy and healthcare advisor to several national and international organizations and foundations. Since leaving the University of Iowa after 22 years of direct patient care, research, and teaching, he worked to integrate physical and mental health business practices as Medical Director at Blue Cross Blue Shield of Minnesota and has completed over 125 integrated care consultations as President of Cartesian Solutions, Inc.™. Representative clients include: Calgary Health Region (Calgary, Alberta), University of Virginia Hospitals (VA), Medical College of South Carolina (SC), State Department of Employee Relations (MN), New York Presbyterian Hospital (NY), Hudson Health Plan (NY), Premera Blue Cross (WA), Pittsburgh Paints (PA), Health Integrated (FL), Jefferson Hospital (PA), Volunteer Health Plan (TN), Humana (KY), and MDwise (IN). Many of his clients have used Cartesian Solutions, Inc.™ services for several discrete engagements.

Dr. Kathol is currently adjunct professor of internal medicine and psychiatry at the University of Minnesota. He has published over 150 peer reviewed articles and 25 book chapters. In his book Healing Body AND Mind: A Critical Issue for Healthcare Reform (2007) with co-author Suzanne Gatteau, he brings to life the negative impact that segregated physical and mental health care has on the lives of patients and outlines the steps that can be taken today which improve health, reduce impairment, and lower health care costs through health service integration. In collaboration with the Case Management Society of America (CMSA), Dr. Kathol and co-authors, introduce the industry-changing steps to integrated case management in their book, The Integrated Case Management Manual: Assisting Complex Patients Regain Physical and Mental Health (June 2010).

Pertinent Recent Publications

  • Kathol RG, Saravay SM, Lobo, A, Ormel J. In: Huyse F and Stiefel J [eds]: Epidemiologic trends and cost of fragmentation. New York: Elsevier Press, Medical Clinics of North America, 90:549-572, 2006.
  • Blount A, Schoenbaum M, Kathol R, Rollman B, Thomas M, O’Donohue W, Peek CJ. Economics of behavioral health services in medical settings. The Economics of Behavioral Health Services in Medical Settings: A Summary of the Evidence. Professional Psychology: Research and Practice 38(3):290–97, 2007.
  • Kathol RG, Kishi Y. Calculating treatment costs in an MBHO. Psychiatr Serv 58:413-414, 2007.
  • Kathol RG, Melek S, Bair B, Sargent S. Financing Mental Health and Substance Use Disorder Care within Physical Health: A Look to the Future. Psychiatric Clinics of North America 31:11-25, 2008.
  • Kathol RG, Kunkel EJ, Weiner JS, McCarron RM, Worley LL, Yates WR, Summergrad P, Huyse FJ. Psychiatrists for the medically complex: bringing value at the physical health & mental health substance use disorder interface. Psychosomatics. 50:93-107, 2009.
  • Butler M, Kane RL, McAlpine D, Kathol RG, Fu SS, Hagedorn H, Wilt TJ. Integration of mental health/substance abuse and primary care. Review. Evid Rep Technol Assess (Full Rep).;(173):1-362, 2008.
  • Kunkel EJ, del Busto E, Kathol RG, Stern TA, Wise T, Stoddard FR, Strauss J, Saravay SM, Muskin PR, Dresner N, Harrington DJ, Weiner J, Barnhill, J, Becker M, Joseph RC, Oyesanmi O, Fann JR, Colon E, Epstein S, Weinreb R. Physician staffing for the practice of psychosomatic (PM) medicine in general hospitals: a pilot study. Psychosomatics 51L93-107, 2010
  • Kathol RG, Butler M, McAlpine D, Kane RL. Financial and clinical barriers to outcome changing mental health care in the physical health sector. Psychosom Med 72:511-518, 2010
  • Talebreza-Brandon S, Bair B, Kathol RG. Understanding the importance of time in delivering evidence-based depression treatment in the geriatric setting. Clinical Geriatrics 19:40-43, 2011
  • Kathol RG, Lattimer C, Gold W, Perez R, Gutterage D. Creating clinical and economic “wins” through integrated case management: lessons for physicians and health system administrators. J Amb Care Man 34:140-151, 2011

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Cartesian Solutions, Inc.™
3004 Foxpoint Rd. - Burnsville, MN 55337
Phone: 952-426-1626 - Fax: 952-426-1200
E-mail: integration@cartesiansolutions.com

 
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