Project RAMP Care Management Strategies
|
|
- Mercy Watkins
- 5 years ago
- Views:
Transcription
1 Project RAMP Care Management Strategies Jack Warwick, MPH, Project Coordinator Program Evaluation and Research Unit (PERU) Project RAMP Implementation Team
2 Objectives: 1. Review substance use disorder (SUD) case management; 2. Present Rural Access to Medication Assisted Treatment in Pennsylvania (RAMP) Project care management team roles and responsibilities; 3. Discuss strategies to improve patient compliance; and 4. Review best care coordination practices.
3 Substance Use Disorder Case Management
4 SUD case management offers a patient a single point of contact with health and social service systems. 1 D&A 1. Substance Abuse and Mental Health Services Administration. Comprehensive Case Management for Substance Abuse Treatment (TIP 27). Rockville, MD 20857: Substance Abuse and Mental Health Services Administration, 2000.
5 Case management is centered on the client and the specific needs of each client Substance Abuse and Mental Health Services Administration. Comprehensive Case Management for Substance Abuse Treatment (TIP 27). Rockville, MD 20857: Substance Abuse and Mental Health Services Administration, 2000.
6 Examples of typical case management responsibilities 1 : Create and implement a treatment plan with realistic expectations and goals; Educate and consult patient on SUD; Assist patients with financial management, such as obtaining financing; Help patients utilize resources and meet non-treatment needs; Regularly communicate with patients and providers; Perform level of care assessments; and Manage referrals to SUD and other treatment providers. 1. Substance Abuse and Mental Health Services Administration. Comprehensive Case Management for Substance Abuse Treatment (TIP 27). Rockville, MD 20857: Substance Abuse and Mental Health Services Administration, 2000.
7 In Project RAMP, Care Management is the glue that holds the treatment process together. D&A Care Manager
8 Care Manager Roles and Responsibilities
9 Referral Process for Patients Referred from Primary Care Provider to Substance Use Disorder Treatment Provider
10 Referral Process for Patients Referred from Community to an MAT Provider
11 Care Management Ongoing Care Coordination and Follow-up
12 Project RAMP Real-Time Data Collection Process
13 Care Management Team Data Collection: Two Formats
14 Project RAMP Outcomes and Metrics Outcomes Data Metrics Screening # Patients screened per week Patient Enrolled in MAT Date of MAT enrollment Type of MAT Treatment # Patients receiving naltrexone # Patients receiving buprenorphine Referral to Care Management Date of primary care provider (PCP) referral to CMT (CMT) Number of Physician (PCP) Date of all PCP encounters Contacts Involving Injections, Scripts, Monitoring # Encounters for medication administration, prescription, and other services Access to Substance Use Date of First face-to-face SUD encounter for intake Disorder (SUD) Treatment Engagement with SUD Date of all SUD encounters Treatment # Encounters patient is continuing initial level of care (LOC) Date of Encounter and new LOC, if patient changes LOC during treatment Date of Patient discharge from SUD treatment # Patients discharged for successful completion of SUD treatment/loc, client choice, and other Access to MH Treatment Date of First face-to-face MH encounter for intake Engagement with MH Date of all MH encounters Treatment # Encounters patient is continuing initial level of care (LOC) Date of Encounter and new LOC, if patient changes LOC during treatment Date of Patient discharge from MH treatment # Patients discharged for successful completion of MH treatment/loc, client choice, and other Discharge from MAT Date of Patient Discharge from MAT Treatment # Patients discharged for evidence of medication diversion, non-compliance, client choice, incarceration, and successful titrate
15 Real-Time Data Reporting
16 Individualized Data Reports for Quality Improvement
17 Importance of Data Collection and Quality Improvement Improve referral processes and treatment protocols; Monitor patient progress in the SUD treatment continuum; Improve retention to treatment; and Identify barriers and facilitators to providing MAT and related care.
18 Summary of Care Manager Responsibilities: Manage referrals and warm-handoffs closely with PCPs and other treatment providers; Coordinate psychosocial services; Manage and/or develop comprehensive service and treatment plans individualized for each patient with the clinical and treatment team; Refer patient to the necessary treatment provider based on the LOC as soon as possible; Work with providers to identify the best medication for the patient based on his/her medical profile and history by conducting an MAT assessment;
19 Summary of Care Manager Responsibilities (cont.): Coordinate ambulatory detox with the hospital and SUD providers, if necessary. Provide peer support via a certified recovery specialist (if available); Assist the clinical team with medication management to improve patient compliance; and Participate in data collection and quality improvement efforts to actively work to improve retention and treatment success.
20 Strategies to Improve Patient Compliance
21 Overview of Strategies: 1. Educate patients on opioid use disorder (OUD), SUD, and addiction; 2. Work with the MAT provider to understand what services and resources would benefit the patient most; 3. Review the treatment plan with the patient and build a mutual understanding; 4. Help to mitigate the risk of diversion; 5. Assist with managing laboratory testing; 6. Assist with patient follow-up and engagement in both psychosocial and medication treatments; 7. Coordinate the medication arrangements with the pharmacy of choice; and 8. Use evidence-based practices when communicating and providing ongoing feedback to patients, such as motivational interviewing and motivational enhancement.
22 Strategy 1: Educate patients on OUD, addiction, and the risks/benefits of MAT.
23 Strategy 2: Work with the MAT provider to identify the services and resources that would help the patient reach their treatment goals.
24 Strategy 3: Review treatment plan with patient and build a mutual understanding of the goals of the treatment.
25 Strategy 4: Work to mitigate the risk of diversion by meeting regularly with patients to provide ongoing assessments.
26 Strategy 5: Assist with managing laboratory testing, such as conducting random urine drug tests.
27 Strategy 6: Assist with patient follow-up and engagement in both psychosocial and medication treatment. D&A Care Manager
28 Strategy 7: Coordinate the medication arrangements with the pharmacy of choice. Rx Care Manager
29 Strategy 8: Use evidence-based practices when communicating and providing ongoing feedback to patients, such as motivational interviewing and motivational enhancement.
30 Best Care Coordination Practices
31 Overview of Best Care Coordination Practices: 1. Develop Referral Protocols with the entire treatment team; 2. Conduct level of care assessment with patient in a timely fashion and at a location that is convenient for the patient; 3. Obtain a release of information form for the drug and alcohol treatment provider; 4. Conduct a warm handoff or a direct linkage to care; 5. Follow-up with patient and clinical team if the patient declines treatment; and 6. Facilitate ongoing and routine communication between the entire clinical team.
32 Key Practice 1: Develop referral protocols between clinical team, treatment providers, and care management team.
33 Key Practice 2: Conduct Initial Assessment with Patient ASAP at a Location that is Convenient for the Patient. D&A Care Manager
34 Key Practice 3: Obtain a release of health information form from the medical provider or SUD treatment provider.
35 Key Practice 4: Facilitate direct linkages in the form of warm handoffs to improve care coordination and patient treatment engagement.
36 Key Practice 5: If a patient declines treatment, follow-up with the patient and notify the entire clinical team.
37 Key Practice 6: Facilitate clear and ongoing communication between the entire clinical team.
38 RAMP Care Management Summary
39 Project RAMP Care Management Summary SUD case management offers a single point of contact for a patient during the treatment process. Care managers in Project RAMP play a central role to the patients MAT by: 1. Managing referrals and warm handoffs in a timely and efficient manner; 2. Designing and/or managing service and treatment plans for each patient; 3. Coordinating and ensuring participation in psychosocial services; 4. Providing peer support and assisting with access to non-treatment needs and resources; 5. Assisting the clinical team with medication management; and 6. Participating in data collection and quality improvement to improve treatment outcomes.
40 Project RAMP Care Management Summary (cont.) Coordination of care is imperative to treatment success. Care coordination can be optimized by: 1. Developing referral protocols with each provider involved in the patients treatment; 2. Obtaining a release of health information from the patient to ensure open communication; 3. Always conducting a warm handoff or direct linkage to care; 4. Following-up with the patient and clinical team if the patient declines a recommended treatment; and 5. Facilitating ongoing and routine communication between all members of the treatment team.
Drug Medi-Cal Organized Delivery System
Drug Medi-Cal Organized Delivery System Presented by Elizabeth Stanley-Salazar, MPH CMS Approval of DMC-ODS Waiver under ACA August 13, 2015 Pathway to Parity 2010 President Obama Signs the Affordable
More informationSANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery. o--,-.m-a----,laa~-d-c~~~~~~~~~~-
Page 11 of 8 SANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery Departmental Policy and Procedure Section Sub-section Alcohol and Drug Program (ADP) Policy Drug Medi-Cal
More informationSUSTAIN Communities [ Substance Use Support & Technical Assistance IN Communities ]
SUSTAIN Communities [ Substance Use Support & Technical Assistance IN Communities ] A Massachusetts League of Community Health Centers initiative, designed to build capacity to address substance use, funded
More informationDRUG MEDI-CAL ORGANIZED DELIVERY SYSTEM (DMC-ODS) YEAR 1 PERFORMANCE METRICS (version 10/24/17)
1 Access Enrollment information to include the number of DMC- ODS beneficiaries served in the DMC-ODS program Clients Served: 1. Number of DMC-ODS beneficiaries served (admissions) by the DMC- ODS County
More informationDRUG MEDI-CAL ORGANIZED DELIVERY SYSTEM (DMC-ODS) PERFORMANCE METRICS. (version 6/23/17)
1 Access Enrollment information to include the number of DMC-ODS beneficiaries served in the DMC-ODS program Clients Served: 1. Number of DMC-ODS beneficiaries served (admissions) by the DMC- ODS County
More informationNational Criminal Justice Reform Activities Important to the SUD Field. Gabrielle de la Guéronnière, Legal Action Center June 9 th, 2016
National Criminal Justice Reform Activities Important to the SUD Field Gabrielle de la Guéronnière, Legal Action Center June 9 th, 2016 1 Work to Improve Policies Governing the Criminal Justice System
More informationGRANT AND FUNDING STRUCTURE
Request for Proposal (RFP) Expansion and Enhancement of Medication-Assisted (MAT) Treatment for Opioid Use Disorder (OUD) in Chicago Frequently Asked Questions (FAQs) Tuesday, February 25 th, 2017 GRANT
More informationFederal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act
October 2018 Issue Brief Federal Legislation to Address the Opioid Crisis: Medicaid Provisions in the SUPPORT Act MaryBeth Musumeci and Jennifer Tolbert On October 3, 2018, the Senate overwhelmingly passed
More informationIROC Treatment Provider FAQ
FAQ Version Summary ew Questions Added Answers Revised * Answers Archived 5/17/2018 8-10, 15, 22-29, 40-42, 4, 11 12, 14, 34 47-57, 59, 66-67 08/25/2017 1 thru 42 n/a n/a ew questions are identified with
More informationState of New Jersey Department of Human Services Division of Medical Assistance & Health Services (DMAHS)
State of New Jersey Department of Human Services Division of Medical Assistance & Health Services (DMAHS) Outpatient Facility Behavioral Health Integration Billing Frequently Asked Questions (FAQs) 1.
More informationKEY ELEMENTS STATUS EXPLAIN EVIDENCE SINGLE POINT OF ACCOUNTABILITY Serves as single point of accountability for the
Florida Department of Children and Families Office of Substance Abuse and Mental Health Care Coordination Rating System (Provider) Instructions: The checklist examines the core competencies of Care Coordination
More informationVersion Summary New Questions Added Answers Revised Answers Archived 08/25/ thru 42 n/a n/a
Version Summary New Questions Added Answers Revised Answers Archived 08/25/2017 1 thru 42 n/a n/a 1. Acronyms 2. BPA Health Network Process 3. Prescriber Agreements 4. Funding 5. Medications 6. Screening
More informationMinnesota s Plan for the Prevention, Treatment and Recovery of Addiction
Minnesota s Plan for the Prevention, Treatment and Recovery of Addiction Background Beginning in June 2016, the Alcohol and Drug Abuse Division (ADAD) of the Minnesota Department of Human Services convened
More informationBehavioral health provider overview
Behavioral health provider overview KSPEC-1890-18 February 2018 Agenda Provider manual and provider website Behavioral Health (BH) program goals Access and availability standards Care coordination and
More informationThis report is a summary of the November 2015 Behavioral Health Stakeholder s Summit that was held in Fargo.
This report is a summary of the November 2015 Behavioral Health Stakeholder s Summit that was held in Fargo. February 10, 2016 ADULT BEHAVIORAL HEALTH November 2015 Summary Report Exchange of information
More informationTHE ADDICTION AND RECOVERY TREATMENT SERVICES PROGRAM (ARTS) PROVIDER MANUAL
THE ADDICTION AND RECOVERY TREATMENT SERVICES PROGRAM (ARTS) PROVIDER MANUAL SUPPLEMENTAL INFORMATION This Supplement to the Optima Health Provider Manual is available for Providers who provide services
More informationStanislaus County Drug Medi-Cal Organized Delivery System (DMC- ODS)
Stanislaus County Drug Medi-Cal Organized Delivery System (DMC- ODS) BHRS Vision Our vision is to continue to be a leader in behavioral health and to be recognized for excellence in our community, state,
More informationCLINICAL PEARLS FOR SUCCESS IN MEDICAL RESPITE 2018 MEDICAL RESPITE TRAINING SYMPOSIUM PHOENIX, ARIZONA OCTOBER 1-2, 2018
CLINICAL PEARLS FOR SUCCESS IN MEDICAL RESPITE 2018 MEDICAL RESPITE TRAINING SYMPOSIUM PHOENIX, ARIZONA OCTOBER 1-2, 2018 PRESENTERS: DAVE MUNSON, MD MEDICAL DIRECTOR BOSTON HEALTHCARE FOR THE HOMELESS
More informationILLINOIS 1115 WAIVER BRIEF
ILLINOIS 1115 WAIVER BRIEF STATE TESTING FOR THE FOLLOWING ACHIEVED RESULTS: 1. Increased rates of identification, initiation, and engagement in treatment 2. Increased adherence to and retention in treatment
More informationeconsult Update: Utilizing Technology to Bridge the Integration Gap Christopher Benitez, MD Clayton Chau, MD, PhD Ricardo Mendoza, MD Gary Tsai, MD,
econsult Update: Utilizing Technology to Bridge the Integration Gap Christopher Benitez, MD Clayton Chau, MD, PhD Ricardo Mendoza, MD Gary Tsai, MD, 2 Disclosure Drs. Benitez, Chau, Mendoza and Tsai have
More informationIntegrated Behavioral Health
1, Core Competencies, Chapter 16 Integrated Behavioral Health Contributor: Michael Mabanglo and Elizabeth Morrison Edited by Marc Avery Revision Date: 2/6/17 Definition and Why Supporting Integrated Behavioral
More informationQuality Management Plan Fiscal Year
Quality Management Plan Fiscal Year 2016-2017 Mental Health and Substance Abuse Division Contractor Services Section Quality Management and Compliance Unit Contents Introduction... 3 Purpose... 4 QM Committee...
More informationThe CCBHC: An Innovative Model of Care for Behavioral Health
The CCBHC: An Innovative Model of Care for Behavioral Health B R E N D A G O G G I N S, J D V I C E P R E S I D E N T O A K S I N T E G R A T E D C A R E M I C H A E L D A M I C O, L C S W D I R E C T
More informationMaine s Co- occurring Capability Self Assessment 1
Maine s Co- occurring Capability Self Assessment August 2009 Version 3.3 Date: Rater(s): Time Spent: Agency Name: Program Name: Program Type(s): Level of Care: Address: Contact Person: Title: Telephone:
More informationImplementing Medicaid Behavioral Health Reform in New York
Redesign Medicaid in New York State Implementing Medicaid Behavioral Health Reform in New York Conference of Local Mental Hygiene Directors November 19, 2013 Agenda Goals Timeline BH Benefit Design Overview
More informationOverview of New Nursing Roles in Whole Person Care. Session 1
Overview of New Nursing Roles in Whole Person Care Session 1 1 Introductions Anne Shields, MHA, RN Associate Director, UW AIMS Center 2 Learning Objectives RN Primary Care Managers Focus Patient Population:
More informationWidespread prescribing, distribution and availability of naloxone for high risk individuals and as rescue medication 2
Co Occurring Collaborative Serving Maine Expanding Medication Assisted Recovery Services & Building a Stronger Recovery Oriented System for SUD Treatment in Maine April 2018 Introduction: With support
More informationMacomb County Community Mental Health Level of Care Training Manual
1 Macomb County Community Mental Health Level of Care Training Manual Introduction Services to Medicaid recipients are based on medical necessity for the service and not specific diagnoses. Services may
More informationCurrent Openings Here we grow again! Join our team of innovative thinkers and enthusiastic game changers!
Administrative Assistant Marketing The Marketing Administrative Assistant is responsible for assisting with daily operations, including scheduling meetings/meeting rooms and processing invoices. Required
More informationCalifornia Medi-Cal 2020 Demonstration Page 89 of 307 Approved December 30, 2015 through December 31, 2020
X. DRUG MEDI-CAL ORGANIZED DELIVERY SYSTEM 127. Drug Medi-Cal Eligibility and Delivery System. The Drug Medi-Cal Organized Delivery System (DMC-ODS) is a Pilot program to test a new paradigm for the organized
More information9/13/2016. ASAM Criteria and Levels of Care. Why a Continuum of Care. and. Substance Use. Co-Occurring Disorders. Guiding Principles
ASAM Criteria and Levels of Care Substance Use and Co-Occurring Disorders Why a Continuum of Care 1.To help clients/patients to receive the most appropriate and highest quality treatment services, 2.To
More informationVermont Hub and Spoke Model
Vermont Hub and Spoke Model John R. Brooklyn, MD Assistant Clinical Professor of Family Medicine and Psychiatry Medical Director Substance Abuse Treatment Center University of Vermont Impetus for Developing
More informationIntegration Workgroup: Bi-Directional Integration Behavioral Health Settings
The Accountable Community for Health of King County Integration Workgroup: Bi-Directional Integration Behavioral Health Settings May 7, 2018 1 Integrated Whole Person Care in Community Behavioral Health
More informationDrug/Medi-Cal Organized Delivery System (DMC-ODS) Waiver County Implementation Plan. Submitted By: Ventura County Behavioral Health Department
Drug/Medi-Cal Organized Delivery System (DMC-ODS) Waiver County Implementation Plan Submitted By: Ventura County Behavioral Health Department June 2016 1 Drug Medi-Cal Organized Delivery System Implementation
More informationDrug Medi-Cal Organized Delivery System Implementation Plan. Imperial County Behavioral Health Services
Drug Medi-Cal Organized Delivery System Implementation Plan Behavioral Health Services Contents Page Number Part I Plan Questions 2 Part II Plan Description: Narrative Description of the County s Plan
More informationJail Health Services. Lisa A. Pratt, MD, MPH Director / Medical Director Jail Health Services. Title. Subtitle
Jail Health Services Lisa A. Pratt, MD, MPH Director / Medical Director Jail Health Services Title Subtitle 1 1 Health Commission Director of Health Finance Policy & Planning Human Resources Information
More informationVolume 26 No. 05 July Providers of Behavioral Health Services For Action Health Maintenance Organizations For Information Only
Newsletter Published by the N.J. Dept. of Human, Div. of Medical Assistance & Health & the Division of and Volume 26 No. 05 July 2016 TO: SUBJECT: Providers of Behavioral Health For Action Health Maintenance
More informationFlorida Department of Children and Families Office of Substance Abuse and Mental Health Care Coordination Rating System (Managing Entity)
Florida Department of Children and Families Office of Substance Abuse and Mental Health Care Coordination Rating System (Managing Entity) Instructions: The checklist examines the core competencies of Care
More informationMolina Healthcare of Ohio Behavioral and Mental Health Molina Dual Options MyCare Ohio 2014
Molina Healthcare of Ohio Behavioral and Mental Health Molina Dual Options MyCare Ohio 2014 1 Headline Goes Here Mental Health/Behavioral Health Services Cont. Mental and emotional well-being is essential
More informationLeveraging the Value of Behavioral Heath Integration In Your PCMH. August 26, 2016
Leveraging the Value of Behavioral Heath Integration In Your PCMH August 26, 2016 Introductions Brooke McCulley LCSW, CCM Behavioral Health Clinical Operations Manager BlueCare, TennCareSelect, DSNP, MA,
More information9/17/ years of Peer Assistance. Peer Assistance Programs and Perspectives AANA Peer Assistance Program
Peer Assistance Programs and Perspectives AANA Peer Assistance Program Julie Rice, BA Manager Health & Wellness and Peer Assistance Programs 35 years of Peer Assistance 1983 Committee on Chemical Dependency
More informationDrug Medi-Cal Organized Delivery System Implementation Plan
Drug Medi-Cal Organized Delivery System Implementation Plan For Yolo County Health and Human Services Agency Submitted by: Ian Evans, LMFT HHSA Approved: December 2016 PART I PLAN QUESTIONS This part is
More informationMassHealth Restructuring Overview
1 MassHealth Restructuring Overview State of the State, Assuring Access, Equity and Integrated Care Massachusetts League of Community Health Centers Marylou Sudders, Secretary Executive Office of Health
More informationDrug Medi-Cal Organized Delivery System Evaluation: Baseline
Drug Medi-Cal Organized Delivery System Evaluation: Baseline Darren Urada, Ph.D., Cheryl Teruya, Ph.D., Valerie P. Antonini, M.P.H., Elise Tran, B.A., David Huang, Ph.D., Howard Padwa, Ph.D., June Lim,
More informationAPNA 27th Annual Conference Session 3023: October 11, 2013
Beth Phoenix, RN, PhD Aaron Miller, RN, MS, PMHNP Sherri Borden, RN, MS, ANP Matt Tierney, RN, MS, NP UCSF School of Nursing None of the presenters has any conflicts of interest to disclose Beth Phoenix,
More informationCompleting the Specialty Practice Assessment Tool: Guide for Behavioral Health Organizations and Divisions
Completing the Specialty Practice Assessment Tool: Guide for Behavioral Health Organizations and Divisions Instructions: Please find below guiding questions for behavioral health organizations or divisions
More informationSpecialty Behavioral Health and Integrated Services
Introduction Behavioral health services that are provided within primary care clinics are important to meeting our members needs. Health Share of Oregon supports the integration of behavioral health and
More informationOUTPATIENT SERVICES. Components of Service
OUTPATIENT SERVICES Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific performance specifications. Additionally, providers contracted
More informationDivision of Mental Health, Developmental Disabilities & Substance Abuse Services NC Mental Health and Substance Use Service Array Survey
Table 1 Service Name Include any subcategories of service on a separate line In Table 2, please add service description and key terms Outpatient Treatment Behavioral Health Urgent Care (a type of outpatient)
More informationImplementation of Ohio SBIRT in an Integrated Health Center: Panel Discussion. All Ohio Institute on Community Psychiatry March 25, 2017
Implementation of Ohio SBIRT in an Integrated Health Center: Panel Discussion All Ohio Institute on Community Psychiatry March 25, 2017 SBIRT Panelists: Introduction Ellen Augsperger Director of Ohio SBIRT
More informationIntegrated Behavioral Health Project Phase III Project Description
Integrated Behavioral Health Project Phase III Project For Phase III, the Integrated Behavioral Health Project has selected seven grantees to advance the base of knowledge concerning integrated care in
More informationOptum/OptumHealth Behavioral Solutions of California Facility Network Request Form / Credentialing Application
Optum/OptumHealth Behavioral Solutions of California Is the facility currently in the Optum network? Yes No Acceptance into the Optum/OptumHealth Behavioral Solutions of California (Optum) provider network
More informationIntegrating Primary Medical Care and Behavioral Health Services: The New Mexico SBIRT Experience
Integrating Primary Medical Care and Behavioral Health Services: The New Mexico SBIRT Experience Ana Moseley, LISW, ACSW, Clinical Director Tom Peterson, Ph.D., Associate Clinical Director Arturo Gonzales,
More informationCCBHC Standards of Care
CCBHC Standards of Care Mark Disselkoen, MSW, LCSW, LADC CASAT March 7, 2017 Disclaimer The views, opinions, and content expressed in this presentation do not necessarily reflect the views, opinions, or
More informationLeveraging FQHCs in California s Behavioral Health Care Continuum
Leveraging FQHCs in California s Behavioral Health Care Continuum Allie Budenz Associate Director of Quality Improvement California Primary Care Association abudenz@cpca.org Agenda About CPCA and FQHCs
More informationAn Evidence-Based Practice Moving Us Closer to Zero:2016
An Evidence-Based Practice Moving Us Closer to Zero:2016 Agenda Background What is CTI? An Overview Why do CTI? Evidence of Effectiveness Example in Bridgeport How to CTI? Fidelity - the Principles Implementation
More informationHealthcare Effectiveness Data and Information Set (HEDIS)
Healthcare Effectiveness Data and Information Set (HEDIS) IlliniCare Health is a proud holder of NCQA accreditation as a managed behavioral health organization (MBHO) and prioritizes best in class performance
More informationProvider Network Management & Clinical Performance Optimization In Population Health Management: Preparing For Value-Based Reimbursement
Provider Network Management & Clinical Performance Optimization In Population Health Management: Preparing For Value-Based Reimbursement #OMPerformance The 2017 OPEN MINDS Performance Management Institute
More informationDrug Medi-Cal Organized Delivery System Demonstration Waiver
Drug Medi-Cal Organized Delivery System Demonstration Waiver All County Orientation to Standard Terms and Conditions & Fiscal Provisions Presentation by DHCS and Harbage September 28, 2015 Overview of
More informationOPERATIONS MANUAL CARE CONNECTIONS PROGRAM LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES
OPERATIONS MANUAL CARE CONNECTIONS PROGRAM LOS ANGELES COUNTY DEPARTMENT OF HEALTH SERVICES SECTION: PATIENT REFERRAL and INTAKE PROCEDURES 1 P age 1 CCP Referral Procedure Referrals for the Care Connections
More informationPHYSICIAN ASSISTANT. Controlled Substance Education PHYSICIAN ASSISTANTS
PHYSICIAN ASSISTANT Controlled Substance Education PHYSICIAN ASSISTANTS California Business and Professional Code (BP) Section 3500, Title 16 of the California Code of Regulations: The Physician Assistant
More informationShort-term Intensive Residential Remediation Treatment
Short-term Intensive Residential Remediation Treatment LETTER OF INTENT Signal Behavioral Health Network 6130 GREENWOOD PLAZA BLVD, #150, GREENWOOD VILLAGE, CO 80111 1 LETTER OF INTENT SCOPE This Letter
More informationMoney Follows the (Whole) Person: Innovation in the Texas Behavioral Health Pilot
Money Follows the (Whole) Person: Innovation in the Texas Behavioral Health Pilot National Home and Community-based Services Conference, 2016 Dena Stoner, Senior Policy Advisor, TX Department of State
More informationColorado Team-Based Care Initiative Change Package Tool Made possible with funding from the Colorado Health Foundation Contact: Alexia Eslan, JSI,
Colorado Team-Based Care Initiative Change Package Tool Made possible with funding from the Colorado Health Foundation Contact: Alexia Eslan, JSI, aeslan@jsi.com CO Team-Based Care Initiative Change Package
More information2016 Quality Management Program Highlights. Spring 2017 Update
2016 Quality Management Program Highlights Spring 2017 Update Table Of Contents Quality Management Program Overview.....3-4 Quality Committees.5 Data Monitoring and Enrollment Trends..6-7 QM/UM Plan Highlights....8
More informationImpact of Patient Navigation in an Integrated Care Delivery System
Impact of Patient Navigation in an Integrated Care Delivery System Chrissy Valania, MSW, LCSW Social Worker/Patient Navigator Geisinger Cancer Institute 1 Geisinger at a Glance 9 Hospitals in Pennsylvania
More informationIntegration of Behavioral Health & Primary Care in a Homeless FQHC
Integration of Behavioral Health & Primary Care in a Homeless FQHC AtlantiCare Health Services Mission Health Care May 2012 Bridgette Richardson, LCSW Executive Director, AtlantiCare Health Services, Mission
More informationSymposium. Opioid C MPASS. July 24, Iowa Healthcare Collaborative. Holiday Inn and Suites Jordan Creek West Des Moines
Iowa Healthcare Collaborative Symposium Opioid July 24, 2018 Holiday Inn and Suites Jordan Creek West Des Moines Iowa Healthcare Collaborative A Partnership for Quality, Patient Safety & Value C MPASS
More informationVSHP/ Behavioral Health
VSHP/ Behavioral Health Deb Dukes & Dr Kelly Askins The contact numbers in the presentation apply to WEST Member Services ONLY. New numbers for EAST Member Services will be published and distributed by
More informationImplementing a Comprehensive Approach to Suicide Prevention
Implementing a Comprehensive Approach to Suicide Prevention Bonnie Lipton, MPH Prevention Specialist, Suicide Prevention Resource Center March 19, 2018 Garrett Lee Smith Suicide Prevention Grantee Meeting
More informationThe Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way
The Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way Mental Health Association in New York State, Inc. Annual Meeting Gregory Allen, MSW Director Division of Program
More informationBlue Cross Blue Shield of Massachusetts Foundation Expanding Access to Behavioral Health Urgent Care
Blue Cross Blue Shield of Massachusetts Foundation Expanding Access to Behavioral Health Urgent Care 2019 Grant Program-Quick View Summary Access to behavioral health care services for patients across
More informationMajor Dimensions of Managed Behavioral Health Care Arrangements Level 3: MCO/BHO and Provider Contract
Introduction To understand how managed care operates in a state or locality it may be necessary to collect organizational, financial and clinical management information at multiple levels. For instance,
More informationImproving Care for Hospitalized Adults with Substance Use Disorder
Improving Care for Hospitalized Adults with Substance Use Disorder Honora Englander, MD March 12, 2018 National Academies of Science, Engineering and Medicine I have no conflicts of interest to disclose.
More informationSTATE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES REQUEST FOR INFORMATION
STATE OF NEW JERSEY DEPARTMENT OF HUMAN SERVICES DIVISION OF MENTAL HEALTH AND ADDICTION SERVICES REQUEST FOR INFORMATION PURPOSE The Division of Mental Health and Addiction Services (DHMAS) is seeking
More informationIntegrated Behavioral Health Services
Integrated Behavioral Health Services Anitra Walker, LCSW Liz Frye, MD, MPH Integrated Behavioral Health Background SHLI Integrated Care Initiative started in July 2011 2 initial demonstration sites; Focus
More informationMedicare Chronic Care Management. November 8, 2017
Medicare Chronic Care Management November 8, 2017 2 Overview 1) Overview of the Medicare CCM program 2) Chronic Care Management 2018 Service Update 3) Implementing at your Organization 1) Key Questions
More informationDraft Children s Managed Care Transition MCO Requirements
Draft Children s Managed Care Transition MCO Requirements OVERVIEW On February 1 st, New York State released for stakeholder feedback a draft version of the Medicaid Managed Care Organization (MCO) Children
More informationNot to be completed by paper. Please complete online.
2018 Survey of Community Health Centers Experiences and Activities under the Affordable Consent Form and Information Sheet about the Research Study (IRB #: 101705) Not to be completed by paper. Please
More informationStrategic Plan
Strategic Plan 2017-2020 1 Our Vision Here s Help, Inc. believes clients can recover their lives and deserve a chance to succeed. To this end, our vision is to provide high-quality programs and services
More informationWelcome to the New England QIN-QIO Webinar!
Welcome to the New England QIN-QIO Webinar! Thank you for joining. Our presentation will begin shortly. If you haven t already, please dial in to the audio line: 888-895-6448 Passcode: 519-6001 Slides
More informationODS Waiver SUD Treatment Documentation. A high level overview of DMC-Organized Delivery System (ODS) Waiver documentation requirements
ODS Waiver SUD Treatment Documentation A high level overview of DMC-Organized Delivery System (ODS) Waiver documentation requirements 1 Overview Expanded Service Delivery Definition of LPHA Intake Physical
More informationTransforming County Drug & Alcohol Treatment Services into a System of Care
Transforming County Drug & Alcohol Treatment Services into a System of Care Cheryl Berman, PhD, LMFT Santa Clara Valley Health & Hospital System Behavioral Health Department of Alcohol & Drug Services
More informationIMPACT: A team-based approach to the care of addiction in the hospital. Jessica Gregg MD, PhD. Associate Professor of Medicine, OHSU
IMPACT: A team-based approach to the care of addiction in the hospital Associate Professor of Medicine, OHSU Nothing to disclose Objectives Review the what, why, and who of team-based care Describe IMPACT,
More informationChristopher W. Shanahan, MD, MPH, FACP
Safe and Competent Opioid Prescribing: Optimizing Office Systems Christopher W. Shanahan, MD, MPH, FACP Assistant Professor of Medicine Boston University School of Medicine Boston Medical Center Certified:
More informationOntario Systems Projects
Drug Treatment Funding Program () Delivered by Project Leads at the Launch Event October 13 th and 14 th, 2011, Toronto Investment areas The supports sustainable improvement in the quality and organization
More informationTransition Management Services (TMS) (Previously known as Tenancy Support Team) Revised 6/3/16
Transition Management Services (TMS) (Previously known as Tenancy Support Team) Revised 6/3/16 Service Definition and Required Components Transition Management Services (TMS) is a service provided to individuals
More informationNorth Sound Behavioral Health Organization Section 1500 Clinical: Intra-network Individual Transfers and Coordination of Care
Effective Date: 3/3/2008; 6/25/2004 Revised Date: 7/12/2017 Review Date: 7/12/2017 North Sound Behavioral Health Organization Section 1500 Clinical: Intra-network Individual Transfers and Coordination
More informationBEHAVIORAL HEALTH CARE MANAGER/CMT (EBCAP0358)
BEHAVIORAL HEALTH CARE MANAGER/CMT (EBCAP0358) East Bay Community Action Program (EBCAP) is seeking a full time Behavioral Health Care Manager for our new Community Health Team (CHT) located at 6 John
More informationBehavioral Wellness A System of Care and Recovery
., SANTA BARBARA COUNTY DEPARTMENT OF Behavioral Wellness A System of Care and Recovery P a g e \ 1 of 6 Departmental Policy and Procedure Section Sub-section Policy Alcohol and Drug Program (ADP) Drug
More informationDRUG MEDI-CALWAIVER STAKEHOLDER FORUM
October 27, 2015 DRUG MEDI-CALWAIVER STAKEHOLDER FORUM Patrick Zarate Division Manager, Alcohol & Drug Programs Objectives for Today Learn About the Drug Medi-Cal Organized Delivery System waiver Gain
More informationHPOG/ TANF Partnerships: Lessons Learned from HPOG 1. Building Pathways to a Brighter Future
HPOG/ TANF Partnerships: Lessons Learned from HPOG 1 Building Pathways to a Brighter Future Two Useful Papers Health Profession Opportunity Grant and TANF Partnerships: Lessons Learned in Engaging TANF
More informationCCBHC CARE COORDINATION AGREEMENTS: OVERVIEW OF LEGAL REQUIREMENTS AND CHECKLIST OF RECOMMENDED TERMS
CCBHC CARE COORDINATION AGREEMENTS: OVERVIEW OF LEGAL REQUIREMENTS AND CHECKLIST OF RECOMMENDED TERMS Coordinating care across a spectrum of services, 29 including physical health, behavioral health, social
More informationDrug Medi-Cal Organized Delivery System Implementation Plan
Drug Medi-Cal Organized Delivery System Implementation Plan Santa Barbara County Department of Behavioral Wellness Alcohol and Drug Programs countyofsb.org/behavioral-wellness 805-681-5220 Prepared by:
More informationImplementing Medicaid Behavioral Health Reform in New York
Redesign Medicaid in New York State Implementing Medicaid Behavioral Health Reform in New York HIV Health and Human Services Planning Council of New York March 19, 2014 Agenda Goals Timeline BH Benefit
More informationMedication Assisted Treatment for Opioid Use Disorders Reporting Requirements
This document is scheduled to be published in the Federal Register on 09/27/2016 and available online at https://federalregister.gov/d/2016-23277, and on FDsys.gov DEPARTMENT OF HEALTH AND HUMAN SERVICES
More informationNew Horizons Addiction Rehabilitation Centers for Men and Women
New Horizons Addiction Rehabilitation Centers for Men and Women The Program New Horizons Addiction Rehabilitation Centers include a seven- bed rehabilitation center for women in addition to a separate
More informationImproving Clinical Flow ECHO Collaborative Change Package
Primary Drivers (driver diagram) Change Concepts Change Ideas Examples, Tips, and Resources Engaged Leadership Develop culture for transformation Use walk-arounds and attendance at team meetings to talk
More informationWORK PROCESS DOCUMENT NAME: Medical Necessity Review for Behavioral Health and Substance Use Disorder REPLACES DOCUMENT: RETIRED:
PAGE: 1 of 7 SCOPE: Coordinated Care Departments for Behavioral Health and Substance Use Disorder (SUD) Reviews for members enrolled in Integrated Managed Care and Behavioral Health Services Only PURPOSE:
More informationAdherence Nurse. I. Description. Treatment Adherence Nurse is an individual level intervention designed to actively engage formerly
21 Currently/Formally Incarcerated Treatment Adherence Nurse Treatment Adherence Nurse is an individual level intervention designed to actively engage formerly incarcerated individuals who are HIV+ in
More information