Mercy Hospital Springfield Community Health Improvement Plan (CHIP)

Transcription

1 Mercy Hospital Springfield Community Health Improvement Plan (CHIP) Completed: October 30, 2014 Approved: TBD PRIORITY AREA Improve access to health care for uninsured and/or underserved individuals. GOAL #1 Improve access through Affordable Care Act (ACA) insurance education and enrollment. MERCY LEADER(S) Mike Peters, Vice President Government Relations for Missouri Joy Weis, CAC Leader PERFORMANCE MEASURES How we will know we are making a difference. Short Term Indicators Source Frequency By 2016, increase enrollment for the 2014 and 2016 open enrollment CoverMissouri sessions to a total of 750 additional lives. By 2016, develop and implement Mercy s standardized coverage and enrollment Mercy Access & strategy for uninsured patients. Eligibility Services Long Term Indicators Source Frequency By January 2025, decrease the amount of uninsured individuals in Mercy Springfield Central Communities to 5.0%. CoverMissouri OBJECTIVE #1 Collaborate with Missouri Foundation for Health (MFH) Hub partners to provide awareness and education regarding coverage options and to enroll 750 additional lives in Mercy Springfield Central Communities. BACKGROUND ON STRATEGY: MFH grant in support of increase enrollment due to ACA. Source: MFH and CoverMissouri Goals Represent Mercy at 75% of MFH Hub and other community events regarding ACA enrollment and education Develop a Mercy policy and process for coverage and enrollment activities; identify structure and leadership CAC leadership and Mercy sponsorship (FTEs, marketing materials) CAC and Mercy executive leadership Joy Weis, JD Mike Peters Joy Weis, JD Increased enrollment by at least 750 lives Formalized and standardized Mercy policy, process, structure and leadership for all Page 1

2 Develop an annual review process for all ACA enrollment and education in alignment with other relevant legislative initiatives CAC and Mercy executive leadership Joy Weis, JD coverage and enrollment Improved understanding of issues and development of necessary improvements to reach goals OBJECTIVE #2 Implement an internal Mercy campaign to educate leaders and co workers on the Affordable Care Act (ACA), especially the coverage and enrollment aspects. BACKGROUND ON STRATEGY: MFH grant in support of enrollment due to ACA. Source: MFH and CoverMissouri Goals Provide education to all Mercy leaders and co workers regarding coverage and enrollment opportunities, key issues, key contacts before and throughout 2014 (Nov 15 Feb 15) enrollment cycle. Partner with Human and Talent Development Optimization (TDO) to offer education to all new co workers and/or in appropriate educational seminars/trainings. Identify a physician champion to support coverage and enrollment initiatives Engage all Mercy providers and staff in educational opportunities that increase understanding of enrollment process and provide key messaging for interaction with patients February MarCom outlets, HR /TDO outlet, hospital/clinic communication sponsorship HR/TDO outlets and MarCom sponsorship Executive leadership Clinic leadership Joy Weis, JD Joy Weis, JD Mike Peters Joy Weis, JD Joy Weis, JD Heightened awareness and knowledge of enrollment process Heightened awareness and knowledge of enrollment process Heightened awareness and knowledge of enrollment process Heightened awareness and knowledge of enrollment process Page 2

3 Engage all Mercy executive leaders in educational opportunities that increase understanding of enrollment process and provide key messaging for interaction with patients Clinic leadership Joy Weis, JD Heightened awareness and knowledge of enrollment process OBJECTIVE #3 Identify long term funding strategy for continued coverage and enrollment initiatives. BACKGROUND ON STRATEGY: MFH grant in support of increased enrollment due to ACA. Source: MFH and CoverMissouri Goals (in alignment with AHA) Evaluate costs identified with expanded coverage and enrollment activities Develop funding proposal that fits the approved structure Finance sponsorship Finance sponsorship Mike Peters Joy Weis, JD Mike Peters Joy Weis, JD Embedded and justifiable cost in budget Embedded and justifiable cost in budget ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 Missouri Hospital Association regulation/ Missouri Health Matters Access to Health Care Services topics objectives/topic/access to Health Services Affordable Care Act Marketplace Exchanges 2 Missouri Hospital Association regulation/ Missouri Health Matters 3 Missouri Hospital Association regulation/ Missouri Health Matters Access to Health Care Services topics objectives/topic/access to Health Services Access to Health Care Services topics objectives/topic/access to Health Services Affordable Care Act Marketplace Exchanges Affordable Care Act Marketplace Exchanges Page 3

4 DESCRIBE PLANS FOR SUSTAINING ACTION To be completed. Page 4

5 PRIORITY AREA Improve access to health care for uninsured and/or underserved individuals. GOAL #2 Improve access to care through patient transportation. MERCY LEADER(S) Steve Kemp, Vice President Operations Bob Patterson, Executive Director Emergency Services PERFORMANCE MEASURES How we will know we are making a difference. Short Term Indicators Source Frequency By 2016, increase patient transportation provided to underserved patients by Mercy 5.0%. Long Term Indicators Source Frequency TBD TBD TBD OBJECTIVE #1 Continue to enhance Mercy Patient Transportation Program (non emergency). BACKGROUND ON STRATEGY: Mercy leadership identified need for transportations services for vulnerable patients. Source: Mercy Provide Wheelchair Program and OATS bus program to provide non emergency transportation to/from appointments and therapy for underserved populations. Identify volume specific to Rehab Hospital and Medical Destinations program to plan for vehicle demand and to evaluate pricing structure for contractual partnerships. Evaluate potential expansion of the Wheelchair Program to provide transportation for underserved patients being discharged from the ED. Specifically, evaluate yellow cab transportation and costs versus the Wheelchair Vehicles Bob Patterson Underserved patients receive needed transportation to appointments, reduced readmission rates and no show rate EMS CAD history Sonny Saxton Allocation of cost to these program utilizers Collaboration with ED and Finance, utilization data. Bob Patterson Determination whether resources exist to expand transportation for underserved Page 5

6 Program. Research community resources that support the most vulnerable cohorts of the underserved population to determine any collaboration that may assist in patient transportation/disposition efforts. Evaluate profitability for all counties served and determine any appropriate corrective action needed to offset losses. Determine how this could evolve into a community benefit strategy. Collaboration with Carmen Parker Bradshaw s community health contacts. Finance data. Bob Paterson Bob Paterson Shawn Harris Coordinated transportation plan Financial plan to manage profitability of transportation services OBJECTIVE #2 Begin an evaluation to redesign underserved patient transportation for behavioral health needs and services. BACKGROUND ON STRATEGY: Mercy leadership identified barriers transporting patients to scarcely available behavioral health services. Source: Mercy Review historical utilization of inter facility to determine what percentage of patient transportation that could be handled outside of ambulance services. Review expenses versus charges Data review, financial analysis Bob Patterson Redesign of transportation services for behavioral health OBJECTIVE #3 Evaluate and develop proposal to implement community paramedic program. BACKGROUND ON STRATEGY: Mercy identified growing need for low level of care provided to underserved community outside of an ED setting. Source: TBD Policy Change (Y/N): TBD Onsite location review of peer community locations that have implemented a Travel and operation/fte costs. Bob Patterson Determination whether program would Page 6

7 community paramedic program. Develop training curriculum in collaboration with Southwest Baptist University to assist community paramedics implementing the program. Initiate program design proposal to identify population served, geographic area served, referral process, onsite care delivered, documentation standards, discharge plan, medication access, and evaluation of impact. Identify long term funding resources. Collaborate with Mercy Community Health strategy for underserved population. TDO, finance, other management participation. Management participation. Connection to Community Health/Community Benefit. Bob Patterson Bob Patterson Bob Patterson Carmen Parker Bradshaw work for Springfield area Program and staff specifications completed for program implementation Approval or disapproval to implement community paramedic program Connection to larger strategy to manage the underserved population ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 MO Dept. Health & Senior Services Transportation /aaa/ Access to Health Care Services Transportation dence based resource/transportationhealth impact assessment toolkitstrategies health Affordable Care Act 2 MO Dept. Health & Senior Services Transportation /aaa/ 3 MO Dept. Health & Senior Services Transportation /aaa/ DESCRIBE PLANS FOR SUSTAINING ACTION To be completed. Access to Health Care Services Transportation dence based resource/transportationhealth impact assessment toolkitstrategies health Affordable Care Act Affordable Care Act Page 7

8 PRIORITY AREA Improve access to health care for uninsured and/or underserved individuals. GOAL #3 Improve access to care through medication access. MERCY LEADER(S) Lynda Schibler, Vice President Mission Services Karen Brown, Director Mercy Care Management Patient Assistance Programs & Centralized Case Management Mike Loftus, Assistant Director Pharmacy Informatics PERFORMANCE MEASURES How we will know we are making a difference. Short Term Indicators Source Frequency By 2016, increase provider participation by 5.0%. WebPAP Software By 2016, increase the number of unique (new) patients served by 2.5%. WebPAP Software Long Term Indicators Source Frequency By 2020, Community Reports demonstrate that 10.0% fewer indigent patients in the community report going without needed prescription medications. Community Reports OBJECTIVE #1 Sustain Community Medication Access Program (CMAP). BACKGROUND ON STRATEGY: Mercy, Cox Health, Jordan Valley Community Health Center partnered to provide medications to uninsured patients in Springfield, MO. Source: WebPAP Software and internal data capture Increase program awareness through educational offerings, s and meetings in order to increase provider and patient participation. Achieve performance measure through patient satisfaction survey. Survey Question: I (patient) would not be able to afford my medications if this program did not exist. Explore collaboration with leadership from Missouri Coverage Assistance Program (MCAP) to identify opportunities where uninsured patients may be eligible to enroll in a State Health Exchange and therefore receive prescription coverage. CMAP Management & Staff CMAP Management & Staff CMAP Management & Staff; Coverage Assistance Counselor Staff Jennifer Gist Jennifer Gist Karen Brown Joy Weis Increase the number of unique patients served by 3% At least 90% of the results would be Agree or Strongly Agree Identify opportunities where uninsured patients qualify for prescription coverage Page 8

9 OBJECTIVE #2 Augment medication access by identifying medication needs and researching/exploring care models or partnerships that specialize in medication access for underserved populations. BACKGROUND ON STRATEGY: Medication access drives community health outcomes and other underserved patient health trends; thus, medication access is a growing concern and demands an effective delivery care model to increase community health. Source: Affordable Care Act Review medication needs and disease categories based on prior year utilization to better understand the barriers in the changing landscape Further explore Dispensary of Hope (DOH) and other medication access program and determine if any programs are a viable partnership for Mercy Explore methods to enhance partnerships and communication strategies to identify opportunities to reach potentially eligible uninsured populations seeking medication assistance Prior year utilization data; regulatory changes in Medicaid and PAP programs Karen Brown SME staff time Mike Loftus Karen Brown SME staff time Karen Brown Mike Loftus Understanding of utilization to determine enhanced or new medication access model of care Decision to partner or not partner with DOH Improved awareness, compliance and higher volume of patients OBJECTIVE #3 Review and enhance McAuley Fund to ensure greatest impact on medication assistance. BACKGROUND ON STRATEGY: Mercy developed McAuley Fund to assist underserved patients in hospital setting. Source: Mercy Define objectives related to all care processes that qualify for McAuley Fund support Evaluate and refine methods to develop accountability and TBD Mike Prestwich Minimized leakage opportunity, enhanced understanding of demand TBD Mike Prestwich Improved stewardship and Page 9

10 reporting of McAuley Fund to ensure appropriate use of resources understanding of program and future refinements ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 N/A Access to Health Care Services Medication 0/topics objectives/topic/accessto Health Services Prescription Assistance Programs tance_programs 2 N/A Access to Health Care Services Medication 0/topics objectives/topic/accessto Health Services 3 N/A Access to Health Care Services Medication 0/topics objectives/topic/accessto Health Services DESCRIBE PLANS FOR SUSTAINING ACTION To be completed. Dispensary of Hope (DOH) & 340B Program & N/A Page 10

11 PRIORITY AREA Improve access and health/wellness education and services for women and children. GOAL #4 Improve Health/Wellness Education for Children through School Health Education. MERCY LEADER(S) Ted Stutzman, Chief Operating Officer Pediatrics Specialty Services David Redfern, MD, Physician Champion JoAnn Daigh, Coordinator Family Resource Center PERFORMANCE MEASURES How we will know we are making a difference. Short Term Indicators Source Frequency By, increase by 5.0% the exclusive breastfeeding rate the first 6 months of a newborns life to meet the US National Average of 49.0%. By 2016, develop an integrated and interdisciplinary plan for a pregnant mother given a life threatening or life limiting anomaly diagnosis for her unborn child. Include a structured care approach, informed & shared decision making between the family and caregivers. By 2016, facilitate early identification for post partum depression by initiating PPD screening of a new mom within our Mercy Pediatric/PCP offices. Assisting with referral & communicating with mother s OB/PCP for appropriate depression care 50.0% of the time. CDC Breastfeeding Report American Academy of Pediatrics, ChiPPS; Mercy Hospital; National Association of Neonatal Nurses Healthy People 20/20 Long Term Indicators Source Frequency By 2018, obtain Baby Friendly Certification to improve the quality of life for mother and infant. By 2018, support families of Mercy OB/GYN physicians who have or lost a child with a life threatening or life limiting anomaly diagnosis in maintaining their hope, understanding of the disease process, goals and spiritual needs to achieve the best quality of life during the living, dying and grieving process. Strive to collaborate with discussion of identified cases within the Springfield community at regularly scheduled perinatal ethics conference. By 2018, increase maternal depression awareness in the Mercy maternal child healthcare areas & prenatally for families thru educational offerings (i.e., prenatal classes, staff meetings, forums, etc.). Healthy People 20/20; Baby Friendly USA American Academy of Pediatrics, ChiPPS); Mercy Hospital; National Association of Neonatal Nurses Healthy People 20/20 OBJECTIVE #1 Exclusive breastfeeding the first six months of a newborn s life. BACKGROUND ON STRATEGY: Mercy providers agreement to follow AAP standards. Source: American Academy of Pediatrics, Published March 2012 issue; American Academy of Pediatrics; CDC Breastfeeding Report Card Policy Change (Y/N): Y Provide pre natal classes and a post natal breastfeeding Nurse educators, Tamara Fusco, MD David Redfern, MD Increased knowledge and Page 11

12 support group for the community. Provide Baby Friendly education to all maternal and child staff. Review and revise Mercy hospital/clinic policies pertaining to infant feeding. dieticians, Leadership, MarCom Nurse educators, dieticians, Leadership Nurse educators, maternal/child nursing managers, Epic, MarCom JoAnn Daigh Tamara Fusco, MD David Redfern, MD JoAnn Daigh Tamara Fusco, MD David Redfern, MD JoAnn Daigh understanding of breastfeeding for mothers Increased knowledge and expertise of staff Documented resources and consistency in care OBJECTIVE #2 Develop perinatal palliative care initiative. BACKGROUND ON STRATEGY: Mercy development around palliative care to include children. Source: American Academy of Pediatrics; Children s Hospital of Philadelphia; National Association of Neonatal Nurses; Journal of Palliative Medicine; Guidelines for Perinatal Care, 7 th Edition; ACOG/APA Task Force Report: The Management of Depression During Pregnancy: A Report from the American Psychiatric Association and the Americal College of Obstetrician Gynecologists (2009) Policy Change (Y/N): Y Identify and develop comprehensive plan to provide individual and family support. Provide family support groups. Provide palliative care education to maternal child staff Social workers, providers, FRC, pastoral care, behavioral health staff Social workers, providers, FRC, pastoral care, behavioral health, nutrition staff Nurse educators, palliative care SMEs, FRC, MarCom Robert Fraser, MD Tamara Fusco, MD David Redfern, MD JoAnn Daigh Becky Cave Tammy Titus Robin Troxell Robert Fraser, MD Tamara Fusco, MD David Redfern, MD JoAnn Daigh Becky Cave Tammy Titus Robin Troxell Robert Fraser, MD Tamara Fusco, MD David Redfern, MD JoAnn Daigh Becky Cave Tammy Titus Robin Troxell Safe environment and compassionate care to families Family support provided in consistent manner; to aide in healing process Family support provided in consistent manner; support according to child diagnoses Page 12

13 OBJECTIVE #3 Develop a post partum depression program. BACKGROUND ON STRATEGY: Mercy development around palliative care to include children. Source: ACOG/APA Task Force: The Management of Depression in Pregnancy: A Report from the American Psychiatric Association and the American College of Obstetrician Gynecologists (2009) Organize a committee to map out process for screening. Provide free education to community on post partum depression and self management Provide depression screening at physician office visits Develop a plan for follow up of abnormal screening Physician champions, FRC, Leadership MarCom; funding; FRC Educational materials; staff education; behavioral health leadership Educational materials; staff education; behavioral health leadership Don Sponenberg, MD Tamara Fusco, MD David Redfern, MD JoAnn Daigh Becky Cave Tammy Titus Tamara Fusco, MD David Redfern, MD JoAnn Daigh Becky Cave Tammy Titus Clinic Leadership Tamara Fusco, MD David Redfern, MD JoAnn Daigh Becky Cave Tammy Titus Clinic Leadership Tamara Fusco, MD David Redfern, MD JoAnn Daigh Becky Cave Tammy Titus Consistency in screnings Increased awareness of the issue, statistics and variations in peri natal mood disorders Early screenings Improved communication and coordination between providers ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 MO Breastfeeding Coalition g/ Early Childhood Education opics objectives/topic/early andmiddle childhood U.S. Office of Women s Health eastfeeding/ 2 N/A Maternal, Infant, Child Health opics objectives/topic/maternalinfant and child health 3 MO Department of Health & Senior Services s/pdf/postpartumdepression.pdf Maternal, Infant, Child Health opics objectives/topic/maternalinfant and child health National Perinatal Association advocacy ACOG/APA Task Force on Depression and Pregnancy And Publications/Task Force and Work Group Reports List Page 13

14 DESCRIBE PLANS FOR SUSTAINING ACTION To be completed. Page 14

15 PRIORITY AREA Improve access and health/wellness education and services for women and children. GOAL #5 Improve health and wellness through safety education for children. MERCY LEADER(S) Velvet Shoults, Director Trauma Program Daphne Greenlee, Outreach Coordinator PERFORMANCE MEASURES How we will know we are making a difference. Short Term Indicators Source Frequency By 2016, increase enrollment in safety education programs by 10.0%. MO Department of Health & Senior Services By 2016, begin re establishment of in house car seat education program. Mercy Trauma Services Department Long Term Indicators Source Frequency By January 2020, decrease number of injuries and fatalities to children in southwest MO by 5.0%. By January 2020, increase Mercy s participation at state and national levels regarding recognition of certified safety training center. MO Department of Health & Senior Services (MICA), CDC (Wisqars) Mercy Trauma Services Dept. OBJECTIVE #1 Provide traffic safety education to children, teens and parents in southwest Missouri and northwest Arkansas. BACKGROUND ON STRATEGY: Trauma numbers indicate MVC are leading cause of admission. Numerous public schools no longer provide driving instruction for students, therefore, these programs fill gap in safety education. Source: National Trauma Data Bank, state trauma registries, Mercy year end Trauma report, CDC, Missouri FARs data Host 6 Young Traffic Offender Program (YTOP) for young adults in southwest Missouri Access to hospital services, including ER, rehab/therapy, morgue, pastoral, catering, facility, patient testimony, prevention staffing, marketing materials, administrative Velvet Shoults Increased enrollment by at least 100 students; reduced traffic injuries/fatalities in participating counties Page 15

16 School seatbelt education programs including Rock Your Seatbelt, Battle of the Belt, Safe N Sober, driver s education classes, docudramas. Driving Lesson Program/individualize driving instruction for teens and adults assist Schools, EMS and local public health officials (police, fire), marketing materials, victim testimony, moulage/related equipment Vehicles, gas, maintenance, instructors, admin support, marketing, public awareness, IS/software support, curriculum support Velvet Shoults Cheryl Weston/Velvet Shoults Reduce motor vehicle related injuries and fatalities to participating school students; increase seatbelt use and awareness Prepares student to become better drivers and reducing incidence of traffic crashes, injuries and fatalities OBJECTIVE #2 Provide car seat education to expectant and new parents, grandparents and caregivers. BACKGROUND ON STRATEGY: Injuries due to car crashes are a leading cause of death to children. Source: National Trauma Data Bank, state trauma registries, Mercy year end Trauma report, CDC, Missouri FARs data Educate expectant parents on proper car seat installation/fit Provide car seat education for parents of children with special healthcare needs that result in special car seats CPS technician certification course and instructors, hospital dept partnership, Family Resource Center, car seats, training/ceus, marketing National special needs car seat training, special needs car seats, marketing, Daphne Greenlee, Velvet Shoults Daphne Greenlee, Velvet Shoults Reduce injuries to children due to nonrestraint use or incorrect installation of car seats Fill the gap for services to a population that does not have adequate resources; reduce injuries Page 16

17 Educate parents through 12 community programs Provide car seat one on one installation education to parents, caregivers Provide national child passenger safety certification education program to partner agencies Re establish on site, hands on car seat training system for Mercy staff and patients Marketing, car seat training, CPS technicians, Community referrals, marketing, car seats and supplies, Facility, admin assist, marketing, car seats, training supplies In house CPS certified technicians, marketing, admin asst, Daphne Greenlee, Velvet Shoults Daphne Greenlee, Velvet Shoults Daphne Greenlee, Velvet Shoults Daphne Greenlee, Velvet Shoults to children being transported improperly Increase awareness of correct car seat education to parents; reduce unintentional injuries Increase number of car seat appointments to reach additional parents with education; reduce number of injuries to children Serve as training center for southwest MO; train additional technicians so that area communities have services to assist families with car seat education Train staff members to provide car seat education to patients on newborn and peds floors, ER, clinics OBJECTIVE #3 Establish Safety Town project to educate preschool and elementary students about safety on a variety of topics. BACKGROUND ON STRATEGY: Many schools are eliminating safety education and unintentional injuries are leading cause of death to children. Source: National Trauma Data Bank, state trauma registries, Mercy year end Trauma report, CDC, Missouri FARs data Set up community education classes in southwest MO that Marketing, staff, Daphne Greenlee, Velvet Shoults Raise awareness of safety and Page 17

18 cover the following topics: traffic, bike, pedestrian, poison, fire, water, stranger danger, emergency preparedness, home, outdoor and other safety topics Develop Safety Town buildings/sample town to be used for demonstrating safety to children Work with community agencies to host the Safety Town project in various towns in southwest MO Marketing, staff, safety supplies, Marketing, staff, Daphne Greenlee, Velvet Shoults Daphne Greenlee, Velvet Shoults injury prevention to children and families; reduce injuries Raise awareness of Mercy s mission to protect children; reduce unintentional injuries to children Develop additional community partners to share safety education to children ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 Missouri/National Database(s) 2 Missouri/National Database(s) 3 Missouri/National Database(s) 4 Missouri/National Database(s) DESCRIBE PLANS FOR SUSTAINING ACTION To be completed. IVP node/4725/data_details IVP node/4725/data_details IVP node/4725/data_details IVP node/4725/data_details Centers for Disease Control Injury Prevention & Control tion/youthviolence/prevention.html Centers for Disease Control Injury Prevention & Control tion/youthviolence/prevention.html Centers for Disease Control Injury Prevention & Control tion/youthviolence/prevention.html Centers for Disease Control Injury Prevention & Control tion/youthviolence/prevention.html Page 18

19 PRIORITY AREA Improve Access to Behavioral Health Education and Services. GOAL #6 Improve Access to Behavioral Health Education and Services through the Behavioral Access Center and Behavioral Health Services. MERCY LEADER(S) Jay Guffey, Chief Operating Officer/Senior Vice President Gail Cyr, Administrative Director Behavioral Health Leslie Mullins, Nurse Manager PERFORMANCE MEASURES How we will know we are making a difference. Short Term Indicators Source Frequency By we will increase participation in Addiction Recovery Groups by 10.0% for those battling addiction and for those family members of addicted persons. By we will decrease recidivism rate of behavioral health patients by 2.0% for this underserved population. Long Term Indicators Source Frequency By 2020 we will decrease incarcerations of behavioral health patients by 20.0% for this underserved population. OBJECTIVE #1 Improve education of the community regarding chemical dependency and mental illness. BACKGROUND ON STRATEGY: Of Mercy Springfield s patient population, 68% have a dual diagnosis which indicates a need for education and improved self management. Source: NIMH, SAMHSA Support staff to facilitate After Care Group, twice weekly. Support staff to facilitate Family Group Therapy once weekly. Currently providing: Pain Addiction Specialist, RN, physical space to hold group Currently Providing: Pain Addiction Specialist, RN, physical space to hold group Gail Cyr, RN, BSN, MHA, Administrative DIrector/Addiction Recovery Center Gail Cyr, RN, BSN, MHA, Administrative DIrector/Addiction Recovery Center Decrease in relapse of substance abuse. Increase of quality of life and productivity of participants secondary to continued recovery. Decrease in relapse of substance abuse. Increase of quality of life and productivity of participants secondary to Page 19

20 Provide community education on addiction through provision of community forum. Partner with Arch Angels of the Ozarks to provide annual education and to promote recovery by participating in community fair. Sept. Will need: Physical Space, Advertising, Panel of Professionals Currently Providing: Rental space, staff, distribution/ed ucation materials Gail Cyr, RN, BSN, MHA, Administrative DIrector/Addiction Recovery Center Gail Cyr, RN, BSN, MHA, Administrative DIrector/Addiction Recovery Center continued recovery. Decrease in relapse of substance abuse. Increase of quality of life and productivity of participants secondary to continued recovery. Decrease in relapse of substance abuse. Increase of quality of life and productivity of participants secondary to continued recovery. OBJECTIVE #2 Collaborate with Greene County Sherriff and Springfield Police Department to decrease inappropriate incarcerations and to increase appropriate treatment for behavioral health patients. BACKGROUND ON STRATEGY: Community effort to educate and support law enforcement s participation in providing mental health care in the field, ensuring mentally ill patients are placed in appropriate level of care. Source: NIMH/SAMHSA Education of services provided through Mercy Behavioral Health and how to access to care. Provide tour of facility with explanation of processes related to assessments and admissions. Currently providing: Space, preplanning, educ. Material, speakers, security, ARC, admin, RN Currently providing: Space, preplanning, educ. Material, speakers, security, ARC, admin, RN Gail Cyr, RN, BSN, MHA, Administrative Director/Marian Center Kim Jacobs, RN, Nurse Manager/Marian Center Decrease of inappropriate incarcerations of behavioral health patients. Decrease of inappropriate incarcerations of behavioral health patients. To be provided twice yearly; two groups of law enforcement members. To be provided twice yearly; two groups of law enforcement members. Provide education and Currently Leslie Mullins, RN, Decrease of To be provided Page 20

21 literature of common psychiatric disorders and common drugs of abuse as requested by law enforcement members. providing: Space, preplanning, educ. Material, speakers, security, ARC, admin, RN Nurse Manager/Marian Center inappropriate incarcerations of behavioral health patients. twice yearly; two groups of law enforcement members. OBJECTIVE #3 Improve community collaborative relationships to ensure persons with behavioral health needs are admitted to appropriate level of care. BACKGROUND ON STRATEGY: A collaborative relationship with community partners improves patient outcomes through continuity of care and access to care for the mentally ill, decreasing recidivism. Source: NIMH/SAMHSA Improve a comprehensive resource list of services available to Medicaid patients and uninsured patients. Share findings with community partners. Identify ways to improve collaboration with Burrell to provide outpatient behavioral health services. Develop strategy to collaborate with community partners such as Harmony House and Victory Mission to provide ongoing support to the underserved population. Currently providing: Access to internet and phone; staff to investigate and confirm resources available. Currently providing: Staff. Currently providing: Staff. Leslie Mullins, RN, Nurse Manager/Marian Center Gail Cyr, RN, BSN, MHA, Administrative Director/Marian Center Gail Cyr, RN, BSN, MHA, Administrative Director/Marian Center Shared, comprehensive list or resources available within our community that can serve as a referral list for behavioral health patients in or outside the hospital setting. Decreased recidivism secondary to appropriate follow up with continued monitoring and treatment of mental illness outside the hospital setting. Provide referral for access to shelter and ongoing support for behavioral health patients not requiring hospitalization. Page 21

22 ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 Missouri Department of Mental Health 2 MO Statue, Chapt. 191, Sec s/c / HTM Governor Nixon s Community Health Liaison Program mmunity mental healthliasion/cvzg 3 Missouri Department of Mental Health Burrell Behavioral Health DESCRIBE PLANS FOR SUSTAINING ACTION To be completed. Mental Health & Mental Disorders topics objectives/topic/mentalhealth and mental disorders Mental Health & Mental Disorders topics objectives/topic/mentalhealth and mental disorders Mental Health & Mental Disorders topics objectives/topic/mentalhealth and mental disorders National Institute of Mental Health (NIMH) html Substance Abuse and Mental Health Services Administration (SAMHSA) National Institute of Mental Health (NIMH) html Substance Abuse and Mental Health Services Administration (SAMHSA) National Institute of Mental Health (NIMH) html Substance Abuse and Mental Health Services Administration (SAMHSA) Page 22

23 PRIORITY AREA Improve access to behavioral health education and services. GOAL #7 Improve access to behavioral health education and services through behavioral health clinic services. MERCY LEADER(S) Eric Fuhr, Vice President Operations Kyle John, MD, Physician Champion Cynthia Jackson, Practice Manager IV PERFORMANCE MEASURES How we will know we are making a difference. Short Term Indicators Source Frequency Improved access to behavioral health within the Primary Care Provider (PCP) patient population supporting the co location site. Improved access to behavioral health support within integrated clinic sites, including improved communication and team approach from health care providers. Long Term Indicators Source Frequency Improved compliance with mental health treatment plans developed for patient populations within a co located and/or integrated clinic site. Improved community approach with Mercy engaging other community resources to decrease duplication of services and improve total community offerings for mental health care. OBJECTIVE #1 Co location and integration of behavioral health services with primary care site. BACKGROUND ON STRATEGY: Improve access with co located sites and integrated clinic settings. Source: Recommendation from the Community Preventive Services Task Force for use of collaborative care fo the management of depressive disorders. Policy Change (Y/N): Y Develop co location sites for seven psychologists Develop integrated sites Funding to remodel, integration with PCPs Cross trained co workers with integrated departments, space for psychologists Loren Skinner Cindy Jackson Seven co located sites for psychology support within PCP clinics Integrated behavioral health psychology services in strategic medical clinics Page 23

24 OBJECTIVE #2 Development of behavioral health intake team. BACKGROUND ON STRATEGY: Institute of Medicine, The Role of Telehealth in an Evolving Health Care Enviornment (2012). Source: Mercy Behavioral Health Workgroup, Mercy Telehealth Leadership Policy Change (Y/N): Y Creation of clinical interview team Creation of community resource tools Skilled staff, IT and phone services, electronic referral process Staff support to research, complete and build into care model Cindy Jackson Cindy Jackson Using clinically trained team, obtain patient history via Epic and 1:1 patient engagement to place into behavioral health clinical team at correct point of care Enhance current database of community resources to rural setting (including telemedicine sites) OBJECTIVE #3 Development of behavioral health telemedicine services to support communities with limited access to care. BACKGROUND ON STRATEGY: Mercy teleheath strategy. Source: Mercy Behavioral Health Workgroup, Mercy Telehealth Leadership Policy Change (Y/N): Y Support behavioral health telemedicine clinic sites Telemedicine hardware and software, regional host sites Cindy Jackson Telemedicine service sites in rural settings with limited access Page 24

25 ALIGNMENT WITH STATE/NATIONAL PRIORITIES Objective State Healthy People 2020 National Prevention Strategy 1 MO Department of Mental Health Medical Homes ness/mohealthhomes.htm Mental Health & Mental Disorders Health and Services Administration v/integrated care models/primarycare in behavioral health 2 MO Department of Mental Health Medical Homes ness/mohealthhomes.htm 3 MO Department of Mental Health Medical Homes ness/mohealthhomes.htm DESCRIBE PLANS FOR SUSTAINING ACTION To be completed. ics objectives/topic/mental health andmental disorders Mental Health & Mental Disorders ics objectives/topic/mental health andmental disorders Health and Services Administration v/integrated care models/primarycare in behavioral health American Telemedicine Association (ATA) Mental Health esources/standards/ata standardsguidelines/practice guidelines forvideo based online mental healthservices Page 25