Transformation of State Behavioral Health Agencies: National Trends & State Evidence for Strategy & Support
|
|
|
- Andrea Ball
- 5 years ago
- Views:
Transcription
1 Transformation of State Behavioral Health Agencies: National Trends & State Evidence for Strategy & Support NASMHPD Annual Meeting Washington, DC July 21, 2015 National Association of State Mental Health Program Directors Research Institute, Inc. (NRI)
2 Tim Knettler, MBA, CAE (Moderator) NRI Executive Director/CEO Presenters Patrick Fox, MD Chief Medical Officer /Acting Director Colorado Office of Behavioral Health Vera Hollen, MA NRI Senior Research Analyst Ted Lutterman NRI Senior Director of Government & Commercial Research 2
3 Table of Contents Transformation of State Behavioral Health Agencies: National Trends & State Evidence for Strategy & Support Colorado Statewide Behavioral Health Needs Analysis o Patrick Fox, MD Colorado Overview o Vera Hollen, MA NRI s Unique Approach Analytics Improving SBHAs Available from NRI o Ted Lutterman 3
4 Statewide Behavioral Health Needs Analysis April 2015
5 Department contracted for a Needs Analysis of the Behavioral Health system including: Current Status Strategic Positioning Future Planning Office of Behavioral Health
6 The Study s Team National and Colorado Behavioral health experts from: Office of Behavioral Health
7 Specific Focus Areas Inventory of Public Behavioral Health Agencies, Services, and Funding Service Gaps: State and Community Behavioral Health Services Impact of Governor s Plan to Strengthen Colorado s Behavioral Health System: Colorado Crisis Services Penetration Rates and Relative Need for Services Aligning and Maximizing OBH Resources and Payer Sources Regional Behavioral Health Service Distribution Colorado Mental Health Institutes Community Integration and Olmstead Office of Behavioral Health
8 Specific Focus Areas Continued Telehealth Housing and Employment Peer Mentors, Recovery Coaches, and Family Advocates Individuals with Mental Illness Who Are Physically Compromised Behavioral Health Service Delivery for Specific Populations Whole Health Integration Legal Marijuana and Prescription Drug Abuse Drug Possession Sentencing Reform/Medicaid Expansion Office of Behavioral Health
9 Survey Respondents Office of Behavioral Health
10 Accountable Care Collaborative Regions Office of Behavioral Health
11 System Alignment Identify a single state behavioral health authority Explore the development of a common management information system. Office of Behavioral Health
12 Regional Behavioral Health Service Distribution The report summarizes the current allocation of behavioral health resources by region and provides recommendations as to the most efficient distribution of resources across: Rural Frontier Tribal Urban Population Centers Office of Behavioral Health
13 Unique Challenges Unique challenges faced by urban, rural, frontier, and tribal areas of the state: Transportation Staffing Shortages Funding Issues Until these systemic challenges are addressed, Coloradans in all areas of the state will continue to face barriers to receiving optimal behavioral health care. Office of Behavioral Health
14 Promising Practices Promising practices are emerging that can be adopted to overcome obstacles: Telehealth Primary Care Integration Prevention and Early Intervention Peer Support Services Office of Behavioral Health
15 General Recommendations Increase inpatient services for adolescents in either hospital or residential settings. Increase total geriatric bed capacity Leverage expanded Medicaid funding Evaluate the effectiveness, efficiency and outcomes of the new crisis services. Office of Behavioral Health
16 Colorado s full Needs Assessment Report can be found at: Thank you. Office of Behavioral Health
17 Transformation of State Behavioral Health Agencies: National Trends & State Evidence for Strategy & Support Colorado Statewide Behavioral Health Needs Analysis NRI s Unique Approach Vera Hollen, MA Senior Research Analyst
18 Our Unique Approach NRI has direct connections with State Mental Health Agency executive staff in all 50 states, 8 territories, and the District of Columbia. NRI s extensive and unparalleled access to and expertise with national and state level behavioral health data strengthens our comparative research methods and data analysis. NRI highlights innovative models that have proven effective and sustainable in other systems. 18
19 Our Unique Approach (continued) Describe existing system Apply complex data analytics Provide comparative State data Deliver Actionable Information 19
20 Analytics Improving SBHAs Available from NRI Ted Lutterman NRI Senior Director of Government & Commercial Research
21 Clients Served Analytics Supporting SMHAs Available from NRI Over 7.2 million consumers served by States, with information about demographics, living situation, employment status, etc. (FY 2014 data) SMHA Organization and Policies SMHA Profiles about organization within state government, policies, services, etc. (FY 2015) SMHA Expenditures and Revenues Over $39 billion in Expenditures for Mental Health Services by SMHAs details of services and funding sources with trends going back over 30 years (FY 2014 data) 21
22 2015 SMHA and SSA Profiles: NRI is currently (in collaboration with NASADAD and Truven Health) updating information for its State Profiles System. o Major components on SMHA and SSA experiences with Health Care Reform, Involuntary Treatment, Evidence- Based Practices, Financing, Electronic Health Records, etc. Thanks to you and your staff for the great response rate we have had this Spring/Summer getting information from States o A draft report summarizing national trends and with stateby-state tables will be sent back to you for review in August Final Report is due to SAMHSA in September
23 Customized State Analysis Contracts NRI Board of Directors Recommended the Development of a New Product to Assist States by Utilizing NRI and Other Information to Build a State Customized Annual Product To Meet State Needs 23
24 Annual Customized State Contracts 3 States have contracted with NRI to produce customized state analyses Nebraska Virginia Illinois 24
25 Nebraska State Contract Initiated by Dr. Scot Adams in 2014 NRI met (via several conference calls) with Dr. Adams and his Deputy Director Sheri Dawson (now the Acting Division Director) to discuss which states to compare and what areas to focus on. Nebraska s key comparison groups 6 contiguous states National averages Final Report was submitted to Nebraska in May
26 Key Areas of Focus: Nebraska State Contract Highlight Areas where Nebraska is doing well Use of State Psychiatric Hospitals/Olmstead and Planning o Relative use of institutional resources including State psychiatric hospitals, nursing homes, other psych inpatient Provision of EBP services to assist consumers living in the community Use of Medicaid and other Funding Corrections and Forensic Mental Health Performance on SAMHSA National Outcome Measures 26
27 Where Nebraska Compares Favorably Nebraska ranks well in many domains both regionally (Nebraska and the six states that border it) and nationally. Regionally Measures where Nebraska ranks 1st or 2nd among its neighbors. Nebraska had the lowest rate per 100,000 (tied with Missouri) of new admissions to state psychiatric hospitals in 2013 Nebraska had the lowest 30 day readmission rate for clients discharged from state psychiatric hospitals in 2013 Nebraska also had the lowest 180 day readmission rate for clients discharged from state psychiatric hospitals in 2013 Nebraska had the second highest utilization rate of Assertive Community Treatment in 2012 Nebraska had the lowest percentage of adult clients with an arrest in
28 Nebraska State Contract 28
29 Virginia State Contract Virginia focused on NRI testimony before a joint legislative committee studying mental health reform. o NRI worked with Virginia SMHA Commissioner and staff to gather information about how Virginia compared nationally and regionally on issues of interest to the special Legislative Committee o NRI presented at September 2014 hearing in Richmond, Virginia o NRI is working with Virginia on next steps to provide useful information 29
30 Percent of SMHA MH Expenditures Virginia and U.S. SMHA-Controlled Expenditures for Mental Health State Hospital & Community Mental Health 1981 to % 80% 70% 74% 60% 50% 40% 53% 44% 30% 20% 10% 0% Virginia Community Virginia State Hospital U.S. Ave. Community U.S. Ave. State Hospital 23% 30
31 State Hospital Usage: 2012 State Number of State Hospitals Residents at Start of Year Residents per 100,000 Population Admissions During Year Admissions per 100,000 Population % of Residents with Forensic Status Virginia 10 1, , % Maryland , % North Carolina , % West Virginia , % Kentucky , % Tennessee , % Georgia 6 1, , % Alabama , % U.S. Total , , % 31
32 NRI Led Studies of Premature Mortality of Consumers Served by SMHAs NRI coordinated the first multi-state study of premature mortality of persons served by SMHA systems (16 State Study completed in 2002). o Identified that persons served by SMHAs have up to 25 years of life lost compared to general population 16 State Study is over 13 years old. NRI is now working with states to repeat and update Premature Mortality Studies Missouri, Kansas and District of Columbia have contracted with NRI to assess premature mortality (the Missouri Study is done) Join this initiative! 32
33 Other NRI Initiatives of Interest to Commissioners Piloting Integration of State Behavioral Health Agency data with Medicaid data to better understand impact of Behavioral Health Services to States Working with NASMHPD to support state use of the MH Block Grant set-aside for First Episode Programs (FEP) o Directory of State FEP activities o Identification of FEP Outcome and Performance Measures NRI MH-Criminal Justice Committee: o Working with NACo/CSG to assist in Stepping-Up Initiative to Divert Persons with Mental Illness from Jails 33
34 Thank You! Contact Information Tim Knettler, MBA, CAE NRI Executive Director/CEO (703) Patrick Fox, MD Chief Medical Officer /Acting Director Colorado Office of Behavioral Health Vera Hollen, MA NRI Senior Research Analyst (703) Ted Lutterman NRI Senior Director of Government & Commercial Research (703) National Association of State Mental Health Program Directors Research Institute, Inc. (NRI) 3141 Fairview Park Drive, Suite 650, Falls Church, VA
NASMHPD Research Institute (NRI)
NASMHPD Research Institute (NRI) NASMHPD Annual Meeting June 16, 2013 TECHNICAL PROPOSAL RFP No. 283-12-1000 Panel Tim Knettler, NRI Executive Director Ted Lutterman, Senior Director of Government & Commercial
National Association of State Mental Health Program Directors Research Institute
Goal: 100% of Consumers have access without delay to the most appropriate 24/7 emergency, crisis stabilization, inpatient or recovery bed: Lessons Learned from States with On-Line Registries of Available
2012 Client-Level Data Analysis Webinar
2012 Client-Level Data Analysis Webinar Ted Lutterman Data Analysis by Craig Colton, Neal DeVorsey, Glorimar Ortiz Special Thanks to Azeb Berhane September 24, 2013 Agenda Process & Methods Data Sets Overview
Dallas County s Role in Behavioral Health and Supportive Services. Briefing to Dallas City Council Housing Committee
Dallas County s Role in Behavioral Health and Supportive Services Briefing to Dallas City Council Housing Committee 9 19 2016 Overview Dallas County Funding for Behavioral Health and Supportive Services
Introduction. Current Law Distribution of Funds. MEMORANDUM May 8, Subject:
MEMORANDUM May 8, 2018 Subject: TANF Family Assistance Grant Allocations Under the Ways and Means Committee (Majority) Proposal From: Gene Falk, Specialist in Social Policy, gfalk@crs.loc.gov, 7-7344 Jameson
SAMHSA Expert Panel on Best Practices in Statewide Real-time Crisis Bed Databases
SAMHSA Expert Panel on Best Practices in Statewide Real-time Crisis Bed Databases David Morrissette, PhD, LCSW Captain, US Public Health Service Office of the Chief Medical Officer Substance Abuse and
Critical Access Hospitals and HCAHPS
Critical Access Hospitals and HCAHPS Michelle Casey, MS Senior Research Fellow and Deputy Director University of Minnesota Rural Health Research Center June 12, 2012 Overview of Presentation Why is HCAHPS
CHILDREN S MENTAL HEALTH BENCHMARKING PROJECT SECOND YEAR REPORT
CHILDREN S MENTAL HEALTH BENCHMARKING PROJECT SECOND YEAR REPORT APPENDICES APPENDI I DATA COLLECTION INSTRUMENT APPENDI II YEAR 2 DATA SPECIFICATIONS APPENDI III RESPONDENT LIST PREPARED BY: Dougherty
YOUTH MENTAL HEALTH IS WORSENING AND ACCESS TO CARE IS LIMITED THERE IS A SHORTAGE OF PROVIDERS HEALTHCARE REFORM IS HELPING
2 3 4 MENTAL HEALTH AND SUBSTANCE USE CONDITIONS ARE COMMON MOST AMERICANS LACK ACCESS TO CARE OF AMERICAN ADULTS WITH A MENTAL ILLNESS DID NOT RECEIVE TREATMENT ONE IN FIVE REPORT AN UNMET NEED NEARLY
FY 2014 Per Capita Federal Spending on Major Grant Programs Curtis Smith, Nick Jacobs, and Trinity Tomsic
Special Analysis 15-03, June 18, 2015 FY 2014 Per Capita Federal Spending on Major Grant Programs Curtis Smith, Nick Jacobs, and Trinity Tomsic 202-624-8577 ttomsic@ffis.org Summary Per capita federal
Mary Hoefler, MS, LCSW Office of Behavioral Health Office
Mary Hoefler, MS, LCSW Office of Behavioral Health mary.hoefler@state.co.us 303.866.7518 Office Senate Bill 266 Components of the BH crisis response system will reflect a continuum of care from crisis
Benefits by Service: Outpatient Hospital Services (October 2006)
Page 1 of 8 Benefits by Service: Outpatient Hospital Services (October 2006) Definition/Notes Note: Totals include 50 states and D.C. "Benefits Covered" Totals "Benefits Not Covered" Totals Is the benefit
Implementation and Outcomes from Connecticut s Mobile Crisis Intervention Service
Implementation and Outcomes from Connecticut s Mobile Crisis Intervention Service Jeffrey J. Vanderploeg, Ph.D. Vice President for Mental Health Child Health & Development Institute of Connecticut Tim
TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING ALABAMA ALASKA ARIZONA ARKANSAS
ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA GUAM MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA
HOME TO RECOVERY CEPP PLAN. New Jersey Department of Human Services Division of Mental Health Services January 2008
HOME TO RECOVERY CEPP PLAN New Jersey Department of Human Services Division of Mental Health Services January 2008 WHAT IS CEPP? Conditional Extension Pending Placement (CEPP)- In New Jersey the status
FINANCING BRIEF. Implementation of Health Reform for Children s Mental Health HEALTH REFORM PROVISIONS EXPLORED
FINANCING BRIEF Implementation of Health Reform for Children s Mental Health Beth A. Stroul, M.Ed. Jonathan Safer-Lichtenstein, B.S. Linda Henderson-Smith, Ph.D., LPC Lan Le, M.P.A. MAY 2015 The National
Alternative Managed Care Reimbursement Models
Alternative Managed Care Reimbursement Models David R. Swann, MA, LCSA, CCS, LPC, NCC Senior Healthcare Integration Consultant MTM Services Healthcare Reform Trends in 2015 Moving from carve out Medicaid
Use of Medicaid MCO Capitation by State Projections for 2016
Use of Medicaid MCO Capitation by State Projections for 5 Slide Series September, 2015 Summary of Findings This edition projects Medicaid spending in each state and the percentage of spending paid via
Current Medicare Advantage Enrollment Penetration: State and County-Level Tabulations
Current Advantage Enrollment : State and County-Level Tabulations 5 Slide Series, Volume 40 September 2016 Summary of Tabulations and Findings As of September 2016, 17.9 million of the nation s 56.1 million
Local and Regional Jail Financing
Local and Regional Jail Financing Presentation ti Outline Funding for Local and Regional Jail Construction Funding for Local and Regional Jail Operations Coordination of Space in Local and Regional Jails
Expanding Access to Financing & Telehealth for Rural Health Care Providers: Washington State
Expanding Access to Financing & Telehealth for Rural Health Care Providers: Washington State September 13, 2016 in Olympia, Washington September 15, 2016 in Cheney, Washington Leila Samy, MPH Rural Health
Fiscal Research Center
January 2017 Georgia s Rankings Among the States: Budget, Taxes and Other Indicators ABOUT THE FISCAL RESEARCH CENTER Established in 1995, the (FRC) provides nonpartisan research, technical assistance
Benefits by Service: Inpatient Hospital Services, other than in an Institution for Mental Diseases (October 2006) Definition/Notes
Page 1 of 9 Benefits by Service: Inpatient Hospital Services, other than in an Institution for Mental Diseases (October 2006) Definition/Notes Note: Totals include 50 states and D.C. "Benefits Covered"
Table 1 Elementary and Secondary Education. (in millions)
Revised February 22, 2005 WHERE WOULD THE CUTS BE MADE UNDER THE PRESIDENT S BUDGET? Data Table 1 Elementary and Secondary Education Includes Education for the Disadvantaged, Impact Aid, School Improvement
Unemployment Rate (%) Rank State. Unemployment
States Ranked by February 2018 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Hawaii 2.1 19 Alabama 3.7 33 Ohio 4.5 2 New Hampshire 2.6 19 Missouri 3.7 33 Rhode Island 4.5
Unemployment Rate (%) Rank State. Unemployment
States Ranked by November 2015 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.7 19 Indiana 4.4 37 Georgia 5.6 2 Nebraska 2.9 20 Ohio 4.5 37 Tennessee 5.6
Unemployment Rate (%) Rank State. Unemployment
States Ranked by April 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Colorado 2.3 17 Virginia 3.8 37 California 4.8 2 Hawaii 2.7 20 Massachusetts 3.9 37 West Virginia
Unemployment Rate (%) Rank State. Unemployment
States Ranked by August 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.3 18 Maryland 3.9 36 New York 4.8 2 Colorado 2.4 18 Michigan 3.9 38 Delaware 4.9
Unemployment Rate (%) Rank State. Unemployment
States Ranked by March 2016 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 South Dakota 2.5 19 Delaware 4.4 37 Georgia 5.5 2 New Hampshire 2.6 19 Massachusetts 4.4 37 North
Unemployment Rate (%) Rank State. Unemployment
States Ranked by September 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.4 17 Indiana 3.8 36 New Jersey 4.7 2 Colorado 2.5 17 Kansas 3.8 38 Pennsylvania
Unemployment Rate (%) Rank State. Unemployment
States Ranked by December 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Hawaii 2.0 16 South Dakota 3.5 37 Connecticut 4.6 2 New Hampshire 2.6 20 Arkansas 3.7 37 Delaware
Unemployment Rate (%) Rank State. Unemployment
States Ranked by September 2015 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.8 17 Oklahoma 4.4 37 South Carolina 5.7 2 Nebraska 2.9 20 Indiana 4.5 37 Tennessee
Unemployment Rate (%) Rank State. Unemployment
States Ranked by November 2014 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.7 19 Pennsylvania 5.1 35 New Mexico 6.4 2 Nebraska 3.1 20 Wisconsin 5.2 38 Connecticut
Unemployment Rate (%) Rank State. Unemployment
States Ranked by July 2018 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Hawaii 2.1 19 Massachusetts 3.6 37 Kentucky 4.3 2 Iowa 2.6 19 South Carolina 3.6 37 Maryland 4.3
The Behavioral Health System. Presentation to the House Select Committee on Mental Health
The Behavioral Health System Presentation to the House Select Committee on Mental Health John Hellerstedt, M.D. Commissioner Lauren Lacefield Lewis Assistant Commissioner Division for Mental Health and
Beyond Beds: The Continuum of Care as a Public Health Approach
Beyond Beds: The Continuum of Care as a Public Health Approach Doris A. Fuller Chief of Research, Treatment Advocacy Center (ret.) Debra A. Pinals, M.D. Medical Director of Behavioral Health and Forensic
Fiscal Research Center
January 2016 Georgia s Rankings Among the States: Budget, Taxes and Other Indicators ABOUT THE FISCAL RESEARCH CENTER Established in 1995, the (FRC) provides nonpartisan research, technical assistance
CAPITOL RESEARCH. Federal Funding for State Employment and Training Programs Covered by the Workforce Innovation and Opportunity Act EDUCATION POLICY
THE COUNCIL OF STATE GOVERNMENTS CAPITOL RESEARCH APRIL 2017 EDUCATION POLICY Federal Funding for State Employment and Training Programs Covered by the Workforce Innovation and Opportunity Act The Workforce
Behavioral Health and Service Integration Administration (BHSIA)
Behavioral Health and Service Integration Administration (BHSIA) House Health Care and Wellness Committee Jane Beyer, Assistant Secretary Department of Social and Health Services January 13, 2015 1 BHSIA
COMMUNITY PARAMEDICINE MOBILE INTEGRATED HEALTHCARE STAKEHOLDERS MEETING
COMMUNITY PARAMEDICINE MOBILE INTEGRATED HEALTHCARE STAKEHOLDERS MEETING July 18, 2014 WHAT IS COMMUNITY PARAMEDICINE & MOBILE INTEGRATED HEALTHCARE (MIH) CP/MIHC programs use EMS practitioners and other
Page 1 of 5 Health Reform Medicaid/CHIP Medicare Costs/Insurance Uninsured/Coverage State Policy Prescription Drugs HIV/AIDS Medicaid Benefits Services Covered, Limits, Copayments and Reimbursement Methodologies
Mental Health Services Provided in Specialty Mental Health Organizations, 2004
Mental Health Services Provided in Specialty Mental Health Organizations, 2004 Mental Health Services Provided in Specialty Mental Health Organizations, 2004 U.S. Department of Health and Human Services
Improving Care for Dual Eligibles through Health IT
Los Angeles, October 31, 2012 Presentation Improving Care for Dual Eligibles through Health IT The National Dual Eligibles Summit Duals Market is sizable Medicare and Medicaid Populations Medicaid Total
Jim Wotring Director, National Technical Assistance Center for Children s Mental Health, Georgetown University
Jim Wotring Director, National Technical Assistance Center for Children s Mental Health, Georgetown University Claudia Brown Claudia Brown, Health Insurance Specialist Center for Medicaid & State Operations
Table 8 Online and Telephone Medicaid Applications for Children, Pregnant Women, Parents, and Expansion Adults, January 2017
Table 8 Online and Telephone Medicaid Applications for Children, Pregnant Women, Parents, and Expansion Adults, January 2017 State Applications Can be Submitted Online at the State Level 1 < 25% 25% -
Rankings of the States 2017 and Estimates of School Statistics 2018
Rankings of the States 2017 and Estimates of School Statistics 2018 NEA RESEARCH April 2018 Reproduction: No part of this report may be reproduced in any form without permission from NEA Research, except
Holding the Line: How Massachusetts Physicians Are Containing Costs
Holding the Line: How Massachusetts Physicians Are Containing Costs 2017 Massachusetts Medical Society. All rights reserved. INTRODUCTION Massachusetts is a high-cost state for health care, and costs continue
Page 1 of 7 Medicaid Benefits Services Covered, Limits, Copayments and Reimbursement Methodologies For 50 States, District of Columbia and the Territories (as of January 2003) CHOOSE SERVICE Go CHOOSE
Olmstead Planning and Systems Changes: Realignment of the New Jersey Mental Health System
Olmstead Planning and Systems Changes: Realignment of the New Jersey Mental Health System 2006-2016 D O N N A M I G L I O R I N O, M P H, R N, N E - B C, D E P U T Y A S S I S T A N T D I R E C T O R,
Fiscal Research Center
January 2018 Georgia s Rankings Among the States: Budget, Taxes and Other Indicators ABOUT THE FISCAL RESEARCH CENTER Established in 1995, the (FRC) provides nonpartisan research, technical assistance
THE STATE OF GRANTSEEKING FACT SHEET
1 THE STATE OF GRANTSEEKING FACT SHEET ORG ANIZATIONAL COMPARISO N BY C ENSUS DIV ISION S PRING 2013 The State of Grantseeking Spring 2013 is the sixth semi-annual informal survey of nonprofits conducted
Rutgers Revenue Sources
Rutgers Revenue Sources 31.2% Tuition and Fees 27.3% State Appropriations with Fringes 1.0% Endowment and Investments.5% Federal Appropriations 17.8% Federal, State, and Municipal Grants and Contracts
Use of Medicaid to Finance Coordinated Specialty Care Services for First Episode Psychosis
Financing CSC services through Medicaid and commercial insurance presents a unique challenge to states and providers due to both the types of services that compose CSC and the intensity of service provision
Weatherization Assistance Program PY 2013 Funding Survey
Weatherization Assistance Program PY 2013 Summary Summary............................................................................................... 1 Background............................................................................................
Medicaid Braided Funding
Medicaid Braided Funding Policy Brief November 2013 a flexible, coordinated, and sustainable approach to funding state programs and services in several states about Voices for Ohio s Children advocates
Senior American Access to Care Grant
Senior American Access to Care Grant Grant Guidelines SENIOR AMERICAN (age 62 plus) ACCESS TO CARE GRANT GUIDELINES: The (ADAF) is committed to supporting U.S. based organizations exempt from taxation
2015 State Hospice Report 2013 Medicare Information 1/1/15
2015 State Hospice Report 2013 Medicare Information 1/1/15 www.hospiceanalytics.com 2 2013 Demographics & Hospice Utilization National Population 316,022,508 Total Deaths 2,529,792 Medicare Beneficiaries
Certified Community Behavioral Health Clinic (CCHBC) 101
Certified Community Behavioral Health Clinic (CCHBC) 101 On April 1, 2014, the President signed the Protecting Access to Medicare Act (PAMA) into law, which included a provision authorizing a two part
VOCA Assistance for Crime Victims
VOCA Assistance for Crime Victims What is VOCA? Enacted in 1984, the Victims of Crime Act (VOCA) is the central source of federal financial support for direct services to victims of crime. VOCA is administered
Medicaid Efficiency and Cost-Containment Strategies
Medicaid Efficiency and Cost-Containment Strategies Medicaid provides comprehensive health services to approximately 2 million Ohioans, including low-income children and their parents, as well as frail
Federal Funding for Health Insurance Exchanges
Federal Funding for Health Insurance Exchanges Annie L. Mach Analyst in Health Care Financing C. Stephen Redhead Specialist in Health Policy June 11, 2014 Congressional Research Service 7-5700 www.crs.gov
Mental Health Block Grant 101
National Association of State Mental Health Program Directors 66 Canal Center Plaza, Suite 302 Alexandria, Virginia 22314 Assessment #7 Mental Health Block Grant 101 September 15, 2014 This work was developed
HOME HEALTH AIDE TRAINING REQUIREMENTS, DECEMBER 2016
BACKGROUND HOME HEALTH AIDE TRAINING REQUIREMENTS, DECEMBER 2016 Federal legislation (42 CFR 484.36) requires that Medicare-certified home health agencies employ home health aides who are trained and evaluated
Rural Relevance in Oklahoma
Rural Relevance in Oklahoma OHA Annual Conference 2017 November 1, 2017 Agenda Introductions The Rural Relevance Study Impact of Current and Proposed Health Policies on Rural Providers Oklahoma Rural Hospitals:
3+ 3+ N = 155, 442 3+ R 2 =.32 < < < 3+ N = 149, 685 3+ R 2 =.27 < < < 3+ N = 99, 752 3+ R 2 =.4 < < < 3+ N = 98, 887 3+ R 2 =.6 < < < 3+ N = 52, 624 3+ R 2 =.28 < < < 3+ N = 36, 281 3+ R 2 =.5 < < < 7+
Certified Community Behavioral Health Clinics (CCBHCs): Overview of the National Demonstration Program to Improve Community Behavioral Health Services
Certified Community Behavioral Health Clinics (CCBHCs): Overview of the National Demonstration Program to Improve Community Behavioral Health Services Cynthia Kemp (SAMHSA) Mary Cieslicki (Center for Medicaid
Sentinel Event Data. General Information Copyright, The Joint Commission
Sentinel Event Data General Information 1995 2015 Data Limitations The reporting of most sentinel events to The Joint Commission is voluntary and represents only a small proportion of actual events. Therefore,
AccessHealth Spartanburg
TRANSFORMING COMPLEX CARE PROFILE AccessHealth Spartanburg Leveraging community partnerships to improve care for an uninsured population with complex health and social needs A ccesshealth Spartanburg (AHS)
2016 INCOME EARNED BY STATE INFORMATION
BY STATE INFORMATION This information is being provided to assist in your 2016 tax preparations. The information is also mailed to applicable Columbia fund non-corporate shareholders with their year-end
RURAL HOUSING PERSPECTIVES Joe Belden, Housing Assistance Council. Southern Legislative Conference Oklahoma City, Oklahoma July 12, 2008
RURAL HOUSING PERSPECTIVES Joe Belden, Housing Assistance Council Southern Legislative Conference Oklahoma City, Oklahoma July 2, 28 www.ruralhome.org Section 52 Guaranteed Homeownership Loans Obligation
Minnesota 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
FACT SHEET. The Nation s Most Punitive States. for Women. July Research from the National Council on Crime and Delinquency. Christopher Hartney
FACT SHEET The Nation s Most Punitive States for Women Christopher Hartney Rates, as opposed to prison and jail population numbers, allow for comparisons across time and across states with different total
NACRHHS Policy Briefs on Emergency Care Models and Rural Opioid Misuse Implications
ruralhealthinfo.org Kristine Sande, Moderator September 29, 2016 NACRHHS Policy Briefs on Emergency Care Models and Rural Opioid Misuse Implications Q & A to follow Submit questions using Q&A tab directly
ETHNIC/RACIAL PROFILE OF STUDENT POPULATION IN SCHOOLS WITH
Assembly on School-Based NASBHCNational Health Care Bringing Health Care to Schools for Student Success School-Based Health Centers National Census School Year 2004-05 PURPOSE A. Hanson 2007 The National
Arizona State Funding Project: Addressing the Teacher Labor Market Challenge Executive Summary. Research conducted by Education Resource Strategies
Arizona State Funding Project: Addressing the Teacher Labor Market Challenge Executive Summary Research conducted by Education Resource Strategies Key findings 1. Student outcomes in Arizona lag behind
Behavioral Wellness. Garden Fountain by Bridget Hochman RECOMMENDED BUDGET & STAFFING SUMMARY & BUDGET PROGRAMS CHART
Garden Fountain by Bridget Hochman RECOMMENDED BUDGET & STAFFING SUMMARY & BUDGET PROGRAMS CHART Operating $ 133,861,700 Capital $ 0 FTEs 384.4 Alice Gleghorn, PhD Director Administration & Support Mental
Sentinel Event Data. General Information Q Copyright, The Joint Commission
Sentinel Event Data General Information 1995 2Q 2014 Data Limitations The reporting of most sentinel events to The Joint Commission is voluntary and represents only a small proportion of actual events.
As part of the Patient Protection and Affordable Care Act
CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION Issue Brief February 2016 Affordable Care Act Funding: An Analysis of Grant Programs under Health Care Reform FY2010-FY2015 Spending Provisions...2 Spending
TABLE 3c: Congressional Districts with Number and Percent of Hispanics* Living in Hard-to-Count (HTC) Census Tracts**
living Alaska 00 47,808 21,213 44.4 Alabama 01 20,661 3,288 15.9 Alabama 02 23,949 6,614 27.6 Alabama 03 20,225 3,247 16.1 Alabama 04 41,412 7,933 19.2 Alabama 05 34,388 11,863 34.5 Alabama 06 34,849 4,074
MAP 1: Seriously Delinquent Rate by State for Q3, 2008
MAP 1: Seriously Delinquent Rate by State for Q3, 2008 Seriously Delinquent Rate Greater than 6.93% 5.18% 6.93% 0 5.17% Source: MBA s National Deliquency Survey MAP 2: Foreclosure Inventory Rate by State
Miami-Dade County Mental Health Diversion Facility July 2016
Miami-Dade County Mental Health Diversion Facility July 2016 I. SUMMARY The purpose of the Mental Health Diversion Facility is to create a comprehensive and coordinated system of care for individuals with
CCBHCs 101: Opportunities and Strategic Decisions Ahead
CCBHCs 101: Opportunities and Strategic Decisions Ahead Rebecca C. Farley, MPH National Council for Behavioral Health Speaker Name Title Organization It Passed! The largest federal investment in mental
TABLE 3b: Congressional Districts Ranked by Percent of Hispanics* Living in Hard-to- Count (HTC) Census Tracts**
Rank State District Count (HTC) 1 New York 05 150,499 141,567 94.1 2 New York 08 133,453 109,629 82.1 3 Massachusetts 07 158,518 120,827 76.2 4 Michigan 13 47,921 36,145 75.4 5 Illinois 04 508,677 379,527
Statewide Implementation of Evidence-Based Practices: Iowa s Approach
Statewide Implementation of Evidence-Based Practices: Iowa s Approach Acknowledgements We gratefully acknowledge the staff members in each of the treatment facilities, state departments, and university
Military Representative to State Council of the Military Interstate Children s Compact Resource Guide
Military Representative to State Council of the Military Interstate Children s Compact Resource Guide Publication: October 16, 2017 Table of Contents INTRODUCTION TO THE MILITARY INTERSTATE CHILDREN S
Salary and Demographic Survey Results
Salary and Demographic Survey Results Executive Summary In July of 2010, Grant Professionals Association (GPA formerly AAGP) conducted a salary and demographic survey of grant professionals. The survey
State Long-Term Care Ombudsman Programs NPRM: Consumer Voice Briefing. Becky A. Kurtz, Director, Office of LTCO Programs July 29, 2013
State Long-Term Care Ombudsman Programs NPRM: Consumer Voice Briefing Becky A. Kurtz, Director, Office of LTCO Programs July 29, 2013 1 Older Americans Act: 42 USC 3001 et seq. Creates the Aging Network
Speaker: Ruby Qazilbash. Ruby Qazilbash Associate Deputy Director Bureau of Justice Assistance Office of Justice Programs U.S. Department of Justice
1 2 Speaker: Ruby Qazilbash Ruby Qazilbash Associate Deputy Director Bureau of Justice Assistance Office of Justice Programs U.S. Department of Justice 3 Today s Webinar Council of State Governments Justice
Fiscal Year 1999 Comparisons. State by State Rankings of Revenues and Spending. Includes Fiscal Year 2000 Rankings for State Taxes Only
Fiscal Year 1999 Comparisons State by State Rankings of Revenues and Spending Includes Fiscal Year 2000 Rankings for State Taxes Only January 2002 1 2 published annually by: The Minnesota Taxpayers Association
MassHealth 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
Running head: NURSING SHORTAGE 1
Running head: NURSING SHORTAGE 1 Nursing Shortage: The Current Crisis Evett M. Pugh Kent State University College of Nursing Running head: NURSING SHORTAGE 2 Abstract This paper is aimed to explain the
2014 ACEP URGENT CARE POLL RESULTS
2014 ACEP URGENT CARE POLL RESULTS PREPARED FOR: PREPARED BY: 2014 Marketing General Incorporated 625 North Washington Street, Suite 450 Alexandria, VA 22314 800.644.6646 toll free 703.739.1000 telephone
State Medicaid Directors Driving Innovation: Continuous Quality Improvement February 25, 2013
State Medicaid Directors Driving Innovation: Continuous Quality Improvement February 25, 2013 The National Association of Medicaid Directors (NAMD) is engaging states in shared learning on how Medicaid
Grants 101: An Introduction to Federal Grants for State and Local Governments
Grants 101: An Introduction to Federal Grants for State and Local Governments Introduction FFIS has been in the federal grant reporting business for a long time about 30 years. The main thing we ve learned
6,182 fewer prisoners
ISSUE BRIEF PROJECT PUBLIC SAFETY NAMEPERFORMANCE PROJECT The Impact of California s Probation Performance Incentive Funding Program California prisons have operated at around 200 percent of capacity for
United States v. Georgia. NASMHPD Legal Division April 14, 2011
United States v. Georgia NASMHPD Legal Division April 14, 2011 History 1. Voluntary Compliance Agreement with HHS Office for Civil Rights signed July 1, 2008 on Olmstead claims. 2. CRIPA Settlement Agreement
Department of Defense INSTRUCTION
Department of Defense INSTRUCTION NUMBER 4715.02 August 28, 2009 Incorporating Change 2, August 31, 2018 USD(A&S) SUBJECT: Regional Environmental Coordination References: (a) DoD Instruction 4715.2, DoD
Medicaid Managed Care Readiness For Agency Staff --
Medicaid Managed Care Readiness 101 -- For Agency Staff -- To Understand: Learning Objectives Basic principles of Managed Care as a payment vehicle for health care services The structure of the current
Partnership HealthPlan of California Strategic Plan
Partnership HealthPlan of California 2017 2020 Strategic Plan Partnership HealthPlan of California 2017 2020 Strategic Plan Message from the CEO While many of us have given up making predictions, myself
Adult Education and Family Literacy Act: Major Statutory Provisions
Adult Education and Family Literacy Act: Major Statutory Provisions Benjamin Collins Analyst in Labor Policy November 17, 2014 Congressional Research Service 7-5700 www.crs.gov R43789 Summary The Adult