SAN BERNARDINO COUNTY: AN INTEGRATED BEHAVIORAL HEALTH CAPACITY ASSESSMENT
|
|
- Rose Kennedy
- 5 years ago
- Views:
Transcription
1 SAN BERNARDINO COUNTY: AN INTEGRATED BEHAVIORAL HEALTH CAPACITY ASSESSMENT Community Clinic Association of San Bernardino County Integrated Safety Net Partnership Prepared by: Karen W. Linkins, PhD, Jennifer J. Brya, MA, MPP, and Alaina Dall, MA
2 2 Vision "The shared vision of the Integrated Safety Net Partnership (ISNP) is to achieve a regional public safety net system that is integrated, cost effective, and patient centered."
3 3 Project Goals San Bernardino County safety net partners work together to create a streamlined, accessible continuum of care that puts the patient and their goals at the center of care across all systems, and advances a whole health orientation across the community. Outcomes if the Vision is achieved: Enhanced access to evidenced based, quality care Reduced silos and fragmentation Families and communities have the knowledge, tools and community support to stay healthy Patients are empowered and health literacy improved Shared accountability across agencies -- care coordination for whole person centered health Families and communities will view healthcare as a priority and utilize community services.
4 We gathered information from county, state and national data sources. 4 County County data Local periodicals Community Vital Signs State California Department of Health Care Svcs OSHPD National Census American Community Survey Health Resources and Services Administration (HRSA)
5 5 We conducted key informant telephone interviews with representatives from: County Department of Behavioral Health County Department of Public Health Inland Empire Health Plan High Desert Child, Adolescent and Family Services Center Social Action Community Health System
6 6 Analysis of Provider IBH Capacity Surveys CCASBC assisted with administration of a provider survey with their clinic members. Responses were received from the following: Redlands Community Hospital Inland Empire Health Plan Riverside-San Bernardino County Indian Health, Inc. City of Montclair Medical Clinic Bloomington Community Health Center
7 COMMUNITY PROFILE 7
8 8 About San Bernardino County It is the largest county in the contiguous U.S., covering 20,000 square miles of land. 80% of the county is vacant land; 15% is used for military purposes. 81% of the land is outside the governing control of the County Board of Supervisors or local jurisdictions; it is primarily owned and managed by federal agencies.
9 9 The county is divided into 3 distinct areas: The Valley Region, which is divided into the West and East Valley Region, has the majority of the cities and is the most populous region. The Mountain Region is mostly public lands owned and managed by federal and state agencies. Source: Land Use Services Department, cited in 2014 Community Indicators report The Desert Region is the largest region (93% of the county s land area) and includes parts of the Mojave Desert.
10 Most cities are concentrated in the Valley Region in the Southwest Corner. Valley Region Mountain Region Desert Region Bloomington* Angelus Oaks* Adelanto Chino Big Bear City* Apple Valley Chino Hills Big Bear Lake Baker* Colton Crestline* Barstow Fontana Lake Arrowhead* Big River* Grand Terrace Lytle Creek* Bluewater* Highland Oak Glen* Fort Irwin* Loma Linda Running Springs* Hesperia Source: Land Use Services Department, cited in 2014 Community Indicators report 10 Mentone* Wrightwood* Homestead Valley* Montclair Joshua Tree* Muscoy* Lenwood* Ontario Lucerne Valley* Rancho Cucamonga Morongo Valley* Redlands Mountain View Acres* Rialto Needles San Antonio Heights* Newberry Springs* San Bernardino Oak Hills* Upland Phelan* Yucaipa Piñon Hills* Searles Valley* * = Unincorporated Silver Lake* Spring Valley Lake* Twentynine Palms Victorville Yermo* Yucca Valley
11 11 The SB County population grew by 21.5% between the 2000 and 2010 censuses. Source: U.S. Census Quick Facts
12 12 Aside from the unincorporated areas, the largest populations were in SB City, Fontana, Rancho Cucamonga and Ontario. Valley Region 2013 Est. Population % of County Chino 80, % Chino Hills 76, % Colton 53, % Fontana 203, % Grand Terrace 12, % Highland 54, % Loma Linda 23, % Montclair 38, % Ontario 167, % Rancho Cucamonga 171, % Redlands 69, % Rialto 101, % San Bernardino 213, % Upland 75, % Yucaipa 52, % Mountain Region 2013 Est. Population % of County Big Bear Lake 5, % Desert Region 2013 Est. Population % of County Adelanto 31, % Apple Valley 70, % Barstow 23, % Hesperia 92, % 29 Palms 25, % Victorville 121, % Yucca Valley 21, % Remainder of County - Unincorporated 327, % Source: U.S. Census, State and County Quickfacts.
13 More than half of the county population identifies as Hispanic or Latino The estimated breakdown of races/ethnicities in 2013 is: 77.5% White alone 9.5% Black or African American alone 2.0% American Indian and Alaska Native alone 7.1% Asian alone 0.5% Native Hawaiian/Pacific Islander alone 3.4% Two or more races 51.1% Hispanic or Latino (could be of any race above) 31.4% White alone, not Hispanic or Latino 41% of people spoke a language other than English at home. ( averages) (California = 44%) Sources: US Census QuickFacts 13
14 14 SB County has more poverty than California counties on average. 15% of families had incomes below the federal poverty level at some point in a given year. (California = 12%) 19% of individuals had incomes below FPL within the given year. (California = 16%) $54,090 was the estimated median household income. (California = $61,094) Source: American FactFinder year estimates for Selected Economic Characteristics.
15 In 2013, SB County had higher uninsured rates in almost all groups (Pre-ACA). Uninsured Populations California SB County % of total population that was uninsured 17.2% 19.0% % of year-olds that were uninsured 24.0% 26.4% % White alone, not Hispanic/Latino 10.0% 12.2% % Hispanic or Latino (of any race) 26.3% 24.8% % of Native born 12.4% 14.8% % of Non-citizens (not naturalized or undoc) 43.9% 48.8% % of Employed 20.6% 22.0% % of Unemployed 41.7% 42.6% % Under 200% FPL 54.9% 54.2% % 200% and over FPL 11.3% 12.8% Source: U.S. Census Bureau, 2013 American Community Survey, 1-year estimates, Health Insurance Coverage Status. 15
16 16 Uninsured Population Pre ACA An estimated 389,227 individuals (19% of population) were uninsured in San Bernardino County in Source: U.S. Census Bureau, 2013 American Community Survey, 1-year estimates, Health Insurance Coverage Status.
17 More than 27% of the uninsured have gained coverage since ACA implementation* 1 st Covered California Open Enrollment Period Medi-Cal managed care (transitioned from LIHP to Inland Empire Health Plan) 2nd Covered California Open Enrollment Period # gained coverage Oct 2013 March ,623 January 1, ,796 Nov 2014 Feb ,157 SUBTOTAL 104,576 * Does not include the newly eligible who gained coverage in the adult Medi-Cal expansion, or those that were previously eligible for Medi-Cal but not enrolled, because data has not yet been made available from DHCS. Sources: California Healthline, Medi-Cal Enrollment Jumps to 11.3 million, by David Gorn, ; Covered California Highlights How Coverage is Improving the Health of Enrollees and Changing Lives Across the State, Covered California Daily News, ; Community Clinic Association of San Bernardino County: The California Endowment s Prevention Plan for the Inland Empire. 17
18 Enrollment increased 51% between September 2013 and March Medi-Cal Managed Care Enrollment , , ,000 77,511 83, ,000 63, ,000 53, , , , , , ,000 - Sept 2012 Sept 2013 Oct 2013 Sept 2014 Mar 2015 Inland Empire Health Plan Molina Healthcare Source: DHCS Medi-Cal Managed Care Enrollment Reports. n = 398,581 in Sept 2013; and 601,226 in Mar 2015.
19 19 UNMET BEHAVIORAL HEALTH NEEDS
20 The prevalence of SMI is estimated to be higher in SB County than the state. 20 SED = Severe emotional disturbance; SMI = serious mental illness; AOD = alcohol and other drug SMI - broader definition = more types of depression and anxiety than the standard SMI diagnosis, and conditions may be chronic or not. (See detailed list of criteria in Appendix A, Section 1, Table 1 on page 5 of the California Mental Health Prevalence Estimates.) Source: DHCS California Mental Health and Substance Use System Needs Assessment Appendices, Tables 1b-1e.
21 61% of youth with severe emotional disturbance (SED) were unserved. 21 ADP = the former CA Department of Alcohol and Drug Programs; DMH = the former CA Department of Mental Health. Source: DHCS California Mental Health and Substance Use System Needs Assessment Appendices, Tables 1b-1e.
22 22 68% of adults with serious mental illness were unserved, increasing to 94% when a broader definition was used. Source: Source: DHCS California Mental Health and Substance Use System Needs Assessment Appendices, Tables 1b-1e.
23 93% of adults with an alcohol or drug diagnosis were unserved in Source: Source: DHCS California Mental Health and Substance Use System Needs Assessment Appendices, Tables 1b-1e.
24 Notes about behavioral health services penetration rates: The number served are not unduplicated (if served by Medi-Cal and ADP counted twice.) There is no measure for whether a person received enough services. A person seen once is still included as served. Private insurance or self-pay clients are not included, however very few persons with SMI receive services in the private sector. 24 Conclusion: Despite data limitations, it is clear that the extent of unmet need is considerable!
25 25 Patients/Needs Difficult to Serve Complicated medical cases; hard to get timely care. Patients needing psychiatry services who are not in crisis. Patients needing complex care management; with health plans it can take several referrals Homeless patients; shortage of temporary shelter and linkage to permanent housing. Long waiting lists. Veterans who may be homeless People who have difficulty finding affordable housing. People needing outpatient SUD services KI = Findings from key informant interviews
26 26 Patients/Needs Difficult to Serve PC clinic patients who receive medical care but have mild-moderate care MH needs. (Tier 1 and 2) Individuals with severe mental health conditions who need coordinated primary and specialty medical care (Tier 3) Patients dependent on prescription pain medication; need more intervention/treatment options for opioid addiction Undocumented immigrants not covered by ACA BH Services for low income and cash paying patients IEHP members whose BH needs are carved out to other agencies resulting in the health plan not being able to coordinate care SM KI = Findings from key informant interviews SM =Findings from Survey Monkey
27 27 Workforce Challenges Insufficient access to PC services across the region Resistance from old school providers not willing to embrace integration Very few FQHCs and CHCs with integrated BH capacity given geography and population size PC staff ability to assess and treat patient with BH needs Need to increase provider ability to use technology Need pediatric MH services and staff High Desert needs to focus on filling and funding MFT or LCSW positions County BH needs more case managers KI = Findings from key informant interviews
28 28 Workforce Challenges Psychiatry shortage; need to consider solutions such as e-consults and tele-psychiatry. County BH lost 4-5 psychiatrists due to better salary offers elsewhere. County uses telehealth services, i.e. in Needles. They are have an RN development program in which they are working on developing psychiatric NPs. Need more BH providers since more people have coverage. They have MFTs through Loma Linda but not LCSWs. There is a 2-3 month wait to see a PCP (DPH).
29 29 Other Barriers and Challenges Lack of adequate reimbursement and financing Need reimbursement for same-day primary care and behavioral health visits in health centers IPA structure --- many small PCP practices with limited capacity to build IBH programs Poor coordination of care; not having a key contact; not knowing if referral worked and patient was seen. Inadequate system for transferring health information between agencies (not Excel); E.H.R. implementation in progress.
30 30 Other Barriers and Challenges Inadequate networking; need to strengthen relationships between social service agencies and primary care (referral contacts) Lack of adequate public transportation, esp. in mountains and high desert (Morango Basin) Geographic size of the county creates challenges for agencies to come together to share strategies/best practices Community providers have limited knowledge of programs, services and activities going on across the county
31 31 BEHAVIORAL HEALTH DELIVERY SYSTEM
32 32 San Bernardino County has 26 Hospitals Including psychiatric hospitals 24 Primary Care Clinics (OSHPD) Excluding county clinics Source: OSHPD List of Clinics in SB County; List of Hospitals in SB County
33 33 The County Hospital and Clinics Arrowhead Regional Medical Center (456 Beds) SB County Department of Public Health Arrowhead Fontana Family Health Center Adelanto Community Health Center (FQHC) Arrowhead McKee Family Health Center Hesperia Health Center (FQHC) Arrowhead Westside Family Health Center Ontario Public Health Center (Primary Care) Internal Medicine Primary Care Needles Health Center (Primary Care)
34 34 Hospitals providing acute psychiatric services Acute Psychiatric Hospitals Canyon Ridge Hospital, Chino 106 acute psychiatric beds General Acute Care Hospitals Community Hospital of San Bernardino 74 acute psychiatric beds Loma Linda University: Behavioral Medicine Center 71 acute psychiatric beds 18 chemical dependency recovery beds Redlands Community Hospital 18 acute psychiatric beds Source: OSHPD List of Hospitals in San Bernardino County, and facilities description, accessed 6/2/2015
35 Not a single California county meets the goal of 50 psychiatric beds per 100k population. Table: Acute Care Inpatient Psychiatric Bed Distribution, Counties over 1 million, OSHPD 2011 data County Adult Child/ Adol Chem/ Dep Beds per 100k* Population Alameda ,554,720 Contra Costa ,079,597 Los Angeles 1, ,962,789 Orange ,090,132 Riverside ,268,783 Sacramento ,450,121 San Bernardino ,081,313 San Diego ,177,063 Santa Clara ,837,504 Notes: Beds per 100k were calculated based on more types of beds than those listed. To see all elements of calculation, refer to full report. Beds per 100,000 residents goal is 50. Source: California s Acute Psychiatric Bed Loss, California Hospital Association, p.4, Rev. 9/27/
36 The following FQHCs and look-alikes provide BH services for the Medi-Cal population. Number of Patients Receiving Mental Health or Substance Abuse Services in 2013 Medi-Cal and Uninsured 36 Health Center Inland Behavioral and Health Services (FQHC) Mission City Community Network (FQHC) Mental Health Substance Abuse Total Patients - BH Total Patients - All Svcs ,185 10,632 2, ,263 16,561 SAC Health System (Look-alike) ,449 Total 3, ,876 38,642 Note: No data was available for Adelanto or Hesperia county FQHCs. Source: HRSA Uniform Data System (UDS) reports, 2013, the most recent data available
37 The majority of AOD treatment programs are non-residential co-ed programs. Table: California DHCS Licensed Residential Facilities and/or Certified Alcohol and Drug Programs in SB County, February 2015 Co-Ed Men Women Women + Children Families Total Private Treatment Non-Residential Residential Residential with Detox County Treatment Non-Residential Total One private provider offers non-residential for individuals with a dual diagnosis. Aegis Treatment Centers in Hesperia is licensed by California DHCS to provide Narcotic Treatment. Source:
38 38 Additional Prevention, Wellness, and Health Education programs aim to prevent serious problems from developing. County MHSA Prevention and Early Intervention (PEI) programs DPH received a $250k grant from HRSA for integrated behavioral health; they want to strengthen link between the county psychiatrist and primary care BH. (M Ellis, DPH)
39 39 CROSS-SYSTEM COLLABORATION
40 40 Many examples of cross-system collaboration are already in progress. High Desert Child, Adolescent and Family Services Center A therapist from this site works for the County Crisis Response Team. Referrals from probation are streamlined. The referral process to County Behavioral Health is working well. A partnership with Barstow Community College to educate or train parolees is working well.
41 41 Many examples of cross-system collaboration are already in progress. County Behavioral Health (Integrated Health Program) BH staff work in two primary care clinics Arrowhead McKey Family Health Center and Arrowhead Westside Family Health Center. They serve as a conduit between primary care and specialty mental health. There are no joint meetings with primary care providers yet but there is more and more pressure to work together!
42 42 Many examples of cross-system collaboration are already in progress. The Interdisciplinary Care Team (ICT) meets monthly to manage clients transitioning between agencies, esp. for Tier 2 and 3 clients. Healthcare Reform/ACA Committee: There is a current high-level monthly meeting of county departments and other agencies. One initiative is working with jails on assigning inmates eligible for Medi- Cal to primary care before getting released. Cal Medi-Connect Committee meets quarterly with internal programs and health plans; facilitated by IEHP and Molina. Consider adding Clinic Association to meeting
43 Many examples of cross-system collaboration are already in progress. Social Action Community Health System (FQHC Lookalike) New campus opening in 2015 with integrated care teams Has a close relationship with Loma Linda since it served as their community health clinic up to 2010, and staff are predominantly from there. Have a good working relationship with the County; regularly works with the mobile crisis team for their patients. Are trying to follow the Cherokee Model of Integration in which a BH team is embedded in primary care and patients also have access to specialty MH. Cherokee offered an onsite 3-day training about two years ago. 43
44 44 Many examples of cross-system collaboration are already in progress. Redlands Community Hospital coordinates care with ARMC and community psychiatric services IEHP utilizes health risk assessments, claims data, and referral information to identify members who require care coordination by a care management team. City of Montclair Medical Clinic coordinates to improve transitions for people with complex BH or health needs with: ARMC Al Shifa Clinic Bloomington Community Health Center H Street Clinic SM = Findings from SurveyMonkey SM
45 Several efforts are underway to develop shared consent forms and to share data. Implementation of a universal consent is in progress (County counsel reviewing it) The IEHP provider network can share information via a web portal in order to better coordinate between PCPs, BH, and other specialists. IEHP compiles a common care plan across multiple providers and keeps it updated. It is housed in the Health Plan Medical Management System. 45 SM Note: a $4.8 million technology grant was used to upgrade broadband capability.
46 46 E.H.R. implementation is a work in progress. ARMC has E.H.R. County Primary Care Clinics have E.H.R. County BH rolling out in July 15 starting with billing County BH can view ARMC E.H.R., i.e. discharge plan, and print copy to give to psychiatrist. BH staff use Excel to track demographics, diagnosis, where client was sent, or if referred for other services (SSI, transportation, drug and alcohol).
47 47 RECOMMENDATIONS TO INCREASE INTEGRATION
48 48 Strategies to Advance Integrated Care in San Bernardino County Expand strategic partnerships Disseminate foundation elements of IBH 101 to build capacity across PC network Prioritize populations and issues Build capacity for BH within PC clinic settings Build capacity for PC within BH settings Improve referral pathways and care coordination processes
49 Strategies to Advance Integrated Care in SB County Implement regular multi-agency meetings for clients transitioning between agencies Increase information sharing between agencies Identify liaisons at all agencies involved in transitions Get all primary care and behavioral health agencies on an E.H.R. Define and understand care coordination and how to staff it; clarify CC capabilities with SUD population (42-CFR) Focus on duals population and IEHP online portal; overlapping population between county, FQHCs and IEHP. 49
50 50 Strategies to Advance Integrated Care in SB County Offer patient incentives for behavioral health change Create local access to a secure MH facility; anyone with 5150 is taken out of area to Arrowhead Hospital or Loma Linda Hospital. The community needs an inpatient treatment program for youth in addition to the one they already have for adults. (Now youth have to go to LA for services). Enhance coordination of overlapping duals population between county, FQHCs and IEHP. Improve care coordination for most complex PC/BH patients and be sure they have a health home
51 Strategies to Advance Integrated Care in SB County Continue to expand networks to include more MH/SUD treatment providers Adopt a universal release of information form that will allow PCPs and others to share information with BH specialists. Utilize tele-psychiatry to leverage scarce BH provider resources. Leverage existing efforts related to BH integration that are about to launch with IEHP, County BH, County PH and SACHS 51 SM
52 52 BEHAVIORAL HEALTH INTEGRATION INITIATIVE (BHI-I) FUNDED BY IEHP Inland Empire Health Plan is set to launch a 2-Year, multi-million dollar investment in BH integration August 2015
53 53 IEHP Behavioral Health Integration Initiative (BHI-I) IEHP is set to launch an initiative that will invest in infrastructure development, practice coaching and evaluation to support bidirectional BHI in key provider sites in both Riverside and San Bernardino counties. Pilot sites will span 12 Provider Partners, with 34 diverse clinic sites including: Primary care/fqhcs County behavioral health Children s clinic Substance Use treatment facility Board and Care Adult day health care center
54 54 IEHP Behavioral Health Integration Initiative (BHI-I) San Bernardino Partners for the BHI-I Pilot: Arrowhead Regional Medical Center Family Medicine Clinics (Public Hospital Clinics) Fontana McKee Westside San Bernardino County Public Health Hesperia Clinic (FQHC) San Bernardino County Behavioral Health Adult Residential Services Mesa Community Counseling Phoenix House
55 IEHP Behavioral Health Integration Initiative (BHI-I) San Bernardino Partners for the BHI-I Pilot: Social Action Community (SAC) Health System (FQHC Look Alike) Orchid Court (Board and Care Center) San Bernardino Adult Day Health Care (Community based adult day health service provider) Telecare Corporation (BH clinic, providing PC services in collaboration with SACHS) 55
56 56 IEHP Behavioral Health Integration Initiative (BHI-I) BHI-I Systems Change Goals: Support practice transformation and infrastructure development across health and BH providers to provide whole health care to patients Provide care that assesses the full range of health, BH and social service needs of patients Develop comprehensive care plans in collaboration with the patient that include patient goals related to physical, behavioral and social conditions Create a systematic method for tracking operational and clinical performance
57 IEHP Behavioral Health Integration Initiative (BHI-I) BHI-I Framework Targets 5 Key Areas of Change: 1) Assessment Processes 2) Care Planning 3) Service Delivery Practices 4) Health Care Management (Population Health) 5) Health Promotion & Patient Experience 57
58 IEHP Behavioral Health Integration Initiative (BHI-I) Key Domains of Competency Development for Pilots: Team Based Care Comprehensive Care Management & Coordination Utilization of Health Information Technology Health Promotion and Self-Management Support 58
59 59 IEHP Behavioral Health Integration Initiative (BHI-I) BHI-I Timeline Pilot Sites Selected May/June 2015 Pilot Implementation (Practice Coaching): August 2015 through September 2017 Future plan is to spread successful practices and models within the IEHP provider network
60 60 IEHP Behavioral Health Integration Initiative (BHI-I) Pilot Site Selection Process Following site visits and interviews, IEHP selected sites who met the following criteria: Existing integrated BH capacity to build from Executive leadership committed to a vision of whole health care History of innovation Patient centered care philosophy Interest/engagement in service delivery redesign Receptivity to practice coaching Commitment to performance measurement, quality improvement and outcome-based care Willingness to invest in long term, sustainable change Strong partnership with the health plan
61 IEHP Behavioral Health Integration Initiative (BHI-I) Health plan role in supporting systems change Committing substantial financial resources to build infrastructure and capacity across the network Building a vision and shared understanding of the benefits of an integrated system Organizing and convening the provider partners to disseminate models and best practices Advancing Health Information Exchange across the network Analyzing the claims/cost data to build the business case for ongoing support of integration efforts 61
62 62 Conclusion What are your thoughts? What surprised you about these findings? What are some possible next steps?
Need II: Reduce and Prevent Obesity and Overweight. Need III: Improve Social Determinants of Health. 1 Page
Kaiser Permanente Fontana and Ontario Medical Centers Service Area-San Bernardino County Letter of Interest for Community Benefit Grant Program 2012 Information and Guidelines As the nation's largest nonprofit,
More informationShasta Health Assessment and Redesign Collaborative (SHARC) Behavioral Health and Substance Abuse Prevention Committee
Shasta Health Assessment and Redesign Collaborative (SHARC) Behavioral Health and Substance Abuse Prevention Committee Behavioral Health Needs Assessment and Gap Analysis Report May 2015 Prepared By: Health
More informationCounty of San Bernardino Department of Behavioral Health Children and Youth Programs Continuum of Care
County of San Bernardino Department of Behavioral Health Children and Youth Programs Continuum of Care Children s System of Care Psychiatric Hospitalization Community Treatment Facility (CTF) More Severe/
More information3. ENROLLMENT AND ASSIGNMENT. A. IEHP Service Area APPLIES TO:
A. IEHP Service Area APPLIES TO: A. This policy applies to all IEHP DualChoice Cal MediConnect Plan (Medicare Medicaid Plan) Members. POLICY: A. IEHP provides health care coverage to eligible Members in
More informationUnderstanding the Initiative Landscape in Medi-Cal. IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager
Understanding the Initiative Landscape in Medi-Cal IHA Stakeholder Meeting September 23, 2016 Sarah Lally, Project Manager Agenda Welcome / Introduction Sarah Lally, Project Manager Inland Empire Health
More information2/18/2014. Trudy Raymundo, Director, San Bernardino County Department of Public Health
Trudy Raymundo, Director, San Bernardino County Department of Public Health Daniel Perez, Division Chief of Disease Control and Prevention, San Bernardino County Public Health Department Vickie Baumbach,
More informationCOMMUNITY IMPACT GRANTS
COMMUNITY IMPACT GRANTS 2017-2018 Request for Proposals Education. Health. Financial Stability. Investing in the lives and futures of children and families in need in our community. www.ieuw.org 1 MANDATORY
More information2016 Community Health Needs Assessment. Kaiser Foundation Hospital Fontana/Ontario License #
2016 Community Health Needs Assessment Kaiser Foundation Hospital Fontana/Ontario License #240000159 To provide feedback about this Community Health Needs Assessment, email CHNA-communications@kp.org Approved
More informationMental Health Care in California
Mental Health Care in California August 20, 2014 Updated on November 24, 2014 California Program on Access to Care School of Public Health 50 University Hall Berkeley, CA 94720-7360 www.cpac.berkeley.edu
More informationCommunity Health Needs Assessment April, 2018
Community Health Needs Assessment April, 2018 The Centers, Inc. 2018 Community Health Needs Assessment Table of Contents Description of The Centers... 3 Annual Budget:... 4 Provided Services Include:...
More informationDMC-ODS. System Transformation. Presented at DHCS 2017 Annual Conference. Elizabeth Stanley-Salazar, MPH Doug Bond Lisa Garcia, LCSW
DMC-ODS System Transformation Presented at DHCS 2017 Annual Conference Elizabeth Stanley-Salazar, MPH Doug Bond Lisa Garcia, LCSW Objectives Understand managed care principles applied to DMC-ODS Waiver
More informationPrimary Care/Behavioral Health INTEGRATION. Neal Adams, MD MPH Deputy Director California Institute for Mental Health
Primary Care/Behavioral Health INTEGRATION Neal Adams, MD MPH Deputy Director California Institute for Mental Health Why Integrate BH & PC? BH disorder burden is great BH and physical health problems are
More informationFOR IMMEDIATE RELEASE April 17, Media Line Contacts: Covered California (916)
FOR IMMEDIATE RELEASE April 17, 2014 Media Line Contacts: Covered California (916) 205-8403 California Department of Health Care Services (916) 440-7660 COVERED CALIFORNIA S HISTORIC FIRST OPEN ENROLLMENT
More informationCommunity Health Needs Assessment July 2015
Community Health Needs Assessment July 2015 1 Executive Summary UNM Hospitals is committed to meeting the healthcare needs of our community. As a part of this commitment, UNM Hospitals has attended forums
More informationWhole Person Care Pilots & the Health Home Program
Whole Person Care Pilots & the Health Home Program Molly Brassil, MSW Director of Behavioral Health Integration, Harbage Consulting December 13, 2016 Presentation Overview Delivery System Reform in California
More informationStigma and Attitudes Toward Working in Integrated Care
Stigma and Attitudes Toward Working in Integrated Care INTEGRATED CARE WORKFORCE ISSUE BRIEF #1 June 2013 PRODUCED BY: CalMHSA Integrated Behavioral Health Project Karen W. Linkins, PhD, Jennifer J. Brya,
More informationIntroduction. Summary of Approved WPC Pilots
The California Whole Person Care Pilot Program: County Partnerships to Improve the Health of Medi-Cal Beneficiaries Prepared by Lucy Pagel, Tanya Schwartz and Jennifer Ryan with support from The California
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 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 informationSacramento Region Health Care Partnership Market Analysis Data Presentation.
Sacramento Region Health Care Partnership Market Analysis Data Presentation www.sierrahealth.org/healthcarepartnership Sierra Health Foundation Health Program 2 Tom Meyer/Syndicated cartoonist 3 Study
More informationMEDI-CAL MANAGED CARE OVERVIEW
MEDI-CAL MANAGED CARE OVERVIEW September 2016 Sandy Damiano, PhD Deputy Director DHHS Primary Health Eligibility & Enrollment Open year round Based on income and family size Simplified procedures Income
More informationMEDI-CAL MANAGED CARE OVERVIEW
MEDI-CAL MANAGED CARE OVERVIEW July 2018 Sandy Damiano, PhD Deputy Director DHS Primary Health Eligibility & Enrollment Apply for Medi-Cal year round: County Department of Human Assistance (DHA) Online,
More informationBreaking News FOR IMMEDIATE RELEASE *** April 28, 2014 ***
Breaking News FOR IMMEDIATE RELEASE *** April 28, 2014 *** Molly Wiltshire, Communications Director (909) 269-1198 Molly.Wiltshire@bos.sbcounty.gov Behavioral Health Services Available in Morongo Basin
More informationSystems Changes to Maximize the Impact of Supportive Housing on Ending Homelessness
Systems Changes to Maximize the Impact of Supportive Housing on Ending Homelessness Matthew Doherty, Director of National Initiatives August 14, 2014 Roles of USICH Coordinates the Federal response to
More informationBehavioral Health Services. San Francisco Department of Public Health
Behavioral Health Services San Francisco Department of Public Health Slide 2 Agenda Behavioral Health Services in San Francisco Mental Health Services Substance Use Disorder Services Levels of Care Behavioral
More informationStanislaus County Behavioral Health and Recovery Services Annual Quality Management Work Plan FY
Stanislaus County Behavioral Health and Recovery Services Annual Quality Management Work Plan FY 2015-2016 INTRODUCTION The scope of this work plan is the overarching Quality Management aspects of the
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 informationCONTRA COSTA COUNTY CIVIL GRAND JURY REPORT NO "Mental Health Services for At-Risk Children in Contra Costa County
CONTRA COSTA COUNTY CIVIL GRAND JURY REPORT NO. 1703 "Mental Health Services for At-Risk Children in Contra Costa County BOARD OF SUPERVISORS RESPONSE FINDINGS California Penal Code Section 933.05(a) requires
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 informationBehavioral Health Services
Behavioral Health Services Substance Use Disorder Services and RFP 26-2016: Substance Abuse Disorder Treatment Services and Support. February 6, 2018 1 Introduction Today is the fourth in a series of overview
More informationHealth Care Reform 1
Health Care Reform 1 Health Care Reform Covered California (Health Benefit Exchange) Medi-Cal Expansion Bridge Plan Proposal Gold Coast Readiness Outreach to the Eligible 2 Health Care Reform: What is
More informationDrug 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 informationCalifornia s Current Section 1115 Waiver & Its Impact on the Public Hospital Safety Net
February 2010 California s Current Section 1115 Waiver & Its Impact on the Public Hospital Safety Net Executive Summary The current Section 1115 Medicaid waiver, which was intended to stabilize California
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 informationHEALTH CARE REFORM MAKING IT WORK FOR LA COUNTY DEPARTMENT OF HEALTH SERVICES AND SAFETY NET SYSTEM
HEALTH CARE REFORM MAKING IT WORK FOR LA COUNTY DEPARTMENT OF HEALTH SERVICES AND SAFETY NET SYSTEM July 15, 2013 Alexander Li, MD DHS Ambulatory Care Network Our Story Affordable Care Act (Obamacare)
More informationCOUNTY OF SAN BERNARDINO, CA
CHIEF MEDICAL OFFICER, COUNTY OF SAN BERNARDINO, CA THE COUNTY San Bernardino County has a population of 2.14 million, making it the fifth most populous county in California and the twelfth most populous
More informationcalifornia Health Care Almanac
california Health Care Almanac Mental Health Care in California: Painting a Picture July 2013 Introduction Nearly 1 in 6 California adults has a mental health need, and approximately 1 in 20 suffers from
More informationFY 2012 Community Benefit Report
St. Joseph Health, St. Mary Fiscal Year 2012 COMMUNITY BENEFIT REPORT PROGRESS ON FY 12-FY 14 CB PLAN/IMPLEMENTATION STRATEGY page 1 EXECUTIVE SUMMARY Our Mission To extend the healing ministry of Jesus
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 informationThe Future of Delivery System Reform in Medi-Cal: Moving Medi-Cal Forward
The Future of Delivery System Reform in Medi-Cal: Moving Medi-Cal Forward Cindy Mann Partner Manatt Health July 13, 2016 Agenda 2 Project Overview Medi-Cal Today Vision for the Future of Medi-Cal Near
More informationST. JOSEPH HEALTH, ST. MARY 2014 Community Health Assessment Report
Adelanto residents and city leaders advocate for health in their neighborhoods ST. JOSEPH HEALTH, ST. MARY 2014 Community Health Assessment Report 1 TABLE OF CONTENTS EXECUTIVE SUMMARY 4 MISSION, VISION,
More informationLocal Solutions for Serving the Remaining Uninsured: Benefits and Financing
Local Solutions for Serving the Remaining Uninsured: Benefits and Financing Presenters: Bob Brownstein, Working Partnerships USA Cynthia Carmona, Community Clinic Association of Los Angeles County David
More informationDepartment of Health & Human Services Division of Behavioral Health Services Alcohol & Drug Services. Uma K. Zykofsky, LCSW Behavioral Health Director
Department of Health & Human Services Division of Behavioral Health Services Alcohol & Drug Services April 24, 2017 Presentation to Geographic Managed Care Providers Uma K. Zykofsky, LCSW Behavioral Health
More informationI. Coordinating Quality Strategies Across Managed Care Plans
Jennifer Kent Director California Department of Health Care Services 1501 Capitol Avenue Sacramento, CA 95814 SUBJECT: California Department of Health Care Services Medi-Cal Managed Care Quality Strategy
More informationHEALTHY FAMILIES PROGRAM TRANSITION TO MEDI-CAL
HEALTHY FAMILIES PROGRAM TRANSITION TO MEDI-CAL NETWORK ADEQUACY ASSESSMENT REPORT PHASE 1 November 1, 2012 Submitted by the California Department of Managed Health Care in Fulfillment of the Requirements
More informationEarly Returns: First Year Covered California and Expanded Medi-Cal Enrollment Trends in Merced County. September 2014.
Early Returns: First Year Covered California and Expanded Medi-Cal Enrollment Trends in Merced County September 2014 September 2014 Prepared by Pacific Health Consulting Group Funding for this report provided
More informationManaged Medi-Cal Behavioral Health Benefits. Alliance Board Meeting October 23, 2013
Managed Medi-Cal Behavioral Health Benefits Alliance Board Meeting October 23, 2013 Purpose Discuss role of ACA in expanding benefits Review philosophy of integrated health care Review State policy process
More informationReentry Health Policy Project: Meeting the Health and Behavioral Health Needs of Prison & Jail Inmates Returning From Custody to their Community
Reentry Health Policy Project: Meeting the Health and Behavioral Health Needs of Prison & Jail Inmates Returning From Custody to their Community January 2018 Overview Objective: Identify state and county-level
More informationDELIVERY SYSTEM GAP ANALYSIS MERCED COUNTY
DELIVERY SYSTEM GAP ANALYSIS MERCED COUNTY Prepared by Pacific Health Consulting Group November 21, 2013 What is the purpose of the gap analysis? Estimate how many uninsured residents will be eligible
More informationNevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015
Nevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015 I. Executive Summary The vision of Nevada County Behavioral Health (NCBH)
More informationWebinar 1-DLF Learning Collaborative. Liz Stallings, RN, BSN: Behavioral Health Consultant June 24, :30 PT
Webinar 1-DLF Learning Collaborative Liz Stallings, RN, BSN: Behavioral Health Consultant June 24, 2015 1-2:30 PT Introductions Liz Stallings RN, BSN Director Behavioral Health Services, HFS Consultants
More informationThe Budget: Maximizing Federal Reimbursement For Parolee Mental Health Care Summary
The 2013-14 Budget: Maximizing Federal Reimbursement For Parolee Mental Health Care MAC Taylor Legislative Analyst MAY 6, 2013 Summary Historically, the state has spent tens of millions of dollars annually
More informationSan Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative
San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative Update April 3, 2018 Health Commission Maria X Martinez, Director Whole Person Care Barry Zevin, MD, Medical Director Street Medicine
More informationBeacon Health Strategies Primary Care Provider Training
Beacon Health Strategies Primary Care Provider Training REFERRAL AND RESOURCE GUIDE Updated June 2015 BEACON HEALTH STRATEGIES beaconhealthstrategies.com June 15, 2015 1 Agenda 1. Review Medi-Cal Managed
More informationCULTURAL COMPETENCE PLAN 2016 UPDATE
BEHAVIORAL HEALTH AND RECOVERY SERVICES CULTURAL COMPETENCE PLAN 2016 UPDATE September 2016 Sharon A. Jones MHSA Coordinator Updated by Sharon Jones, MHSA Coordinator September 2016 Page 1 Table of Contents
More informationStanislaus County Behavioral Health and Recovery Services Annual Quality Management Work Plan FY
Stanislaus County Behavioral Health and Recovery Services Annual Quality Management Work Plan FY 2016-2017 INTRODUCTION The scope of this work plan is the overarching Quality Management aspects of the
More informationTEXAS HEALTHCARE TRANSFORMATION & QUALITY IMPROVEMENT PROGRAM. Bluebonnet Trails Community Services
TEXAS HEALTHCARE TRANSFORMATION & QUALITY IMPROVEMENT PROGRAM Regional Healthcare Partnership Region 4 Bluebonnet Trails Community Services Delivery System Reform Incentive Payment (DSRIP) Projects Category
More informationImproving Oral Health Outcomes for Children: Progress and Opportunities
Improving Oral Health Outcomes for Children: Progress and Opportunities About Children Now Non-partisan research, policy development, communications, and advocacy organization working on all key kids issues,
More informationAttachment A INYO COUNTY BEHAVIORAL HEALTH. Annual Quality Improvement Work Plan
Attachment A INYO COUNTY BEHAVIORAL HEALTH Annual Quality Improvement Work Plan 1 Table of Contents Inyo County I. Introduction and Program Characteristics...3 A. Quality Improvement Committees (QIC)...4
More informationIEHP Announces 2017 Global Quality P4P Program
IEHP Opens a NEW Community Resource Center in Riverside IEHP will open a Community Resource Center (CRC) in Riverside on February 5th. Our second CRC continues the success started by our San Bernardino
More informationPhysician Workforce Fact Sheet 2016
Introduction It is important to fully understand the characteristics of the physician workforce as they serve as the backbone of the system. Supply data on the physician workforce are routinely collected
More informationSACRAMENTO COUNTY: DATA NOTEBOOK 2014 MENTAL HEALTH BOARDS AND COMMISSIONS FOR CALIFORNIA
SACRAMENTO COUNTY: DATA NOTEBOOK 2014 FOR CALIFORNIA MENTAL HEALTH BOARDS AND COMMISSIONS Prepared by California Mental Health Planning Council, in collaboration with: California Association of Mental
More informationMental Health Board Member Orientation & Training
1 Mental Health Board Member Orientation & Training See Tab 1 Mental Health Timeline 1957 Sources: California Legislative Analyst Office & California Department of Health Care Services to Prior to 1957
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 informationOverview and Current Status of Program of All-inclusive Care for the Elderly (PACE) Dr. Cheryl Phillips, M.D. Chief Medical Officer, On Lok Lifeways
Overview and Current Status of Program of All-inclusive Care for the Elderly (PACE) Dr. Cheryl Phillips, M.D. Chief Medical Officer, On Lok Lifeways 1 What is On Lok? Original Vision: Help the low-income
More information2016 Implementation Strategy Report for Community Health Needs
2016 Implementation Strategy Report for Community Health Needs Kaiser Foundation Hospital Fontana/Ontario License #240000159 Approved by KFH Board of Directors March 16, 2017 To provide feedback about
More informationSt. Joseph Health, St. Mary Medical Center. Fiscal Year 2014 COMMUNITY BENEFIT REPORT PROGRESS ON FY12 - FY14 CB PLAN/IMPLEMENTATION STRATEGY REPORT
St. Joseph Health, St. Mary Medical Center Fiscal Year 2014 COMMUNITY BENEFIT REPORT PROGRESS ON FY12 - FY14 CB PLAN/IMPLEMENTATION STRATEGY REPORT page 1 TABLE OF CONTENTS EXECUTIVE SUMMARY 2 MISSION,
More informationASHBY HOUSE DIGNITY COMMONS HOUSE OF DIGNITY
TRANSITIONAL HOUSING PROGRAM TENANT APPLICATION FORM FOR ASHBY HOUSE DIGNITY COMMONS HOUSE OF DIGNITY OPERATION DIGNITY INC. Transitional & Permanent Housing 160 Franklin St., Suite103 Oakland, CA 94607
More informationAlcohol Drug & Mental Health Services INPATIENT SERVICES
Alcohol Drug & Mental Health Services INPATIENT SERVICES WHEN MUST COUNTY FUND MENTAL HEALTH SERVICES? 2 INPATIENT INCREASES DRIVERS Lack of psychiatric beds state & nation Increase in patients Court Ordered
More informationSouthern California Regional Implementation & Improvement Science Webinar Series Welcome to the Webinar
Southern California Regional Implementation & Improvement Science Webinar Series Welcome to the Webinar Karen Coleman, PhD Research Scientist II Southern California Permanente Medical Group Thoughts about
More informationThe Current Medi-Cal Landscape: Overview of Mild-to-Moderate Mental Health Coverage and System Organization
Advancing innovations in health care delivery for low-income Americans The Current Medi-Cal Landscape: Overview of Mild-to-Moderate Mental Health Coverage and System Organization December 1, 2016 For Audio
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 informationCONTRA COSTA MENTAL HEALTH MENTAL HEALTH SERVICES ACT EXECUTIVE SUMMARY
CONTRA COSTA MENTAL HEALTH MENTAL HEALTH SERVICES ACT Workforce Education & Training Draft Plan December 2008 Background EXECUTIVE SUMMARY The Mental Health Services Act (Prop 63) passed by California
More informationMedicaid Coverage and Care for the Homeless Population: Key Lessons to Consider for the 2014 Medicaid Expansion
I S S U E P A P E R kaiser commission o n medicaid Executive Summary a n d t h e uninsured Medicaid Coverage and Care for the Homeless Population: Key Lessons to Consider for the 2014 Medicaid Expansion
More informationEvaluation, Training, and Technical Assistance for Substance Use Disorder Services Integration (ETTA)
Evaluation, Training, and Technical Assistance for Substance Use Disorder Services Integration (ETTA) 2015 Report Darren Urada, Ph.D., Valerie P. Antonini, M.P.H., Cheryl Teruya, Ph.D., Elise Tran, B.A.,
More informationDHCS Update: Major Initiatives and Strategies Towards Standardization
DHCS Update: Major Initiatives and Strategies Towards Standardization Javier Portela, Division Chief Managed Care Operations Department of Health Care Services ICE 2016 Annual Conference December 2016
More informationDirector s Report DEPARTMENT AND COUNTY NEWS. Budgeting Process Underway: The Fiscal Year (FY) Budgeting process is well underway,
P a g e 1 Director s Report April 24, 2018 Alice Gleghorn, Ph.D., Director Santa Barbara County Department of Behavioral Wellness (805) 681-5220 http://countyofsb.org/behavioral-wellness DEPARTMENT AND
More informationSECTION 7. The Changing Health Care Marketplace
SECTION 7 The Changing Health Care Marketplace This section provides an overview of the health care markets in and the, including data on HMO enrollment, trends and information about hospitals and nursing
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 information10/4/2017. County/FQHC Collaborations to Improve Behavioral Health Continuum of Care. FQHCs in SUD/SMH
County/FQHC Collaborations to Improve Behavioral Health Continuum of Care Allie Budenz, MPA Associate Director of Quality Improvement, CPCA FQHCs in SUD/SMH California has a tri-furcated behavioral health
More informationMild-to-Moderate Mental Health Coverage in Medi-Cal: The Challenge and Promise of Coordination between Counties and Health Plans
Advancing innovations in health care delivery for low-income Americans Mild-to-Moderate Mental Health Coverage in Medi-Cal: The Challenge and Promise of Coordination between Counties and Health Plans December
More informationCalifornia s Duals Demonstration: A Transparent and Inclusive Stakeholder Process. Peter Harbage President Harbage Consulting
California s Duals Demonstration: A Transparent and Inclusive Stakeholder Process Peter Harbage President Harbage Consulting 1 Today s Agenda 1. California Context 1. California s Stakeholder Engagement
More informationPublic Safety Realignment Act of 2011 (AB109)
Community Corrections Partnership Executive Committee (CCPEC) Public Safety Realignment Act of 2011 (AB109) San Francisco Board of Supervisors Public Safety Committee Public Safety Realignment Hearing
More informationImproving Health Status through Behavioral Health Interventions
Comorbidity in the Dual Eligible Population: Improving Health Status through Behavioral Health Interventions PREPARED FOR THE CALIFORNIA ASSOCIATION OF HEALTH PLANS 2013 SEMINAR SERIES JUNE 25, 2013 BEACON
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 informationCHILDREN 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
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 informationYolo County Department of Health and Human Services
Yolo County Department of Health and Human Services Behavioral Health Services Strategic Plan Presented by: Karen Larsen, Mental Health Director / Alcohol and Drug Administrator Samantha Fusselman, Quality
More informationCounty of San Diego Health and Human Services Agency Behavioral Health Services Fiscal Year Mental Health Board Report
County of San Diego Health and Human Services Agency Behavioral Health Services Fiscal Year 2012-2013 Mental Health Board Report Board of Supervisors Greg Cox District 1 Dianne Jacob District 2 Dave Roberts
More informationCCBHCs 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
More informationSAMHSA Primary and Behavioral Health Care Integration (PBHCI) Program Grantees: Part 2
SAMHSA Primary and Behavioral Health Care Integration (PBHCI) Program Grantees: Part 2 Ken Bachrach, Ph.D., Clinical Director Jim Sorg, Ph.D., Director of Care Integration and IT Tarzana Treatment Centers
More informationCindy Cameron Senior Director of Finance & Reimbursement LightBridge Hospice, LLC
Cindy Cameron Senior Director of Finance & Reimbursement LightBridge Hospice, LLC Kristina Runnels Director Patient Financial Services VITAS Healthcare Corp Medi-Cal Managed Care Program The 3 models of
More informationI. General Instructions
Behavioral Health Services Mental Health (BHS-MH) A Division of Contra Costa Health Services (CCHS) Request for Qualifications Mental Health Services Act (MHSA) Master Leasing September 2013 I. General
More informationI. General Instructions
Contra Costa Behavioral Health Services Request for Proposals (RFP) Outpatient Mental Health Services September 30, 2015 I. General Instructions Contra Costa Behavioral Health Services (CCBHS, or the County)
More informationImplementing Healthcare Reform: How Are we Going to Get Paid Tomorrow?
Implementing Healthcare Reform: How Are we Going to Get Paid Tomorrow? National Council Public Policy Committee Tuesday, June 29,2010 Dale Jarvis, CPA MCPP Healthcare Consulting, Inc. dale@mcpp.net.com
More informationPolicy Brief May 2016
Policy Brief May 2016 Medi-Cal Managed Care and Foster Care Issues in Los Angeles County Executive Summary: In Los Angeles County, almost 21,000 children are in foster care, which is about onethird of
More informationMANAGING PATIENTS WITH COMPLEX CHRONIC CONDITIONS: HIGH UTILIZERS AND CARE TRANSITIONS
MANAGING PATIENTS WITH COMPLEX CHRONIC CONDITIONS: HIGH UTILIZERS AND CARE TRANSITIONS Karen W. Linkins, PhD Principal, Desert Vista Consulting Assumptions about You and Your Organizations You are somewhere
More informationDr. Nancy G. Burlak, EdD, LMFT
CURRICULUM VITAE Dr. Nancy G. Burlak, EdD, LMFT EDUCATION/LICENSE 2011-2014 Ed.D. (Counseling Psychology 4.0 GPA) ARGOSY UNIVERSITY, San Diego, CA Clinical Research Project: Optimal Duration of Treatment
More informationNew Online Features Enhance the Initial Health Assessment Roster
Staff Newsletter #19 IEHP Now Covers Care for Autism Spectrum Disorder Page 3 New Prior Authorization Forms Page 4 What's New with the Flu Page 5 Summer Fall 2014 2012 New Online Features Enhance the Initial
More informationCare Coordination Work Group
Meeting Minutes May 22, 2017, 3:00 PM 5:00 PM DHHS Administration 7001-A East Parkway Sacramento, CA 95823 Conference Room 1 COMMITTEE MEMBERS X Advocate Jenni Gomez (LSNC) X Health Plan Steve Soto (Molina)
More information