Rural Health Network Development Planning Program Partnership Meeting Tuesday, 05.03.2016 Meriam Mikre, MPH Rural Health Network Development Planning Program Coordinator Federal Office of Rural Health Policy (FORHP) Health Resources and Services Administration (HRSA)
2 Agenda Overview 1. Plenary: Success Stories - Translating Theory into Practice 2. Workshop: Improving Your Potential for Sustainability 3. Grants Management & Close-Out Information 4. Question and Answer Session 5. Debrief and Evaluations
Plenary: Success Stories - Translating Theory into Practice 3 Michael Ward - South Lake Tahoe Mental Health Cooperative (South Lake Tahoe, CA) Jennifer Uhrich - Behavioral Health Network (Ely, MN) Barry Brogan - North Country Behavioral Healthcare Network (Saranac Lake, NY)
South Lake Tahoe Mental Health Cooperative Michael Ward, MA, CPF
Network History/ Background
Project Goals Objective 1: Conduct Gap Analysis and Protocol Review for Behavioral Health Services Objective 2: Develop Operational Framework for Patient-Centered Behavioral Care System Objective 3: Finalize Strategic Plan and Approve Network Infrastructure and Protocols Objective 4: Launch Network and Communicate Behavioral Health Services Map
Accomplishments
Challenges and Barriers
Next Steps Strategies Priority Initiatives Access Centralized Access Facility & Process With Co-Located Services 23 Hour In Patient Behavioral Health Acute Care/ Treatment Center Transitional Housing Facilities in SLT by Area of Need, Age-Based Shot Clinic To Administer Injectibles Expand Clinical Capacity - Increased Tele-Psychiatry, School-site Counselors School-Based Health Center Student Access to MH Crisis Workers Awareness Mental Health/ Brain Health Education And Awareness Campaign ( We Care ) Strategically Located Information Kiosks Resource Directory (Bilingual) Adopt Mental Health Assessment in Primary Care (e.g. ACES) First Episode Treatment Protocols Policy Advocacy to support SLT access to funding and policy influence Resources Primary Care Physicians Brain Health Screening, Referral, Care Coordination Install Care Navigator(s) In SLT Employ Care Transition Plan Focused On Consumer Goals & Inclusion Of Family Members Day Social Supports with Targeted Groups & Individuals Certified In Peer Support Pharmacists Integrated In Medication Management Protocols Universal Patient Care Plan Template Used By All Outpatient Providers
The Ely Behavioral Health Network Mission: PROVIDES COLLABORATIVE CARE TO IDENTIFY AND ADDRESS OVERALL BEHAVIORAL HEALTH AND RECOVERY NEEDS FOR RURAL NORTHEAST IRON RANGE COMMUNITIES. Jenny Uhrich WBD Executive Director
Network History
Project Goals Goal 1. To create an actively involved and engaged network to plan collaborative behavioral health services for the region. Develop the BHN Governance Group. Manage the HRSA planning grant. Ensure sustainability of BHN through strategic planning. Conduct process evaluations and disseminate results. Goal 2. To develop BHN capacity to address behavioral health needs through collaborative routine screening, referral to and availability of evidenced-based services, and follow-up. Increase awareness of and screening for behavioral health issues. Develop a system for effective interagency referrals and follow-up. Develop capacity of evidenced-based behavioral health services.
Accomplishments Development of a strong Network including a highly engaged governance group; mission, values, and goals; and policies and procedures Network growth Increased expertise regarding the intersection of HIPAA, FERPA, and MN law Completed Strategic Planning Session from which a 3-year strategic plan is being developed Enhanced continuity of care among local organizations Increased capacity for mental health care for member agencies Developed infrastructure for mobile *Results of a 2015 BHN Social Network Analysis
Challenges and Barriers Shortages of behavioral health care workforce Limited access to behavioral health treatment and recovery services Transportation issues Siloing of existing health care organizations Lack of identification of behavioral health needs Ensuring financial and leadership sustainability of the network Continued engagement and development of network partners Legal concerns regarding intersectoral and interagency collaborative care
Next Steps Continued development of network, including further consumer engagement Network leadership succession planning Further development and honing of cross-agency screening, referral, and follow-up processes and infrastructure Capacity building for behavioral health treatment and recovery services: Telehealth expansion Insurance Navigator Peer Support Support groups *Photo courtesy of the Ely Echo April 2016
North Country Behavioral Healthcare Network Saranac Lake, NY B A R R Y B R O G A N N E T W O R K D I R E C T O R
Network History/Background Founded in 1997 by 30 behavioral health agencies Government and non-profits Won a $150,000 State grant Designated as NYS Rural Health Network, one of 35 created in 1997
Network Development Grant Experience In 2007 received HRSA Development grant to support adoption of HIT/EHR Network was then 19 agencies. 11 agencies participated in the 3 year project Assessed the then current state of each agency HIT Completed gap analysis for each agency Staff education on RFP and contract negotiation RFP Let with 6 vendors responding 3 vendors selected for implementation. 6 agencies completed the process Small matching grants to each agency as they achieved certain benchmarks
Project Goals Relaunch a dormant MSO to develop shared services among 14 agencies Create a strategic plan based on a gap analysis, and goals of healthcare reform. Establish a data warehouse to support all functions related to VBP
Accomplishments Capacity survey and Gap Analysis completed Priorities survey completed MSO relaunch and data warehouse road map in process to be completed in June Self assessment complete Strategic Plan in process
Challenges and Barriers Getting entire group together along with consulting team Arriving at consensus for first projects for MSO Role of MSO in VBP negotiations
Next Steps Meet in June to review Road map and identify next steps Complete HRSA Deliverables Identify/obtain additional project funding
Questions