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DMHA Spring Provider Meeting May 2, 2012 Sue Lummus 1 Spring Provider Meeting May 2012.

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Presentation on theme: "DMHA Spring Provider Meeting May 2, 2012 Sue Lummus 1 Spring Provider Meeting May 2012."— Presentation transcript:

1 DMHA Spring Provider Meeting May 2, 2012 Sue Lummus 1 Spring Provider Meeting May 2012

2 Last report/payment scheduled August 2012 Performance Measures and Targets SFY 2012 First report scheduled September 2012 – July performance First payment scheduled November 2012 – July through September Performance Measures and Targets SFY Spring Provider Meeting May 2012

3 3 Remember, all payments are based on year-to-date calculations. Spring Provider Meeting May 2012

4 4 Residential and Community Stability measure is being deleted for SFY 2013 Three new measures are included in a new section for Gatekeeper Measures Individual provider targets for Average Monthly Number Served will be distributed prior to July 1, 2012 Residential and Community Stability measure is being deleted for SFY 2013 Three new measures are included in a new section for Gatekeeper Measures Individual provider targets for Average Monthly Number Served will be distributed prior to July 1, 2012 Spring Provider Meeting May 2012

5 5 SMI2013 Target Pay for Performance Measure Weight Number Served provider specificYes1 Reassessed CANS/ANSA80%Yes2 Reassessed NOMS80%Yes2 Improved or Maintained Employment 90%Yes2 Improved in One Domain 25%Yes3 Improved Substance Abuse Disorder 35%Yes2 Reduced Criminal Activity 45%Yes2 Spring Provider Meeting May 2012

6 6 CA2013 Target Pay for Performance Measure Weight Number Served provider specificYes1 Reassessed CANS/ANSA80%Yes2 Reassessed NOMS80%Yes2 Improved or Maintained Employment 90%Yes2 Improved in One Domain 35%Yes3 Improved Substance Abuse Disorder 45%Yes2 Reduced Criminal Activity 45%Yes2 Spring Provider Meeting May 2012

7 7

8 8 These three measures are included in the Performance Measures Definitions for SFY 2013 document. Each will replace existing measures in SFY They are being shared now as DMHA will be monitoring performance on the measures quarterly during SFY 2013.

9 9 Spring Provider Meeting May 2012

10 10 Spring Provider Meeting May 2012

11 Targets for Average Numbers Served will be provider specific and based on actual performance between July 2011 and March Spring Provider Meeting May 2012

12 12 DMHA is open to reviewing target change requests SFY 2013 Target review requests will be accepted for consideration as soon as SFY 2013 targets are distributed. No requests will be accepted after April 1, If your agency has a review request please a written request with justification for Consideration for Change of Performance Measure Target to Spring Provider Meeting May 2012

13 Review historical data if deemed necessary. The Relationship Management review team will review data summary and request to make a team determination of accepting/denying or recommending an alternative target. The DMHA point person will communicate findings to the provider. 13 Spring Provider Meeting May 2012

14 Within 10 business days of receiving a Performance Report a provider may a written request to review performance data to Sue Lummus. The request must provide a detailed description and data which outlines the perceived discrepancy between the provider’s data and the Performance Report. The DMHA review team will communicate findings to the provider. 14 Spring Provider Meeting May 2012

15 Questions Contact 15 Spring Provider Meeting May 2012

16 DMHA Spring Provider Meeting May 2, 2012 R. Bergen, Asst. Deputy Director, OPCR 16 Spring Provider Meeting May 2012

17 ■ Compliance with Face-to-Face Visits ■ Timely Discharge ■ Bed Utilization 17 Spring Provider Meeting May 2012

18 Implementing 7/1/12 ■ Focus on responsibilities defined in 440 IAC □ monitoring compliance of 30/90 day visits ■ Applies to all client’s enrolled by the gatekeeper □ no exclusions □ Gatekeeper SOF CRA and Recovery Summary ■ SOF Gatekeeper Visit Detail Compliance Report □ within 30 days of admission – required face-to-face □ every 90 days thereafter – face-to-face or approved alternative ■ Target – 90% quarterly compliance 18 Spring Provider Meeting May 2012

19 Implementing 7/1/12 ■ Focus on the transition of client’s identified as ready for discharge □ discharge within 90 days of meeting SOF readiness criteria ○ stabilization of symptoms ○ minimal risk towards self or others ○ maximum benefit ■ Applies to all client’s enrolled by the gatekeeper □ excludes non-allocated forensic and research □ gatekeeper/treatment team readiness agreement ○ CCR 440 IAC → DMHA practice ■ Gatekeeper Discharge Ready Status Report & Monthly Discharge Report ■ Target – 80% discharged within 90 calendar days 19 Spring Provider Meeting May 2012

20 Implementing 1/1/13 ■ Focus on reducing the use of allocated beds □ relates to recent goals of SOF Alternative RFP ■ Applies to all client’s enrolled by the gatekeeper □ excludes SED, non-allocated forensic, and research ■ SOF Client Enrollment Report by Gatekeeper □ averages monitored monthly, quarterly, and annual □ bed borrowing continued ■ Target – minimum 10% reduction in bed use in 1 year □ performance tiers 20 Spring Provider Meeting May 2012

21 ■ Compliance with Face-to-Face Visits □ SOF Gatekeeper Visit Detail Compliance Report - Quarterly ■ Timely Discharge □ Gatekeeper Discharge Ready Report - Monthly ■ Bed Utilization □ SOF Client Enrollment Report by Gatekeeper - Monthly □ Summary of Quarterly Utilization Averages - Biannual/Annual 21 Spring Provider Meeting May 2012

22 ■ Compliance with Face-to-Face Visits → 7/1/12 ■ Timely Discharge → 7/1/12 ■ Bed Utilization → 1/1/13 ■ Questions 22 Spring Provider Meeting May 2012


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