2014 Pay-for-Performance Review To Executive Directors 1.

Slides:

Advertisements

Similar presentations

DDRS Health Homes Initiative: Meeting the Triple Aim through Care Coordination. Shane Spotts Director, Indiana Division of Rehabilitation Services May.

Advertisements

Evidence Based Practices Lars Olsen, Director of Treatment and Intervention Programs Maine Department of Corrections September 4, 2008.

Behavioral Health Services for Iowa Plan Medicaid-Eligible Children Presentation by: Pat Crosley, Family Advocate, Magellan Health Services August 2005.

A Service Delivery Strategy for Colorados System of Care Draft July 11, 2012.

1 NM Behavioral Health Collaborative New Mexico Behavioral Health Plan for Children, Youth and Their Families March 2007.

Provider Spring Meeting 2012 Sirrilla D. Blackmon, MSW, LCSW, LCAC Deputy Director Provider & Community Relations, Certification/Licensure Division of.

Overview of the Affordable Care Act Implementation within the DHCS Behavioral Health Services Delivery System Presented at the Association for Criminal.

Building on Our Strengths June 17, 2011

Katie A. Agreement Child Welfare and Mental Health working together will provide:  Intensive home and community based mental health services to children.

PRELIMINARY DRAFT Behavioral Health Transformation September 26, 2014 PRELIMINARY WORKING DRAFT, SUBJECT TO CHANGE.

Midwest School Health Initiative Mental Health Services Kirk Wheeler, Ph.D. HSPP.

Primary Care-Mental Health Integration in the Department of Veterans Affairs Andrew Pomerantz, MD National Mental Health Director for Integrated Services,

Measuring to improve quality June 29, This presentation will: Provide an overview of the provider profile and pay- for-performance (P4P) process.

1 Mayview Regional Service Area Plan Stakeholder’s Meeting April 18, 2008.

Accreditation Planning and Preparation

Community Mental Health Centers ODMHSAS is responsible for a statewide network of community mental health centers (CMHC) which provide a variety of services.

Program Objectives and Evaluation Using Healthy Campus 2010: Making It Happen and Logic Models Jim Grizzell, MBA, MA, CHES, F-ACHA.

Learning Outcomes Differentiate health care services based on primary, secondary, and tertiary disease prevention categories. Describe the functions and.

Treatment Planning R. Lyle Cooper, Ph.D., LCSW, ICADAC II Assistant Professor University of Tennessee College of Social Work.

Maryland Outpatient Mental Health Services for Adults Lisa Hadley Clinical Director, Mental Hygiene Administration May 20, 2014.

H Department of Medical Assistance Services Substance Abuse Intensive Outpatient – SA IOP 2013.

TRANSFORMING HEALTH CARE THROUGH RESEARCH AND EDUCATION 2012 Illinois Performance Excellence Bronze Award Integrating Behavioral Health Across the Continuum.

Ontario’s Special Needs Strategy Spring The Vision “An Ontario where children and youth with special needs get the timely and effective services.

AIDS Foundation Panel Discussion Ginnie Fraser Thresholds 3/14/2013.

Participant Choice – Access to Recovery as a Voucher Service Delivery Model Presented to National Summit on Prisoner Re-Entry Sponsored by the White House.

Preventing Family Crisis Finding the Assistance that your Family Needs.

Strategic Planning 2013 CMHSAS-SJC Board Description of a Good and Modern Addictions and Mental Health Services System Affordable Care Act  Patient.

MAXIMIZING MENTAL HEALTH PARTNERSHIPS Doreen Bradshaw, Executive Director Shasta Consortium of Community Health Centers.

Mental Health and Substance Abuse Services Joe Vesowate Assistant Commissioner.

Needs Assessment: Young People’s Drug and Alcohol Services in Edinburgh City EADP Children, Young People and Families Network Event 7 th March 2012 Joanne.

Assessment for improvement [Name] [Title] [Date / Event] V4.5.

Opioid addiction treatment: Challenges (and opportunities) for community practice Marc Fishman MD.

Expanding Learning: Making a Difference for Children and Youth Expanding Learning: Making a Difference for Children and Youth Deborah Lowe Vandell University.

Alaska’s Behavioral Health System Presentation to the Idaho Behavioral Health Transformation Workgroup March 24 th 2010 Bill Hogan Commissioner Commissioner.

Medicaid Mental Health Benefits Overview of Coverage, Service Delivery and Utilization Mental Health and Substance Abuse Interim Committee Meeting August.

November 18, 2013 Jane Ogle Deputy Director, Health Care Delivery Systems Department of Health Care Services (DHCS) Stakeholder Update on Coordinated Care.

1 Mayview Regional Service Area Plan Quality Improvement/Outcomes (QIO) Committee QIO Data Report Allegheny HealthChoices, Inc. December 9, 2009.

11 Mayview Regional Service Area Plan Stakeholder’s Meeting February 20, 2009.

Services Overview: Mental Health/Substance Use Disorders Programs and Managed Care Plans 1 Medi-Cal Managed Care Plans (MCP) County Mental Health Plan.

Ready communities... Ready communities... Ready Children... Ready Families... Ready Schools... Ready Communities Virginia’s Definition of School Readiness.

NEIU 19 School Counseling Program Leanne Bozym. The Purpose of a School Counselor School counselors provide students with academic, personal/social and.

History and Background Formed in 2006 as a joint collaboration of San Mateo County Courts, Probation Department, District Attorney Office, Sheriff’s Office,

Overview of BH Service Delivery in Cal MediConnect Coordinating Behavioral Health under Cal MediConnect October 3, 2013 PRESENTATION TO HASC – CAPG SOCAL.

Children’s Mental Health & Family Services Collaboratives ~ Minnesota’s Vision ~

Evaluation of the Indiana ECCS Initiative. State Context Previous Early Childhood System Initiatives –Step Ahead –Building Bright Beginnings SPRANS Grant.

Money Follows the Person Demonstration Grant & Waivers May 18, 2012.

PCPA Outpatient Summit Joan Erney, J.D. Office of Mental Health & Substance Abuse Services December 2, 2009.

Presented by: Michael Kennedy, MFT Director. Psychiatric Emergency Services 24/7 availability Access to  Crisis Stabilization  Crisis Residential Services.

UCLA Integrated Substance Abuse Programs Richard Rawson, Ph.D. Rachel Gonzales, Ph.D. Funded by: California Alcohol and Drug Programs CalOMS Training for.

School-based Programs: A National Perspective School-Based Behavioral Health Conference Grantville, Pennsylvania, May 3 – 5 School-based Programs:

California County Administrator Survey 2015 Preliminary Results September 24, 2015 CBHDA SAPT+ Committee Meeting Elise Tran, Darren Urada, Ph.D., Valerie.

Substance Abuse Spring Substance-Related Disorders Substance abuse Substance dependence –Tolerance –Withdrawal Substance intoxication 2 Define substance.

Securing Collateral Support for Whole Systems Change: Seeking Resources and Key Stakeholder Support Victor Capoccia, Program Director, Open Society Institute.

1 Division of Behavioral Health Policy and Planning Diversion Data Base (DDB) First, Second, & Third Quarters FY08 July 1, 2007 through March 31, 2008.

Overview of KP Behavioral Health Delivery System Dr. Stuart Buttlaire Regional Director of Inpatient Psychiatry and Continuing Care Regional Chair, Integrated.

Public Social Partnership Development of Treatment and Recovery Services.

1 Center Mission Statements SAMHSA ? CSAT Improving the Health of the Nation by Bringing Effective Alcohol and Drug Treatment to Every Community CMHS Caring.

Idaho Medicaid Overview Disability Rights Idaho. Idaho Medicaid Overview ▪Medicaid is a federal/state partnership program designed to provide the benefits.

Behavioral Health Transition to Managed Care Update APRIL 2015 Certified Community Behavioral Health Clinics (CCBHC) Planning Grant and Demonstration.

Department of Health and Mental Hygiene Behavioral Health Services 2013 and Beyond Integrating Mental Health and Addiction Treatment in Maryland Tuerk.

TENNESSEE DEPARTMENT OF MENTAL HEALTH Commissioner E. Douglas Varney Budget Hearing: November 15, 2011.

A COMPREHENSIVE SYSTEM OF CARE FOR CHILDREN AND FAMILIES Ken Berrick, Founder and Chief Executive Officer Seneca Center for Children and Families

Primary Prevention: Coping with Behaviors and Emotions displayed by Adopted Adolescents. Kaitlin Thralls Adoption.

How Centerstone can help Improve Outcomes For Mothers and Babies

Behavioral Health Integration and Beyond

Public Substance Use Disorder Treatment for Youth in California County Behavioral Health Directors Association of California – All Members Meeting October.

MDHHS Response to the Opioid Crisis

outpatient drug or alcohol clinic, mental health or community health center, private mental health professional, in-home counseling or crisis services,

Certified Community Behavioral Health Clinics

Children’s Behavioral Health in Rhode Island March 26, 2019

Presentation transcript:

2014 Pay-for-Performance Review To Executive Directors 1

Topics Pay-for-Performance (P4P) 2014 Results on services Comparisons to previous years Positive Trends Ongoing challenges Looking ahead to 2015

2014 P4P Process 3

Behavioral Health Rehabilitation Services (BHRS) – Wraparound BHRS School-based Therapeutic Services (STS) Community Integrated Recovery Centers (CIRC) Extended Acute Care (EAC) Host Homes Inpatient Psychiatric, Adult(AIP) Inpatient Psychiatric, Child (CIP) Intensive Drug & Alcohol Outpatient (IOP) Journey of Hope Outpatient, Drug &Alcohol (DAOP) Outpatient, Mental Health (MHOP) Residential Treatment Facilities for Children (RTF) Residential Treatment Facilities for Adults (RTFA) Residential Rehabilitation Residential Non-Hospital Inpatient Treatment (RINT) Targeted Case Management (TCM) Levels of Care

Major Activities in Spring webinars to review proposed measurements & thresholds Fall webinars to review data & new/revised measurements Meetings with individual providers at their request Piloted addition of participation in a behavioral health screening event for outpatient providers Incorporation of participation in the STS Outcomes Monitoring Project into scoring

Status as of February Awards totaling over $5 million to providers More than 250 reports, in new streamlined format, have been ed to providers

Streamlined Provider Summary Eliminated redundancy of information from NIAC and Quality Management reports Cover Sheet with relevant information Operational Definitions Master Document 7

2014 Results 8

9

Total amount of awards by Reporting Year: –$5.4 million in 2014 –$9.5 million in 2013 –$16 million in 2012 –$13.4 million in 2011 –$3.2 million in Award compared to Past Years 10

Positive Trends Achieving Quality Through P4P 11

Residential Rehabilitation: Continuity of Care 12

Child Mental Health Outpatient: Early Engagement 13

TCM: Service Delivery and Continuity of Care 14

Ongoing Challenges 15

Redundancy of measures Allegations and convictions of fraud, waste and abuse for past awards Recognizing consistency in achievement over multiple years Consistently underperforming providers Ongoing Challenges 16

2015 and Beyond 17 Looking Ahead…

Looking Ahead: 2015 and Beyond 18 Ongoing evolution of measurements Behavioral health screening event participation –Scoring and fairness in application Client/Family Satisfaction Survey –Outcomes data directly from service recipients and families

Questions or Comments? 19

Thank You! Thank You! Suet Lim, PhD Performance Evaluation, Analytics and Research Community Behavioral Health 20