1. 1115 Behavioral Health Learning Collaborative
Presented by
Cindy Hernandez, Emergence Health Network

2. Welcome Agenda Welcome What is a learning collaborative?
History on behavioral health learning collaborative
Analysis of high utilization at ERs
Organization participation
Next meetings
Every first Thursday of the month at 3:30 pm at Texas Tech
Adjourn

3. What is a Learning Collaborative?

4. Background on Behavioral Health Learning Collaborative
Met from September 2015 – April 2016
Participation from diverse organizations
Hospitals, behavioral health providers, law enforcement departments, public health department
Initial topic of focus was diversion of behavioral health admissions into emergency rooms
Blas Meza, Former UMC ER Director, presented data on UMC’s ER

5. Evaluation of BH Learning Collaborative
Reevaluated focus of learning collaborative
Topic that affects multiple systems including behavioral and primary health.
Impatient & Outpatient Care
Researched other initiatives going on at the state and national level
Stepping Up Initiative

6. Stepping Up Initiative

7. Analysis of High Utilization
Demographics
Age
Sex
Race/Ethnicity
Income
Employment
Housing status
Type of Admission into ER
Boarding, Inpatient
(boarding refers to those awaiting transfer to BH level of care facilities)
Discharge to mental health facility or jail
Length of stay
Diagnosis
Secondary Diagnosis
Payer Source
Cost per admission
Times seen at the ER per year
Method of arrival to ER
LMHA Client

8. Next Steps Trend ER Data
Identifying patterns in data
Defining high utilization
Based on ER visits per year
Investigate possibility of establishing MOUs, BAAs in order to identify persons with high utilization
Research comprehensive healthcare and community service models for individuals identified

9. Questions or Comments