1. Behavioral Health of Cambria County
Annual Report to the Community
Friday, December 14th, 2018
PEN Drop-in Center
10:30 am to 12:00 pm

2. BHoCC Staff Executive Director: Tanya Kvarta
Clinical/Quality Director: Rebecca Wiseman
Chief Fiscal Officer: Joe Crisi
Executive Assistant: Rebecca Valle
Board of Directors:
Commissioners
Thomas Chernisky
Mark Wissinger
B.J. Smith

3. BHoCC is a private, non profit organization which is contracted with Cambria County to oversee the Behavioral Health HealthChoices program and the MCO (Magellan Behavioral Health of Pennsylvania).

4. Fiscal Year 2018-2019 HealthChoices enrollment for Cambria County
As of 12/31/ ,231 Start of expansion
As of 09/21/ ,999
DHS projection by 12/31/2015
29,042
As of September 2016:
30,281
Enrollment in 2017: 30,
Where are we now?
Current enrollment:
As of September 30, 2018
31, 167
*Data courtesy of MBH-PA

5. Services In-Network for Cambria County
Child/Adolescent:
Outpatient
Crisis
Blended Case Management
Summer Treatment Programs
After School Treatment Programs
BHRS
Partial Hospitalization Programs
Residential Treatment
Drug and Alcohol Inpatient Treatment
Family Based
PCIT and FFT
Adult:
Outpatient
Crisis
Blended Case Management
Peer Support
Partial Hospitalization Program
Drug and Alcohol
Inpatient Treatment
Methadone

6. Accessing Services
Pennsylvania requires that all HealthChoices members have
reasonable access to in-county options for many levels of care.

7. Access Standards Level of Care Mental Health / Substance Abuse
Choice Requirement
Time Standard
Inpatient Psych
Mental Health
Choice of 2
1 Within 60 minutes
Inpatient Psych - Child Adolescent
Crisis Intervention Services
Choice of 1
No Distance Requirement
Family Based Services
Mental Health Outpatient
2 Within 60 Minutes
Mental Health PHP
Mental Health PHP - Child Adolescent
BHRS
Clozapine Support
Peer Support
Residential Treatment Facility (RTF)
Blended Case Management
Substance Abuse Services
Inpatient Detox (4A)
Substance Abuse
1 Within 60 Minutes
Inpatient Detox (4A) Child Adolescent
Inpatient Rehab (4B)
Inpatient Rehab (4B) Child Adolescent
D&A Outpatient
Methadone Maintenance

8. Exceptions D&A Inpatient Hospital Detox. (4A) - Adult
D&A Inpatient Hospital Detox. (4A) - Adolescent
D&A Inpatient Rehab - Adult
D&A Inpatient Rehab - Adolescent
Residential Treatment Facilities (RTF)

9. HealthChoices members per level of care Q 1,2,3 data (January to Sept 2018)
Children
2,904 received mental health treatment.
(including BHRS, inpatient and out patient)
Adults Drug and Alcohol (includes Methadone)– 1,786 Inpatient psych—128 Outpatient—4,215 Partial-- 41
*Data courtesy of MBH-PA

10. Dollars per Level of Care
Dollars spent for highest levels of care
All Children services- $1,523,387
BHRS: $894,293.43
Inpatient Psych: $158,001.45
Outpatient: $471,093
Adults
Drug and Alcohol- (includes Methadone)-$1,486,418
Inpatient Psych- $581,611.07
Outpatient Psych- $789,720
Partial Hospitalization: $82,071
*Data courtesy of MBH-PA

11. Initiatives
CANS: 1.) Implementation of assessments and data to manage utilization and improve prescribing practices for BHRS. 2.) Quality assurance through the Microsoft power BI app to review Cambria CANS data. 3.) Provider access to data 4.) Discharge CANS D&A: Analyzing outcome data for Opioid dependence in high risk populations to identify risk factors, improve access to treatment and develop new treatment options in Cambria. Provide trainings to D&A providers. Suicide Education, Prevention and Training: Increase efforts to educate the community, network and members by providing various summits and trainings. My Life (Magellan Youth Leaders Inspiring Future Empowerment): Youth empowerment program for ages Peer Recovery and Resiliency: Increase in peer oriented programming Healing Arts Program with Mt. Aloysius College: Open art studio began at PEN on January 19, 2018.

12. CANS Impact on BHRS
2,396 CANS Submitted since the project began in Summer 2015.  ~1,100 CANS are filled out a year.
982 Unique members have been evaluated by the CANS since the project began.  ~700 children a year.
106 children referred to Evidence Based Programs who would not have been referred otherwise.  
Cambria data is available for review by all at
Coming in 2018
Parents will receive a report explaining their children’s progress, evidence-based options, and information that can help them compare providers on outcomes relevant to their child.
CANS data will be used for many quality initiatives.
*Data courtesy of Community Data Roundtable (CDR)

13. CANS Numbers CANS Numbers EBPs matched and prescribed
Data provided by CDR

14. BHRS Outcomes All children currently in treatment
All BHRS Members with both an Initial and a Discharge
Data provided by CDR

15. 2018-2019 Initiatives Advanced CANS Trainings Algorithms Parent Report
Opioid abuse screening with CANS
Advanced caregiver and risk assessments
Manual for interpreting CANS reports
Algorithms
EBP supports
BHRS outcomes
Parent Report
VBP Opportunities & CANS
New services/Algorithms
BTM 
School Outpatient
Data provided by CDR

16. Next Steps for CANS Parent Report Report Manual
Outcomes monitoring (with discharges!)
Needs analyses
Improving & adding algorithms
Data provided by CDR

17. Goals for Cambria County 2018-19
Increase access and quality of care for drug and alcohol services
Increase member responses for CF ST
Continue expanding the CANS initiative to improve quality of care for children's services
Continue promoting evidence based practices.
Continue movement toward community based services
Continue to promote programming dedicated to recovery and resiliency *Smart Screen Tool

18. Goals for Cambria County 2018-19 Cont.
Go live with walk- in crisis by December 31, 2019
Go live with Integrated Health for Development Care (IHDC) for children with complex physical and behavioral health needs by December 31, 2018.
Go Live with dual diagnosis treatment team for adults by December 31, 2019.
Increase Suicide Prevention, Education and Awareness
Increase member participation and collaboration with initiatives
Continue collaborating with providers in sponsoring trainings and speakers dedicated to Mental Health Awareness

19. What is CSP?

20. What is the Community Support Program (CSP)?
The Community Support Program (CSP) is a coalition of mental health consumers, family members and professionals working to help adults with serious mental illnesses and co-occurring disorders live successfully in the community.
CSP committees offer a forum in Pennsylvania where consumers, family members and professionals are united by a common set of beliefs and values and use their combined strengths to promote systems change.
As a result, CSP Principles have helped to shape the way treatment services are delivered to consumers, improving the public's understanding that consumers and family members should be regarded as people first, and advocating for the implementation of quality evidence-based treatments that support and enhance the recovery of persons with serious mental illness.

22. Thank You for attending!
Thank You To the Peer
Empowerment Network
for your hospitality and
assistance!!
Questions?