1. Torrance Regional Service Area Planning Project
Stakeholder’s Meeting
August 23, 2007

2. Goals for this Meeting Introduce the project and people involved
Answer your questions…at least try to
Get input from you on some specific issues that will be important to counties, hospital, and AHCI in developing and implementing a regional service area plan

3. The Torrance Regional Service Area Planning process initiated by these counties:
Allegheny Cambria
Armstrong Fayette
Bedford Indiana
Blair Somerset
Butler Westmoreland

4. Brief History
The State (DPW) has required each state hospital service area to develop a regional service plan for that area
Major focus of the plans has been on one of three goals – reducing the number of individuals in state hospitals over 2 years
Goal driven to a large extent by Supreme Court decision – Olmstead decision

5. Brief History cont’d
State began requiring assessments and community support (discharge) plans for all persons in hospital over 2 years
Interests of hospital, counties and individuals came together recognizing the need to more assertively plan for individuals returning to their home communities – developed joint goal of closing one unit

6. Brief History cont’d
Counties have been responsible for developing their own community resources with their base (county) funds
Also, counties generally have approached bed reduction through Community-Hospital Integration Program Project (CHIPP) initiatives
Now counties recognize need for more systemic and regional approach for developing needed community supports and services and more sustainable and equitable approach to funding – build more on what may be available as a result of HealthChoices

7. Counties’ Concerns
Not enough funds to move and support people in the community and develop necessary diversion services
Less influence/lack of success in negotiating different funding options with the State when done one county at a time
Not able to do long-term, strategic planning due to current funding arrangement – such planning essential to moving toward more recovery based services

8. Where does AHCI fit in?
AHCI was approached by the Counties to provide assistance in the CSP process, and service planning and development both on a county and multi-county/regional level, financial analysis and budgeting, and training
Efforts based on experience in other areas

9. Primary Tasks Finalize Assessment and CSP (Discharge Planning) Process
Implement that process
Conduct Financial Analysis including hospital costs and costs of community services
Identify Service and Support needs and begin developing them
Provide regional training as common needs identified
Review and implement discharge tracking process

10. Structure of Project Planning Committee
Assessment and Discharge Committee
Quality Improvement Committee (to be formed)

11. Planning Committee
Provides overall direction and decision making for project
Composition
Advocates (4)
Consumers/Family (8)
Managed Care/Oversight (5)
Counties – 2 or 3/county as guide
OMHSAS (4)
Providers (3)
Torrance State Hospital (4)

12. Project Goals
Facilitate the counties’ and hospital working together to discharge 30 individuals by September 30, 2008
Develop a financial approach that will better support people in the community
Coordinate and monitor the discharge process
Assist counties in service planning and development

13. Financing Options Existing state hospital resources
Mental Health base funding
Mental Retardation waiver funds
Department of Aging funds
HealthChoices capitation funds
HealthChoices reinvestment funds
Bridge funding was used in some counties
COMCARE waiver funds individuals with traumatic brain injury

14. Assessment & Discharge Activities

15. What is the Goal?
To implement a coordinated and recovery-driven assessment and discharge planning process for individuals being discharged from Torrance State Hospital
To monitor the assessment and discharge process from beginning to end so that consumers and families get what they need to ensure successful community living

16. Committee’s Goals
Review the assessment tools and the assessment process
Monitor the discharge planning process
Composition
Consumers/Family (13)
CFST Directors (5)
Providers (6)
OMHSAS (2)
Torrance (2)
County (1)

17. Assessment Tools Consumer Needs Assessment Family Assessment
Clinical Team Assessment

18. Assessment Process
Develop a coordinated, thorough, and inclusive assessment process
Determine how consumers, families, and staff will be notified of the process
Define the roles, competencies, and tasks of the assessment teams, specifically the assessors
Pick and train the assessment teams
Monitor the process through completion
Report regularly to the Planning Committee

19. Discharge Process
Develop and monitor a coordinated and recovery driven discharge process that ensures:
The consumer leads the process to the best of his/her ability and with assistance, if needed
Consumers invite who they want to be involved in their discharge process
Discharge plans are focused on what the consumer (and family) wants and needs for successful community living

20. Discharge Process
Discharge plans are focused on what the consumer (and family) wants and needs for successful community living
Resources/supports are in place prior to discharge
A facilitator and recorder are part of the planning process

21. Questions from Group?

22. We Need Your Input
What are some examples of recovery-focused programs that exist in your community?
With the goal of diverting from the hospital, what services do people in your community need?
What services should be in the community to help people once they leave the state hospital?
Identify top three training needs in your community.