Embed Size (px)
Citation preview
Mercy Maricopa Integrated Care
Arnold v. Sarn
Blythe Fitzharris, Mercy MaricopaKelli Donley, Az Department of Health
Mercy Maricopa Integrated Care
Arnold v. Sarn history
A class action suit—Arnold v. Sarn—was filed in 1981 against the State of Arizona on behalf of those adults with a serious mental illness in Maricopa County.
In January 2014, an exit agreement was signed with specific stipulations for fiscal years 2015 and 2016.
Mercy Maricopa Integrated Care
Three methods of evaluation
SAMHSA fidelity review of providers• ADHS contracts with Western Institute of Higher Education
(WICHE)• Four reviewers hired• Provider calendar created with MMIC
Quality service review• ADHS contracts with Intergrowth
Network analysis• ADHS contracts with Mercer
Mercy Maricopa Integrated Care
Service capacity increases
Assertive Community Treatment teams: 8Permanent supportive housing: 1,200Supported employment: 750Peer and family services: 1500
4
Mercy Maricopa Integrated Care
Arnold v. Sarn
5
Goals for FY 151. Fully implement SAMHSA evidence-based practices related to
Assertive Community Treatment (ACT), consumer-operated services, permanent supportive housing (PSH), and supported employment (SE)
2. Transform the service delivery system to promote and incentivize high-quality care
3. Increase the network’s capacity to deliver ACT services by 4 teams
4. Increase network capacity to provide supported employment services by 375
5. Increase permanency by expanding permanent supportive housing capacity by 425
6. Improve the accessibility of peer and family support services by expanding capacity by 700
Mercy Maricopa Integrated Care
Accomplishments
Expansion1. Assertive Community Treatment – GOAL: 4 Teams
• August 2014, Forensic ACT team with CBI• November 2014, ACT team with SWN, Saguaro site• February 2015, Medical ACT team with PIR, Arrowhead • May 2015, ACT team with Circle the City• Capacity for original 15 teams currently at 3% vacancy and tracking
enrollment for new teams
2. Supported Employment – GOAL: 375• SE providers onsite at adult SMI clinics• Expanded capacity to serve up additional 425 members
•To date, 505 unduplicated members have received SE since July 2014
6
Mercy Maricopa Integrated Care
AccomplishmentsExpansion
3. Permanent Supportive Housing –GOAL: 425 rental subsidies• October 2015, expanded contract capacity for:
• 500 rental subsidies connected with supportive services (ABC, NAC and CPLC)
• 200 supportive services with CBI, SWBH, PSA, AHCCCMS and MARC
• 500 members have received housing vouchers• 403 members have been housed
4. Peer and Family Services – GOAL: 700 • Expanded capacity to serve additional 900 members• Program expansion includes: information and referral center, mental
health court transition program, inpatient peer transition program, transitional youth transition program, WRAP, wellness programs, family psychoeducational program
7
Mercy Maricopa Integrated Care
Accomplishments
Implement SAMHSA evidence-based practices• Collaborate with ADHS/DBHS and Western Institute of
Higher Education (WICHE) in the completion for reviews and provider fidelity review calls
• Provided direct TA to educate, complete readiness reviews and address fidelity review findings
• Hosted conference in collaboration with WICHE to address fidelity review trend findings and provide education on the implementation of EBPs
• Evaluating system transformation opportunities to align practices with EBPs and planning for FY16
8
Mercy Maricopa Integrated Care
Accomplishments
Transform the service delivery system to promote and incentivize high-quality care• Implemented incentive-based contracts with a focus on
clinical outcomes for• All expanded ACT teams • All expanded PSH service and housing providers
9
Mercy Maricopa Integrated Care
Moving toward FY16 1. Expand capacity to meet settlement agreement
in FY15 and FY16:• Supported housing services capable of serving 1,200 members• Supported employment services capable of serving 750• 8 ACT teams• Family and peers service capable of serving 1,500
2. Expand opportunities to implement and shift system transformation with payment reform
3. Monitor and track compliance with fidelity standards for all identified providers and utilization of expanded services
10
