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Overview of North Sound Mental Health Administration’s Internal Structure

Overview of North Sound Mental Health Administration’s Internal Structure

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Page 1: Overview of North Sound Mental Health Administration’s Internal Structure

Overview of North Sound Mental Health Administration’s

Internal Structure

Page 2: Overview of North Sound Mental Health Administration’s Internal Structure

Administration

The Administrative Department of NSMHA consists of the Executive Director, Deputy Director and Support Services.

The Administration oversees compliance with Center for Medicare and Medicaid Services and the Mental Health Division; as well as interacts with Tribal governments. The Administration also implements policy directions adopted by the Board of Directors.

Page 3: Overview of North Sound Mental Health Administration’s Internal Structure

Administration

Chuck Benjamin, Executive Director

Greg Long, Deputy Director/Planner

Annette Calder, Executive Assistant

Rebecca Pate, Administrative Secretary

Shannon Solar, Administrative Secretary

Barbara Jacobson, Secretary

Christin Haymond, Receptionist

Page 4: Overview of North Sound Mental Health Administration’s Internal Structure

Quality Management DepartmentQuality Management functions are:• Quality Assurance and Improvement, • Utilization Management, • Care Advocacy,• Complaints/Grievance/Appeals/Fair Hearing,• Risk Management,• Policy Development Support,• Inpatient Utilization,• Customer Services, and • Monitor Delegated Functions.

Page 5: Overview of North Sound Mental Health Administration’s Internal Structure

Quality Management

Cindy Ainsley, Quality ManagerLaura Davis, Lead Quality SpecialistCharissa Fuller, Lead Quality SpecialistKurt Aemmer, Quality SpecialistJulie de Losada, Quality SpecialistAngela Fraser-Holtz, Quality Specialist Terry McDonough, Quality SpecialistDiana Striplin, Quality SpecialistSandy Whitcutt, Quality Specialist

Page 6: Overview of North Sound Mental Health Administration’s Internal Structure

Fiscal Department

The Fiscal Department handles all: • Revenues, • Expenses, • Inpatient Claims, • Fiscal Audits, • Payroll, • Insurance, • Government Reporting and • Administration of Employee Benefits, etc.

Page 7: Overview of North Sound Mental Health Administration’s Internal Structure

Fiscal Department

Bill Whitlock, Fiscal Officer

Shari Downing, Accounting Specialist

Sean Powell, IS Support/Accounting Specialist

Page 8: Overview of North Sound Mental Health Administration’s Internal Structure

Information Systems/Information Technology Department

Our Information Systems/Information Technology Department handles all aspects of our:• Network, • Security, • Data, • Website, • Equipment, and • Technical Needs.

Page 9: Overview of North Sound Mental Health Administration’s Internal Structure

IS/IT Department

Michael White, IS/IT Administrator

Dennis Regan, Data Support Analyst

Sean Powell, IS Support/Accounting Specialist

Page 10: Overview of North Sound Mental Health Administration’s Internal Structure

Contracts Department

The Contracts Department oversees:• Contract Negotiations,• Contracts and Amendments,• Contract Deliverables,• Provider Licensing, • Memorandums of Understanding, and • Participates in the Administrative Audits.

Page 11: Overview of North Sound Mental Health Administration’s Internal Structure

Contracts Department

Margaret Rojas, Contracts Coordinator

Page 12: Overview of North Sound Mental Health Administration’s Internal Structure

Consumer Affairs Department

Consumer Affairs coordinates consumer involvement in NSMHA activities as well as activities at the State level.

Page 13: Overview of North Sound Mental Health Administration’s Internal Structure

Consumer Affairs

Margaret Rojas, Consumer Affairs Coordinator

Page 14: Overview of North Sound Mental Health Administration’s Internal Structure

Planning Department

Planning works with cross systems and community stakeholders to evaluate system functions and needs in order to develop or improve services. A Regional Strategic Plan is developed every 3-4 years and revised annually. The purpose of the Strategic Plan is to address areas of desired improvement in the delivery of services and the overall mental health system. A major focus of Planning is to assure close coordination of care across different systems of care (DD, employment, health care, HCS, schools, etc.).

Page 15: Overview of North Sound Mental Health Administration’s Internal Structure

Planning

Greg Long, Deputy Director/Planner

Tom Yost, Planning Specialist

Page 16: Overview of North Sound Mental Health Administration’s Internal Structure

NSMHA Management Team

The NSMHA Management Team is comprised of:• Executive Director, • Deputy Director, • Fiscal Officer, • Contracts Coordinator, • IS/IT Administrator, • Executive Assistant, and • Quality Manager.

Currently the two Lead Quality Specialists are filling the position of the Quality Manager on the Management Team. The structure of the Management Team may be revisited after the new Quality Manager joins in September.

Page 17: Overview of North Sound Mental Health Administration’s Internal Structure

Quality Management Contacts

Risk Management

Critical Incidents: Kurt Aemmer

Utilization Management

Utilization Review: Sandy Whitcutt

Denials: Charissa Fuller

Authorizations: Terry McDonough

Page 18: Overview of North Sound Mental Health Administration’s Internal Structure

Quality Management Contacts

Care AdvocacyAdults: Laura DavisChildren: Angela Fraser-HoltzSystems: Julie de Losada

Inpatient Utilization: Charissa Fuller

Delegated Function: Charissa Fuller

Page 19: Overview of North Sound Mental Health Administration’s Internal Structure

Quality Management Contacts

Complaints, Grievances, Appeals, Fair Hearings: Diana Striplin

MHD Audit: Terry McDonough

Page 20: Overview of North Sound Mental Health Administration’s Internal Structure

Executive Director

Executive Assistant Fiscal OfficerDeputy Director/

Planner

Contracts Coordinator/

Legislative Liaison

Consumer AffairsCoordinator

Planning Specialist

.5 FTE

QualityManager

IS/ITAdministrator

DataSupportAnalyst

IS Support/AccountingSpecialist

QualitySpecialists(10 FTEs)

AccountingSpecialist

AdministrativeSecretaries

(2 FTE)

Secretary

Receptionist