RCPA Children’s Committee

June 5, 2014

Today’s Agenda 1. Welcome and Introductions

2. Updates from the State 1. Managing Operations and Services in Changing

Times

2. Enhancing Outpatient Capacity for Children

3. RCPA Service Delivery and Operational Updates

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Updates from the State

Courtney Coover

The Office of Mental Health and Substance

Abuse Services (OMHSAS)

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Updates from the State

Darlene Black

Office of Children, Youth and Families (OCYF)

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Updates from the State

Office of Children, Youth and Families (OCYF)

• Information Sharing Bulletin

• Emergency/Disaster Planning

• Health Care Workgroup • Psychotropic medication

• Trauma informed care

• Medical homes

• Children with special health care needs

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Managing Operations and Services in Changing Times

Dr. Scott Daubert Vice President of Operations, PerformCare,

• Affordable Care Act,

• MA and Commercial Insurance Mix

• ICD-10,

• “Meaningful Use Phase 2” and

• Other challenges to providers

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Enhancing Outpatient Capacity for Children

Approaches to collaborative and co-located outpatient services in community settings

• Physical Health Services: Heather Hoeke

– Wesley-Spectrum Services

• School Based Services: Barb Saunders – Wesley-Spectrum Services

• Juvenile Justice Services: Andy Kind-Rubin – Child Guidance Resource Centers

• Pediatric Rehab Services: Heather Hoeke – Wesley-Spectrum Services

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Enhancing Outpatient Capacity for Children

From Our Panelists :“The Elevator Speech”

Our program provides integrated/co-located child-adolescent MH services

To _________________In partnership with _________________

Our program offers the following advantages and opportunities in terms of • Clinical service advantages because _________________

• Operational advantages because _________________

• Fiscal advantages and opportunities because _________________

In our planning and implementation of this project • Our program has done this since _________________

• And our partners value the program because _________________

• The key collaborators in our partner system/setting were _________________

• It took us ____________________ to make this program operational

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RCPA Service Delivery and Operational Updates

• Behavioral Specialist Licensing and BSC Staffing

• BHRS Redesign Impact Meeting Report

• Concurrent Documentation Policy Clarification

• Act 55 OCYF Rate Methodology Task Force Report

• Child Protective Service Laws

• Report from National Council Conference

• Legislative Affairs

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Behavioral Specialist Licensing and BSC Staffing

• Retention and Recruitment – Capacity measures by BH-MCO/OMHSAS – Capacity measures by RCPA – Capacity Impact on Sustainable Services – Compensation and Rate Adjustments

• Communications with BH-MCO – Legislative Options – Higher Ed Options

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BHRS Redesign

Impact Meeting Report Child MH Data

Prescribing Practices (evaluators, MCOs) Impact on School and Community Care, Cost, Compliance Equation Response Options

Managing BHRS Info Request More Data to Assess Trends Outreach to Advocates, Attorneys, Families Meeting with DPW

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State Child-Adolescent MH Policy Therapeutic Staff Support (TSS) 2012-2013 Cut 21 million hours, Cut $63 million

Family Based Mental Health Services Cut 7% in west, 29% central region

Other State-Wide Cuts RTF, PHP, CM, STAP services and jobs

No changes in the Medical Necessity Criteria LOC and Algorithms in the works?

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Concurrent Documentation Policy

• RCPA Reaction and “Push-Back”

• OMHSAS clarification of the Clarification

• BH-MCO Communications

• DPW Work Group

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OCYF Rate Methodology Task Force Report

• County Contracting (out of home services)

• General Assembly Review

• Potential Legislation

• Impact on Providers

• Phase II of Task Force Work

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Child Protective Services Laws

• 22 New Laws or Amendments • Implementation Work Group • Key Date: December 31, 2014 • One Million Mandated Reporters

– Employees, volunteers, youth groups • Conforms Schools with Other Systems • Training • Reporting

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Report from National Council Happy 5th Birthday, Children’s

Networking Group!

#NatCon14

Children’s Networking

Roundtable Rebecca C. Farley, MPH

Director, Policy & Advocacy National Council for Behavioral

Health rebeccaf@thenationalcouncil.org

202-684-7457 | Office x235

Where we’ve been… • Strengthening Families learning community • Children and trauma • “Cornerstone” Program for Transition Age Youth • Behavioral Health Homes for Children and Youth • Youth Mental Health First Aid • Partnership with Born This Way Foundation • Support for legislative priorities focused on children/youth • Webinar series on evidence-based practices • Child & Youth Track at Conference

Envisioning the future • For most kids, the locus of

the health home will be the pediatrician’s office.

• Schools will become more prominent in the delivery of early identification & prevention.

• Trauma-informed care will become part of basic practice.

Envisioned Future of Child/Youth Services (cont.)

• Integrated care is here to stay, and there will be a growing role for BH specialists in primary care…

• …But in the near future, there will be challenges with workforce capacity & financing

• Graduate schools will shift their curricula to train providers in EBPs, but payers are moving even more quickly financial models that incentivize EBPs – leaving a workforce education gap.

• There will be a growing focus not just on evidence-based process, but outcome-based practice.

• Brain Science = Early identification of “neuro-behavioral” conditions.

Ongoing challenges • Funding • Integrated care delivery and payment models • Workforce capacity • Youth peer support, credentialing • Reduction of publicly funded services • Development & use of outcomes measures • Engagement of parents/caregivers • Cross-system collaboration • Working with managed care • Growing pains with EBPs

Next Children’s Division Meeting

September 3

9:30 a.m.

Penn Grant Centre

In Person and Webcast

RCPA CAPITAL DAY, JUNE 17

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