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Rural Health Network Development Planning Program Partnership Meeting
Tuesday, 05.03.2016
Meriam Mikre, MPH Rural Health Network Development Planning Program Coordinator Federal Office of Rural Health Policy (FORHP) Health Resources and Services Administration (HRSA)
1. Plenary: Success Stories - Translating Theory into Practice
2. Workshop: Improving Your Potential for Sustainability
3. Grants Management & Close-Out Information
4. Question and Answer Session
5. Debrief and Evaluations
2
Agenda Overview
Michael Ward - South Lake Tahoe Mental Health Cooperative (South Lake Tahoe, CA)
Jennifer Uhrich - Behavioral Health Network (Ely, MN)
Barry Brogan - North Country Behavioral Healthcare Network (Saranac Lake, NY)
3
Plenary: Success Stories - Translating Theory into Practice
South Lake Tahoe Mental Health Cooperative
Michael Ward, MA, CPF
Network History/ Background
Project Goals
• Objective 1:
– Conduct Gap Analysis and Protocol
Review for Behavioral Health Services
• Objective 2:
– Develop Operational Framework for
Patient-Centered Behavioral Care
System
• Objective 3:
– Finalize Strategic Plan and Approve
Network Infrastructure and Protocols
• Objective 4:
– Launch Network and Communicate
Behavioral Health Services Map
Accomplishments
Challenges and Barriers
Next Steps Strategies Priority Initiatives
Access Centralized Access Facility & Process With Co-Located Services
23 Hour In Patient Behavioral Health Acute Care/ Treatment Center
Transitional Housing Facilities in SLT by Area of Need, Age-Based
Shot Clinic To Administer Injectibles
Expand Clinical Capacity - Increased Tele-Psychiatry, School-site Counselors
School-Based Health Center – Student Access to MH Crisis Workers
Awareness Mental Health/ Brain Health Education And Awareness Campaign (“We Care”)
Strategically Located Information Kiosks
Resource Directory (Bilingual)
Adopt Mental Health Assessment in Primary Care (e.g. ACES)
First Episode Treatment Protocols
Policy Advocacy to support SLT access to funding and policy influence
Resources Primary Care Physicians – Brain Health Screening, Referral, Care Coordination
Install Care Navigator(s) In SLT
Employ Care Transition Plan Focused On Consumer Goals & Inclusion Of Family
Members Day
Social Supports with Targeted Groups & Individuals Certified In Peer Support
Pharmacists Integrated In Medication Management Protocols
Universal Patient Care Plan Template Used By All Outpatient Providers
The Ely Behavioral
Health Network Mission: PROVIDES COLLABORATIVE CARE TO IDENTIFY AND ADDRESS OVERALL BEHAVIORAL HEALTH AND RECOVERY NEEDS FOR RURAL NORTHEAST IRON RANGE COMMUNITIES.
Jenny Uhrich
WBD Executive Director
Project Goals Goal 1. To create an actively involved and engaged network to plan collaborative behavioral health services for the region. Develop the BHN Governance Group.
Manage the HRSA planning grant.
Ensure sustainability of BHN through strategic planning.
Conduct process evaluations and disseminate results.
Goal 2. To develop BHN capacity to address behavioral health needs through collaborative routine screening, referral to and availability of evidenced-based services, and follow-up. Increase awareness of and screening for behavioral health issues.
Develop a system for effective interagency referrals and follow-up.
Develop capacity of evidenced-based behavioral health services.
Accomplishments Development of a strong Network
including a highly engaged governance group; mission, values, and goals; and policies and procedures
Network growth Increased expertise regarding the
intersection of HIPAA, FERPA, and MN law
Completed Strategic Planning Session from which a 3-year strategic plan is being developed
Enhanced continuity of care among local organizations
Increased capacity for mental health care for member agencies
Developed infrastructure for mobile crisis unit; inter-agency telehealth; and routine behavioral health screening, referral, and follow-up
*Results of a 2015 BHN Social Network Analysis
Challenges and Barriers Shortages of behavioral health care workforce
Limited access to behavioral health treatment and recovery services
Transportation issues
Siloing of existing health care organizations
Lack of identification of behavioral health needs
Ensuring financial and leadership sustainability of the network
Continued engagement and development of network partners
Legal concerns regarding intersectoral and interagency collaborative care
Next Steps Continued development of network,
including further consumer engagement Network leadership succession planning Further development and honing of
cross-agency screening, referral, and follow-up processes and infrastructure
Capacity building for behavioral health treatment and recovery services: Telehealth expansion Insurance Navigator Peer Support Support groups
*Photo courtesy of the Ely Echo April 2016
North Country Behavioral Healthcare Network
Saranac Lake, NY
B A R R Y B R O G A N
N E T W O R K D I R E C T O R
Network History/Background
• Founded in 1997 by 30 behavioral health agencies
• Government and non-profits
• Won a $150,000 State grant
• Designated as NYS Rural Health Network, one of 35 created in 1997
Network Development Grant Experience
In 2007 received HRSA Development grant to support adoption of HIT/EHR
Network was then 19 agencies. 11 agencies participated in the 3 year project
Assessed the then current state of each agency HIT
Completed gap analysis for each agency
Staff education on RFP and contract negotiation
RFP Let with 6 vendors responding
3 vendors selected for implementation. 6 agencies completed the process
Small matching grants to each agency as they achieved certain benchmarks
Project Goals
Relaunch a dormant MSO to develop shared services among 14 agencies
Create a strategic plan based on a gap analysis, and goals of healthcare reform.
Establish a data warehouse to support all functions related to VBP
Accomplishments
Capacity survey and Gap Analysis completed
Priorities survey completed
MSO relaunch and data warehouse road map in process to be completed in June
Self assessment complete
Strategic Plan in process
Challenges and Barriers
Getting entire group together along with consulting team
Arriving at consensus for first projects for MSO
Role of MSO in VBP negotiations
Next Steps
Meet in June to review Road map and identify next steps
Complete HRSA Deliverables
Identify/obtain additional project funding
23
Questions