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The Power of Partnershipsin today’s changing health care landscape
Rebecca Glathar, NAMI UtahAngela Kimball, Oregon Health AuthorityDelia Rochon, Intermountain Healthcare
Change the FRAME SummitNAMI Annual ConventionSan Antonio, TexasJune 27, 2013
Why is health care changing?
Everyone wants to achieve the Triple Aim goals:
What is changing?
•New models of financing
•New models of delivering care
Why is this important to NAMI?• When financing and delivery changes, it changes who gets money and who makes decisions
What can NAMI do?Leverage your strengths as:
• Educator
• Supporter
• Connector
• Navigator
• Advocate New Opportunities
NAMI’s Strengths
Partners’ Interests
Behavioral Health Program for the Uninsured
NAMI National Conference
June 26, 2013
Access
Treatment Works but Inaccessible for Many
84%75%
70%
38%
11%
Percent Receiving Treatment for Different Diagnoses
The Challenge in Utah
∼101,657 adults and children in Utah are in need of, but not receiving, mental health treatment services
∼45,085 individuals were served by the public mental health system, or less than 31% of the current need
∼ 16,454 individuals were served by the public substance abuse system, or less than 17%, working at capacity
Utah Division of Substance Abuse and Mental Health 2011 Annual Report
52% receive no treatment at all
48% ER visits, community clinics
Utah Division of Substance Abuse and Mental Health 2009 Annual Report
Uninsured people with mental illness in Utah
Interventions
Health Promotion
Universal Prevention
Selective Prevention
Early Detection/
InterventionTreatment
Wellness RecoveryCrisis Intervention / Emergent Care
Home SchoolCommunity Organizatio
n
Primary Care Clinic
Outpatient Mental Health
Day Treatment
Residential Facility
Inpatient UnitEmergency Room
Settings
Intermountain Healthcare Community Benefit
NAMI
Family Counseling Center
Cornerstone Outpatient Services
Volunteers of America – Detoxification Services
4th Street Clinic – Homeless Outpatient Services
Salt Lake County Human Services
Key Stakeholders
Understanding the Challenge
Navigating the system – knowing where to go for help
Timely access to treatment
Fragmented system of care
1. Patient advocate in Hospital Meet with patient to review discharge instructions Make appointments for treatment/other essential services Follow patient until connected with services
2. Timely access to treatment Follow up appointments within seven days
3. Integrated services in a coordinated network Partnership to increase access to services Funding to provide a comprehensive spectrum of services
Salt Lake Valley Demonstration ProgramIncrease timely access to appropriate care for the uninsured
NAMI’s Role
Patient Advocate
Education Classes
Support from mentors
Interventions
Health Promotion
Universal Prevention
Selective Prevention
Early Detection/
InterventionTreatment Wellness
Recovery
Toward Continuum of Care
Home SchoolCommunity Organizatio
n
Primary Care Clinic
Outpatient Mental Health
Day Treatment
Residential Facility
Inpatient Unit
Coordinated Network
Settings
Over 20 Agencies
Neighborhood Clinic4th Street Clinic
Family Counseling
VMH
VOANAMIUSARA
Cornerstone
Improved Access to Appropriate Services
Program (n = 1,000)
Baseline
72.9%
23%
% of referrals with scheduled appointment or already in treatment
Timelier Access to OutpatientPsychiatric Services
Program
Baseline
8.6 days
42 days
Average days until first available appointment - outpatient psychiatric services provider
Better Engagement in OutpatientPsychiatric Services
Program
Baseline
4.6
1.8
Average number of sessions attended at outpatient psychiatric services provider
Reduced ED Visits and Admissions
12 months after initial referral
12 months prior to intial referral
98
193
# of ED or inpatient unit admissions among patients who attended at least one session at O/P psychiatric services provider
Family Counselin
g
VMH
Cornerstone VOA NAMI
USARA
4th Street Clinic
OtherServices
Silo System
Integrated Services in a Community Network
Before the program
Counselin
gMedicatio
n
Day Treatment
DetoxServices
SupportGroups
PCP Wellness
Community System of Care
Integrated Services in a Community Network
After the program
The Utah collaboration is mutually beneficial; it helps people living with mental illness, it promotes NAMI and it adds value for community partners
The power of partnerships
The power of partnershipsNAMI Utah’s collaboration with Intermountain builds on NAMI’s strengths as an:
•Educator
•Supporter
•Connector
•Navigator
•Advocate
