Behavioral Health and Integration Strategies Presented by: Daniel - - PowerPoint PPT Presentation

Behavioral Health and Integration Strategies

Presented by: Daniel Darting & Jeff Appleman

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December 18, 2019

Our Mission

Improving health care access and

• utcomes for the people we serve

while demonstrating sound stewardship of financial

resources

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• Overview of the transition from Improving and Bridging

Systems to the Behavioral Health and Integration strategies subcommittee.

• Review the Charter for the Behavioral health and Integration

Strategies subcommittee.

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Objectives

• In August 2019 the Improving and Bridging System (IBS) subcommittee

was dissolved.

• Develop a strategic framework for re-entry care coordination

for Medicaid members releasing from DOC facilities.

• Identify successful information sharing practices and
• utstanding challenges between RAEs and LTSS providers.
• The Behavioral Health and Integration Strategies (BHIS) was launched

September 4th, 2019

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Transition

Logistics:

• The subcommittee will meet on the first Wednesday of each
• month. The meetings will be held from 9:00-10:30 am at the

Department of Health Care Policy and Financing (303 E 17th

• St. Denver, CO). Each meeting will have a call-in option listed
• n the agenda.

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Charter Review

Purpose:

• To assess behavioral health integration within the ACC by investigating

the strategies by which RAEs and providers are joining behavioral and physical health at the practice and systems-level, by improving foundational understanding of behavioral health issues, benefits, and services, including substance use disorders, by ensuring care coordination and continuity across benefits, and by identifying the barriers to accessing behavioral health including but not limited to gaps in care and stigma.

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Charter Review

Strategy Screens:

• BHIS will look at specific populations and their lived experiences within

the ACC. These populations will include but not limited to:

• Members who are diagnosed with both a mental health disease

and an intellectual developmental disability (IDD).

• Pediatric members, including those who are involved in Foster

Care.

• Geriatrics members.

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Charter Review

Objectives:

• 1. Department of Corrections (DOC): Develop recommendations for care coordination

and care continuity for behavioral health services during re-entry for corrections- involved members.

• 2. Crisis Services: Develop recommendations regarding the implementation and

alignment of the crisis service system and the RAEs, specifically at the intersection of justice, primary care, and education systems.

• 3. Other behavioral health concerns: Continuously track and monitor potential

behavioral health concerns within the ACC.

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Charter Review

Coordination of work:

• Quarterly report out to the State PIAC
• Check in calls with the other subcommittee Chairs

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Charter Review

Process:

• The aggregation of qualitative data from RAEs, providers, community leaders,

subject matter experts, and members.

• The aggregation of quantitative data from key performance indicators, behavioral

health incentive measures, performance pool measures, public reporting measures, and RAE contract deliverables.

• Review state legislation to determine the impact it enforces on Health First

Colorado members and the statewide behavioral health system.

• Develop recommendations based on the aggregated data and analysis through the

appropriate strategy screens.

• Produce written work products that documents and summarizes the analysis and

provides actionable recommendations for improved delivery system performance.

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Charter Review

Products:

• Final work products can include operations and performance guidance

as well as recommendations outlining content including but not limited to established best practices, continued challenges, emerging areas for improvement, and opportunities for alignment. All final work products should propose solutions, next steps, measures for success, and timelines for follow-up. All final work products will be delivered on time to ensure the state PIAC and the Department meet any set deadline.

• First work product will be due March 2020

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Charter Review

Products continued:

Senate Bill 222 Overview:

• This will require a collaborative effort between the Department
• f Health Policy and Financing (HCPF) and the Department of

Human Services (DHS).

• The act requires HCPF to develop measurable outcomes to

monitor efforts to prevent Medicaid recipients from becoming involved in the criminal or juvenile justice system.

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Charter Review

Products continued:

Purposed RAE metric:

• 1. Behavioral Health Utilization for Members Releasing from State Prisons:
• Definition- Percentage of members releasing from state prisons with a

behavioral health visit within fourteen (14) days.

• Context- The measure builds off of existing work done with DOC and aligns

with mortality research. CBHC also defines “individuals at risk of the justice system” as inclusive of members who were previously involved.

• Baseline (2016) is 7.0%.

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Charter Review

Voting membership:

• This subcommittee will have 9-13 voting members who reflect the diversity of the

system and membership, including but not limited to: members, physical and behavioral health providers, advocacy groups, urban and rural perspectives, different ethnic groups, and system-level personnel.

• Responsibilities of our voting members:
• Voting members will be responsible for participating in conversations

around the selected topics.

• Voting members will be responsible for providing input and feedback on

work products that are developed within the subcommittee.

• Voting members will be responsible for attending at least seventy-five

percent (75%) of meetings held during the year.

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Charter Review

Name Organization Position Region

Deb Barnett Connecting Points Advisory Services, LLC Managing Director RAE 2

• Dr. Victoria Allen-

Sanchez Community and Public Health Division Behavioral Health Coordinator Region 7 – El Paso Stacee Delisle A Kidz Clinic Executive Director RAE 1 Mary Dengler-Frey Southwestern Colorado Area Health Education Center Regional Health Connector Region 1 Southwest Daniel Darting (Chair) Signal Behavioral Health Network CEO Statewide Heidi Haines The Arc of Colorado Director of Advocacy Statewide Camille Harding CDHS Division Director- Community Behavioral Health Statewide Terri Hurst Colorado Criminal Justice Reform Coalition Policy Coordinator Statewide Thomas Keller Medicaid Member Denver and RAE 1 Heidi McMillan, MD Pediatric Partners of the Southwest MD RAE 1 - Durango Tammy Phillips Larimer DHS Senior Social Caseworker Region 1 – Larimer Stephanie Salazar- Rodriquez Mile High Health Alliance Director of Community Engagement Region 5 - Denver Sue Williamson CCHAP Executive Director Statewide

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Charter Review

Selection process:

1. Solicited volunteers to become voting members by completing a short

• questionnaire. (31 questionnaires submitted)

2. Initially selected 9 members. 3. Reserved one spot for member representation. 4. Final 3 members were voted on by the original 9 voting members who were

• selected. (blind vote)

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Charter Review

Contact Information: Daniel Darting: ddarting@signalbhn.org Jeff Appleman Jeff.Appleman@state.co.us

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Thank You!

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