Behavioral Health and Integration Strategies Subcommittee Daniel - - PowerPoint PPT Presentation

Behavioral Health and Integration Strategies Subcommittee

Daniel Darting and Jeff Appleman

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S eptember 4, 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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• Introduce attendance
• Review Charter
• Discuss potential subcommittee obj ectives
• S
• licit voting membership and Co-Chair
• Discuss questions

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Objectives

PIAC Community Vision:

A health care system that improves member health

• utcomes by supporting providers, engaging members,

advancing equity, decreasing avoidable costs, and increasing overall value.

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Charter Review

PIAC Community Mission

To assist the Department of Health Care Policy and Financing (Department) and Regional Accountable Entities (RAEs) with the implementat ion and execution of the ACC and its following obj ectives:

• Join physical and behavioral health under one accountable entity
• Strengthen coordination of services by advancing team-based care and health

neighborhoods

• Promote member choice and engagement
• Pay providers for the increased value they deliver
• Ensure greater accountability and transparency

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Charter Review

PIAC Community Purpose

The S tate PIAC will leverage the experience and expertise

• f the broader PIAC Community to improve member health
• utcomes with the ACC by providing actionable and

strategic feedback to the Department regarding ACC implementation and operations.

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Charter Review

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Charter Review

Subcommittee Charge:

To assess behavioral health integration within the ACC by investigating the strategies by which RAEs and providers are j oining behavioral and physical health at the practice and systems level.

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Charter Review

 S

hort Term Behavioral Health S ervices in PCMP

 Crisis services  Medication Assisted Treatment (MAT)  Department of Corrections (DOC)  S

upportive Housing

 Traumatic Brain Inj ury (TBI)

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Potential Objectives

Background:

• S

tarting July 1, 2018, the Department implemented six, short-term behavioral health visits in fee-for-service (FFS )to increase access to low-acuity behavioral health visits. Utilization of these visits remains low.

Project statement:

• Develop recommendations on how RAEs can support PCMPs to increase access to low

acuity behavioral health services.

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Short Term Behavioral Health Visits

Background:

• The Colorado Department of Human S

ervices through the Office of Behavioral Health implemented the next iteration of its Crisis S ervices S ystem in S ummer 2019. The S ystem’ s regions now align with those of the Accountable Care Collaborative (ACC).

Project Statement:

• Develop recommendations regarding implementation of the crisis services system

and collaboration with RAEs.

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Crisis Services System

Background:

• Medication Assisted Treatment (MAT) is a treatment modality used to help patients

with opioid use disorders. Development of and access to care models that include MAT remain a challenge for some communities.

Project Statement:

• Develop recommendations to increase access and to eliminate barriers.

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Medication Assisted Treatment (MAT)

Background:

• RAEs are expected to strengthen care coordination for members who are

transitioning between the j ustice system and community-based health care

• settings. The Improving and Bridging S

ystems (IBS ) and the Health Care and Justice Transitions (HCJT) workgroups have developed recommendations and worked to create processes that ensure care coordination and continuity for members who have been released from DOC facilities.

Project Statement:

• Continue to define recommendations for care coordination and care continuity for

behavioral health services during re-entry from corrections-involved members.

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Department of Correction (DOC)

Background:

• The Colorado Department of Local Affairs (DOLA) and Colorado Housing and Finance

Authority (CHFA) have created a program to increase the availability of Permanent S upportive Housing (PS H) for people who are experiencing homelessness and have disabilities or special needs, with a priority for those with behavioral health

• conditions. The Department, through the ACC, offers a robust set of supportive

support to support members in these programs. Collaboration of these services and programs remains unclear under ACC Phase II.

Project Statement:

• Analyze current models and develop recommendations to increase access to this

model of care.

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Supportive Housing

Background:

• Members who have a TBI often experience poor coordination care, particularly for

behavioral health services.

Project Statement:

• Develop recommendations to increase access to care and to improve the coordination
• f care for members with a TBI.

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Traumatic Brain Injury (TBI)

• 9-13 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.

• Responsible for participating in conversations around the selected topics.
• Responsible for providing input and feedback on work products that are developed

within the subcommittee.

• Responsible for attending at least seventy-five percent (75%

) of meetings held during the year.

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Voting Membership

• Responsible for working with the subcommitt ee Chair and Department

staff to prepare and develop materials for each meeting.

• Responsible for monthly meetings with S

tate PIAC Chair and Co-Chair to provide updates on the subcommittee.

• Responsible for helping to lead and facilitate monthly meetings.
• Responsible for providing feedback on monthly meeting minutes.
• On average, this role will require 5 hours of work per month.

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Role of the Co-Chair

• Review Colorado Behavioral Health Task Force initiatives
• https:/ / www.colorado.gov/ pacific/ cdhs/ colorado-behavioral-health-task-

force

• Review each application for voting membership
• S

elect voting membership

• Next meeting on October 2, 2019
• Vote on obj ectives
• Vote on a Co-Chair
• Complete the Charter obj ectives
• Meeting will be held in room 11C

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Next steps

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

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Thank You!

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