DRUG MEDI-CAL ORGANIZED DELIVERY SYSTEM (DMC-ODS) UPDATE - - PowerPoint PPT Presentation

drug medi cal organized delivery system dmc ods update
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DRUG MEDI-CAL ORGANIZED DELIVERY SYSTEM (DMC-ODS) UPDATE - - PowerPoint PPT Presentation

DRUG MEDI-CAL ORGANIZED DELIVERY SYSTEM (DMC-ODS) UPDATE Presented by Dr. Nicole Esposito, Asst. Clinical Director, Behavioral Health Services Angela Rowe, Chair, Alcohol and Drug Service Providers Association Tabatha Lang, Chief- Quality


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DRUG MEDI-CAL ORGANIZED DELIVERY SYSTEM (DMC-ODS) UPDATE

Presented by

  • Dr. Nicole Esposito, Asst. Clinical Director, Behavioral Health Services

Angela Rowe, Chair, Alcohol and Drug Service Providers Association Tabatha Lang, Chief- Quality Improvement, Behavioral Health Services

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AGENDA

  • Current Status of DMC-ODS
  • Challenges and Successes from the Provider

Prospective

  • New Dashboard and Data Elements

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OUTCOME MEASURES

Housing Support Services Reduced Justice Involvement

Self Sufficiency

Continuity to Recovery Services (Outpatient) Client Satisfaction New Born Health Continuity to Outpatient treatment (Residential) 3

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ADMISSION COMPARISON

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426 580 660 368 3,392 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000 July 2017 July 2018

July 2017 vs July 2018

Outpatient Residential OTP

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SLIDE 5

SERVICE ENCOUNTERS

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July 2018

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CASE MANAGEMENT SERVICES

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July 2018

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SLIDE 7

INDIVIDUAL COUNSELING

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INDIVIDUAL COUNSELING - OUTPATIENT

July 2017 July 2018

244 Total Encounters 940 Total Encounters

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CAPACITY

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5,703 1,225 149 1,087 1,180 197 244 86

  • 1,000

2,000 3,000 4,000 5,000 6,000 7,000 Outpatient Services Opioid Treatment Program Withdrawal Management Residential Intensive Outpatient

Capacity by Modality

Contracted with BHS Non-BHS

July 2018

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SLIDE 9

PROVIDER PERSPECTIVE WHAT THE LANDSCAPE USED TO LOOK LIKE

  • San Diego Alcohol and Drug Treatment Providers have been providing good quality

services for many years to thousands of San Diegans.

  • With that being said…our services could improve:
  • Wait lists for residential programs
  • Less collaboration between levels of care
  • Programs doing many services for free (example individual work, case

management, aftercare services)

  • Low reimbursement for programs which affects the programs and staff and

ultimately the clients

  • Lack of housing our clients

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PROVIDER PERSPECTIVE WHAT THE NEW LANDSCAPE LOOKS LIKE

  • Intention is for residential programs to not have a wait list
  • Collaboration between levels of care
  • Programs can now do many services for reimbursement (example

individual work, case management, aftercare services)

  • Better reimbursement for programs, specifically residential

programs

  • Housing available for some of our clients

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PROVIDER PERSPECTIVE SOME OF THE PROVIDER CHALLENGES

  • Initial Data Entry burdens (specifically for Narcotic Treatment Programs)
  • Staffing challenges
  • Working out the issues of open bed slots
  • Billing issues
  • Documentation challenges
  • SanWits Challenges
  • Lost funding of staff hour cost centers
  • For Residential Programs, the shorter time stays means higher turnover of senior clients
  • Staff perspectives on new changes
  • Things we do not know that we do not know

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PROVIDER PERSPECTIVE GOOD NEWS

  • County has been responsive to providers’ concerns
  • Gave us a 3 month time frame of cost reimbursement while

the billing issues are being worked out

  • Quality Improvement has been very active in assisting

providers

  • Recovery Residence Story

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BHAB SUD DASHBOARD

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BHAB SUD DASHBOARD

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BHAB SUD DASHBOARD

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BHAB SUD DASHBOARD

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BHAB SUD DASHBOARD

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BHAB SUD DASHBOARD

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BHAB SUD DASHBOARD

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QUESTIONS

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  • QUESTIONS?