Information about the County 1 Million Residents 17% Anticipated - - PowerPoint PPT Presentation

Kate Garvey, Chief of Children, Youth and Family Services

Montgomery County Department of Health and Human Services

June 27, 2013

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Information about the County

Department of Health and Human Services 2

1 Million Residents __________ 31% Foreign Born 50.6% Ethnic Minority 17% Anticipated growth in senior population over the next 2-years 48,000 out of 148,000 children in the public school system FARMS eligible 6 Zip Codes of Extreme Need — Poverty on the Rise Served 120,000 Households in Fiscal Year 2011 and 30% used more than two services from Department Staff of 1,600 in over 80 Programs TANF | SNAP, MA and EA Caseload Growing — Application volume grew by almost 42% Serving almost 36,000 uninsured adults, children and pregnant women

Department of Health and Human Services 3

In 1996, 4 County departments became

• ne entity

Objective: Integrated, Coordinated and Comprehensive Service Delivery

How is DHHS Organized?

Department of Health and Human Services 4

One Director

Moving toward single client record supported by an interoperable database Uniform intake form to identify service needs Designated entire HHS entity as HIPAA covered – including social service and income support programs

Centralized Administrative Functions

Montgomery County Department and Health and Human Services

Continuum of Programs

Aging and Disability Services Behavioral Health and Crisis Services Children, Youth and Family Services Public Health Services Special Needs Housing Office of Community Affairs John J. Kenney Chief Raymond Crowel Chief Kate Garvey Chief and Social Services Officer Ulder J. Tillman Chief and Health Officer Nadim Khan Chief Betty Lam Chief

 Information and Assessment Services  Home and Community Support Services  Community Support Network | Disability Services  Home Care  Adult Protective Services | Case Management Services  Nutrition Program  Assisted Living and Skilled Nursing Facilities  Assisted Living Services  Ombudsman Program  Boards and Commissions .. Commission on Aging .. Commission on People with Disabilities .. Adult Public Guardianship Review Board  Mental Health Services  Adults and Seniors  Children and Adolescents  Multicultural Mental Health Services  Core Service Agency  Substance Abuse | Addiction Services  Crisis Stabilization  Juvenile Justice  Partner Abuse  Victim Abuse  Boards and commissions .. Alcohol and Other Drug Abuse Advisory Committee .. Mental Health Advisory Committee  Linkages to Learning  Child Welfare  Child and Adolescent Services  Early Childhood Services  Gang Prevention Initiative  Income Supports and Child Care Subsidy  Liaison Work with MCPS  Boards and Commissions .. Commission on Children and Youth .. Commission on Child Care .. Commission on Juvenile Justice .. Citizens Review Panel  Community Health Services  Communicable Disease| Bio- Terrorism  Cancer and Tobacco Initiatives  Licensure and Regulatory Services  Assisted Living Facilities Certification  School Health  Montgomery Cares  Health Promotion  Health Partnerships and Planning  Long Term Care Medical Assistance and Outreach  Special Projects  Boards and Commissions .. Commission on Health .. Montgomery Cares Advisory Board Housing Stabilization | Emergency Services to Prevent Homelessness  Economic Supports  Emergency Assistance Grants  Welfare Avoidance Grants  60-Month Intervention  Resource Supports  Preventive Crisis Intervention with Case Management Rental and Home Energy Assistance Program  RAP - Shallow Rental Subsidy Program  SHRAP – Deep Rental Subsidy Program  Handicapped Rental Assistance Program  Home Energy Assistance Program Homeless Continuum of Care Coordination (Supported through non-profit partners)  Single Adult Shelters w|case management  Motel Placements and Overflow Shelters  Transitional Programs  Permanent Supportive Housing Programs  Community Action Agency  Community Outreach  Disparity Reduction  Diversity Initiatives and the three Minority Health Initiatives  LEP Compliance

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• Positive Youth Development

Initiative

• Senior’s Initiative
• Housing First
• Behavioral Health Integration
• Neighborhood Opportunity

Network

• Kennedy Cluster
• Linkages to Learning and

School Based Health Initiatives

• Waiver Initiatives
• Universal Pre.K

Population and Healthy Well-being Systems Performance Client Services Safety Health and Well-being Self-Sufficiency

Department-wide Initiatives Cross Systems Initiatives Montgomery County Department of Health and Human Services

Activities

• Service Integration
• Technology Modernization
• Equity
• Contract Monitoring Reform
• Health Care Reform

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• Technology
• Quality Service

Review (QSR)

• Caseload Sizes
• Contract Monitoring
• Training
• Tools
• Accountability
• System Evaluation
• Confidentiality
• Ethics
• Dispute Resolution
• Equity
• Others
• Integrated Intake
• Assessment
• Case Planning
• Service Delivery
• Analytics

Practice Policy Infrastructure People

Department of Health and Human Services 8

No Wrong Door in the Future

 Seamless Customer experience integrated in all 50 sites (27 program sites and 23 clinic sites)  Key to the experience will be:

• Access to all DHHS Programs
• Shared information and data
• Customers telling their story once

 Definition of treatment in the regulations includes

“related services”

 In context of our department, related services

include income support and social services

• Addressing a client’s basic food or shelter needs greatly

impacts the effectiveness of health care

 Both the intent of the law and language in the

rulemaking process supports this broad interpretation

Department of Health and Human Services 9

Department of Health and Human Services 10

Infrastructure to Promote Service Integration and Ensure Privacy Compliance

Revised Notice of Privacy Practices

Common

Authorization

Form

Department- Wide Policy (Example: Safeguarding Policy) Role-based Access: Access based on a job related purpose

Minimum Necessary

Training

Resources

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Over 30% of

• ur

clients use multiple services

Clients often have to tell their story multiple times and data has to be entered multiple times. Increases the risk of errors in the re-telling and re- entering Without a master client index, it is hard to tell what services a client is getting across

• ur enterprise

and often services are duplicated and there is waste and inefficiency

Makes re-use

• f data

impossible and it makes it more difficult for clients to access multiple services across the enterprise

 We have a HIPAA Policy and Risk Manager leading an office of 2.5 positions  Continuously updating and staying on top of the federal and state policy environment  Continuously training and working to align policy  Our Process and Technology Modernization efforts which include the following – ECMS, eICM, EHR, Legacy Systems and MCDHHS Portal will have policy, business process and practice alignment for HIPAA, 42CFR and other privacy statutes and regulations

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 Improved client and patient outcomes  Earlier comprehensive identification of

individual/family needs

 Integration at the points of intake,

assessment and service delivery

 Collaborative case practice when case

acuity is severe

 A seamless integrated Health and

Human Services environment

 A more equitable service delivery

system

 Strong population health and program

level data and analytics capabilities in addition to accessible case specific data

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Thank You!



Kate Garvey, Chief of Children, Youth and Family Services

Department of Health and Human Services

401 Hungerford Drive Rockville, Maryland 20850

240.777.1223

Kate.Garvey@montgomerycountymd.gov