MINNESOTA INTEGRATED BEHAVIORAL HEALTH (IBH) PROJECT JUDY BERGH, - - PowerPoint PPT Presentation

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Jan 20, 2024 241 likes •437 views

MINNESOTA INTEGRATED BEHAVIORAL HEALTH (IBH) PROJECT JUDY BERGH, MINNESOTA FLEX PROGRAM COORDINATOR FLEX FOCUS AREA: POPULATION HEALTH Understand Community Health Needs of Critical Access Hospitals (CAHs) Determine community health

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MINNESOTA INTEGRATED BEHAVIORAL HEALTH (IBH) PROJECT

JUDY BERGH, MINNESOTA FLEX PROGRAM COORDINATOR

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FLEX FOCUS AREA: POPULATION HEALTH

 Understand Community Health Needs of Critical Access Hospitals (CAHs)  Determine community health issues and trends  Enhance the health of rural communities through community and population health improvement

 Assist CAHs to develop strategies for engaging with community partners and targeting specific health needs

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STEP ONE: ASSESSMENT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA)

Analyzed 59 CHNAs from MN CAHs Behavioral health one of two most frequently cited needs

 16 said it was the top priority  Identified need for community partnerships  Described goals to integrate behavioral health and outreach

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OTHER ASSESSMENTS

 Local Public Health (LPH) Department Findings Aggregated LPH findings identified access to behavioral services was the top identified need statewide  Office of Rural Health and Primary Care (ORHPC) Community Forums Need for access to behavioral health services was identified as a significant need at multiple regional community listening sessions held throughout the state  Identification of Rural Mental Health Shortage Areas

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STEP TWO: IDENTIFY A CONTRACTOR/PARTNER WHO CAN--

 Monitor CHNAs  Establish an advisory council  Identify CAHs to participate in behavioral health cohorts  Conduct customized onsite and remote technical assistance to CAHs  Identify measures and collect data  Evaluate and share the results

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PARTNERS

Minnesota Flex Program Office of Rural Health and Primary Care Rural Health Innovations (RHI) National Rural Health Resource Center

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STEP THREE: IMPLEMENT THE PROJECT

 Understand the need  Assess CAH readiness  Plan to collaborate  Build community collaboration  Evaluate

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NEED

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CRITICAL ACCESS HOSPITAL COHORTS

Cohort 1: 2015-16

Five participating CAH

Cohort 2: 2016-17

Four participating CAH

Cohort 3: 2017-18

Four participating CAH

Special Project—Wilderness Accountable

Care Organization (ACO) 2017-19

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CAH READINESS

Essential Organizational Components

Leadership
Strategic Planning
Patients, Partners and

Communities

Measurement, Feedback and

Knowledge Management

Workforce and Culture
Operations and Processes
Impacts and Outcomes

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CAH READINESS (CONT.)

Essential Operational Components

Addresses behavioral health needs in

transitions of care

Screens all patients for depression and

substance abuse

Provides support to all patient care staff
n managing their own behavioral health
Maintains an updated resource directory
Invests time and energy building

relationships with behavioral health resources in their community

Have credentialed behavioral health

providers on staff

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COLLABORATION

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GOALS AND TARGET POPULATION

Goals

Increase understanding of how to

access outpatient services

Enhance Coordination of Care
Decrease Emergency Department

and Inpatient Admissions Target Population

People who present in ED in

behavioral health crisis (refine by age and diagnosis)

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CURRENT PROJECTS

RHI Support Activity

 Cohort face to face meetings  Individual site visits  Regular phone calls with cohorts for peer sharing and support  Regular phone calls with individual hospitals for 1:1 support  Help with identifying outcome measures

Individual CAH Project Examples

 Roving Therapist  Resource Guide  Universal Release of Information Form

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WILDERNESS HEALTH ACO

 Six CAHs in NE Minnesota ACO of nine hospitals  Requested opportunity to be cohort focusing on stigma and how to make each CAH community a Mental Health Friendly Community

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EVALUATION

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FUTURE

 Development and sharing of Toolkit

f Best Practices for sharing with
ther CAHs and their communities

 Presentation of information in multiple venues  Sustainable integration of behavioral health

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MINNESOTA INTEGRATED BEHAVIORAL HEALTH PROJECT

For more information on Flex management of the IBH project Minnesota Flex Program Judy Bergh judith.bergh@state.mn.us For more information on IBH: Rural Health Innovations (RHI) Kami Norland and Alyssa Meller knorland@ruralcenter.org ameller@ruralcenter.org