The Chicago Forum for Justice in Health Policy: Learning and - - PowerPoint PPT Presentation

The Chicago Forum for Justice in Health Policy: Learning and Advocacy for Behavioral Health – Primary Care Integration Monday, June 25, 2018 Loyola University Regents Hall

About us

Founded in 1981 by Dr. Quentin Young, Health & Medicine was formed as an action-oriented policy center—nimble, independent, and focused on regional health issues. We conduct research, educate, and collaborate with other groups to advocate policies and impact health systems to improve the health status of all people. Health & Medicine has successfully developed health policy recommendations and implementation strategies for different public and private entities, earning the trust of the legislature, advocates, the media, researchers, and policymakers at all levels

• f government in Illinois to become the region’s “honest broker”
• n healthcare policy matters.

Health & Medicine Programs

• Center for Long-term Care
• Chicago Area Schweitzer Fellows Program
• Chicago Area Health Education Center (AHEC)
• Court Involved Youth
• Free Standing Birth Centers
• Center for Public Health Equity
• Illinois ACEs Response Collaborative

Learn more at www.hmprg.org

BH-PC Integration Learning Collaborative

• Launched in 2015 with funding by BCBS of Illinois, and staff

from Clayton Residential Home, Community Behavioral Healthcare Association of Illinois, Enterprise Health Care Management, Erie Family Health Center, Grand Prairie Services, Heartland Alliance Health, Heartland Health Centers, Lutheran Social Services of Illinois, Sinai Health System, Thresholds, Trilogy, and Turning Point.

• The purpose is to develop strategies to better implement

evidence-based models for integration of BH and PC that will facilitate more effective utilization of available resources and expand the capacity of BH and PC providers to provide high quality, person-centered care to more people in need.

Forum Objectives

• Explore the conceptual framework and lessons learned of Health

& Medicine’s Behavioral Health-Primary Care Integration Learning Collaborative established from the three years of shared learning. http://www.hmprg.org/Programs/Behavioral+Health+Primary+Care+I ntegration

• Highlight three topic areas – data exchange; hospital transitional

care; and financial sustainability – to understand what local collaboration can learn regarding best practices and current challenges to integrated care.

• Explore lessons being learned in other collaboratives working on

similar BH-PC integration efforts.

• Identify policy reform opportunities to improve statewide

behavioral health-primary care integration, and create recommendations for local and state-wide advocacy.

Agenda

Welcome/Forum Overview 9:00am Learnings from Year Three: Releasing the Playbook

• Hospital Transitions Workgroup
• Financial Sustainability Workgroup
• Data Exchange Workgroup

Integrating the Integrators: Respondent Panels & Audience Q/A

• Exploring new opportunities in Illinois: Kelly Cunningham, IHFS
• Sharing feedback on lessons learned from payors: Raman Eremia,

Enterprise Health Care Management; Felix Rodriguez, CountyCare, Samantha Olds Frey, IAMHP

• Identifying policy recs to meet ongoing challenges to data exchange:

Sana Syal and Laura Merrick/MHNConnect; Michael Frierro Randazzo, Envolve Health; Peter Eckart, IPHI

Moving into the Future: Sharing Among other Learning Collaboratives

• Safety Net Learning Collaborative; CountyCare/C4 BH-PC Integration Learning

Collaborative; CDPH MAT Learning Collaborative; Alliance for Health Equity; CDPH Healthy People 2.0 BH Integration Workgroup; IAMHP BH Committee.

Adjourn 12:30pm

Hospital Transitional Care Workgroup

• John Seller & Raman Eremia, Health Care Services

Corp & Enterprise Health Care Management of BCBSIL

• Jessica Lyke & Arnie Kanter, Clayton Residential

Home

• Joan Liautaud & Kelly Jones, Heartland Alliance

Health

• Matt Hammoudeh & Tim Sheehan, Lutheran

Social Services of Illinois

• Eric Lenzo & Mirna Ballestas, Sinai Health System
• Ron Otto, Thresholds

Financial Sustainability Workgroup

• Gwenn Raush & Molly Bougearel, Heartland

Health Centers

• Sheila O’Neill & Debbie Pavik, Thresholds
• Samantha Handley & Corinne Foster, Trilogy
• Ann Fisher Raney & Lowell Raven, Turning

Point

Data Exchange Workgroup

• Marvin Lindsey & Terry Carmichael,

Community Behavioral Healthcare Association

• f Illinois
• Raman Eremia, Enterprise Health Care

Management of BCBSIL

• Mary Talen & Robin Varnado, Erie Family

Health Center

• Cheryl Andrews, Grand Prairie Services

Data Exchange

• Data exchange and health information

technology was identified as one of the six key integration criteria, yet we also recognized the importance of this for all of the other five integration criteria.

• Health care silos are not only physical and

technological, but also operational and cultural.

• Few metrics and incentives have been created to

address BH-PC integration, yet validated metrics

• f quality outcomes specifically for integrated

care are central to achieving the triple aim of increase patient satisfaction, improved health, and lower costs.

Data Exchange Study

• Mapping our own integration practices to the six

criteria.

• Seeking outside experts on data exchange, including

health home programs in Missouri and Washington State.

• Attempted a data exchange feasibility study for a small-

scale platform to share information across settings.

• Unable to implement without an active health home

program in Illinois.

• Lack of specific integration metrics among our
• members. For example, FQHCs are only required to

report depression screening to HRSA.

Data Exchange Findings

• Shifted focus to support the work of the Hospital

Transitional Workgroup and the Financial Sustainability Workgroup, who were each facing challenges with technology and data-sharing, as well as ambiguity on how to identify relevant outcome measures.

• Surveyed members on EHR systems used by BH and PC

providers, and whether their disparate systems can share data.

• Key finding: BH and PC providers use HIT in very

different clinical contexts and do not share a common lexicon to discuss process improvement for mutual goals.

Integrating the Integrators: Respondent Panels and Audience Q & A

Exploring new opportunities for advancing integration with policy changes at the state level.

• Kelly Cunningham, Deputy Administrator for

Long-Term Care, IL Dept of Healthcare & Family Services.

BH Transformation Documents

https://www.illinois.gov/hfs/SiteCollectionDocuments/MEDWACMay23.pdf

https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By- Topics/Waivers/1115/downloads/il/il-behave-health-transform-ca.pdf

https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By- Topics/Waivers/1115/downloads/il/il-behave-health-transform-fs.pdf

Integrating the Integrators: Respondent Panels and Audience Q & A

Sharing feedback on lessons learned from managed care payors.

• Raman Eremia, Manager BH Quality

Improvement & Data Analysis, Enterprise Health Care Management/BCBSIL;

• Felix Rodriguez, Manager of BH Services,

CountyCare;

• Samantha Olds Frey, Executive Director, IL

Association of Medicaid Health Plans.

Integrating the Integrators: Respondent Panels and Audience Q & A

Identifying policy advocacy recommendations to meet ongoing challenges to data exchange.

• Sana Syal, Project Manager, MHNConnect;
• Michael Frierro Randazzo, Senior Director,

Envolve Health;

• Peter Eckart, Director, Center for Health and IT,

Illinois Public Health Institute.

Moving Into the Future: Sharing Among other Learning Collaboratives

• Safety Net Learning Collaborative
• CountyCare/C4 BH-PC Integration Learning

Collaborative

• CDPH MAT Learning Collaborative
• Alliance for Health Equity
• CDPH Healthy People 2.0 BH Integration

Workgroup

• IAMHP BH Committee.

Learning Collaboratives facilitated by McAlpine Consulting for Growth, LLC

 Health & Medicine Policy Research Group BH-PC Integration LC, 2015 –

present

 6 BH agencies, 2 PC agencies, 2 agencies with both BH and PC certified

programs, 1 BH trade association, 1 MCO (BCBS)

 Safety Net Learning Collaborative, 2011 – present  16 PC centers (mostly FQHCs) + 1 specialty center (IL Eye Institute)  CountyCare/C4 BH-PC Integration LC, 2016 – present  21 PC centers, 12 BH centers, 3 care management entities, 1 MCO

(CountyCare)

 Of the 33 centers, 3 have both BH and PC certified programs, and 1

with both is a hospital.

 Chicago Department of Public Health Medication Assisted Treatment (MAT),

2017 – present

 10 FQHCs, 1 agency with both BH and PC certified programs, 2 hospitals

Learning Collaborative Work Accomplished/Tools Safety Net HMPRG CDPH MAT CountyCare/C4

• Learning

Events, 6 times/yr since 2014

• Leadership

Institute, 2 cohorts, annual since 2015

• Position

specific Discussion and Networking Groups, annual since 2016

• Set of articles

at www.hmprg.o rg

• In process

with two feasibility studies: financial sustainability; hospital transitions

• Completing

1st year of decision- maker quarterly trainings and provider quarterly trainings

• Completed

1st year of Learning Events, 6 sessions.

• Set focus for

study in 2018: Strengthenin g the Continuum

• f Care in

Metro Chicago.

Learning Collaborative Future Activity Safety Net HMPRG CDPH MAT CountyCare/C4

• Approved

second 3-year strategic plan. Continuing with Learning Events, Leadership Institute, and Position specific Discussion and Networking Groups.

• Expanding

leadership development

• pportunities.
• Published

“Playbook” which details the lessons learned in the first three years of the Learning Collaborative.

• Seeking

funding to support completion and write up

• f the

feasibility studies.

• Seeking

funding for a second year of decision- maker and provider trainings.

• Begun 2018

study, with topics on transition points, data exchange/ information sharing, and regional partnerships.

Thank You!

Now go and find your BH-PC integration Moment of

• Zen. Here’s mine:

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