Behavioral Health and Integration Strategies Presented by: Daniel Darting & Jeff Appleman December 18, 2019 1
Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources 2
Objectives Overview of the transition from Improving and Bridging • Systems to the Behavioral Health and Integration strategies subcommittee. Review the Charter for the Behavioral health and Integration • Strategies subcommittee. 3
Transition In August 2019 the Improving and Bridging System (IBS) subcommittee • was dissolved. Develop a strategic framework for re-entry care coordination o for Medicaid members releasing from DOC facilities. Identify successful information sharing practices and o outstanding challenges between RAEs and LTSS providers. The Behavioral Health and Integration Strategies (BHIS) was launched • September 4 th , 2019 4
Charter Review Logistics: The subcommittee will meet on the first Wednesday of each • month. The meetings will be held from 9:00-10:30 am at the Department of Health Care Policy and Financing (303 E 17th St. Denver, CO). Each meeting will have a call-in option listed on the agenda. 5
Charter Review Purpose: To assess behavioral health integration within the ACC by investigating • the strategies by which RAEs and providers are joining behavioral and physical health at the practice and systems-level, by improving foundational understanding of behavioral health issues, benefits, and services, including substance use disorders, by ensuring care coordination and continuity across benefits, and by identifying the barriers to accessing behavioral health including but not limited to gaps in care and stigma. 6
Charter Review Strategy Screens: BHIS will look at specific populations and their lived experiences within • the ACC. These populations will include but not limited to: Members who are diagnosed with both a mental health disease o and an intellectual developmental disability (IDD). Pediatric members, including those who are involved in Foster o Care. Geriatrics members. o 7
Charter Review Objectives: 1. Department of Corrections (DOC): Develop recommendations for care coordination and care continuity for behavioral health services during re-entry for corrections- involved members. 2. Crisis Services: Develop recommendations regarding the implementation and alignment of the crisis service system and the RAEs, specifically at the intersection of justice, primary care, and education systems. 3. Other behavioral health concerns: Continuously track and monitor potential behavioral health concerns within the ACC. 8
Charter Review Coordination of work: Quarterly report out to the State PIAC • Check in calls with the other subcommittee Chairs • 9
Charter Review Process: The aggregation of qualitative data from RAEs, providers, community leaders, • subject matter experts, and members. The aggregation of quantitative data from key performance indicators, behavioral • health incentive measures, performance pool measures, public reporting measures, and RAE contract deliverables. Review state legislation to determine the impact it enforces on Health First • Colorado members and the statewide behavioral health system. Develop recommendations based on the aggregated data and analysis through the • appropriate strategy screens. • Produce written work products that documents and summarizes the analysis and provides actionable recommendations for improved delivery system performance. 10
Charter Review Products: Final work products can include operations and performance guidance • as well as recommendations outlining content including but not limited to established best practices, continued challenges, emerging areas for improvement, and opportunities for alignment. All final work products should propose solutions, next steps, measures for success, and timelines for follow-up. All final work products will be delivered on time to ensure the state PIAC and the Department meet any set deadline. First work product will be due March 2020 o 11
Charter Review Products continued: Senate Bill 222 Overview: • This will require a collaborative effort between the Department of Health Policy and Financing (HCPF) and the Department of Human Services (DHS). • The act requires HCPF to develop measurable outcomes to monitor efforts to prevent Medicaid recipients from becoming involved in the criminal or juvenile justice system. 12
Charter Review Products continued: Purposed RAE metric: 1. Behavioral Health Utilization for Members Releasing from State Prisons: o Definition- Percentage of members releasing from state prisons with a behavioral health visit within fourteen (14) days. o Context- The measure builds off of existing work done with DOC and aligns with mortality research. CBHC also defines “individuals at risk of the justice system” as inclusive of members who were previously involved. o Baseline (2016) is 7.0%. 13
Charter Review Voting membership: This subcommittee will have 9-13 voting 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. Responsibilities of our voting members: • Voting members will be responsible for participating in conversations o around the selected topics. Voting members will be responsible for providing input and feedback on o work products that are developed within the subcommittee. Voting members will be responsible for attending at least seventy-five o percent (75%) of meetings held during the year. 14
Charter Review Name Organization Position Region Deb Barnett Connecting Points Advisory Services, Managing Director RAE 2 LLC Dr. Victoria Allen- Community and Public Health Behavioral Health Coordinator Region 7 – El Paso Sanchez Division Stacee Delisle A Kidz Clinic Executive Director RAE 1 Mary Dengler-Frey Southwestern Colorado Area Health Regional Health Connector Region 1 Southwest Education Center Daniel Darting (Chair) Signal Behavioral Health Network CEO Statewide Heidi Haines The Arc of Colorado Director of Advocacy Statewide Camille Harding CDHS Division Director- Community Statewide Behavioral Health Terri Hurst Colorado Criminal Justice Reform Policy Coordinator Statewide Coalition Thomas Keller Medicaid Member Denver and RAE 1 Heidi McMillan, MD Pediatric Partners of the Southwest MD RAE 1 - Durango Tammy Phillips Larimer DHS Senior Social Caseworker Region 1 – Larimer Stephanie Salazar- Mile High Health Alliance Director of Community Engagement Region 5 - Denver Rodriquez Sue Williamson CCHAP Executive Director Statewide 15
Charter Review Selection process: 1. Solicited volunteers to become voting members by completing a short questionnaire. (31 questionnaires submitted) 2. Initially selected 9 members. 3. Reserved one spot for member representation. 4. Final 3 members were voted on by the original 9 voting members who were selected. (blind vote) 16
Contact Information: Daniel Darting: ddarting@signalbhn.org Jeff Appleman Jeff.Appleman@state.co.us 17
Thank You! 18
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