Behavioral Health and Integration Strategies Subcommittee Daniel Darting and Jeff Appleman S eptember 4, 2019 1
Our Mission Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources 2
Objectives • Introduce attendance • Review Charter • Discuss potential subcommittee obj ectives • S olicit voting membership and Co-Chair • Discuss questions 3
Charter Review PIAC Community Vision: A health care system that improves member health outcomes by supporting providers, engaging members, advancing equity, decreasing avoidable costs, and increasing overall value. 4
Charter Review PIAC Community Mission To assist the Department of Health Care Policy and Financing (Department) and Regional Accountable Entities (RAEs) with the implementat ion and execution of the ACC and its following obj ectives: Join physical and behavioral health under one accountable entity Strengthen coordination of services by advancing team-based care and health neighborhoods Promote member choice and engagement Pay providers for the increased value they deliver Ensure greater accountability and transparency 5
Charter Review PIAC Community Purpose The S tate PIAC will leverage the experience and expertise of the broader PIAC Community to improve member health outcomes with the ACC by providing actionable and strategic feedback to the Department regarding ACC implementation and operations. 6
Charter Review 7
Charter Review Subcommittee Charge: To assess behavioral health integration within the ACC by investigating the strategies by which RAEs and providers are j oining behavioral and physical health at the practice and systems level. 8
Potential Objectives S hort Term Behavioral Health S ervices in PCMP Crisis services Medication Assisted Treatment (MAT) Department of Corrections (DOC) S upportive Housing Traumatic Brain Inj ury (TBI) 9
Short Term Behavioral Health Visits Background: • S tarting July 1, 2018, the Department implemented six, short-term behavioral health visits in fee-for-service (FFS )to increase access to low-acuity behavioral health visits. Utilization of these visits remains low. Project statement: • Develop recommendations on how RAEs can support PCMPs to increase access to low acuity behavioral health services. 10
Crisis Services System Background: • The Colorado Department of Human S ervices through the Office of Behavioral Health implemented the next iteration of its Crisis S ervices S ystem in S ummer 2019. The S ystem’ s regions now align with those of the Accountable Care Collaborative (ACC). Project Statement: • Develop recommendations regarding implementation of the crisis services system and collaboration with RAEs. 11
Medication Assisted Treatment (MAT) Background: • Medication Assisted Treatment (MAT) is a treatment modality used to help patients with opioid use disorders. Development of and access to care models that include MAT remain a challenge for some communities. Project Statement: • Develop recommendations to increase access and to eliminate barriers. 12
Department of Correction (DOC) Background: • RAEs are expected to strengthen care coordination for members who are transitioning between the j ustice system and community-based health care settings. The Improving and Bridging S ystems (IBS ) and the Health Care and Justice Transitions (HCJT) workgroups have developed recommendations and worked to create processes that ensure care coordination and continuity for members who have been released from DOC facilities. Project Statement: • Continue to define recommendations for care coordination and care continuity for behavioral health services during re-entry from corrections-involved members. 13
Supportive Housing Background: • The Colorado Department of Local Affairs (DOLA) and Colorado Housing and Finance Authority (CHFA) have created a program to increase the availability of Permanent S upportive Housing (PS H) for people who are experiencing homelessness and have disabilities or special needs, with a priority for those with behavioral health conditions. The Department, through the ACC, offers a robust set of supportive support to support members in these programs. Collaboration of these services and programs remains unclear under ACC Phase II. Project Statement: • Analyze current models and develop recommendations to increase access to this model of care . 14
Traumatic Brain Injury (TBI) Background: • Members who have a TBI often experience poor coordination care, particularly for behavioral health services. Project Statement: • Develop recommendations to increase access to care and to improve the coordination of care for members with a TBI. 15
Voting Membership • 9-13 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. • Responsible for participating in conversations around the selected topics. • Responsible for providing input and feedback on work products that are developed within the subcommittee. • Responsible for attending at least seventy-five percent (75% ) of meetings held during the year. 16
Role of the Co-Chair • Responsible for working with the subcommitt ee Chair and Department staff to prepare and develop materials for each meeting. • Responsible for monthly meetings with S tate PIAC Chair and Co-Chair to provide updates on the subcommittee. • Responsible for helping to lead and facilitate monthly meetings. • Responsible for providing feedback on monthly meeting minutes. • On average, this role will require 5 hours of work per month. 17
Next steps • Review Colorado Behavioral Health Task Force initiatives https:/ / www.colorado.gov/ pacific/ cdhs/ colorado-behavioral-health-task- o force • Review each application for voting membership • S elect voting membership • Next meeting on October 2, 2019 • Vote on obj ectives • Vote on a Co-Chair • Complete the Charter obj ectives • Meeting will be held in room 11C 18
Contact Information: Daniel Darting: ddarting@signalbhn.org Jeff Appleman Jeff.Appleman@state.co.us 19
Thank You! 20
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