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

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

Objective: Integrated, In 1996, 4 County Coordinated and departments became Comprehensive one entity Service Delivery Department of Health and Human Services 3

How is DHHS Organized? Moving toward single client record supported by an interoperable database Centralized Administrative Uniform intake form to Functions identify service needs One Director Designated entire HHS entity as HIPAA covered – including social service and income support programs Department of Health and Human Services 4

Montgomery County Department and Health and Human Services Continuum of Programs Aging and Disability Behavioral Health and Children, Youth and Office of Community Services Crisis Services Family Services Public Health Services Special Needs Housing Affairs John J. Kenney Raymond Crowel Kate Garvey Ulder J. Tillman Nadim Khan Betty Lam Chief Chief Chief and Social Services Chief and Health Officer Chief Chief Officer  Information and Assessment  Mental Health Services  Linkages to Learning  Community Health Services  Community Action Agency Housing Stabilization |  Adults and Seniors  Child Welfare  Communicable Disease| Bio-  Community Outreach Services Emergency Services to Prevent  Home and Community Support  Children and Adolescents  Child and Adolescent Services  Disparity Reduction Homelessness Terrorism  Economic Supports  Cancer and Tobacco Initiatives  Multicultural Mental Health  Early Childhood Services  Diversity Initiatives and the Services  Emergency Assistance Grants  Community Support Network |  Licensure and Regulatory  Gang Prevention Initiative Services three Minority Health  Welfare Avoidance Grants  Core Service Agency  Income Supports and Child Care Disability Services Services Initiatives  Home Care  Assisted Living Facilities  60-Month Intervention  LEP Compliance  Substance Abuse | Addiction Subsidy  Adult Protective Services |  Resource Supports  Liaison Work with MCPS Services Certification  School Health  Preventive Crisis Intervention  Crisis Stabilization  Boards and Commissions Case Management Services  Nutrition Program  Juvenile Justice  Montgomery Cares with Case Management .. Commission on Children and  Assisted Living and Skilled  Partner Abuse  Health Promotion Rental and Home Energy Youth  Health Partnerships and  Victim Abuse Assistance Program Nursing Facilities .. Commission on Child Care  Assisted Living Services  RAP - Shallow Rental Subsidy  Boards and commissions .. Commission on Juvenile Planning  Ombudsman Program  Long Term Care Medical Program Justice .. Alcohol and Other Drug  SHRAP – Deep Rental Subsidy  Boards and Commissions .. Citizens Review Panel Abuse Advisory Committee Assistance and Outreach  Special Projects Program .. Commission on Aging .. Mental Health Advisory  Handicapped Rental Assistance  Boards and Commissions .. Commission on People with Committee Program Disabilities .. Commission on Health  Home Energy Assistance .. Adult Public Guardianship .. Montgomery Cares Advisory Review Board Program Board Homeless Continuum of Care Coordination (Supported through non-profit partners)  Single Adult Shelters w|case management  Motel Placements and Overflow Shelters  Transitional Programs 5  Permanent Supportive Housing Programs

Department-wide Initiatives Cross Systems Initiatives   Positive Youth Development Service Integration  Technology Modernization Initiative   Senior’s Initiative Equity Population  Housing First  Contract Monitoring Reform  Behavioral Health Integration  Health Care Reform and Healthy  Neighborhood Opportunity Well-being Network  Kennedy Cluster Safety  Linkages to Learning and School Based Health Health and Initiatives Well-being  Waiver Initiatives  Universal Pre.K Self-Sufficiency Client Systems Services Performance Montgomery County Department of Health and Human Services Activities

• Integrated Intake • Confidentiality • Assessment • Ethics • Case Planning • Dispute Resolution • Service Delivery • Equity • Analytics • Others Practice Policy People Infrastructure • Training • Technology • Tools • Quality Service Review (QSR) • Accountability • Caseload Sizes • System Evaluation • Contract Monitoring 7

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: o Access to all DHHS Programs o Shared information and data o Customers telling their story once Department of Health and Human Services 8

 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

Revised Notice of Privacy Practices Common Resources Authorization Form Infrastructure to Promote Service Integration and Department- Ensure Privacy Wide Policy Training Compliance (Example: Safeguarding Policy) Role-based Access: Access Minimum based on a Necessary job related purpose Department of Health and Human Services 10

Clients often Without a Makes re-use Over have to tell master client of data 30% of their story index, it is hard impossible multiple times to tell what and it makes our and data has services a client it more to be entered is getting across clients difficult for multiple times. our enterprise clients to use Increases the and often access risk of errors in services are multiple multiple the re-telling duplicated and services across and re- there is waste services the enterprise entering and inefficiency 11

 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 Department of Health and Human Services 12

 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 Department of Health and Human Services 13

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