How to find the money to keep on doing what you want to do

Multi-Jurisdictional Four Counties in Rural

Nebraska Agriculturally based Four cows to every

person 50,922 pop. in 2,200

sq miles Prior to 1990 -

Caucasian Now about 15%

Hispanic/Latino

Goals: Reduce disparities in availability of

outpatient Behavioral Health (BH) services Complete integrated BH evaluations for CPS Provide BH services & evaluations to EDN

HFN Screen Primary Care patients for DSM IV BH

issues Evaluate effectiveness of BH integration

1,372 Unduplicated Users 523 Non-English Speaking Served 55 children <13 173 Teens 13-17 1,114 Adults 30 Eldery

4,443 encounters Provided access for 2,800 persons Provided four new services to our area

80 percent of 1,372 received a discount based on income

429 had some type of public insurance Medicaid or Medicare

655 persons paid out of pocket for the service

288 persons had private insurance

Social Worker Psychologist Licensed Mental Health Therapist Psychiatric Nurse Practitioner Interpreter Van Driver

1,365 BH patients visits in 2006 1,145 BH patients visits in 2007 2,731 BH patients visits in 2008 2,587 BH patients visits in 2009 from

Jan-June

•Sustainability should be a journey, not a destination.

• Planning should be with and through our communities

•The shift needs to be in how we think about funding and viewing your grant from a business model.

•Shift to long-term funding.

FROM TO

Needs Assets and Resources

Focus on the Agency Focus on the Community

Operational Planning Strategic Planning

Focus on Short-term Funding Focus on Long-Term Funding

What sources of income could potentially fund the program? Medicaid Medicare Private Insurance Sliding fee payments Contracts for EAP Contracts with the court Social Security Administration Disability

Determinations) State contracts via Regional Mental Health

Centers Long-Term Grants Tele-health contracts

How do other programs similar to ours fund themselves? What can you learn to help keep your doors

open? Who has an interest in seeing a program

like ours funded? How can we get them to invest in our program? Who is affected when the system breaks down

Who can we partner with to make this work? Consortium Meetings

Who are your indirect customers? Medical Community Law Enforcement Homeless Shelters In-patient treatment Housing Hospitals Community Businesses Schools

Find out what they need and get the attention of the community. Newspaper Radio Face book & Twitter Reports to Key Stakeholders Don’t just focus on your agency, focus on the

problem and potential solutions Become the “expert” in the area on your topic Keep your stories timely – find angles that

interest other people

Need to get your stories out into the Community E-mail Community Annual Report Key StakeholdersJames enrolled in job core and got specialized

training and was ready to find a job when the economy crashed. This month James felt hopeless and tried to commit suicide . James was able to see a mental health practitioner and get the help he needed to get back on his feet to continue to search for a job and he is hopeful that the economy will get better soon.

Once you learn where the funding sources may be you need to line up so that you fit their needs not the other way around. Become proficient as an agency Learn more about billing efficiencies – set

target goals for the year and month Understand what third party payors pay and

why, make sure you are coding correctly Provide materials to key stakeholders

State Grant for the Uninsured Learned that state funds were given out only

every three years List for bidders conference Education on what is required to submit a successful

application Learned that to get state funds the organization

had to be accredited – took us 10 months to do this but we succeeded.

Community Health Center Funding Court Evaluations Social Security Disability Evaluations Contracts for Services with Private

Companies Managed Care Preferred Provider Preferred Provider with private Pay

Insurance

Look at funding a new way each source is only one part of what you need.

Short term funding is the starter blocks for any program

Sustainablie Long Term funding is what will make the final product work.

If you fail to plan you plan to fail

Rebecca J. RaymanGood Neighbor Community Health Center

Columbus, NE 68601