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Georgia Department of Human Services
Medical Director Presentation to DHS Board of Directors
Presenter: Debora S. Johnson, MD
Presentation to: DHS Board of Directors
Date: April 15th, 2015
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Vision, Mission and Core ValuesVision
Stronger Families for a Stronger Georgia.
MissionStrengthen Georgia by providing Individuals and Families access to services that promote self-sufficiency, independence, and protect Georgia's vulnerable children and adults.
Core Values• Provide access to resources that offer support and empower Georgians and
their families. • Deliver services professionally and treat all clients with dignity and respect.
Manage business operations effectively and efficiently by aligning resources across the agency.
• Promote accountability, transparency and quality in all services we deliver and programs we administer.
• Develop our employees at all levels of the agency.
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The Medical Role In The Department of Human Services• The role of medical director was created
to assist with the growing number of children on psychotropic medications in state custody/foster care.
• Provide medical leadership and support to two divisions of DHS – DFCS and DAS
• One medical director fulfilled this role in the past. Position had been vacant for about 4 months before January 2nd, 2015.
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Medical Director Role Continued
• Onboarding began January 2nd, 2015• Began assessment of Department of Human
Services Needs• Expectation that Medical Director provides
coverage for DFCS and DAS medical needs.
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Medical Director Roles - DHS
• Attend DHS Leadership Team Meetings• Attend DAS Team Meetings – Dr. Jay Bulot and
Jean O’Callahan• Attend meetings with DFCS Director Bobby Cagle
and Deputy Director Virginia Pryor• Working collaboratively with DBHDD and DPH
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• Representing DHS to external organizations• DHS representative to Georgia Families 360 –
Monitoring and Oversight Committee• DHS/DFCS representative to Georgia 360
Procurement Committee• BHCC – Behavioral Health Coordinating Council
External representation for DHS
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External Representation for DHS
• IDT – Interagency Development Council – group of leaders from DBHDD, DJJ, DOE, COE, DFCS, The Carter Center – tasked to develop a system of care to collaboratively manage the needs of Georgia’s Children and Adolescents
• Attended Together Georgia Executive Meeting – Presented to the provider group which consists of children and family welfare providers
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DFCS – Training Initiatives
• Established monthly training sessions in mental health for caseworkers and case managers. Initial presentation of Major Depression in Children and Adolescents on March 18th, 2015 – had over 123 participant groups.
• Co – facilitator in mental health presentation of ADHD in children/adolescents – over 100 participant groups on March 24th, 2015
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DFCS – Training Initiatives
• Established initial webinar on Psychopharmacology in Children and Adolescents – April 7th, 2015 – over 120 participant groups
• Ongoing web conferences in psychopharmacology will occur on a monthly basis
• Medical Education Initiative – Will meet with CHOA - Ron Frieson, Chief Public Health Officer and Dr. Salinas, Chief Medical Officer of CHOA – develop medical education series for DFCS
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DFCS Initiatives
• Medical Professional Network – collaborate with Director Bobby Cagle, Dr. Jordan Greenbaum of CHOA to plan and develop a network of child abuse professionals in each region and possibly each county in Georgia.
• Currently reviewing a similar program in Pennsylvania that has been in existence for 10 years.
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DFCS Consultation
• Participates in CDSI review panel with DFCS, OCA, OHRMD, OIG, and GBI – establish new practices to decrease child abuse, neglect, and death
• Medical review of “cold cases” – medically/psychiatrically fragile children in care over 18 months
• Medication consent review for children in outpatient treatment/PRTF facilities
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External Representation for DFCS
• Participation in monitoring committee for Amerigroup and Georgia Families 360 – Oversight of healthcare that is provided by CMO to Georgia children in care
• Appointment to Georgia Child Advocacy Council
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DAS Initiatives
• Establishment of Mental Health Training for case managers and case workers
• Established initial mental health series – Introduction to Psychopharmacology on March 17th, 2015. Over 80 participants
• Ongoing mental health training is planned for the agency
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DAS Initiatives
• Complete complex medical consent for the elderly or developmentally disabled adults– “Right to refuse treatment”– Complex surgery request – involved cervical fracture– Psychopharmacology review
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DAS Initiatives
• Participated in Community Conversations in Alzheimers
• Future participation in Yellow Dot program
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Medical Director Vision for Expansion
• Physicians/Mental health technicians to assist with medical/mental health training of staff
• Nurse practictioners – to assist with medication review for DFCS/DAS
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