Rural Health Network Development Planning Program Partnership Meeting

Tuesday, 05.03.2016

Meriam Mikre, MPH Rural Health Network Development Planning Program Coordinator Federal Office of Rural Health Policy (FORHP) Health Resources and Services Administration (HRSA)

1. Plenary: Success Stories - Translating Theory into Practice

2. Workshop: Improving Your Potential for Sustainability

3. Grants Management & Close-Out Information

4. Question and Answer Session

5. Debrief and Evaluations

2

Agenda Overview

Michael Ward - South Lake Tahoe Mental Health Cooperative (South Lake Tahoe, CA)

Jennifer Uhrich - Behavioral Health Network (Ely, MN)

Barry Brogan - North Country Behavioral Healthcare Network (Saranac Lake, NY)

3

Plenary: Success Stories - Translating Theory into Practice

South Lake Tahoe Mental Health Cooperative

Michael Ward, MA, CPF

Network History/ Background

Project Goals

• Objective 1:

– Conduct Gap Analysis and Protocol

Review for Behavioral Health Services

• Objective 2:

– Develop Operational Framework for

Patient-Centered Behavioral Care

System

• Objective 3:

– Finalize Strategic Plan and Approve

Network Infrastructure and Protocols

• Objective 4:

– Launch Network and Communicate

Behavioral Health Services Map

Accomplishments

Challenges and Barriers

Next Steps Strategies Priority Initiatives

Access Centralized Access Facility & Process With Co-Located Services

23 Hour In Patient Behavioral Health Acute Care/ Treatment Center

Transitional Housing Facilities in SLT by Area of Need, Age-Based

Shot Clinic To Administer Injectibles

Expand Clinical Capacity - Increased Tele-Psychiatry, School-site Counselors

School-Based Health Center – Student Access to MH Crisis Workers

Awareness Mental Health/ Brain Health Education And Awareness Campaign (“We Care”)

Strategically Located Information Kiosks

Resource Directory (Bilingual)

Adopt Mental Health Assessment in Primary Care (e.g. ACES)

First Episode Treatment Protocols

Policy Advocacy to support SLT access to funding and policy influence

Resources Primary Care Physicians – Brain Health Screening, Referral, Care Coordination

Install Care Navigator(s) In SLT

Employ Care Transition Plan Focused On Consumer Goals & Inclusion Of Family

Members Day

Social Supports with Targeted Groups & Individuals Certified In Peer Support

Pharmacists Integrated In Medication Management Protocols

Universal Patient Care Plan Template Used By All Outpatient Providers

The Ely Behavioral

Health Network Mission: PROVIDES COLLABORATIVE CARE TO IDENTIFY AND ADDRESS OVERALL BEHAVIORAL HEALTH AND RECOVERY NEEDS FOR RURAL NORTHEAST IRON RANGE COMMUNITIES.

Jenny Uhrich

WBD Executive Director

Network History

Project Goals Goal 1. To create an actively involved and engaged network to plan collaborative behavioral health services for the region. Develop the BHN Governance Group.

Manage the HRSA planning grant.

Ensure sustainability of BHN through strategic planning.

Conduct process evaluations and disseminate results.

Goal 2. To develop BHN capacity to address behavioral health needs through collaborative routine screening, referral to and availability of evidenced-based services, and follow-up. Increase awareness of and screening for behavioral health issues.

Develop a system for effective interagency referrals and follow-up.

Develop capacity of evidenced-based behavioral health services.

Accomplishments Development of a strong Network

including a highly engaged governance group; mission, values, and goals; and policies and procedures

Network growth Increased expertise regarding the

intersection of HIPAA, FERPA, and MN law

Completed Strategic Planning Session from which a 3-year strategic plan is being developed

Enhanced continuity of care among local organizations

Increased capacity for mental health care for member agencies

Developed infrastructure for mobile crisis unit; inter-agency telehealth; and routine behavioral health screening, referral, and follow-up

*Results of a 2015 BHN Social Network Analysis

Challenges and Barriers Shortages of behavioral health care workforce

Limited access to behavioral health treatment and recovery services

Transportation issues

Siloing of existing health care organizations

Lack of identification of behavioral health needs

Ensuring financial and leadership sustainability of the network

Continued engagement and development of network partners

Legal concerns regarding intersectoral and interagency collaborative care

Next Steps Continued development of network,

including further consumer engagement Network leadership succession planning Further development and honing of

cross-agency screening, referral, and follow-up processes and infrastructure

Capacity building for behavioral health treatment and recovery services: Telehealth expansion Insurance Navigator Peer Support Support groups

*Photo courtesy of the Ely Echo April 2016

North Country Behavioral Healthcare Network

Saranac Lake, NY

B A R R Y B R O G A N

N E T W O R K D I R E C T O R

Network History/Background

• Founded in 1997 by 30 behavioral health agencies

• Government and non-profits

• Won a $150,000 State grant

• Designated as NYS Rural Health Network, one of 35 created in 1997

Network Development Grant Experience

In 2007 received HRSA Development grant to support adoption of HIT/EHR

Network was then 19 agencies. 11 agencies participated in the 3 year project

Assessed the then current state of each agency HIT

Completed gap analysis for each agency

Staff education on RFP and contract negotiation

RFP Let with 6 vendors responding

3 vendors selected for implementation. 6 agencies completed the process

Small matching grants to each agency as they achieved certain benchmarks

Project Goals

Relaunch a dormant MSO to develop shared services among 14 agencies

Create a strategic plan based on a gap analysis, and goals of healthcare reform.

Establish a data warehouse to support all functions related to VBP

Accomplishments

Capacity survey and Gap Analysis completed

Priorities survey completed

MSO relaunch and data warehouse road map in process to be completed in June

Self assessment complete

Strategic Plan in process

Challenges and Barriers

Getting entire group together along with consulting team

Arriving at consensus for first projects for MSO

Role of MSO in VBP negotiations

Next Steps

Meet in June to review Road map and identify next steps

Complete HRSA Deliverables

Identify/obtain additional project funding

23

Questions