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Welcome! We will begin the webinar shortly. If you haven’t already done so: Please take a moment to complete the Baseline Survey and respond to the 2 Minute Feedback Check (links in the chat box). Everyone should complete this individually. Questions? Email us at [email protected]

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Page 1: Welcome! We will begin the webinar shortly. Collaboration_to share 2-6-18.pdfWelcome! We will begin the webinar shortly. If you haven’t already done so: Please take a moment to complete

Welcome! We will begin the webinar shortly.

If you haven’t already done so:Please take a moment to complete the Baseline Survey and respond to the 2

Minute Feedback Check (links in the chat box). Everyone should complete this

individually. Questions? Email us at [email protected]

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Performance Driven AcademySESSION 2: COLLABORATION AS A TOOL FOR SUCCESS

Bar graph

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Brought to you by the Managed Care Technical Assistance Center

Speaking: John LeeDirector

CCSI’s Center for Collaboration in Community Health

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PDA Reminders

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Reminders‣ Please make sure everyone in your work group registers for

one in-person session‣ If you haven’t already, complete the baseline survey‣ How’s it going? Survey link sent with materials and in the chat

box‣ Webinars are recorded• Webinar 1 available on the MCTAC website and linked in your

reminder emails‣ Use [email protected] email for any questions, comments, etc. ‣ Chat in questions/comments to all panelists at any time

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From Webinar 1, you should have…‣ Taken the Baseline Survey‣ Scheduled time between webinars to meet with your

workgroup‣ Completed the Performance Driven Culture Readiness

Assessment and discussed with your workgroup‣ Gotten feedback from others in your agency about the

culture of your agency‣ Received a reminder email a week ago and the materials

for today’s webinar this morning (email [email protected] if you do not receive these)

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1. Culture

2. Collaboration

3. Human Resources

Part 2: Effective Measurement

4. In-person sessions

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Collaboration as a Tool for Success

The Performance Driven AcademyBRIANNON O’CONNOR, PHDASSOCIATE DIRECTOR, CENTER FOR COLLABORATION IN COMMUNITY HEALTHCOORDINATED CARE SERVICES, INC.

Portions of these materials were created with support by New York State Success, in partnership with the Managed Care Technical Assistance Center and the Center for Collaboration in Community Health

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Elements of a PerformanceDriven OrganizationDeveloped by CCSI’s Center for Collaborationin Community Health

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Background of Today’s Speaker‣ Doctorate in Clinical Psychology• Expertise in children’s mental health, research methodology,

statistical analysis, evaluation in real-world behavioral health settings, performance measurement

‣ CCSI• Associate Director, Center for Collaboration in Community Health• Supporting behavioral health providers and networks in meaningful

data analytics and cross-system collaboration for improved outcomes

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Today’s Learning Objectives‣ Reflect on why collaboration is important to the success of

your organization

‣ Discuss fears/challenges of collaboration

‣ Review factors that facilitate collaboration

‣ Introduce tools to support effective internal and external collaboration

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Questions to Consider‣ In an ideal world, who would our collaborators be?

‣What could we achieve by working together?

‣What stands in the way of us building an effective collaboration today?

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Why Collaborate?

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Improved Impact‣ Achieve impacts we cannot achieve alone• Readmission, follow up from hospitalization‣ Reduces fragmentation in care and service gaps‣ Team approach leads to greatest change ‣ Promotes a holistic approach to care‣ Reduces silos, which improves continuity of care and safety ‣ Creates value and respect among collaborating providers from

an array of disciplines

What can we accomplish together?

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Key to Success in Current Health Care Environment‣ Managed Care and Health Homes rely on collaborative

principles ‣ Behavioral Health Care Collaboratives (networks of BH

providers) require collaboration

What are the priority outcomes

described by those incentivizing

collaboration?

‣ Shifting service payment environment:• Pay for Reporting• Pay for Performance• Value Based Payments

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Fears and Challenges of Collaboration

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What are some of the fears and challenges of collaboration?‣ Financial incentives to keep things the way they are‣Maintaining motivation and investment from the

stakeholders‣ Lack of success with previous attempts at external

collaboration OR intra-(within) agency collaboration ‣ Trust among participating collaborators

Others we missed? Send them in via Chat to All Panelists.

All responses will be kept anonymous

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What are some of the fears and challenges of collaboration?‣ Lack of understanding roles‣Use of different professional languages or jargon‣Concerns about confidentiality ‣No clearly articulated measurable outcome or impact

that drives the work‣ Fear of change

Others we missed? Send them in via Chat to All Panelists.

All responses will be kept anonymous

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Getting Started Anyway: What Helps Collaborative Practice?

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Attitude and approach‣ Requires trust and respect among collaborators• Assume best intentions ‣ Acknowledge that change is difficult• Take the time to clarify roles • Practice demonstrating mutual respect for each other’s knowledge, skills, and

roles• Maintain regular contact• Follow through with commitments• Be friendly, interested and open to suggestions‣ Where practical, include members from all relevant systems and

consumers

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Local history of collaboration• Bringing teams together for cross-training, strategic planning meetings,

thinking sessions can spark ideas about gaps and priority areas for the system• Shared training helps collaborators understand and appreciates the work done

by others

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Collaboration leaders or champions•Leadership at multiple levels◦ Leaders “at the top”: authority to create policies and programs

and support participation◦ Leaders “in the middle”: facilitate collaborative planning meetings◦ Natural leaders: highly regarded, respected, credible; mediate

between systems due to relationships on both sides

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Matching collaboration to shared values and mission •Identify a common purpose with a shared understanding of

the measurable impact/outcome of the work•Willingness to acknowledge “What we are doing isn’t

working” and re-focus on the opportunity being presented•Valuable for buy-in, overcoming resistance•Insight from patient/family advocates and consumers about

what is needed, where gaps exist

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Genuine commitment to collaboration •Impetus may be outside the system, but early commitment

from stakeholders is critical•Ongoing process that needs reinvigorating and

recommitment to survive turnover in key stakeholder staff◦ Look to champions for help with this

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Specific Steps• Start small: consider starting with a specific program, model, or process that

fills a gap• Look for opportunities to transfer technology◦ Obtain ideas, information, technical assistance from collaborators◦ Visit other programs, share policy documents, discuss program models,

review data findings• Success leads to success◦ Motivation to continue collaborating◦ Funding to expand collaboration activities

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Specific Steps: Think through how you’ll think it through• How will decisions be made?◦ Who has ultimate decision-making authority? Do all committee members have authority to

speak for the agency/department?

• How will we identify and address issues among participants (differences of opinions, actions taken without support) in a very timely and open manner?

• What will foster communication that is meaningful, timely, consistent, and creates motivation to continue?

• What will we measure to determine the impact of the work? ◦ How will we know we are being successful? What will indicate that we need to adjust

course? How often will monitor our impact?

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Tools to Support Collaboration‣ Sample Agenda Items for Productive Collaborative Meetings• Facilitation/process elements• Content examples‣ Using Gradients of Agreement to Guide Decision Making

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Agency Experience

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We are pleased to welcome:

Martin Teller, MAExecutive Director, FLACRA

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MCTAC’s Performance Driven Academy

CollaborationFinger Lakes Area Counseling & Recovery

Agency

February 6, 2018

302/6/2018

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312/6/2018

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RecoveryNet

• Substance Use Providers• Common Electronic Health Record• Open Access Collaboration• Grants and More…

2/6/2018 32

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Finger Lakes IPA

• FQHC’s• Behavioral Health

Providers• Highlights and

more…

2/6/2018 33

• Finger Lakes and Southern Tier BHCC

• Highlights and more…

Behavioral Health Care Collaborative

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2/6/2018 34

Region II Consortium of Alcohol and

Substance Abuse Services

DSRIP-Finger Lakes Performing Provider

System (FLPPS)

• Highlights and more…

• Behavioral Health Workgroup

• CBO Advisory Council-VBP Pilot Project

• Innovations

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2/6/2018 35

Connections across RecoveryNet, FLIPA, Finger Lakes & Southern Tier BHCC, Region II

CASAS, FLPPS

• Highlights and more…

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Contact Information:

Martin Teller, MAExecutive Director, [email protected]

www.flacra.org

2/6/2018 36

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What do I do next?

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Take-aways: How Can I Get Started?‣ Catch up if you need to on Webinar 1 content and takeaways and the Baseline

Survey‣ Set up a regularly scheduled workgroup meeting time between webinars‣ Review the Sample Agenda and select items/processes to try integrating into

some meetings between now and Webinar 3• Discuss with your workgroup any differences you notice in how your internal

teams collaborate using these methods‣ With your workgroup, identify who key collaborators are/will be• Who are our MCO contacts? What BHCC are we part of? What collaborative

arrangements are we part of? Who would we like to collaborate with to improve outcomes for our patients?

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Mark your calendars and register

Webinars (12-1pm):Human Resources, 2/27/18Effective Measurement Practices, 4/11/18Continuous Quality Improvement, 5/2/18Practice Development and Management, 5/23/18

In-person events(10am-2pm)Albany, 3/19/18Rochester, 3/20/18NYC, 3/26/18

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Send us any questions or feedback

Use the chat box or

email us at: [email protected]