adult bh hcbs: the mechanics of successful “lift-off” successful... · • tips to help with...
TRANSCRIPT
Adult BH HCBS: The Mechanics of
Successful “Lift-Off” Yves Ades, PhD Daniella Labate, MSW
Housekeeping: • Slides are posted at MCTAC.org
• Questions not addressed today will be: • Reviewed and incorporated into future trainings and presentations
• Added to Q&A resources when possible
• Feedback forms
Reminder: Information and timelines are current as of the date of the presentation
Introduction & Housekeeping
What is MCTAC? MCTAC is a training, consultation, and educational resource center that offers resources to all mental health and substance use disorder providers in New York State. MCTAC’s Goal Provide training and intensive support on quality improvement strategies, including business, organizational and clinical practices to achieve the overall goal of preparing and assisting providers with the transition to Medicaid Managed Care.
CTAC & MCTAC Partners
3/21/2014
Small Business Initiative Partners
Agenda ‣ How to get HCBS off the ground • Tips to help with implementation ‣ The HCBS Team ‣ Tips to help form a strong team of HCBS service providers ‣ Investing in the future • Tips to help sustainability
Video Clip ‣ https://drive.google.com/open?id=0B3YlQhfCENzzeUd
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Why HCBS? ‣Facilitate recovery ‣People need services that don’t fit into
traditional models of treatment ‣Community based ‣HCBS provides flexibility
What is your vision for HCBS? ‣ Planning • What services do you offer? • Where do you offer these services? • Who is on your HCBS development team? ‣ Resources • What expertise do you already have? • What might you need? ‣ Staffing • Who will provide these services?
Planning ‣ What HCBS services are you designated to provide? ‣ People to consider for your implementation team: • Leadership • Finance • Program • IT • HR • QI • Marketing • Legal
Workflows ‣Designate tasks • Managing referrals • Participant engagement • Assessments and Service Plan • Authorizations • Provide service(s)
Readiness ‣ Is everyone in your agency familiar with HCBS and the
services your organization is designated to provide? ‣ Is your EHR ready to document HCBS? • If not, have you created paper forms for documentation?
(Assessment, progress notes, unit utilization, etc.) ‣ Does finance understand reimbursement?
HCBS providers should be trained in: ‣ What is HARP? ‣ Changes in Medicaid ‣ What is a Health Home? ‣ How to provide recovery-oriented, person-centered,
trauma-informed care ‣ Specific HCBS services ‣ Assessment tools ‣ EHR/Forms
Marketing basics ‣Offer a valuable service ‣ Identify a target audience ‣Communicate to target audience ‣Make services readily available
How to market your services ‣ Include HCBS designation on your website ‣ Create flyers and send them to lead health homes and
care management agencies ‣ Update brochures ‣ Education and promotion: Eligibility? Why HCBS? ‣ Build relationships and communicate value! Foster
relationships with Health Homes and MCOs ‣ Be present at networking forums
Tips ‣Start with HCBS services that are similar
to services you are already providing ‣Involve a variety of roles in your planning ‣Identify staff to provide the services ‣Provide training ‣Market your services
The HCBS Team
Video clip ‣ https://drive.google.com/open?id=0B3YlQhfCENzzU0k
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Think outside the office.
Things to consider when choosing staff for HCBS ‣Meet HCBS staffing requirements ‣Qualified to provide multiple services ‣Embrace the principles of recovery ‣Work well with others
Supervision in the field ‣ Go out in the community and “walk in their shoes” ‣ Not a typical clinical setting ‣ Build skills for community based work ‣ Draw on staff strengths • Peer staff can offer shared experiences • Be flexible • Good at engagement • Can build trust
Lots of moving parts
Sharing Information
HCBS Provider
MCO Health Home
Bridge the gap
Tips ‣ Services are delivered in the home or community and
people will feel more comfortable ‣ Avoids stigma sometimes associated with traditional
services ‣ Shift from “case” to person ‣ Think flexibly ‣ Communicate
Investing in your Future
Video clip ‣ https://drive.google.com/open?id=0B3YlQhfCENzzd0J1
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Uncertain Times
Medicaid Redesign
Costs are high
No outcomes to show
Triple Aim Improve Outcomes
Lower Cost
Improve Experience of Care
Shift from a fragmented to integrated system of care ‣Development of Health Homes, HARP,
DSRIP and HCBS ‣Reimbursement structure is also being
reformed • Value Based Payment • Incentivizing partnerships
HCBS is person-centered ‣HCBS puts person-centered, recovery-
oriented philosophy into action through innovative service delivery.
‣Concept based on choice and individual recovery
‣Shift from developing a program to developing individual services
Define Services by Individual ‣ People have complex needs • Numerous appointments • Multiple Sites ‣ Services should be defined by the individual ‣ HCBS brings a personalized network of care to people in
their communities
Define services by individual
Engagement
Trust HCBS Services
Whole person care requires collaboration ‣ Creation of a network of care
HCBS Provider
Other HCBS
providers
Other care management
programs
MCO
Lead Health Home
Other systems of care
Criminal justice
Collaborative partners (DSRIP)
Hospitals
Collaboration and relationships ‣What does it take? • Staff re-allocation • A consistent presence ◦ Join workgroups ◦ Keep commitments
• Awareness of your value
Collaboration and relationships ‣ Where to begin? ‣ Consider the following: • Outreach to HH Care Coordinators ◦ Present on what HCBS is ◦ Explain Person-centered approach ◦ Suggest a warm hand-off
• Build relationships with Managed Care Reps ◦ Ask them what they want to see in a plan of care
• Develop a One-Pager • Be patient-engagement can take several meetings
Tips ‣Connect with a range of partners ‣Know the value you bring to the relationship
Join an HCBS Learning Community! Do you want continued support when implementing HCBS services at your agency? Join monthly learning community meetings. You will receive more information via emal after this workshop series.
Contact Us Yves Ades, NYAPRS, [email protected] Daniella Labate, NYAPRS, [email protected] Cheryl Bobe, The Coalition, [email protected] (for NYC and LI) John Coppola, ASAP, [email protected]
Questions and Discussion
Please email additional questions to [email protected] and register for future events at
http://www.mctac.org under “Upcoming Events.”