dmha spring provider meeting may 2, 2012 sue lummus [email protected] 1 spring provider meeting...
TRANSCRIPT
2Spring Provider Meeting May 2012
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Remember, all payments are based on year-to-date calculations.
Spring Provider Meeting May 2012
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•Residential and Community Stability measure is being deleted for SFY 2013
•Three new measures are included in a new section for Gatekeeper Measures
•Individual provider targets for Average Monthly Number Served will be distributed prior to July 1, 2012
•Residential and Community Stability measure is being deleted for SFY 2013
•Three new measures are included in a new section for Gatekeeper Measures
•Individual provider targets for Average Monthly Number Served will be distributed prior to July 1, 2012
Spring Provider Meeting May 2012
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SMI 2013 TargetPay for
Performance Measure
Weight
Number Servedprovider specific Yes 1
Reassessed CANS/ANSA 80% Yes 2
Reassessed NOMS 80% Yes 2Improved or Maintained Employment 90% Yes 2Improved in One Domain 25% Yes 3Improved Substance Abuse Disorder 35% Yes 2Reduced Criminal Activity 45% Yes 2
Spring Provider Meeting May 2012
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CA 2013 TargetPay for
Performance Measure
Weight
Number Servedprovider specific Yes 1
Reassessed CANS/ANSA 80% Yes 2
Reassessed NOMS 80% Yes 2Improved or Maintained Employment 90% Yes 2Improved in One Domain 35% Yes 3
Improved Substance Abuse Disorder45% Yes 2
Reduced Criminal Activity 45% Yes 2
Spring Provider Meeting May 2012
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These three measures are included in the Performance Measures Definitions for SFY 2013 document. Each will replace existing measures in SFY 2014. They are being shared now as DMHA will be monitoring performance on the measures quarterly during SFY 2013.
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DMHA Spring Provider MeetingMay 2, 2012
R. Bergen, Asst. Deputy Director, [email protected]
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■ Compliance with Face-to-Face Visits
■ Timely Discharge
■ Bed Utilization
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Implementing 7/1/12
■ Focus on responsibilities defined in 440 IAC 5-1-3.5□ monitoring compliance of 30/90 day visits
■ Applies to all client’s enrolled by the gatekeeper□ no exclusions□ Gatekeeper SOF CRA and Recovery Summary
■ SOF Gatekeeper Visit Detail Compliance Report□ within 30 days of admission – required face-to-face□ every 90 days thereafter – face-to-face or approved alternative
■ Target – 90% quarterly compliance
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Implementing 7/1/12
■ Focus on the transition of client’s identified as ready for discharge□ discharge within 90 days of meeting SOF readiness criteria
○ stabilization of symptoms○ minimal risk towards self or others○ maximum benefit
■ Applies to all client’s enrolled by the gatekeeper □ excludes non-allocated forensic and research□ gatekeeper/treatment team readiness agreement
○ CCR 440 IAC 5-1-4 → DMHA practice
■ Gatekeeper Discharge Ready Status Report & Monthly Discharge Report
■ Target – 80% discharged within 90 calendar days
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Implementing 1/1/13
■ Focus on reducing the use of allocated beds□ relates to recent goals of SOF Alternative RFP
■ Applies to all client’s enrolled by the gatekeeper □ excludes SED, non-allocated forensic, and research
■ SOF Client Enrollment Report by Gatekeeper□ averages monitored monthly, quarterly, and annual□ bed borrowing continued
■ Target – minimum 10% reduction in bed use in 1 year□ performance tiers
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■ Compliance with Face-to-Face Visits□ SOF Gatekeeper Visit Detail Compliance Report - Quarterly
■ Timely Discharge□ Gatekeeper Discharge Ready Report - Monthly
■ Bed Utilization□ SOF Client Enrollment Report by Gatekeeper - Monthly□ Summary of Quarterly Utilization Averages - Biannual/Annual
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■ Compliance with Face-to-Face Visits → 7/1/12
■ Timely Discharge → 7/1/12
■ Bed Utilization → 1/1/13
■ Questions
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