presentation to dasa director 20120210

Welcome to Aunt Martha’s Youth Service Center

Theodora Binion, DirectorDivision of Alcohol and Substance AbuseIllinois Department of Human Services

February 10, 2012

Our Mission

Aunt Martha’s mission is to be a caring community resource for children, youth and families.

By the NumbersFounded: 1972

Locations: 49

Communities Served: 645

Budget (Total): $70,612,400

Employees (Total): 1,099

Salaried 935

Volunteer 94

Ind. Contractor 70

Organizational Overview

Board of Directors

PresidentC. Gary Leofanti

Chief Executive Officer

Raul Garza

OPERATIONS

COMMUNITY-BASED SERVICES

Senior Vice PresidentCommunity-Based

ServicesJerry Lowell

Behavioral Health

Services Division

Community-Based Services

Vice PresidentCommunity-

Based ServicesWarren Wood

CHILD WELFARE SERVICES

Senior Vice President Child Welfare

ServicesKaren Sneade

Children's Reception

Center

Division Manager Residential

ServicesGiselle Doyle

Teen Parenting Services Network

Division ManagerFoster CareMarc Smith

EDUCATION & YOUTH SERVICES

Vice PresidentEducation & Youth

ProgrammingJill Eitel

HEALTHWORKS & EVENING

REPORTING CENTERS

Vice President HealthWorks &

Evening Reporting Centers

Dr. Theresa Miller

HEALTH CARE

SERVICES

Medical DirectorDr. Jennifer Byrd

DirectorHealth Business

OperationsGary Bevills

DirectorHealth & Dental

Business Operations

Jamie Dornfeld

ADMINISTRATION

Chief Financial Officer

Chris Nordloh

Chief Compliance Officer

Mary Martin

Chief Quality Officer

Ernie Gonzalez

DirectorPolicy &

AdvocacyMarsha Conroy

Division ManagerHealth Care Social Services

Roshanda Jackson

Organizational Structure

Our Employees

80%

20%

Gender

Female Male

50%

18%

26%6%

Race/Ethnicity

African-AmericanHispanic or LatinoWhiteOther

Average Tenure of Current Employees:

4.21 Years

Associate’s Degree: 4%

Bachelor’s Degree: 32%

Master’s Degree: 12%

MD or Ph.D.: 12%

AdvancingEmployee Education

Our History

The 1970s‘72

• Drop-In Center• Counseling Services• 1st Foster Homes

‘76• Family Planning

Services• 1st Group Home

‘79• Employment Training

The 1980s‘83

• Program Plus (Parents Learning Universal Skills)

‘85• Named Head Start Site

‘86• Comprehensive

Community-Based Youth Services

‘87• Project New Chance

The 1990s

‘90• 4 New Group Homes

‘92• Youth Substance Abuse

Treatment Services‘94

• 3 New Group Homes‘95

• 2 New Group Homes• Lakehouse Diagnostic

Shelter• Transitional Living Program

‘96• School-Linked Health

Centers in Aurora and Chicago Heights

‘97• Joint Commission

Accreditation‘99

• Federally Qualified Health Center Status

The 2000s

‘00• Joint Commission Accreditation

‘02• 2 New Health Centers

‘03• Joint Commission Accreditation• Health Center• Transitional Living Program


‘05• Health Center• HealthWorks• Transitional Living Program

‘06• Joint Commission

Accreditation• Health Center• Residential Shelter (CRC)• Group Home

‘07• 2 New Health Centers• Transitional Living Program


‘09• 2 New Health Centers• ARRA Funding (IDS & CIP)

The 2010s‘10

• ARRA Funding (FIP)• Chicago Southland

Health Conference• Partnering for Solutions

Child Welfare Conference

‘11• Health Center• Park Forest Hall of Fame• 2nd Annual Partnering

for Solutions Child Welfare Conference

OurCross-Integrated

System ofHealthcare &

Human Services

Adult Education

Cook County Works

Early Learning Center

Home Instruction for Parents of Preschool

Youngsters

iLab – Community Technology Center

Life Skills

Parenting Classes

Parenting Techniques Education Series

Parents Too Soon(Healthy Families Illinois)

Pregnant and Parenting Teens

Safety Networks

Summer Youth Employment

Teen Parenting Service Network

Teen Pregnancy Prevention

Work First

Youth Participation

Basic Center

Emergency Shelter Care

Foster Home Licensing

Homeless Services

Housing Advocacy

On Your Own

Pathways Independent Living

Residential Group Home Services

Residential Shelter

Specialized Foster Care

Street Outreach Program

System of Care

Traditional Foster Care

Transitional Living Program

Youth Housing Advocacy

Community Counseling Services

(Title XX)

Comprehensive Community Based Youth Services

Comprehensive Prevention

Differential Response

Evening Reporting Center

Gays and Lesbians Advocating Diversity

Intact Families

Pre-Trial Services

Adolescent & AdultSubstance Abuse

Treatment

Behavioral Health

Centering Pregnancy

Comprehensive Prevention

Family Case Management

Family Planning

HealthWorks

HIV Prevention

Illinois Breast & Cervical Cancer Program

Men’s Clinic

Mobile Health Center

Oral Health

Pediatrics

Primary Care

Recreation & Wellness

Targeted Intensive Prenatal Case Management

Teen Clinic

Teen Parent Services

Women’s Health Services (OB/GYN)

CY '00

CY '01

CY '02

CY '03

CY '04

CY '05

CY '06

CY '07

CY '08

CY '09

CY '10

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

PatientsVisits

UDS Reporting Year

Aunt Martha’s Health Center

LEARNING TO BE AN FQHC

DEVELOPINGA

COMPREHENSIVE

MODEL

EXPANDING ACCESS TO COMPREHENSIVE MODEL

The People We Serve

Source: UDS Summary Report – 2010. Grantee, State and National - Universal

Uninsured Medicaid/CHIP Medicare Other 3rd Party0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

37.6

7%

55.4

5%

1.60% 5.28%

31.2

4%

52.4

7%

5.46%10.84%37

.54% 39

.74%

7.51%

15.22%

Aunt Martha's Illinois' CHCs All CHCs

Primary Care Services

Patient Centered Medical Home• Patient-centered, Physician-directed• Care that is effective and efficient

Chronic Care Management Model

Women’s Health ServicesFamily Planning

Obstetrics/Gynecology

Breast and Cervical Cancer Screenings

2006 2007 2008 2009 2010

$300

$350

$400

$450

$500

$550

$600

$454

$374

$430 $426

$485 $451

$477 $510 $518

$538 $562

$588 $600

Aunt Martha's CHCs in Illinois CHCs in U.S.

Cost Efficient, Comprehensive Services

Cleaning

Fillings

Sealants

Fluoride Treatments

Extractions

X-Rays

Dental Hygiene Education

Routine Check-ups & Exams

Root Canals

Aunt Martha’sPersonal Dental Questionnaire

4 Simple Questions Can Make a Difference

Oral Health Care Services

Cost Efficient, Coordinated Dental Services

2004 2006 2008 2010 -

10,000

20,000

30,000

40,000

50,000

60,000

Patients Visits

2003 2004 2005 2006 2007 2008 2009 2010

Patients 1,257 2,087 3,239 6,179 13,459 15,413 20,294 25,248

Visits 2,030 2,412 5,379 10,377 22,546 30,902 44,713 55,539

2006 2007 2008 2009 2010

$-

$50

$100

$150

$200

$250

$300

$350

$400

$181

$128

$195

$249 $255

$247 $248 $259 $274

$333 $344 $358 $372


Cost Per Dental Patient

Cost Efficient, Coordinated Dental Services

2004 2006 2008 2010 -

10,000

20,000

30,000

40,000

50,000

60,000

Patients Visits

2003 2004 2005 2006 2007 2008 2009 2010

Patients 1,257 2,087 3,239 6,179 13,459 15,413 20,294 25,248

Visits 2,030 2,412 5,379 10,377 22,546 30,902 44,713 55,539

2006 2007 2008 2009 2010

$-

$50

$100

$150

$200

$250

$300

$350

$400

$181

$128

$195

$249 $255

$247 $248 $259 $274

$333 $344 $358 $372


Cost Per Dental Patient

According to the most recent data available for state and

national levels (calendar year 2010), Aunt Martha’s serves 15

percent of all the patients receiving dental services from a

BPHC grantee in Illinois.

The Care Management Model at WorkTreatment Plan ComplianceHealth

Center% of Patients in

Active Treatment% with Treatment

Completed% of Patients Non-Compliant

Carpentersville 68% 32% -

Chicago Heights 62% 38% -

Hazel Crest 60% 40% -

Iroquois County 92% 8% -

South Holland 54% 46% -

Southeast Side 59% 33% 7%

Vermilion Area 83% 16% 1%

Women’s Health Ctr. 46% 54% -

Child & Adolescent Psychiatry and Therapy

Individual Counseling

Comprehensive Diagnostic Evaluation & Treatment

Telepsychiatry Reaching children and families in some of

Illinois’ most isolated communities

Behavioral Health Care Services

2004 2006 2008 2010 -

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Patients Visits

2003 2004 2005 2006 2007 2008 2009 2010

Patients 210 945 878 2,632 3,916 4,757 6,265 7,647

Visits 625 2,793 3,515 11,731 21,819 26,120 31,474 35,704

2006 2007 2008 2009 2010 $-

$100

$200

$300

$400

$500

$600

$700

$541 $493

$559

$529

$493

$569 $572

$462

$600 $655

$605 $653


Cost Per Mental Health Patient

Cost Efficient, Coordinated Mental Health Services

2004 2006 2008 2010 -

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Patients Visits

2003 2004 2005 2006 2007 2008 2009 2010

Patients 210 945 878 2,632 3,916 4,757 6,265 7,647

Visits 625 2,793 3,515 11,731 21,819 26,120 31,474 35,704

2006 2007 2008 2009 2010 $-

$100

$200

$300

$400

$500

$600

$700

$541 $493

$559

$529

$493

$569 $572

$462

$600 $655

$605 $653


Cost Per Mental Health Patient

Cost Efficient, Coordinated Mental Health Services

According to the most recent data available for state and

national levels (calendar year 2010), Aunt Martha’s serves 15

percent of all the patients receiving behavioral health

services from a BPHC grantee in Illinois.

The Care Management Model at Work

Medical/Physical in File

Consent Signed

# appts attended

Compliant with Meds

Pt. reports symptom improvement within 3 months

Pt. Not Hospitalized during treatment

70% 75% 80% 85% 90% 95% 100%

81.96%

96.39%

85.30%

90.72%

92.27%

90.21%

The Care Management Model at Work

Tota

l

Med

ical/P

hysic

al in

File

Conse

nt S

igne

d

# app

ts a

ttend

ed

# app

ts N

o sh

ow

Compliant

with

Med

s

Pt. r

epor

ts sy

mpt

om im

prov

emen

t

Pt.

hosp

italiz

ed0%

10%20%30%40%50%60%70%80%90%

100%

Under 18 Under 21 adult

MakingCross-Integration

Work

Cross-Integration and theEvolution of Aunt Martha’s

• This notion is not new.• Our services were born out of client needs

– Youth needed someone to talk to (counselors)– Drug use (substance abuse services)– Kicked out (foster homes)– Pregnant (prenatal and family planning)– Jobs (employment)– Kids (childcare)

Core Training for All Employees• 4 hour training• Help you better serve clients and patients by

teaching you what cross-integration is, and why and how we do it

• Lecture, discussion, group activities, video, software demonstrations, Q&A

• 6 Modules– Understanding Cross-Integration– Knowledge of current programs, services, locations and

eligibility– Using the Client Referral System– Using the Cross-Integration application– The “VIP” protocol– Accountability and Making it Real

Making Connections and Coordinating Care

Our Cross-Integration System enables employees to search a centralized database of each client's service history at Aunt Martha's.

Aunt Martha’s Cross-Integration System

Once a record is selected, staff can:1. Review Client History;2. See the Client's Location on an interactive map; or,3. View Suggested Programs for the client.


The list of Suggested Programs can be changed byadjusting a filter of selected client characteristics.


When a Suggested Program is selected, the interactive map is updated to show:1. The client's home address; and,2. The Locations where the selected program provides its services.


From within the Cross-Integration System, employees can generate an electronic referral to any of Aunt Martha's programs.

The status of each record created in our Referral Tracking System can be monitored by our managers to ensure that it is acted on and closed in a timely manner.


From within the Cross-Integration System, employees can generate an electronic referral to any of Aunt Martha's programs.

The status of each record created in our Referral Tracking System can be monitored by our managers to ensure that it is acted on and closed in a timely manner.

From July 2010 through June 2011 (FY11), a total of 3,821 requests were

logged in the Referral Tracking System.

More than 3,100 requests have already been logged in FY12.

Cross-Integration, Coordinated Care & Collaboration

• Services organized from the client’s perspective

• Integration of child welfare, juvenile justice and education services with the Medical Home

• Alignment with local networks of health care and social service providers in every community

• Implementation of systems to enable communication and simplify access and the coordination of care

Client Experiences – Case Study A 17 year old young man accessed services through our street outreach program and was referred to our homeless shelter when we discovered he did not have a permanent residence. At the shelter he received help with interpersonal skills, like skills, academic enrollment and job preparations skills.

Using our integrated network he also received services at our health center, participated in youth leadership opportunities and discharged to job corp with his HS Diploma where he is learning carpentry skills.

Client Experiences – Case Study An 18-year old female from Haiti was brought to Aunt Martha’s by the police after it was discovered that she was homeless. She participated in our life skills programs, re-enrolled in school and began working toward reunifying her family.

When she left Aunt Martha’s, she moved into the home of a family member and began aftercare. The family struggled. Eventually, the young woman was referred to our Greenhouse Shelter to ensure she continued to her work in school, job preparation and family communication.

Bringing the Value to LifeTelling the Stories of our Patients & Clients

If Ernie sends the five or six bullets Karen asked him for about the value added initiatives, we can use them here.

Incorporating SBIRT Into Aunt Martha’s Model of Care

• Previous Experience with Similar Tools– Depression Screening Tool– Dental Health Questionnaire

• Automated Patient Check-In– Phreesia demonstration

• Our Adult Patients in South Suburban Cook County

Incorporating SBIRT Into Aunt Martha’s Model of Care

presentation to dasa director 20120210

Health & Medicine