The Joint Commission - Light PP Presentation
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Transcript The Joint Commission - Light PP Presentation
FAADA/FCMHC
August, 2013
Diana Murray, RN, MSN
Regional Account Manager
The Joint Commission
© Copyright, The Joint Commission
Integration: Behavioral and
Primary Physical Health Care
Discuss the changing environment in which
today's behavioral health organizations
operate
Discuss the Joint Commission model for
providing integrated behavioral health and
primary physical health.
Discuss Joint Commission standards related
to integrated behavioral and primary physical
care
2 -2
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Objectives
To continuously improve health care for
the public, in collaboration with other
stakeholders, by evaluating health care
organizations and inspiring them to
excel in providing safe and effective
care of the highest quality and value.
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The Joint Commission Mission
Joint Commission
Behavioral Health Care Accreditation
Accrediting Behavioral Health organizations since 1969
Accredited over 2,000 Behavioral Health organizations
Range of settings/services
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Our focus: helping behavioral health organizations help
the people they serve.
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Mental Health, Addiction Treatment
and Primary Physical Care Traditions
Separate delivery silos
Sequential care, treatment and services
Minimal communication and collaboration
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Distinct professional training
Various provisions of the ACA
Expanded access to rehabilitative, prevention and
wellness services.
Incentives to coordinate primary physical care,
mental health, and addiction services.
Develop capacity to provide services in an effective
and modern mental health system through various
workforce initiatives, including education and
training grants, loan repayment programs, and
primary physical care residency training.
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Enhances community-based service options for
individuals with a serious mental illness.
ACA: Defines health homes as
“comprehensive and timely high quality services
”
Services provided must include:
Comprehensive care management
Care coordination and health promotion
Comprehensive transitions of care from inpatient to other
settings, including appropriate follow-up
Referral to community and social support services, if relevant
The use of health information technology to link services, as
feasible and appropriate
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Individual and family support, which includes authorized
representatives
Health Homes
Section 2703 of the Affordable Care Act
States establish health homes through
Medicaid State Plan Amendment
SAMHSA – HRSA Center for Integrated
Health Solutions
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Primary physical and behavioral health
integration grants
Primary Physical Health Care
Basic level of physical health care
Promotion of physical health and
disease prevention
Treatment of acute and chronic
illnesses
Health maintenance and education
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Early diagnosis of disease or disability
Building on the Patient Centered
Medical Home experience to create
health homes for Medicaid eligible
recipients with people with serious
mental illness and/or substance abuse
condition
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State Medicaid Plans
The Joint Commission
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Behavioral Health
Home Certification
Joint Commission Accreditation and Certification for
Integrated Behavioral and Primary Physical Care
Ambulatory Primary Care Medical Home Certification
– Federally Qualified Health Centers tailored with
Behavioral Health when provided
– Ambulatory Care Clinics
Behavioral Health Home Certification
– 16 Settings and services
– Primary Health care when provided
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– Medical Groups
Concepts Integrated into the
Ambulatory Accreditation Program
Primary Care Medical Home
Certification Standards*
Patient Centered Care
Comprehensive Care
Coordinated Care Superb Access to Care
*Agency for Healthcare research and Quality
Medical Home Model
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A Systems-Based Approach to Quality and Safety
Behavioral Health
Home Certification
Accreditation Requirements
– Core Standards
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– Additional BHH Certification Standards
Care, Treatment and Services
For organizations that elect The Joint
Commission Behavioral Health Home
option
Define Population in BHH
Arranges for the history and physical
to occur, if necessary
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Data collection
Additions to Core Standards
Care, Treatment and Services
Individual’s short- and long-term physical
health care goals
Screening and/or assessment for chronic
physical health conditions
Identification of physical health goals
Disciplines are collaborative and integrated
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Individual’s ability to self-manage chronic
behavioral and physical needs
Care, Treatment and Services
verbal and written communication needs of the
individual served including his or her preferred
language for discussing health care.
Integration of both physical and behavioral health
needs and goals.
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The physical health care needs of the individual, The physical health care goals of the individual, How the organization will meet those needs,- How
the organization will help the individual to work
toward achieving his or her goals
Care, Treatment and Services
Coordination of External Referrals
Literacy Needs
Self Management
Education
Provides or facilitates the provision of prevention,
screening, and primary physical health care,
treatment, or services as part of integrated care
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Provides excellent access to integrated care,
treatment, or services
Care, Treatment and Services
Accountable for Integrated care
Integrated Team
Case Management
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Training and Support
Environment of Care
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Inspects, tests and maintains medical equipment
Human Resources
Orientation
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Education and Training
Information Management
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Health Information Technology
Leadership
Performance Improvement
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Clinical Practice Guidelines
Performance Improvement
Data Collection
Data Analysis
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Improves Performance
Record of Care
Contains the following behavioral and
physical health information:
– All behavioral and physical health diagnoses and
conditions that have required care, treatment,or services
– All hospital admissions
– All urgent care and emergency department visits
– Individual’s race and ethnicity
– Self Management goals related to integrated care
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– All hospital re-admissions
Rights and Ethics
Receive information in a manner he or she
understands
Collaborate in decisions about his or her care,
treatment, or services
Functions and services of the behavioral health
home
End of Life Care
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Receive information about the staff responsible for
his or her care, treatment, or services
Summary
BHH is not for every Behavioral Health Care
Company
BHH is integration of Behavioral and
Physical Care
Pre-publication Standards
http://www.jointcommission.org/standards_information/prepublication_
standards.aspx
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Majority of standards found in Care
Treatment and Services
Contacts
Peggy Lavin, Senior Associate Director
– [email protected]
– 630-792-5411
Evelyn Choi, Senior Business Development Specialist
– [email protected]
Diana Murray, RN, MSN, Regional Account Manager
– [email protected]
– 630-792-5295
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– 630-792-5866