MENTAL HEALTH SERVICES

download report

Transcript MENTAL HEALTH SERVICES

NORTH SOUND REGIONAL MENTAL
HEALTH ADMINISTRATION (NSMHA)
Presentation:
NSMHA 101
NORTH
SOUND
August 20, 2007
Charles R. Benjamin
MENTAL
Executive Director
NSMHA
HEALTH
SYSTEM
1
NSMHA 101
1.
2.
3.
4.
5.
6.
NSMHA Overview
NSMHA Regional Mental Health Services
NSMHA Quality Management Process
Summary
Opportunities
Questions
2
NSMHA OVERVIEW
3
WASHINGTON STATE MENTAL HEALTH SYSTEM
4
5
North Sound Mental Health Administration
Mission
We join together to enhance our community’s mental health and
support recovery for people with mental illness served in the
North Sound region, through high quality culturally competent
services.
6
What is NSMHA?
Pre-paid Mental Health & Inpatient Capitated Managed
Care Plan
 Public Mental Health Authority for the five counties.
 NSMHA must assure:

– Access to all medically necessary services
– Crisis services 24/7
– Quality improvements
– Contractual compliance, enforcement
– Consumer driven services
– Individualized and strength-based services
– Vision of Hope/Pathway to Recovery
– Culturally and Special Population appropriate services
– Individual and public safety is paramount
7
NSMHA GUIDING PRINCIPLES





Eligible consumers
receive MH services
Consumers treated with
dignity, respect,
courtesy, fairness
Consumer voice is a
core value
Utilize Families and
Natural Supports
Community Education





Consumer strengths
and needs -services
Timely access to
services
Consumer satisfaction
Involve consumers in
improving services
Promote advocacy
8
NSMHA CURRENT CONTRACTORS
– Associated Provider Network (APN)
 Island, San Juan and Snohomish Counties
– Compass Health

Skagit
– Compass Health
– Catholic Community Services NW
– Whatcom Counseling & Psychiatric Clinic
– Lake Whatcom Treatment Center
– Bridgeways (formerly Rainbow Services)
– Island, San Juan, Skagit, Snohomish and Whatcom
Counties
– Sea Mar
– Tulalip Tribes
– Volunteers Of America
9
NSMHA RFQ CONTRACTORS
– Bridgeways
– Catholic Community Services NW
– Compass Health
– InterFaith
– Lake Whatcom Treatment Center
– Sea Mar
– Sunrise Services
– Tulalip Tribes
– Volunteers Of America
– Whatcom Counseling & Psychiatric Clinic
– Island, San Juan, Skagit, Snohomish and Whatcom
Counties
10
PUBLIC INPUT and
LOCAL NEEDS

Occurs at:
– NSMHA



Board of Directors
Regional and County
Advisory Boards
NSMHA Committees
– Local Providers
– National Alliance for the
Mentally Ill
11
County Responsibilities

Administration, Development & Planning
Services
– Local Advisory Board
– NSMHA Board of Directors’ standing committees:


Planning Committee
Quality Assurance/Improvement (QMOC)
– Local Responsiveness & Communications
– Collaborate with & Assist NSRSN Staff

Jail Services Projects
12
NORTH SOUND RSN
Organization Chart
CMS
DSHS/MHD
NSMHA Board of
Directors
Quality
Management
Oversight
Committee
Executive
Assistant
Administrative
Secretaries
(2 FTEs)
NSMHA Advisory
Board
Planning Committee
Executive Director
Contracts Coordinator/
Legislative Liaison
Fiscal
Officer
Consumer Affairs
Coordinator
Quality
Specialists
Accounting
Specialist
Deputy Director
Quality
Manager
(10 FTEs)
IS/IT
Administrator
Secretary
Receptionist
County
Coordinators
Data
Support
Analyst
IS Support/
Accounting
Assistant
Planning
Specialist 13
(.5 FTE)
NORTH SOUND MENTAL HEALTH ADMINISTRATION
CY 2006 Expenditures
Jail Services
1%
B3 Waver
0%
Public Education
0%
Provider Admin
8%
RSN Admin
3%
Ombuds
0%
UM & QM
5%
Inpatient
13%
Information Systems
6%
E&T
9%
Outpatient
37%
Crisis & ITA
14%
Residential
4%
Direct Services:
E&T
Crisis & ITA
Residential
Outpatient
Inpatient
B3 Waver
Jail Services
$
$
$
$
$
$
$
$
4,302,870
6,890,804
2,018,370
17,935,121
6,228,799
238,302
351,105
37,965,370
Total Cost:
Direct Service Support:
Ombuds
$
163,979
Public Education $
168,606
UM & QM
$ 2,632,715
Information
Systems
$ 3,062,980
Total
$
49,779,983
$6,028,280
Administration:
Provider Admin
RSN Admin
Total
$
$
4,191,996
1,594,337
$5,786,333
14
IN SUMMARY…





Recovery based system
Enhance consumer and
advocate voice
Implement consumer
outcome measures
Enhance utilization
management
Meet IS needs to
accomplish above

Streamlining and
Restructuring limited
resources
 Enhance contract
performance processes
 Comply with Federal &
State regulations
 Comply with NSRSN’s
Core Values & Principles
15
REGIONAL MENTAL
HEALTH SERVICES
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
NSMHA
QUALITY MANAGEMENT
PROCESS CHART
33
34
IN SUMMARY…NSMHA

Recovery based system
Limited resources
– Consumer and advocate
 Contract performance
voice
 Comply with Federal &
 Consumer outcome
State
regulations
measures
 Comply with NSMHA’s
 Utilization management
Core Values & Principles
 Information System to
 COMMUNITY
meet CMS and State
COLLABORATION
requirements

35

OPPORTUNITIES…
Medicaid Rates
– Clinical Productivity
– Penetration Rates

Detoxification ITA Pilot

DSHS/MHD RFQ
Compliance

Transformation Grant

Residential Continuum of
Care
Development of State Plan
Modalities


Jail Services

Next State Biennium Budget

Short Term Children’s High
Intensity Treatment partnership:
– Children’s Administration
– NSMHA
– Snohomish County

PACT
– Full: Snohomish County
– Half: Whatcom County
36
NORTH SOUND REGIONAL MENTAL
HEALTH ADMINISTRATION (NSMHA)
Public Mental
Health System
Local
Communities
People with
Mental Illness
Funding /
Resources
State & Local
Hospitals
37
THANK YOU
FOR THIS OPPORTUNITY TO PRESENT
NORTH SOUND REGIONAL MENTAL
HEALTH SERVICE SYSTEM
I WELCOME ANY QUESTIONS
38