Transcript Board Orientation - Big Bend Community Based Care
BBCBC Network Orientation
2009
Agenda
BBCBC OVERVIEW
the network’s mission, philosophy, goals, and services
BBCBC PROVIDER NETWORK OVERVIEW & OPERATIONS
the network’s mission, philosophy, goals, and services network operations and functioning network policies and procedure’s including access procedures network billing practices
BBCBC PROVIDER NETWORK GOALS, SERVICES & CONTRACTS
the network’s mission, philosophy, goals, and services utilization management criteria the network’s conflict of interest policies and ethical expectations the provider’s role in the network’s PQI process
OP 1207 – Network Training
BBCBC OVERVIEW
History of BBCBC
BBCBC was founded in 2002 in order to meet the need for a community response to the initiative by Florida’s Legislature and DCF.
BBCBC is the direct result of a unified effort between the Camelot Community Care, Children's Home Society of Florida, and DISC.
Our service area now includes the twelve counties included in Florida Judicial Circuits 2 and 14.
Big Bend Community Based Care Mission
To provide the highest quality child welfare prevention and intervention services to children and their families in their home communities.
Big Bend Community Based Care Vision
To create local ownership of the child protection system in each of our 12 communities. By doing so, we believe that the quality of life for the children and families we serve will dramatically improve and the incidences of child maltreatment will dramatically decrease.
Big Bend Community Based Care Core Value Core Value
The belief that all children have the right to grow up safe, healthy and fulfilled in families that love and nurture them. We will rely on the following values to guide us in our work:
We will…
Respect the caregivers of children
Be innovative and dedicated to excellence
Be ethically, socially and culturally responsible
Promote family and personal responsibility
Partner with community and faith-based organizations to foster open and collaborative relationships
Earn the trust and respect of our partners, customers and the public by providing exceptional customer service while practicing sound fiscal stewardship
Employ an analytic and systemic approach to planning and performance management
Facilitate a work environment that encourages professional development and growth
Big Bend CBC’s Keys to Success
Community Engagement
Managing Revenue
Quality Services
Professional Development
Agency Mission Long-Term Strategic Plan
A documented, coordinated and disciplined process designed to produce a desired outcome 3-5 Years
Short Term Strategic Plan
One Year
Quality Management Plan
One Year
Managing Revenue
•Cost Allocation Plan
Community Engagement
•Community Development Plan •Foster Parent Recruitment Plan
Professional Development
•Partner Pre- & In-Service Training Plan •Professional Development Plans for BBCBC Staff
Quality Services
•System of Care Plan – Direct Services •BBCBC OPs – Administrative Services
BBCBC uses this model for all of its functions…
BBCBC Policies & Procedures
Series 100: Series 200: Series 300: Series 400: Series 500: Series 600: Series 700: Series 800: Series 900: Intake Placement Services Medical and Behavioral Health Care Child Welfare Services Special Populations Legal Issues Provider Network & Licensing Performance and Quality Improvement Data Collection and Records Series 1000: Network Administration Series 1100: Human Resources Management Series 1200: Training and Supervision Series 1300: Financial Management Series 1400: Building and Facilities Management Series 1500: Client Rights
BBCBC Policies & Procedures
All BBCBC Policies are available on the BBCBC website in the Documents section: www.bigbendcbc.org
Each member of the BBCBC Service Network is responsible for becoming familiar with these policies and incorporating them in their work. If you have any questions regarding any BBCBC policies please contact Pam East, COO at [email protected]
or 850-410-1020.
BBCBC Policy Guidelines
BBCBC’s business is conducted in accordance with the laws of the State of Florida, the corporation's Articles of Incorporation, the Bylaws of the Corporation, Board-approved Policies and Procedures, and generally accepted business practices. The intent of BBCBC policies is to clarify law, rule, and federal and state policy and to provide instruction and guidance to staff concerning practices unique to BBCBC operations.
Policies & Procedures are available via BBCBC’s website ( www.bigbendcbc.org
). BBCBC reviews its Policies & Procedures annually. Changes to Policies & Procedures are initiated when there are: Changes in applicable laws, regulations, or directives, Changes in the BBCBC organization, operational activities, or business approach, Changes in BBCBC procedures that necessitate updates in complimentary policies
BBCBC Philosophy and Beliefs about Quality
BBCBC believes that assuring quality and improving services is a continuous process. Providing cost-effective, quality services are considered to be the responsibilities of all staff, service providers, and licensed caregivers. While there is never an excuse for poor quality service, BBCBC views mistakes as tools for learning and improving services for children and families.
(09/10 QM Plan)
BBCBC’s Quality Management System (QMS)
BBCBC’s system includes a set of policies, processes and procedures required for planning and implementing the core work of our organization. The QMS allows BBCBC to identify, measure, control and improve services for children and families.
(09/10 QM Plan)
Key Facts about BBCBC’s QMS
It is an analytic and system-wide approach for planning and performance management It uses data collected from electronic systems, case files and reports to inform the planning and implementation of service, administrative and financial functions It includes input from BBCBC and Network Provider employees, Foster Parents, and other community stakeholders The primary purpose of the QM Plan is to define how we and our partner providers will work to strengthen practice by improving the timeliness, accessibility, quality and effectiveness of services
(09/10 QM Plan)
Florida Department of Children & Families Circuit 2 & 14 Contract Oversight & Funding Big Bend Community Based Care, Inc. Lead Agency Administrative Functions System of Care · Budget & Finance · Quality Management
(4.8% Annual Funding)
Facilities & Information Technology
(6.3% Annual Funding)
Prevention Services
4.1% Annual Funding
Case Management Services
39% Annual Funding
Children’s Home Society
Leon County
DISC Village
Franklin, Gadsden, Jefferson, Liberty, & Wakulla Counties
Habilitative Services
Calhoun, Holmes, Jackson & Washington Counties
Life Management Center
Bay & Gulf Counties
Anchorage Children’s Home
Calhoun, Holmes, Jackson & Washington Counties
Camelot Community Care
Gadsden, Gulf, Jefferson, Leon & Liberty Counties
Children’s Home Society
Bay & Leon Counties
DISC Village
Wakulla & Franklin Counties
Foster Care Placement Services
29.4
% Annual Funding
Independent Living Services
2.9% Annual Funding
Camelot Community Care
Franklin, Gadsden, Jefferson, Leon, Liberty, & Wakulla Counties
Boys Town
Leon County
Life Management Center
Bay, Calhoun, Gulf, Holmes, Jackson & Washington Counties
DISC Village
Bay Calhoun Franklin Gadsden Gulf Holmes Jackson Jefferson Leon, Liberty, Wakulla & Washington Counties
Adoption Services
14.9% Annual Funding
Children’s Home Society
Franklin, Gadsden, Jefferson, Leon, Liberty, & Wakulla Counties
Life Management Center
Bay, Calhoun, Gulf, Holmes, Jackson & Washington Counties
BBCBC PROVIDER NETWORK OVERVIEW & OPERATIONS
Network Goals
BBCBC uses a Strategic Planning process to:
Clarify the vision, mission, values and mandates of the BBCBC Network Assess the strengths, weaknesses, opportunities and threats of the Network Establish goals and objectives, which flow from the mission and BBCBC’s mandated responsibilities Identify and formulate strategies to meet identified goals
OP 1001 – Strategic Planning
Provider Recruitment and Network Development
It is the policy of BBCBC to coordinate a network of agencies and individual providers designed to meet the needs of children and their families and provide a comprehensive range of services that strengthen and stabilize families, maintain children in their communities, and lead to permanency.
Network Operations I
As the designated lead agency in Circuits 2 & 14 by the Florida Department of Children and Families, BBCBC will ensure:
Services provided through the BBCBC network of contracted provider agencies are defined in writing Written agreements regarding services to be provided by specific agencies and community partners are established through the appropriate contracting or memorandum of understanding (MOU) methodologies Services are structured to readily adapt to changes in the service environment and the needs of the clients served to achieve desired outcomes
OP 1000 - Legal Authorization to Operate
Network Operations II
The BBCBC network of providers will be structured to include the unique contributions and goals of each provider agency and allow for the reconciliation of each member’s ethical and mission-driven interests. Network functions will include:
Process to ensure ease of entry into the BBCBC system of care Agreed upon quality improvement measurements and expectations for the BBCBC system of care Uniform utilization protocols when established Management of network operation and participant information, including key costs, performance measures, outcome measures, and stakeholder satisfaction data
OP 1000 - Legal Authorization to Operate
Network Operations III
The BBCBC network of providers will establish and use an effective communication system that:
Provides all parties with information needed to operate effectively Facilitates clear understanding of mutual expectations Describes the processes for conflict resolution, including conflicts of interest among contracted providers and community partners
OP 1000 - Legal Authorization to Operate
Network Operations IV
BBCBC will maintain a formal process for provider and community partners to express and resolve complaints and grievances including:
Denial or termination Decisions not to contract with providers Decisions to abrogate contracts with providers Referral and utilization practices when established Payment
OP 1000 - Legal Authorization to Operate
BBCBC PROVIDER NETWORK GOALS, SERVICES & CONTRACTS
Service Provider Subcontracts & Network Provider Agreements
BBCBC has two types of agreements for services:
Network Provider Agreements These are written agreements with vendors for professional services provided to children and families within the BBCBC network. Providers are reimbursed by BBCBC out of Purchase of Service funds. These Network Providers are not subject to BBCBC’s contracting processes, but may be subject to monitoring processes.
Service Provider Subcontracts These are formal written agreements executed by BBCBC with sub recipients, called Service Providers, who are paid for the provision of services. Subcontracts include specific performance measures and Service Providers have programmatic responsibility defined as such by BBCBC and/or federal/state funding sources.
OP 709 - Provider Recruitment & Network Development
BBCBC Network Services
BBCBC Network service recipients will be provided with a choice of providers, to the extent possible within the available resources and service requirements and will be readily moved between programs or levels of care as service needs change or progress is made.
BBCBC Network services recipients will be placed in the least restrictive, most appropriate service that meets their needs. Preference is achieved through flexible, responsive admissions, and utilization management criteria when established for persons with multiple or chronic needs.
The BBCBC Network will implement best, promising, and evidence based service practices to meet the needs of children and families served.
BBCBC Network service information will be made available to the public via the BBCBC website and provided to persons served at intake.
The BBCBC Network providers will :
Accept referrals through established access processes Provide prompt service response via telephone or email as appropriate Respond to non-urgent requests within a week of the initial call Maintain cost-free telephone accessibility at all hours Provide intake, and assessment 24 hours-a-day, seven days a week Provide mobile capability to respond to home, school, emergency room or police department for evaluation and crisis intervention, when necessary Provide emergency services immediately, or within six hours or less of an initial call Provide urgent care services within 24 to 72 hours of the initial call
OP 1002 – BBCBC Network Services
QMS and BBCBC’s Contracts with Network Service Providers
Network Provider Agencies’ files, records, and documents are accessed by BBCBC’s Contracts and Quality Management staff to evaluate compliance with policies and procedures, Florida Statutes and Administrative Code Network Provider Agencies submit their internal Quality Assurance Plan to BBCBC as one of their contract requirements Network Provider Agencies work with BBCBC Quality Management staff on quality monitoring, assessment and improvement activities
(09/10 QM Plan)
Evaluation Process for Network Goals and Services
BBCBC and its Network use outcome measurement to evaluate individual progress and effectiveness of service delivery, including the use of client and stakeholder satisfaction surveys. BBCBC assesses itself and the Network using: Performance Measures – Outcome measures for programs and services Financial Indicators – Measures of financial stability, cost efficiency and compliance with recognized accounting standards Stakeholder Surveys – Qualitative measures of satisfaction with the Network and its services Management Indicators – Process measures of efficiency, timeliness, and compliance with policies and procedures Personnel Indicators over data – Surveys of BBCBC and Network Partner employee satisfaction, reviews of employee’s performance, and turn Quality Measures – Process measures of service provision within programs focused on best practices
OP 1004 – Outcome Measurement
Training Documentation
Thank you for completing this online training presentation.
To document your participation please immediately send an email listing your name, position, agency, email address, and circuit to the BBCBC training department at:
Please let us know any training topics you would like to be provided with in a classroom training, online presentation or training resource materials.
BBCBC Training Coordinator contact: Carol Edwards 850-694-0728
BBCBC values your time and commitment to work with us in partnership to build stronger families in our community.
Thank you for your service.