Transcript Mayview Regional Service Area Planning Process Allegheny

Mayview Regional Service Area Plan
Stakeholder’s Meeting
April 18, 2008
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Today’s Agenda
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Welcome
Service Plan Update from the Department of Public
Welfare, Joan Erney, Deputy Secretary
Mayview Closure Progress Report, Mary Fleming
County Program Updates – Peer Services
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Greene: Overview of Peer Services and other Programs, Dean Virgili
Beaver: Certified Peer Specialist Program, Marty Shafer and Paul Abayes from
Aurora, Peer Mentoring Services - MHA
Lawrence: Fairweather Lodge
Allegheny: Stakeholder Review Process for RFPs, Audra Dudek and Meg Park
SAMHSA Grant for Peer Specialist Training for Older
Adults – Shirlee-Hopper-Scherch, Executive Director,
PSAN
Questions and Answers with Audience
Place holder for Joan’s slides
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Place holder for Joan’s slides
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Census
Poly. (Census)
2008-03
200
2008-02
2008-01
2007-12
2007-11
2007-10
2007-09
2007-08
2007-07
2007-06
2007-05
250
2007-04
2007-03
2007-02
2007-01
2006-12
2006-11
2006-10
2006-09
2006-08
2006-07
2006-06
2006-05
2006-04
300
2006-03
2006-02
MSH Census from 2/06 to 3/08
MSH Census
350
289
Announcement
163
150
100
50
0
Types of Case Management Services
Type
5
#
Consumers
%
Administrative CM
4
3%
Blended/Targeted CM
30
24%
CTT
76
62%
Enhanced Clinical CM
2
2%
Intensive CM
4
3%
Resource Coordination
4
3%
None
3
2%
Total
123
100%
Residential Placement Type
Supportive
Housing, 7%
Specialized
Supportive
Housing, 9%
Comprehensive M H
Personal Care
Home, 17%
Permanent
Supportive
Housing, 2%
Criminal Detention,
1%
Nursing Home, 3%
Community
Residential
Rehabilitation, 16%
Long-Term
Structured
Residence, 16%
Living with Family,
8%
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Domiciliary Care, 1%
Living
Independently, 9%
Enhanced Personal
Care Home, 11%
Residential Program Development
Residential Program
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Capacity
Counties Involved
Non-Hospital EAC
16 beds
Allegheny only
LTSR
12-16 beds
4 Suburban Counties
Non-Hospital EAC
12-16 beds
4 Suburban Counties
RTFA
12-14 beds
4 Suburban Counties
LTSR
2 facilities, 6-8 beds each
Allegheny only
Enhanced PCH
10 beds (might transition into 2 homes with
8 beds each)
Allegheny only
Enhanced PCH
2 homes, 8 beds each
Allegheny only
Specialized Support Homes
2 homes with 3-4 beds each
Allegheny only
Comprehensive MH PCH
5-8 beds
Allegheny only
Hospital-based EAC
5-10 beds
(# of beds to be finalized with provider)
4 Suburban Counties
Regional Enhanced PCH
12 beds
4 Suburban Counties
SOS LTSR
14-16 beds
All 5 MRSAP Counties
SOS Small Group Homes
2 homes with 3-4 beds each
All 5 MRSAP Counties
Programs above are in various stages of procurement and/or development, and as such are subject to change.
Quality Assurance and Oversight Initiatives
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Comprehensive Monthly CSP Tracking
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Care Management Collaboration with CCBH
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Follows identified high risk consumers – both HealthChoices and
non-HealthChoices
Works closely with Allegheny County’s community integration team
and the QMCC from the SOS
Regional Reporting of Critical Incidents and Early Warning
Indicators with Automated Notification Capability
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Tracks 22 categories including benefits, housing, services, and social
supports on a monthly basis for all CSP consumers
Provides regional perspective of critical incidents
Integrates with other CSP tracking data
Offers ability to notify Counties and State immediately once entered
into the system
Quality Assurance and Oversight Initiatives
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Quality Improvement and Outcomes (QIO) Sub-Committee
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CSP Evaluation Study with the University of Pittsburgh
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Will evaluate the CSP process for those discharged from Mayview and
provide insight on effectiveness for service planning and community
integration
Quality Management and Clinical Consultation (QMCC) Team
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Includes consumers, family members, and professionals from the
MRSAP Counties and State
Monitors and reviews data related to the MRSAP project, including but
not limited to assessments, CSPs, satisfaction / quality of life surveys,
and other evaluation components
Works collaboratively and in consultation with counties and providers
to monitor the quality and effectiveness of services, the effective
coordination of services, and development of staff expertise to meet
the complex and changing clinical needs of consumers.
Quality Assurance and Oversight Initiatives
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Mayview Nursing Community Assessment Team
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Acute CSP Process to Support State Hospital Diversions in
Community Hospitals
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Proactively evaluates activities associated with the closure and works
to develop contingencies to minimize risk to consumers, staff, and the
community at large
Root Cause Analysis (RCA)
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Currently being piloted, this initiative transfers the Mayview CSP
process to the acute community hospital setting to support diversions
and community residential placements
Failure Mode Effects Analysis (FMEA)
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In collaboration with the Counties, provides medical assessments to
consumers in the community who have been discharged from Mayview
Process that objectively and systematically reviews the contributing
factors associated with certain critical incidents deemed “sentinel
events” involving individuals within the Mayview Service Area
Greene County
Service Area Expansion and Development
Greene County Human Services is focused on understanding the
principles of recovery and their application in the area of current
and new program development.
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Greene County’s target populations for
service planning are:
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Individuals with multiple community
hospitalizations.
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Individuals at risk for hospitalization in a
community hospital.
Expansion of Current Services
• Mental Health Outpatient
• Partial Hospitalization
• Drop In Center
• Social Rehabilitation
• Community Support Program (CSP)
• Housing Options
• Inpatient Hospitalization
• SOAR (Senior Outreach and Referral)
• Case Management
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Development of New Services
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Community Treatment Teams
Peer Support
Mobile Mental Health Outpatient Treatment
Psychiatric Rehabilitation
Crisis Services
Enhanced Personal Care Home
Promoting Recovery through Education
Greene County
Greene County is working diligently
with OMHSAS, MRSAP Steering
Committee, Value Behavioral Health,
provider agencies and other
stakeholders in identifying County
specific and regional needs for the
expansion of current and the
development of new services for our
residents.
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County Updates – Continued (no slides)
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Beaver County
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Lawrence County
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Fairweather Lodge
Allegheny County
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Peer Support Services, Joanne Koehler
(video)
Stakeholder Review Process for RFPs,
Audra Dudek and Meg Park
SAMHSA Grant for Peer Specialist
Training for Older Adults (no slides)
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SAMHSA Grant for Peer Specialist
Training for Older Adults
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Shirlee-Hopper-Scherch, Executive Director,
Peer Services Advocacy Network (PSAN)
Discussion
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