Transcript Slide 1
Overview of North Sound Mental Health Administration’s Internal Structure
Administration
The Administrative Department of NSMHA consists of the Executive Director, Deputy Director and Support Services.
The Administration oversees compliance with Center for Medicare and Medicaid Services and the Mental Health Division; as well as interacts with Tribal governments. The Administration also implements policy directions adopted by the Board of Directors.
Administration
Chuck Benjamin, Executive Director Greg Long, Deputy Director/Planner Annette Calder, Executive Assistant Rebecca Pate, Administrative Secretary Shannon Solar, Administrative Secretary Barbara Jacobson, Secretary Christin Haymond, Receptionist
Quality Management Department Quality Management functions are: • Quality Assurance and Improvement, • Utilization Management, • Care Advocacy, • Complaints/Grievance/Appeals/Fair Hearing, • Risk Management, • Policy Development Support, • Inpatient Utilization, • Customer Services, and • Monitor Delegated Functions.
Quality Management
Cindy Ainsley, Quality Manager Laura Davis, Lead Quality Specialist Charissa Fuller, Lead Quality Specialist Kurt Aemmer, Quality Specialist Julie de Losada, Quality Specialist Angela Fraser-Holtz, Quality Specialist Terry McDonough, Quality Specialist Diana Striplin, Quality Specialist Sandy Whitcutt, Quality Specialist
Fiscal Department
The Fiscal Department handles all: • Revenues, • Expenses, • Inpatient Claims, • Fiscal Audits, • Payroll, • Insurance, • Government Reporting and • Administration of Employee Benefits, etc.
Fiscal Department
Bill Whitlock, Fiscal Officer Shari Downing, Accounting Specialist Sean Powell, IS Support/Accounting Specialist
Information Systems/Information Technology Department Our Information Systems/Information Technology Department handles all aspects of our: • Network, • Security, • Data, • Website, • Equipment, and • Technical Needs.
IS/IT Department
Michael White, IS/IT Administrator Dennis Regan, Data Support Analyst Sean Powell, IS Support/Accounting Specialist
Contracts Department
The Contracts Department oversees: • Contract Negotiations, • Contracts and Amendments, • Contract Deliverables, • Provider Licensing, • Memorandums of Understanding, and • Participates in the Administrative Audits.
Contracts Department
Margaret Rojas, Contracts Coordinator
Consumer Affairs Department
Consumer Affairs coordinates consumer involvement in NSMHA activities as well as activities at the State level.
Consumer Affairs
Margaret Rojas, Consumer Affairs Coordinator
Planning Department
Planning works with cross systems and community stakeholders to evaluate system functions and needs in order to develop or improve services. A Regional Strategic Plan is developed every 3-4 years and revised annually. The purpose of the Strategic Plan is to address areas of desired improvement in the delivery of services and the overall mental health system. A major focus of Planning is to assure close coordination of care across different systems of care (DD, employment, health care, HCS, schools, etc.).
Planning
Greg Long, Deputy Director/Planner Tom Yost, Planning Specialist
NSMHA Management Team
The NSMHA Management Team is comprised of: • Executive Director, • Deputy Director, • Fiscal Officer, • Contracts Coordinator, • IS/IT Administrator, • Executive Assistant, and • Quality Manager. Currently the two Lead Quality Specialists are filling the position of the Quality Manager on the Management Team. The structure of the Management Team may be revisited after the new Quality Manager joins in September.
Quality Management Contacts
Risk Management Critical Incidents: Kurt Aemmer Utilization Management Utilization Review: Sandy Whitcutt Denials: Charissa Fuller Authorizations: Terry McDonough
Quality Management Contacts
Care Advocacy Adults: Laura Davis Children: Angela Fraser-Holtz Systems: Julie de Losada Inpatient Utilization: Charissa Fuller Delegated Function: Charissa Fuller
Quality Management Contacts
Complaints, Grievances, Appeals, Fair Hearings: Diana Striplin MHD Audit: Terry McDonough
Executive Director Executive Assistant Contracts Coordinator/ Legislative Liaison Fiscal Officer Consumer Affairs Coordinator Deputy Director/ Planner Administrative Secretaries (2 FTE) Accounting Specialist Planning Specialist .5 FTE Quality Manager IS/IT Administrator Secretary Receptionist Quality Specialists (10 FTEs) Data Support Analyst IS Support/ Accounting Specialist