WRBHO Monthly Provider Meeting

July 13, 2012

WESTERN REGION BEHAVIORAL HEALTH ORGANIZATONWITH BEACON HEALTH STRATEGIES, LLC AND COORDINATED CARE SERVICES, INC

Agenda Welcome/ Introduction of New Meeting Format -

Adele Inpatient Experience Forum Update – Val One-on-One Provider Meetings for Q1 Data

Review: Update- Adele & John Inpatient Review Questions Template: Adele &

Chris June 7 BEST Meeting- Discussion Group

Feedback- John HANYS BH Readmission Project –Adele Q and A -All

New Meeting Format

Webinar being used to improve ability to share information

Feedback will be invited

Inpatient Experience Forum Update First Forum was held on July 11 in Rochester

Good turnout Approach was well received by service recipients

Other Forum dates: Olean – July 27 Buffalo – August 15 Ithaca- August 20

One-on-One Inpatient Provider Meetings All scheduled meetings will have taken place

by this afternoon. We have learned a great deal and appreciate

everyone’s willingness to meet with us. Feedback suggested that inpatient providers

would benefit from additional information concerning the questions we are asking.

Therefore a new Inpatient Review Questions Template has been developed

Inpatient Review Questions Template 1st version highlights the rationale and explanations

for those questions being asked that are currently subject to some confusion.

This draft version will go out to inpatient providers later today.

An extended version (with more questions covered) will be issued in the very near future.

A conference call is being scheduled to obtain feedback from providers on the updated template.

Sample follows:

Sample of Review Question Template

Category/ Rationale

Question Asked Explanation

Diagnostic Categories-Needed to better understand the level of complexity of the needs of the clients being served

Please provide Axes I through V The State Offices require that we capture this information. A MH Axis I diagnosis must be provided for all inpatient psychiatric hospitalizations. A Substance Use Axis I must be provided for all Inpatient Detox and Rehab admissions. Deferred (799) is not an option.

June 7 BEST Meeting- Discussion Group Feedback Three topics were discussed, each

representing an opportunity for system improvement based upon 1st Q data Increasing SPOA referrals Engaging peers and families to support a more

effective discharge Improving inpatient/outpatient communication

10 different groups – 3 to 4 each discussed one of the above topics.

June 7 BEST Meeting- Discussion Group Feedback

Questions asked included: What is currently working? What are barriers to service use? Key components to success? Recommendations for change? If there was one question that could be answered to help

move the process forward, what would it be? If we could do one thing differently, what would it be?

Summary of these discussions will be distributed early next week….

A Preview of What You Will Read… Peer and Family: What changes would you

make? A Peer Services sign-off needs to be included as

a checklist option on the Discharge Plan for each individual

Place peers in the EDs Figure out a way to pay for it.

A Preview of What You Will Read… Increase use of SPOA: What changes would

you make? Streamline SPOA application and place it on-line Use family advocate in SPOA engagement

conversation to increase success Reduce turnaround time of decision to increase

ROI for facility completing application

A Preview of What You Will Read…

Inpatient to Outpatient communication: If you could do one thing to impact communication?: Build relationships with your system partners and

understand their needs as well as yours Foster a peer to peer connection Inpatient and outpatient physicians should manage

the care of the individual together Make it a requirement to communicate.. A standard

of practice

Discussion Group Feedback: Next Steps

Summaries to be sent out early next week Share information with your team Next Provider call: Discuss next steps for

region

HANYS BH Readmission Project Are any providers involved? Is there anything the WRBHO can do to be

helpful

Questions?

Next Meeting: August 10 at 10:00