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www.TheNationalCouncil.org
Representing 1667 community organizations that provide safety-net mental health and substance use
treatment services to nearly six million adults, children and families
The National Council for Community Behavioral Healthcare
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www.TheNationalCouncil.org
“The most effective way to cope with change is to help create it”
L.W. Lynett
Commitment to Action - Practice and Policy
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www.TheNationalCouncil.org
Clinical Design and Payment Mechanism driven by:• Medicare (and the Public Health Insurance
Option) as incubator for design changes, followed by…
• State or National Exchanges, that become huge buyers of insurance over time and…
• State Medicaid Programs that are challenged to manage current enrollees & large number of high cost, indigent, previously uninsured, and…
• Integration of Medicare and Medicaid funding to manage high cost Dual Eligible population
Healthcare Reform: Managing Total Health Expenditures
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www.TheNationalCouncil.org
Practice Improvement Agenda: access; healthcare homes; and outcomes> Access and Retention (SPQM) Initiatives; Six
Sigma; National Benchmarking> Transition Age Youth Project> Criminal Justice Leadership Forum > Psychiatric Leadership Project; CEO University;
and Middle Management Academy
>Health Promotion - Healthcare Collaborative Project; Learning Communities; and Mental Health First Aid
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www.TheNationalCouncil.org
Primary Care/Behavioral Health Learning Communities
> Current Learning Communities• National Council Integrated Health Learning
Community (27 sites)• Mental Health Corporations of America (30
sites)• Michigan IH Learning Community (18 sites)
> Pending Learning Communities• Hogg Foundation Learning Community (10
sites)• HRSA (5 sites)
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www.TheNationalCouncil.org
Healthcare Homes - Primary Care/Behavioral Health Project• Safety net population in every community has seamless access to both mental health/addiction and physical healthcare services.
• Stepped care - mental health/addiction and physical healthcare providers, with roles defined, referral protocols and cross-placement of clinical staff.
• Phases I and II : 12 sites in 10 states
• Phase III and IV– 9 additional sites
• 45% pts. treated for depression - PHQ-9
• 85% pts. treated for depression assessed for hypo-mania or mania
• 90% pts. treated for depression got suicide assessment
• 100% pts. receiving atypical anti-psychotics assessed for hyperlipidemia.
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www.TheNationalCouncil.org
A Collaborative Partnership•National Council•Maryland State Department of Mental Hygiene•Missouri Department of Mental Health
350 instructors certified, 3,000 community members trained
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www.TheNationalCouncil.org
Public Policy
Health care reform design work focused on needs of Americans with serious mental health/substance use disorders and challenges for Community Behavioral Healthcare Organizations.
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www.TheNationalCouncil.org
2009 Policy Agenda
>Regulatory Guidance for Parity Legislation >HIT Incentives>Behavioral Health/Primary Care Grant
Program >Medicaid Healthcare Homes >Federal status for Community Behavioral
Health — FQBHC >Safety Net Protection - Increase to Mental
Health Block Grant
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www.TheNationalCouncil.org
Policy progress…> Wellstone Domenici parity law applies to all
qualified health plans > Individuals with serious mental illness eligible for
Medicaid health care homes option & behavioral health organizations included as designated providers
> Establishes criteria for certifying Federally Qualified Behavioral Health Centers.
> Expands Medicaid 340B drug discount program to public addiction and mental health providers.
> Authorization and increased funding for Behavioral Health/Primary Care Grant Program
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www.TheNationalCouncil.org
Together We Will! 6th Annual HILL DAY June 29&30, 2010