cmhb presentation 8-24-06
TRANSCRIPT
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Alabama Substance Alabama Substance Abuse Systems Abuse Systems
Improvement InitiativeImprovement InitiativePresentation to Conference of Presentation to Conference of
Community Mental Health Community Mental Health BoardsBoards
August 24, 2006August 24, 2006
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PanelistsPanelists►Kent Hunt, Associate Commissioner for Kent Hunt, Associate Commissioner for
Substance Abuse ServicesSubstance Abuse Services►Sarah Harkless, Executive Assistant to Sarah Harkless, Executive Assistant to
the Associate Commissioner for the Associate Commissioner for Substance Abuse ServicesSubstance Abuse Services
►Bob Wynn, Director of Treatment Bob Wynn, Director of Treatment Services for Substance AbuseServices for Substance Abuse
►Kristopher Vilamaa, Director of Kristopher Vilamaa, Director of Information Services for Substance AbuseInformation Services for Substance Abuse
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SummarySummary►HistoryHistory► PreventionPrevention► TreatmentTreatment
StandardsStandards Screening and EnrollmentScreening and Enrollment Standardized AssessmentStandardized Assessment Waiting List ManagementWaiting List Management
► Claims and Revenue EnhancementsClaims and Revenue Enhancements►Data Collection and ReportingData Collection and Reporting
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HistoryHistory
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HistoryHistory►Prevention:Prevention:
Children’s Policy Council surveysChildren’s Policy Council surveys Alabama specific youth surveysAlabama specific youth surveys Majority of prevention activities are not Majority of prevention activities are not
focused on priority populationsfocused on priority populations All areas of Alabama are under fundedAll areas of Alabama are under funded No formal collaboration in many areasNo formal collaboration in many areas
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HistoryHistory►TreatmentTreatment
Alabama Treatment Needs AssessmentAlabama Treatment Needs Assessment National Survey of Drug Use and HealthNational Survey of Drug Use and Health Gap between those needing treatment Gap between those needing treatment
and those getting treatmentand those getting treatment DemandDemand Waiting listsWaiting lists
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HistoryHistory►Treatment continued:Treatment continued:
Assessment and placementAssessment and placement CollaborationCollaboration Inadequate fundingInadequate funding Clinical monitoringClinical monitoring Fiscal monitoringFiscal monitoring Length of treatmentLength of treatment
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HistoryHistory►General:General:
Priority populationsPriority populations Science and evidenced based practicesScience and evidenced based practices Capacity managementCapacity management Core servicesCore services Advocacy supportAdvocacy support Outcome measurementOutcome measurement Maximization of fiscal resourcesMaximization of fiscal resources
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HistoryHistory►Why do we need a Systems Why do we need a Systems
Improvement Initiative?Improvement Initiative? Alabama citizens deserve the best system Alabama citizens deserve the best system
the resources will provide the resources will provide It is our responsibility to meet this It is our responsibility to meet this
expectationexpectation
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TreatmentTreatment►Revised StandardsRevised Standards►Contract ReviewersContract Reviewers►New StaffNew Staff►Co-Occurring DisordersCo-Occurring Disorders
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PreventionPrevention►Revision of StandardsRevision of Standards►New Rate StructureNew Rate Structure
Emphasis on Community-Based Process Emphasis on Community-Based Process and Environmental Strategiesand Environmental Strategies
►Focus on Targeted InterventionsFocus on Targeted Interventions
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Alabama Substance Abuse Alabama Substance Abuse Information System (ASAIS)Information System (ASAIS)
►Meets all federal reporting requirements, Meets all federal reporting requirements, which are not being met todaywhich are not being met today Unique Identifier for all clientsUnique Identifier for all clients All required admission and discharge elements All required admission and discharge elements
collectedcollected► Allows for active management of waiting Allows for active management of waiting
lists and access to care information across lists and access to care information across the statethe state
► Timely processing of claims will help improve Timely processing of claims will help improve cash flowcash flow
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Screening and EnrollmentScreening and Enrollment►All clients, across the system, will go All clients, across the system, will go
through a brief screening process and through a brief screening process and a unique identifier will be assigned, or a unique identifier will be assigned, or reported if the number already existsreported if the number already exists
►The screening information will be The screening information will be available to any future service available to any future service provider working with that clientprovider working with that client
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Standardized AssessmentStandardized Assessment►All clients will have minimum All clients will have minimum
information reported and collected information reported and collected from their standardized assessmentfrom their standardized assessment SASD is still exploring options to allow SASD is still exploring options to allow
providers to share the full assessment providers to share the full assessment through ASAISthrough ASAIS
►The assessment information will be The assessment information will be available to any future service available to any future service provider working with that clientprovider working with that client
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Waiting List ManagementWaiting List Management►Referrals will be sent through ASAIS to Referrals will be sent through ASAIS to
other locationsother locations► Information on waiting lists for all Information on waiting lists for all
providers will be available in ASAISproviders will be available in ASAIS
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Claims and Revenue Claims and Revenue EnhancementsEnhancements
►All enrolled clients will be checked for All enrolled clients will be checked for Medicaid eligibility on a monthly basisMedicaid eligibility on a monthly basis
►Claims that have a Medicaid eligible Claims that have a Medicaid eligible service paired with a Medicaid eligible service paired with a Medicaid eligible client will be sent to Medicaid for client will be sent to Medicaid for paymentpayment
►There will be either a Medicaid or Block There will be either a Medicaid or Block Grant/State Funds check-write every Grant/State Funds check-write every week after go live – providers can receive week after go live – providers can receive payments weekly, if desiredpayments weekly, if desired
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Our GoalOur Goal
To serve Alabamians impacted by To serve Alabamians impacted by substance abuse…bettersubstance abuse…better
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To Serve…To Serve…►To work for…To work for…
►To be of assistance to…To be of assistance to…
►To promote the interest of…To promote the interest of…
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AlabamiansAlabamians►50% of all admissions to SASD funded 50% of all admissions to SASD funded
programs live in 5 Alabama countiesprograms live in 5 Alabama counties►Nearly one-third of Alabama’s counties Nearly one-third of Alabama’s counties
have no substance abuse treatment have no substance abuse treatment servicesservices
►Pregnant women account for less than 3% Pregnant women account for less than 3% of admissions to SASD funded treatment of admissions to SASD funded treatment programsprograms
►The community impact of SASD funded The community impact of SASD funded prevention services is unknownprevention services is unknown
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Alabamians…Alabamians…
All who are impacted by Substance All who are impacted by Substance AbuseAbuse
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Better…Better…►Not bestNot best►A continuous processA continuous process►Each day providing a new opportunity Each day providing a new opportunity
to exceed the one beforeto exceed the one before
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Better…Better…► Access to CareAccess to Care
Treatment and Prevention Services in Every Treatment and Prevention Services in Every CountyCounty
Easy access to information and referralEasy access to information and referral Specialized services to meet targeted needsSpecialized services to meet targeted needs
►Detox ServicesDetox Services►Medication Assisted TreatmentMedication Assisted Treatment►Adolescent ServicesAdolescent Services►Low Intensity Housing ServicesLow Intensity Housing Services►Vision, language, and hearing accommodations routineVision, language, and hearing accommodations routine►Children’s ServicesChildren’s Services
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Better…Better…► ServicesServices
Expanded treatment modalities that match the Expanded treatment modalities that match the ASAM levels of careASAM levels of care
A variety of services to aid in treatment planning A variety of services to aid in treatment planning available under each level of careavailable under each level of care
All treatment programs co-occurring capable, All treatment programs co-occurring capable, many enhancedmany enhanced
Treatment services based upon ongoing Treatment services based upon ongoing assessment of client needsassessment of client needs
Prevention services based upon ongoing Prevention services based upon ongoing assessment of community needsassessment of community needs
Evidence-based treatment and prevention servicesEvidence-based treatment and prevention services Reimbursement processes for services providedReimbursement processes for services provided
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Better…Better…►Human ResourcesHuman Resources
Improved organization to enhance Improved organization to enhance customer servicecustomer service
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Better…Better…►Technical Assistance and TrainingTechnical Assistance and Training
Based upon assessment of the needs of Based upon assessment of the needs of our customersour customers
Full access to our in-house resources as Full access to our in-house resources as well as TA and training available through well as TA and training available through our State and Federal Partnersour State and Federal Partners
Routine program monitoring in addition to Routine program monitoring in addition to certification site visitscertification site visits
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Better…Better…► CollaborationCollaboration
Clients and their familiesClients and their families Contract ProvidersContract Providers Certified ProvidersCertified Providers Other Divisions within DMH/MROther Divisions within DMH/MR Other state agenciesOther state agencies Community agenciesCommunity agencies The Alabama State LegislatureThe Alabama State Legislature The Governor’s OfficeThe Governor’s Office Federal and State funding sourcesFederal and State funding sources Medical CommunityMedical Community Private IndustryPrivate Industry Etc. Etc.Etc. Etc.
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Better…Better…►DataData
ASAISASAIS Alabama Epi Work GroupAlabama Epi Work Group
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Better…Better…
Outcomes:Outcomes:
Individuals getting wellIndividuals getting wellFamilies reunitingFamilies reuniting
Communities stopping the devastation Communities stopping the devastation of substance abuseof substance abuse
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Alabama Department of Alabama Department of Mental Health and Mental Mental Health and Mental
RetardationRetardationSubstance Abuse Services DivisionSubstance Abuse Services Division
http://www.mh.alabama.govhttp://www.mh.alabama.gov