Overview of PTE Behavioral Health Steering Committee Meeting

PTE Behavioral Health Steering Committee Meeting Overview This work is made possible with funding from the Maine State Innovation Model Initiative

SIM GOAL To publicly report meaningful behavioral health quality measure(s) by January 2015.

PTE BH Steering Committee Interested parties/consensus Representation from : BH Agencies, Provider groups (such as Psychiatrists, Psychologists, LCSWs), MaineCare, SIM Partners, PCPs, Hospitals, Consumers Neil Korsen and Ted Rooney consult Meeting monthly since March, 2014

Establish Domains Reviewed National Groups reporting in behavioral Health Quality Synthesized domains Developed statements to describe domains Collected measures instruments currently being used

Domain Graphic DOMAINS OF QUALITY BEHAVIORAL HEALTH EFFECTIVE CARE FUNCTIONING/ WELL BEING EFFECTIVE CARE CONDITION/ DIAGNOSIS SPECIFIC CONTINUITY AND COORDINATION PERSON-CENTERED CARE I am a participant in my own recovery and wellness. I get services when I need them. I have a good relationship with my provider. I am functioning well in the world. I have a sense of well-being. If I choose, all my providers speak with one another and coordinate my care. I have condition / diagnosis specific symptom reduction. EXAMPLES OF INSTRUMENTS/MEASURES Warwick-Edinburgh Well-Being Scale Record of PCP SRS Session Rating Scale OQ Measures Outcome Questionnaire Adult or Youth versions Communication Protocols with PCPs CG-CAHPS Clinician/Group Consumer Assessment of Healthcare Providers and Systems ORS Outcome Rating Scale (for adults) NOT REPORTING ON THIS DOMAIN FOR JAN. 2015 CORS Child Outcome Rating Scale YCORS Young Child Outcome Rating Scale QOLI Quality of Life Inventory PROMIS Patient Reported Outcomes Measurement Information System CANS Child and Adolescent Needs and Strengths

Key Concepts of Phase 1 For first phase of public reporting, we focused on licensed OUTPATIENT therapy: mental health and substance abuse and invited to participate We will not report on diagnosis/condition specific domain in this phase

Key Concepts for Phase 1 Continued Participation for public reporting is VOLUNTARY (for phase 1) There will be only good and better ratings (best will be added in future reporting) Reporting will be based on attestation form Behavioral Health was added to MEHMC website with information about PTE BH and instructions etc.

Key Concepts for Phase 1 Continued October 8th letter of invitation to participate mailed December 5th completed attestations due January 2015 Publically report on Get Better Maine website with approval from Board Claims data and focus on SPMI population will be reviewed and included in phase 2

Attestation for 2 Domains Person-Centered Care and Effective Care- Functioning/Well Being Do you use one of the examples of Instruments/measures (or another valid tool) in this domain? Yes? = GOOD rating Do you administer to at least 75% of your population = BETTER rating

Attestation Continuity and Coordination Continuity and Coordination Do you have a record of your client s PCP for at least 75% of your clients? = GOOD Do you have a written protocol in place for communicating with PCP of your clients? = BETTER

Good news. Private practitioners who have never used an instrument/measure .

Phase 2 Utilization ED visits Re-admissions Claims data SPMI population Build on phase 1 reporting

Next steps Subcommittee forming Review governance and voting structure

Next meeting Nov. 19, 2014 This work is made possible with funding from the Maine State Innovation Model Initiative Contact: Patti Ross PTE Behavioral Health Director pross@mehmc.org