Pathways to Excellence Behavioral Health Steering Committee Meeting Overview
The Pathways to Excellence (PTE) Behavioral Health Steering Committee Meeting held on February 17, 2015, reviewed the roles of various organizations, discussed the steering committee membership, and established domains of quality in behavioral health. The meeting focused on reporting meaningful behavioral health quality measures and promoting coordination among different stakeholders in the healthcare system. Instruments and measures for evaluating effectiveness, functioning/well-being, care coordination, and person-centered care were discussed. The meeting aimed to enhance the quality of behavioral health services by developing comprehensive evaluation frameworks.
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Pathways to Excellence (PTE) Behavioral Health Steering Committee Meeting Overview February 17, 2015 1 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Roles Role of Maine Health Management Coalition Role of Pathways to Excellence SIM Role of Pathways to Excellence, Behavioral Health Steering Committee -To publicly report meaningful behavioral health quality measure(s) by January 2015. -To develop additional meaningful behavioral health measures and continue public reporting 2 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Steering Committee Membership Interested parties/consensus Representation from : BH Agencies, Provider groups (such as Psychiatrists, Psychologists, LCSWs), MaineCare, SIM Partners, PCPs, Hospitals, Consumers Neil Korsen consultant Meeting monthly since March, 2014 Every other month in 2015 3 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Establish Domains of Quality Reviewed National Groups reporting in behavioral Health Quality Synthesized domains Developed statements to describe domains Collected measures instruments currently being used Began with licensed outpatient mental health and substance abuse providers Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
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 getservices 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 of my providers speak with one another and coordinate my care. I have condition / diagnosis specific symptom reduction. EXAMPLES OF INSTRUMENTS/MEASURES SRS Session Rating Scale (Children or Adult) Warwick-Edinburgh Well-Being Scale Record of PCP ORS Outcome Rating Scale (for adults) Communication Protocols with PCPs CG-CAHPS Clinician/Group Consumer Assessment of Healthcare Providers and Systems CORS Child Outcome Rating Scale NOT REPORTING ON THIS DOMAIN FOR JAN. 2015 YCORS Young Child Outcome Rating Scale QOLI Quality of Life Inventory PROMIS Patient Reported Outcomes Measurement Information System OQ Measures Outcome Questionnaire Adult or Youth versions If you are currently using another instrument/measure not listed above, please fax or email a copy along with your completed attestation form 5 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Key Concepts For first phase of public reporting, we focused on licensed OUTPATIENT therapy: mental health and substance abuse and invited to participate Did not report on diagnosis/condition specific domain in this phase Different measures will be considered for Behavioral Health providers within integrated practices Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
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 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Attestation 3rd Domain- 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 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
GetBetterMaine Went live January 5, 2015 Participation from: 22 parent organizations or private practitioners 50 sites Over 300 providers Website is updated quarterly 9 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Pathways to Excellence, Behavioral Health Steering Committee Goals 2015 (To publicly report meaningful behavioral health quality measure(s) by January 2015 and update quarterly) To increase the number of behavioral health providers reporting on GetBetterMaine. To develop additional meaningful behavioral health measures and continue public reporting: o Report on Condition/Diagnosis Specific Domain for January 2016 o Report on at least two measures from claims data for January 2016 o Develop current domains (Person-centered care, Effective Care-Functioning/well being, Continuity and Coordination) for 2016 reporting or re-attest for 2016 as is. Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
PTE BH Claims Subcommittee Update: Met twice (November 2014 and January 2015) Chose 4 measures and requested more information 1) Follow-up after hospitalization 2) All readmissions for behavioral health diagnosis 3) Initiation and Engagement of Alcohol and Other Drug Dependence Treatment 4) 6 measures related to the use of Anti-psychotics 11 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Crossover Subcommittee Representation from PTE Behavioral Health Steering Committee and PTE Clinician s (formerly Physician s) Steering Committee Purpose: Foster understanding between committees Develop Communication plan between committees Develop strategy for public reporting for Behavioral Health Integration and offer recommendations to Steering Committees Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Crossover Subcommittee Group has met once (January 2015) Communication plan will be to report back to Clinician s (formerly Physician s) and Behavioral Health PTE Steering Committees Began conversation regarding definitions of types of integrated care Began conversation regarding the use of an icon on GetBetterMaine to designate an integrated practice without assigning value to one type over another. Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
Next Steps The next PTE Behavioral Health Subcommittee meeting is on Thursday, March 26 from 11-1pm at Maine Health Management Coalition in Topsham The next PTE Crossover Subcommittee meeting is on Thursday, March 26 from 1:15pm -3pm at Maine Health Management Coalition The Next PTE Behavioral Health Steering Committee meeting is on Wednesday, April 8th from 2-4pm (please note different time for this meeting only) 14 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
2015 PTE BH Steering Committee Dates 2015 PTE, Behavioral Health Steering Committee Meetings at the William S. Cohen Community Center 22 Town Farm Road, Hallowell, ME 04347, 207-626-7777 Wednesdays April 8, 2-4pm June 10, 1-3pm August 12, 1-3pm Oct. 14, 1-3pm Dec. 16, 1-3pm 15 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
MHMC and SIM This work is made possible with funding from the Maine State Innovation Model Initiative Contact: Patti Ross PTE Behavioral Health Director pross@mehmc.org 9/27/2024 4:50 PM 16 Maine Health Management Coalition | 11 Bowdoin Mill Island, Suite 260 | Topsham, ME 04086 | (207) 899-1971 | www.mehmc.org | www.getbettermaine.org
