Enhancing Behavioral and Physical Health Services for Michiganders' Well-being

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The Behavioral and Physical Health and Aging Services Administration Quality Improvement Council Meeting on December 7, 2022, discussed strategies to put Michiganders' well-being first. Topics included updates on the Comprehensive Quality Strategy, Behavioral Health initiatives, Workgroup updates, and Promising Practices Discussion, focusing on delivering quality services to promote healthier and more productive lives for individuals at all stages of life.

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Behavioral and Physical Health and Aging Services Administration Quality Improvement Council Meeting December 7, 2022 Putting people first, with the goal of helping all Michiganders Putting people first, with the goal of helping all Michiganders lead healthier and more productive lives, no matter their lead healthier and more productive lives, no matter their stage in life. stage in life. 1

AGENDA 1. Welcome and Introductions (10:00-10:05) 2. Comprehensive Quality Strategy (CQS) Update (10:05-10:25) 3. Behavioral Health Updates (10:25-11:25) 4. Workgroup Updates (11:25-11:50) 5. Promising Practices Discussion (11:50-11:55) 6. Closing Remarks (11:55-12:00) 2

Comprehensive Quality Strategy (CQS) Update Debbie Darling, Institute for Health Policy, MSU 3

Behavioral Health Updates Jackie Sproat (Division of Contracts and Quality Management) MDHHS work to develop MMBPIS measure benchmarks New CMS requirement for state reporting of quality measures starting FY24. CY21 IET Data Validation timeline Sha Yuan Universal Credentialing update Audra Parsons 4

Behavioral Health Updates (continued) Brenda Stoneburner (Community Practices and Innovation) Veterans Initiatives Brian Webb Peer Related Initiatives Pam Werner Increase in growth of the peer workforce Continuing education requirements Collaboration with Community Health Workers and Michigan Department of Corrections Statewide Peer Warmline 888-733-7753 (handout) Initiatives on Supported Employment Joe Longcor 5

Behavioral Health Updates (continued) Lyndia Deromedi (Federal Compliance) SIS Feedback Form Summary TBD Solutions 6

Behavioral Health Updates (continued) Kim Batsche-McKenzie (Bureau of Children s Coordinated Health Policy and Supports) MI Kids Now dashboard Erin Mobley Handouts 7

Workgroup Updates: Practice Improvement Steering Committee Michelle Boudreaux Updates: 8

Workgroup Updates: Conflict-Free Access and Planning Overview of recent activity: Criteria are prioritized per CFA&P Workgroup Survey and Listening Sessions MDHHS is planning next steps for Option Development Updated timeline is under review with MDHHS Leadership week of 12/5 How this work improves lives of people served (quality): Supporting MDHHS decision on implementation of CMS Final Rule Involving people served and system experts (workgroup) in decision support Impacts on PIHP or CMH operations: Ongoing involvement of workgroup members Next steps: MDHHS to update workgroup on any timeline changes December meeting cancelled, next meeting in January Questions? 9

Workgroup Updates: Developmental Disabilities Practice Improvement Team (DD-PIT) Overview of recent activity: Identified specific items the DD-PIT can provide input and/or feedback in the upcoming year: Home Community Based Services (HCBS) full implementation and future, ongoing monitoring; 1115 waiver application; direct workforce issues How this work improves the lives of people served (quality): Supports Intensity Scale (SIS): The BPHASA Workgroup is updating the statewide guidance with feedback from stakeholders. The summary will be shared with DD-PIT after it is shared with the workgroup members (Jan 2023). Received update on HCBS Heightened Scrutiny Review: BPHASA is completing the review process to assemble a final list for CMS by March 2023 full implementation. Provide feedback on possible additional questions for Michigan s National Core Indicators 2023 Adult In-Person Survey Impact on Individuals who receive support HCBS Waiver Renewals: BPHASA is exploring the option to hold stakeholder meetings to assist with renewal preparation. Conflict-free access planning CFAP): after a public comment period for the proposed plan, BPHASA will determine a compliance timeline; the activities can coincide with efforts to update the Person Centered Planning policy Discussion of the need for a children s (with I/DD) quality measure similar to National Core Indicators for adults with I/DD Next steps: Review membership applications Monthly meetings: 2nd Wednesday at 1 pm 10

Workgroup Updates: National Core Indicators (NCI) Overview of recent activity Shared the 2021 survey results with the NCI Advisory Council Reviewed differences between the 2019 to 2021 survey results (positive change, areas of concern) How this work improves the lives of people served (quality): NCI provides a standardized way to measure and track indicators for persons with intellectual and developmental disabilities served through the public mental health system. It is a standard set of performance and outcome measures to track States' performances over time, compare results across states, and establish national benchmarks for services. Impacts on PIHPs and CMHSPs operations: Survey results are being shared with PIHP and CMHSP quality improvement teams, advisory councils, etc. to inform discussions and identify opportunities to improve the quality of services and supports to adults with I/DD. Next steps: Preparing for the upcoming survey: CMHSPs are contacting individuals in the survey sample, preparing interested individuals NCI Background Information and Pre-Survey materials. Training for NCI interviewers: updates for existing interviewers and prepare new interviewers Next NCI Advisory Council meeting: January 26th Questions? 11