Western Region Behavioral Health Organizaton

WESTERN REGION BEHAVIORAL HEALTH ORGANIZATON

WITH BEACON HEALTH STRATEGIES, LLC AND COORDINATED CARE SERVICES, INC.

WRBHO STARTUP REPORT – WEEK TEN

PERIOD ENDING March 9, 2012

Issued on March 12, 2012

BHO OPERATIONS

Concurrent Review of Inpatient Admissions, Monitoring of Discharge Planning and Post Discharge Services

· Activity over the past 10 weeks is summarized below:

Activity Type / Notices of Admission Received / Concurrent Reviews Completed / Discharges
Week 1 / 38 / 24 / 28
Week 2 / 103* / 108 / 48
Week 3 / 73 / 128 / 68
Week 4 / 106 / 175 / 85
Week 5 / 105 / 140 / 83
Week 6 / 156 / 167 / 138
Week 7 / 135 / 183 / 142
Week 8 / 123 / 143 / 94
Week 9 / 109 / 186 / 127
Week 10 / 116 / 231 / 117
To Date Total / 1,064 / 1,485 / 930

* May include notices delayed from the previous week

Practices that support effective Inpatient to Outpatient Transitions

During the February 29, 2012 All-Stakeholder Meeting in Batavia, we shared information about practices that support effective inpatient to outpatient transitions. The material was well received so we thought we would include it in this update for those that were unable to attend the session in Batavia:

The Facts…

· Between 25% and 50% of patients who miss mental health appointments disengage from treatment entirely (Killaspy, 2007).

· Dropping out of treatment after a psychiatric hospitalization increases the likelihood of re-hospitalization from 1 in 10 to 1 in 4 (Mitchell & Selmes, 2007).

· Only 42% of initial appointments following psychiatric hospitalization are kept nationally. Missed appointments increase the likelihood of re-hospitalization and increase costs of outpatient care. (Kreyenbuhl, Nossel, & Dixon, 2009).

· Keeping one outpatient appointment reduces the risk of re-hospitalization (Nelson, Maruish, & Axler, 2000).

What Works…

· A pre-discharge transition interview with the patient to identify and address barriers to attendance.

· Communication about the patient’s discharge plans between inpatient and outpatient clinicians.

· Return to their previous outpatient provider… unless the individual prefers another provider or when specific clinical needs would suggest an alternative.

· Scheduling appointments with a few days of hospital discharge

· Reminder letters or phone calls from the outpatient provider regarding scheduled

Tracking of Children with SED

· An additional webinar to orient SED Designated Clinic staff to the Beacon eServices portal for purposes of SED data reporting took place last Friday. One additional webinar will be scheduled for later this week.

· The SED Data Collection User’s Guide is now posted on the NYCCP website. In addition, the document explaining the specific expectations related to data reporting for SED Clinics may be found on the NYCCP website: www.carecoordination.org .

Performance Measurement and Provider Profiling

· During the February 29 All Stakeholder Meeting, time was devoted to reviewing data elements being collected as well as the types of reports we anticipate producing in order to profile our region’s delivery system. It is anticipated that future meetings will include review and discussion around these reports.

OVERSIGHT MEETINGS:

· The next NYCCP Board’s WRBHO Oversight and Phase 2 Planning Committee Meeting will take place on March 20, 2012.

BHO STAFFING:

· The WRBHO Physician Advisor position has been filled. Dr. Elisabeth Hager will be joining the team on March 26, 2012.

· Recruitment is now underway for a fourth UR Clinician to join the team.

BHO STAKEHOLDER PARTICIPATION:

· During March 9th Provider Conference Call, we reviewed the feedback from the Stakeholder Meeting specific to the experience with the BHO to date. This information should be ready for distribution (and placement) on the NYCCP website later this week.

· The next Peer and Family Services Call will take place on March 23 at 10:00. More information, including the call-in number will go out prior to the call.

GOVERNANCE:

· The NYCCP Board next meets on March 20, 2012.

· Planning for Health Homes

o NYCCP/ Beacon / Provider collaboration on a Health Home application continues

o Applications for Health Homes in Monroe County and Erie County were submitted on February 15. In addition to NYCCP and Beacon, Huther Dole was submitting partner for the Monroe County application and the Alcohol and Drug Dependency Service was a submitting partner for the Erie County application.

QUESTIONS?

Contact: John Lee, Program Director

585-613-7627

Also visit www.carecoordination.org for earlier editions of this newsletter as well as other documents that have been previously distributed.