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AuSable Valley Community Mental Health Authority

Long-Term Plan FY’17-‘18

 

Goal:  To ensure Agency readiness for full CCBHC implementation and COA Certification by 2019 by alignment with and attainment of the six areas of criteria established as a result of the 2014 Protecting Access to Medicare Act of 2014 (PAMA): Staffing; Availability and Accessibility of Services; Care Coordination; Scope of Services; Quality and Other Reporting; and Organizational Authority.

 

Certified Community Behavioral Health Clinics are entities designed to serve individuals with serious mental illnesses and substance use disorders that provide intensive, person-centered, multidisciplinary, evidence-based screening, assessment, diagnostics, treatment, prevention, and wellness services.

 

Goal 1
Objectives
Goal Champion
Board Committee
Reporting Dates
Address Agency Certification and Shortcomings based on Self-Assessment for each of the six Program Requirements via Plan, Do, Check, Act Model.
“Plan:” What are the interventions needed based on identified shortcomings?
Program Requirement 1:  Staffing
(inclusive of diverse disciplinary backgrounds, required license and accreditation, culturally and linguistically trained to serve population)
Lead:  Diane Pelts
Craig Williams:
Group Facilitator
Other Members:
Regina Demetrakeas
Trish Otremba
Sydney Larsen
Joyce Kreitsch
Elizabeth Harrington
Personnel Committee
March 2017
Program Requirement 2:
Availability & Accessibility of Services
(inclusive of crisis management services that are available 24 hours a day, the use of a sliding scale for payment, “no wrong door access” and no rejection for services or limiting services on basis of ATP or residence
Lead:  Diane Pelts
Renee Busby:
Group Facilitator
Other Members:
Regina Demetrakeas
Trish Otremba
Ken Ball
Crystal Owens
Monica Baniel
Program Committee
March 2017
Program Requirement 3:
Care Coordination
(inclusive of requirements to coordinate care across settings and providers across the full spectrum of health services, including acute, chronic and BH needs, and partnerships/contracts with FQHCs, IPH & detox & residential programs, other health & human service providers, Indian Health Service, child placing agencies, VA, IP acute care hospitals)
Lead:  Diane Pelts
Laura Marentette:
Group Facilitator
Other Members:
Fred Overholt
Regina Demetrakeas
Trish Otremba
Nancy Chin
Craig Williams
Michell Peter
Summer Coe
Program Committee
March 2017
Program Requirement 4:
Scope of Service
(inclusive of direct provision or through formal relationships with other providers: crisis services, screening assessment & DX, including risk assessment, treatment planning, OPT & SUD, OP Primary Care screening & monitoring of health indicators & risk, TCM, Psychiatric rehabilitation, Peer support & counselor services & family supports, intensive services for VA members)
Lead:  Diane Pelts
Angela Nelson:  Group Facilitator
Other Members:
Trish Otremba
Mary Jo Ryland
Michelle LaPointe
Travis Boik
Program Committee
March 2017
Program Requirement 5:
Quality & Other Reporting
(inclusive of encounter data reporting, clinical outcomes data, quality data & other state and federal requirements)
Lead:  Diane Pelts
Jamie Stout:       Group Facilitator
Other Members:
Diane Pelts
Teresa Tokarczyk
Fred Overholt
Kim Fenner
Program Committee
March 2017
Program Requirement 6:
Organizational Authority, Governance & Accreditation
(inclusive of operating authorities and accreditation requirements)
Lead:  Diane Pelts
Jamie Stout:       Group Facilitator
Other Members:
Diane Pelts
Teresa Tokarczyk
Kelli Unke
Executive & Finance Committee
March 2017
Goal 2
Objectives
Goal Champion
Board Committee
Reporting Dates
“Do, Check & Act:” Movement towards implementation of interventions to correct identified shortcomings; identification of any further barriers; Check the performance of the solutions over time; Act by full implementation and continuous monitoring of readiness based on review of state initiatives and revisions; re-evaluate when necessary
Program Requirement 1:  Staffing
Create and prioritize a series of outcomes to (1) address and (2) sustain full staffing in compliance with CCBHC and COA requirements for full implementation by October of 2018.
Teresa Tokarczyk
Human Resources
Elizabeth Harrington
Others TBD
Personnel Committee
October 2017
March 2018
October 2018
Program Requirement 2:
Availability & Accessibility of Services
Create and prioritize a series of outcomes to (1) address and (2) sustain the availability and accessibility of services in compliance with CCBHC and COA requirements for full implementation by October of 2018.
Teresa Tokarczyk
Diane Pelts
Trish Otremba
Regina Demetrakeas
Finance Staff TBD
Others TBD
Personnel, Program, &
Executive & Finance
October 2017
March 2018
October 2018
Program Requirement 3:
Care Coordination
Create and prioritize a series of outcomes to (1) address and (2) sustain care coordination in compliance with CCBHC and COA requirements for full implementation by October of 2018.
Teresa Tokarczyk
Diane Pelts
Fred Overholt/IT Rep
Sydney Larsen
Trish Otremba
Regina Demetrakeas
Others TBD
Personnel, Program, &
Executive & Finance
October 2017
March 2018
October 2018
Program Requirement 4:
Scope of Service
Create and prioritize a series of outcomes to (1) address and (2) sustain the scope of services offered in compliance with CCBHC and COA requirements for full implementation by October of 2018.
Teresa Tokarczyk
Diane Pelts
Sydney Larsen
Trish Otremba
Regina Demetrakeas
Others TBD
Personnel, Program, &
Executive & Finance
October 2017
March 2018
October 2018
Program Requirement 5:
Quality & Other Reporting
Create and prioritize a series of outcomes to (1) address and (2) sustain quality and data reporting obligations in compliance with CCBHC and COA requirements for full implementation by October of 2018.
Jamie Stout
Kelli Unke
Diane Pelts
Fred Overholt/IT Rep
Personnel, Program, &
Executive & Finance
October 2017
March 2018
October 2018
Program Requirement 6:
Organizational Authority, Governance & Accreditation
Create and prioritize a series of outcomes to (1) address and (2) sustain authority and operational oversight in compliance with CCBHC and COA requirements for full implementation by October of 2018.
Jamie Stout
Diane Pelts
Finance Staff TBD
Personnel, Program, &
Executive & Finance
October 2017
March 2018
October 2018
Goal 3
Objectives
Goal Champion
Board Committee
Reporting Dates
Attain CCBHC Certification and COA Accreditation
Ensure congruence between COA Standards and CCBHC requirements, where applicable, for COA reaccreditation in FY’19
Diane Pelts
Program Committee
March 2019

 

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