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PTE Behavioral Health Steering Committee Meeting Overview

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.

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PTE Behavioral Health Steering Committee Meeting Overview

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  1. PTE Behavioral Health Steering Committee MeetingOverview This work is made possible with funding from the Maine State Innovation Model Initiative

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

  3. 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

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

  5. Domain Graphic

  6. 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

  7. 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.

  8. 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

  9. 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

  10. 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

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

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

  13. Next steps • Subcommittee forming • Review governance and voting structure

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

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