1 / 13

CABHA Oversight

CABHA Oversight. Presented by: Sandee Resnick, DMH/DD/SAS Patrick Piggott, DMA. Purpose of CABHA Monitoring. To ensure the CABHA meets requirements for: Service Delivery Access to Care Good Standing Leadership Requirements All other Certification Requirements. No Duplication.

dagan
Télécharger la présentation

CABHA Oversight

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CABHA Oversight Presented by: Sandee Resnick, DMH/DD/SAS Patrick Piggott, DMA LME and CABHA Regional Kick-Off Meeting

  2. Purpose of CABHA Monitoring • To ensure the CABHA meets requirements for: • Service Delivery • Access to Care • Good Standing • Leadership Requirements • All other Certification Requirements LME and CABHA Regional Kick-Off Meeting

  3. No Duplication • CABHA Monitoring addresses the unique structural elements required for CABHA certification • National Accreditation, Endorsement, Licensure, must be in place and maintained • Service level monitoring continues via LME local monitoring, investigations, audits, licensure review, etc. LME and CABHA Regional Kick-Off Meeting

  4. Monitoring Areas • Personal Outcomes • Leadership Positions: Medical, Clinical, QM, Training Directors • Use of Community Based Treatment to Address Urgent, Emergent, Routine Needs LME and CABHA Regional Kick-Off Meeting

  5. Monitoring Areas, cont’d • Patterns of Referral • Quality Management • Integration with Physical Health Care • Core Services • Regulatory Compliance LME and CABHA Regional Kick-Off Meeting

  6. Personal Outcomes • Information from personal interviews and NCTOPPS to indicate whether people receiving services report they are: • Living in Recovery • Achieving therapeutic outcomes • Contributing members of their communities • Experiencing reduced reliance on paid services LME and CABHA Regional Kick-Off Meeting

  7. Leadership Positions • Information from data submitted and onsite review and verification to determine: • Compliance with all requirements related to each leadership position, and • Level of involvement of each position in a leadership role agency-wide. LME and CABHA Regional Kick-Off Meeting

  8. Community Based Treatment Services to Address Needs • A review of screening data and onsite verification to determine timely access to services for people with urgent, emergent and routine needs. LME and CABHA Regional Kick-Off Meeting

  9. Patterns of Referral • Personal interviews, plus onsite review of Comprehensive Clinical Assessments, ITRs and PCPs to determine: • Service decisions are based on evaluations, person-centered planning goals, recipient request • Service decisions are not limited to services offered by the CABHA LME and CABHA Regional Kick-Off Meeting

  10. Quality Management • On site review of the QM Process to determine: • Implementation of the QM Plan • Use of aggregate data and analysis • Response to the national accrediting body, related to Quality Management LME and CABHA Regional Kick-Off Meeting

  11. Core Services • Paid Claims review and onsite review to determine: • Core services continue to relate to the designated continuum • Core services staff meet qualifications, per the CABHA continuum (MH or SA). LME and CABHA Regional Kick-Off Meeting

  12. Regulatory Compliance • Data review and partial onsite verification to determine: • Major prerequisites are still current (accreditation, endorsement, licensure, etc.) • Service site locations maintained or changes reported • Compliance with state and federal laws, rules, regulation and policies LME and CABHA Regional Kick-Off Meeting

  13. Who will Monitor? • Personal Interviews conducted by DMH/DD/SAS Advocacy & Customer Service staff • Data reviews overseen by DMA and DMH/DD/SAS Quality Management Team • Onsite reviews overseen by DMA and DMH/DD/SAS Accountability Team and conducted by Accountability. DMA and local LME staff. LME and CABHA Regional Kick-Off Meeting

More Related