ࡱ>  %bjbj <{{8 8 4h.4b,Bëëëëëë$   R   u]`QZ0BF{F]]FeH 5BF8 X: Department of Health and Human Services (DHHS) Office of Substance Abuse and Mental Health Services (SAMHS) Report on Unmet Needs and Quality Improvement Initiatives May 1, 2016 Attached Report: Statewide Report of Unmet Resource Needs for Fiscal Year 2016 Quarter 3 Population Covered: Persons receiving Community Integration (CI), Community Rehabilitation Services (CRS), Assertive Community Treatment (ACT) and Behavioral Health Homes (BHH) Class and non-class members Data Sources: Enrollment data and RDS (resource data summary) data collected by APS Healthcare, with data fed into and reported from the DHHS EIS data system Unmet Resource Need Definition Unmet resource needs are defined by Table 1. Response Times and Unmet Resource Needs found on page 17 of the approved DHHS/OAMHS Adult Mental Health Services Plan of October 13, 2006. Unmet resource needs noted in the tables were found to be unmet at some point within the quarter and may have been met at the time of the report. Quality Improvement Measures The Office of Substance Abuse and Mental Health Services is undertaking a series of quality improvement measures to address unmet needs among the covered population for the Consent Decree. The improvement measures are designed to address both specific and generic unmet needs of consumers using the established array of needs: Mental Health Services Mental Health Crisis Planning Peer, Recovery and Support Substance Abuse Services Housing Health Care Legal Financial Security Education Vocational/Employment Living Skills Transportation Personal Growth/Community Ongoing Quality Improvement Initiatives SAMHS Website Redesign. The redesign has begun and the expectation is that the home page of the website will have a completely different look. It will be easier to navigate for everyone. Each page of the current website will be evaluated for update to date information, correct links and overall content. Many pages will be retained on the new website while others may be archived. This will allow the website to be accessible and efficient but without losing any prior information. All aspects of the new site should be rolled-out in December 2016. Identified Need: A, B, C, D, E, F, G, H, I, J, K, L,M Contract Performance Measures. SAMHS has instituted contract performance measures for all direct services which include but are not limited to Community Integration, ACT, Community Rehabilitation Services, Behavioral Health Homes, Daily Living Support Services, Skills Development, Medication Management and Residential Treatment. Where appropriate, the measures are in alignment with standards under the Consent Decree Plan. SAMHS will be reviewing all measures before implementing FY17 contracts. Identified Need: A, B, C, D, E, J, K, L. Contract Review Initiative. The staff at the Office of Continuous Quality Improvement has continued to ensure up-to-date, accurate service encounter data A query tool was built to help SAMHS identify service utilization patterns across three sources of funding. Also, a tool was built to assist providers in sending their data to SAMHS. This entire project has been completed but needs constant monitoring. Identified Need: A, B, D, E, I, J, L Mental Health Rehabilitation Technician- SAMHS, Muskie School, providers and consumers have formed a group to redesign the certification of the Mental Health Rehabilitation Technician/Community. The group has worked over the last several months to come up with ways to redesign the certification. They are currently working on the Competencies required to be certified. Different pathways are being looked at for people to obtain their MHRT/C including but not limited to MHRT/1and peers with Certified Intentional Peer Support Service training. The new requirements will be gradually implemented in order for the schools to change their curriculum. This initiative continues to move forward but hasnt been formalized. Identified Need: A, B, C, D, E, F, G, H, I, J, K, L, M Consent Decree Process Improvement Quality Improvement Initiative A manager is going to be hired (interviews started) to oversee the Consent Decree and to perform an analysis on the Waitlist system. The manager will work with SAMHS staff to identify strengths and weaknesses. This person will then provide feedback to SAMHS staff and work with them to reform the system. Currently agencies are getting their Waitlists directly from APS Healthcare. The agencies are to respond to the Field Service Managers and Field Service Specialist regarding each consumer and their status regarding wait time, choosing to stay on that agencies waitlist, those who are in service, those who are not in service-what is their start date, those discharged, those rescheduling appointments or other explanation. The Waitlist has decreased by 48% from 4/3/15-4/8/16. Identified Need: A, B SAMHS Quality Management Plan 2016-2019- The DRAFT Quality Management Plan is being completely reviewed and changes are being made as appropriate reflecting the new structure of SAMHS. The QM Plan should be finalized August 2016. Identified Need: A,B,C,D,E,F,G,H,I,J,K,L,M AMHI Consent Decree-History, Requirements and Related Topics- A new Power Point was developed to provide in depth assistance to agencies regarding the history, the requirements and other related topics. This Power Point can be found at the link below along with other relevant topics.  HYPERLINK "http://www.maine.gov/dhhs/samhs/resources.shtml" http://www.maine.gov/dhhs/samhs/resources.shtml Identified Need: A, B, C, E, G, I, J Adult Needs and Strengths Assessment (ANSA)- The ANSA is currently being used by the residential providers and the data is being submitted through a portal in Enterprise Information Systems (EIS). The ANSA has a field for intake, discharge, annual and 90 day review. There is a field that distinguishes between forensic and non-forensic clients. SAMHS is slowly implementing a pilot across services. All pilot agencies are now able to submit their data. This pilot is to help SAMHS determine the correct level of care of each consumer. A, B, C, D, E, F, G, H, I, J, K, L, M Resource Data Summary- A combined project with SAMHS, APS Healthcare and providers to assess what would be helpful for providers in entering and discharging unmet needs in APS Healthcare. APS has recently posted training materials on their website to assist providers in closing an unmet need when it is no longer needed without waiting. SAMHS and APS have worked out a system to delete the reporting of an unmet need of those who have received the service but were not closed by the agency. This will provide SAMHS with a true picture of unmet needs for those that receive services that are entered into APS Healthcare. A, B, C, D, E, F, G, H, I, J, K, L, M Section 17- The new rules for Section 17 went into effect on April 8, 2016. SAMHS has been working with APS Healthcare to capture the seven (7) day face to face requirement. Persons who dont meet the eligibility will be given 120 days transition period. If a person is unable to transition to a different service they will be given an extra 90 days. All class members will receive Community Integration regardless of eligibility. There will be Phase II and possibly Phase III changes to Section 17. 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