ࡱ> { *bjbjzz 8F"(((((<<<8tH</LZ4i" j/l/l/l/l/l/l/$1G4L/({ii{{/((/'''{((j/'{j/''*T*'s!F *V//0/(*,4W!4T*T*F4(*'A// &/{{{{4 : Department of Health & Human Services, Office of Adult Mental Health Services Bates v. DHHS Consent Decree January, February, March 2011: 3rd Quarter, SFY 2011  HYPERLINK "http://www.maine.gov/dhhs/mh/consent_decree/" CONSENT DECREE REPORT SUMMARY The DHHS Office of Adult Mental Health Services is required to report to the Court quarterly regarding compliance and progress toward meeting specific standards as delineated in the Bates v. DHHS Consent Decree Settlement Agreement, the Consent Decree Plan of October 2006, and the Compliance Standards approved October 29, 2007. The following documents are submitted as the Quarterly Progress Report for the third quarter of state fiscal year 2011, covering the period from January through March 2011. Each document title is linked to the PDF version of the document on the HYPERLINK "http://www.maine.gov/dhhs/mh/"OAMHS website. Links to the Word (or Excel) versions are also listed. DOCUMENTDESCRIPTION1Cover Letter, Quarterly Report May 1, 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-1.doc"Microsoft Word or HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-1.pdf"Adobe PDFLetter to Dan Wathen, Court Master, submitting the Quarterly Report pursuant to paragraph 280 of the Settlement Agreement for the quarter ending March 31, 2011.2Third Quarter Fiscal Year 2011 Report on Compliance Plan Standards: Community May 1, 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-2.doc"Microsoft Word or HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-2.pdf"Adobe PDFLists and updates the information pertaining to standards approved in October 2007 for evaluating and measuring DHHS compliance with the terms and principles of the Settlement Agreement. 3 HYPERLINK "http://mainegov-images.informe.org/dhhs/mh/consent_decree/feb-2008/standard-review-01-08.pdf" Performance and Quality Improvement Standards April 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-3.pdf"Adobe PDFDetails the status of the Departments compliance with 34 specific performance and quality improvement standards (many are multi-part) required by the Consent Decree October 2006 Plan for this reporting quarter. Reporting includes the baseline, current level, performance standard, and compliance standard for each, including graphs.4 HYPERLINK "http://mainegov-images.informe.org/dhhs/mh/consent_decree/feb-2008/standard-review-34-pubed.pdf" Public Education Standard 34 January - March 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-4.xls"Excel Version or HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-4.pdf"Adobe PDFAmplifies Standard 34 of the Performance and Quality Improvement Standards above, detailing the mental health workshops, forums, and presentations made, including levels of participation5 HYPERLINK "http://mainegov-images.informe.org/dhhs/mh/consent_decree/feb-2008/standard-review-appendix.pdf" Performance Quality and Improvement Standards, Appendix: Adult Mental Health Data Sources April 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-5.doc"Microsoft Word or HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-5.pdf"Adobe PDFLists and describes of all the data sources used for measuring and reporting the Departments compliance on the Performance and Quality Improvement Standards. 6Cover: Unmet Needs April 2011  HYPERLINK "cd-6.doc" Microsoft Word or  HYPERLINK "cd-6.pdf" Adobe PDFProvides a brief introduction to the unmet needs report as well as some definitions of the data, initial findings and next steps. Also includes needs data from other sources such as the APS Healthcare Contact for Service Notification Process.7Unmet Needs by CSN for FY11 Q2 (October, November, December 2010) HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-7.pdf"Adobe PDFQuarterly report drawn from the OAMHS Enterprise Information System (EIS) by CSN (based on client zip code), from resource need data entered by community support case managers (CI, ACT, CRS and ICM) concerning consumers (class members and non-class members) who indicate a need for a resource that is not immediately available. Providers are required to enter the information electronically upon enrollment of a client in Community Support Services and update the information from their clients Individual Service Plans (ISPs) every 90 days via an RDS (Resource Data Summary) entered as a component of prior authorization and continuing stay requests made to APS Healthcare via their online system, CareConnections. 8BRAP Waitlist Monitoring Report, Quarter 3 FY2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-8.doc"Microsoft Word or HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-8.pdf"Adobe PDFDescribes status of the DHHS Bridging Rental Assistance Programs (BRAP) waitlist, focusing on the numbers served over time by priority status.9Class Member Treatment Planning Review for the 3rd Quarter of Fiscal Year 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-9.pdf"Adobe PDFAggregate report of document reviews completed on a random sample of class member ISPs by Consent Decree Coordinators following a standardized protocol. 10Community Hospital Utilization Review for the 2nd Quarter of Fiscal Year 2011: Class Members HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-10.pdf"Adobe PDFAggregate report of Utilization Review (UR) of all persons with fb88Care or without insurance coverage admitted into emergency involuntary, community hospital based beds. UR data is reported one quarter behind to allow sufficient time for reviews and data entry to be completed.11Community Hospital Utilization Review Performance Standard 18-1, 2, 3 by Hospital: Class Members for the 2nd Quarter Fiscal Year 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-11.pdf"Adobe PDFReport drawn from UR data that details, by hospital, the percentage of ISPs obtained, ISPs consistent with the hospital treatment and discharge plan and case manager involvement in hospital treatment and discharge planning. UR data is reported one quarter behind to allow sufficient time for reviews and data entry to be completed. 12DHHS Quarterly Crisis Report: 2nd Quarter, Fiscal Year 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-12.pdf"Adobe PDFAggregate quarterly report of crisis data submitted by crisis providers to the Office of Quality Improvement on a monthly basis.13 HYPERLINK "http://mainegov-images.informe.org/dhhs/mh/consent_decree/feb-2008/rpc-final-report.pdf" Riverview Psychiatric Center Performance Improvement Report January March 2011 HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-13.doc"Microsoft Word or HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-13.pdf"Adobe PDF Reports on Riverviews compliance with specific indicators re: performance and quality; recording findings, problem, status, and actions for the specified quarter.14fb88Care and Grant Expenditures by Service Area Fiscal Year 2010 (2-2-11) HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-14.xls"Excel Version or HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-14.pdf"Adobe PDFAnnual report of fb88Care expenditures and grant funds expended broken down by service area as defined by compliance standard II.5.15Adult 2010 Mental Health and Well-being Survey (March 2011) HYPERLINK "http://www.maine.gov/dhhs/samhs/mentalhealth/consent_decree/may-2011/cd-15.pdf"Adobe PDFAnnual report of a survey administered to adults receiving publicly funded mental health services from DHHS. The survey assesses consumer satisfaction with mental health services. Many of the questions asked are also used by State Mental Health Authorities in 50 states and 7 United States Territories. fb88s survey includes Health and Well-being questions adapted from the Behavioral Risk Factor Surveillance System (BRFSS) to assess the history of heart disease, diabetes and other health risk factors in respondents receiving mental health services.     PAGE  Bates v. 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