The URL can be used to link to this page

Home My WebLink AboutMH Provider Meeting Minutes 9-11-15MENTAL HEALTH PROVIDER MEETING HUMAN SERVICES BUILDING FRIDAY, SEPTEMBER 11, 2015 1 MEETING MINUTES  Welcome and Introductions Everyone introduced themselves and their agency affiliation.  Provider Announcements and Updates › Service Access & Management, Inc. (SAM) ~ Mike Rodriguez SAM is having a yard sale on Friday, September 18th from 9:00 a.m. to 3:00 p.m. where all proceeds go to Women in Need (WIN). Yard Sale is located at their office at 1061 Lincoln Way East, Chambersburg. › Mental Health Association (MHA) ~ Beth Palmatier Fulton County Walk the Walk is October 20th on Maple Street with a focus on housing. Registration will begin at 9:30 a.m. The flyer/form to register will be sent out next week. If you do not receive anything, please contact MHA. › Pyramid Healthcare ~ Katherine Beidel The Waynesboro office has room for referrals for psychiatric and therapy hours. Psychiatric is for adults only; therapy is for 12 years and older. › Keystone Rural Health Center ~ Kelly Goshen A new child/adolescent doctor started on August 1st. Discussion was held on waiting lists. Keystone has noticed a decrease in wait time; however, there still remains a few weeks waiting list for services.  Children’s Services › CASSP Update There was no representation from CASSP for an update. › TMCA Update – Michelle Mosher Family Behavioral Resources is now operational with outpatient clinics in Chambersburg and McConnellsburg. Dr. Bonsal is practicing psychiatrist. The offices have access to telepsych for adults. There are immediate openings at both locations. There has been an expansion in school based outpatient. Every school district has school based outpatient services offered in at least one of their school buildings. A list of all school based sites will be published. TMCA is working with providers and school districts in improving the quality of services. TMCA is currently compiling an annual report that will be going to the Board of Directors next week. It may be viewed at http://bhc-tmca.com/. The MENTAL HEALTH PROVIDER MEETING HUMAN SERVICES BUILDING FRIDAY, SEPTEMBER 11, 2015 2 report will also be reviewed at the Stakeholders Meeting in December. The biggest growth in membership was in the Medicaid Expansion category of assistance. There are approximately 3,000 new members through Medicaid Expansion. Those new members are also utilizing services at a high rate. › PerformCare Update There was no representation from PerformCare for an update.  Standing Agenda Items › County Announcements/Information  Reports due since our last MH Provider Meeting: - Audited Reports (for fiscal year ending June 30th) - Progress Report on Outcomes in Appendix A - Quarterly Report on Expenditures (April – June) - Appendix A for upcoming fiscal year - Budget/Rate Letter for upcoming fiscal year - Staff Roster for upcoming fiscal year (if appropriate) - Unit Assumptions for upcoming fiscal year (if appropriate) - Budget Narrative for upcoming fiscal year (if appropriate)  Reports due prior to our next MH Provider Meeting: - MCR Report (program funded providers only) due 9/30/15 - Quarterly Report on Expenditures (July – September)  Psychiatric Admissions Reporting Overview (handout) Jim provided an overview of the handout. For the second quarter, there were more admissions, individuals hospitalized, more bed days and more adults than children who were admitted two or more times. Extended Acute Care showed a decrease due to a period of time there were not any referrals. At one point, only one bed was used while the other two were being loaned out to other counties. All three beds plus an additional bed borrowed from Cumberland/Perry are being utilized now. There is a possibility of one discharge in the next few weeks. Danville has not shown a lot of activity. The seven (7) individuals admitted are pretty complex in needs resulting in a challenge to bring them back into the community.  Local MH System – Strategic Planning (handout) The following hand out was reviewed during the provider meeting: MENTAL HEALTH PROVIDER MEETING HUMAN SERVICES BUILDING FRIDAY, SEPTEMBER 11, 2015 3 The handout was reviewed to discuss whether a service was under one category that belonged under another, if a service needs added or removed and to see if there are gaps; gaps referring to services that we should have listed or services that we do not currently offer. The following suggestions were made: - Crisis Residential Placement (beds) - Mobile crisis or mobile teams - Acute partial for adults - Psych rehab (add to prevention and re-entry) - Trauma Focus Cognitive Behavioral Therapy – CBT (evidence based) - Eye Movement Desensitization and Reprocessing – EMDR (evidence based) - Supported Employment - Comprehensive, Continuous, Integrated System of Care – CCISC (prevention) - Helpline/Warmline (prevention) - Community Support Program – CSP (prevention) - Individual/Family Satisfaction Team -IFST (assessment or prevention) MENTAL HEALTH PROVIDER MEETING HUMAN SERVICES BUILDING FRIDAY, SEPTEMBER 11, 2015 4 It is important to recognize the good array of services in the county. The MH Sequential Intercept Model will be a working document and can be updated as time goes on. The strategic model will continue to be a standing agenda item for future provider meetings.  New Agenda Items › Housing Taskforce Overview – Jennifer Wenzel (handout) Jenn reviewed the handout. Please review the handout for more details. Homelessness Initiative – In 2010 feds came up with opening doors to end chronic homelessness. The goal was to be 2015, which has not been met yet. That goal has since changed to 2017. Part of the initiative is the housing programs and the Point in Time (PIT) count. Another focus is the proposal to increase funding for permanent housing programs. The Housing First Model is followed which states that housing is the most important in getting stable in mental health, health, employment, etc. The Housing Program staff is looking into vouchers for families and all programs currently only allow for individuals. Also, staff is looking into veterans specific vouchers. Housing Task Force – The County offers permanent housing, while other agencies offer emergency shelter, Section 8, etc. A Housing Task Force was created consisting of these agencies to discuss housing options, needs, Fair Housing Acts and initiatives, how to better communicate with landlords, etc. › State Budget Update – Steve Nevada The budget is currently not being passed. Most recent word, as of Monday, things are more separated then they were at the beginning of the process. It is now looking like maybe January until a budget is passed. Franklin and Fulton counties have been able to cover the costs while being fiscally conservative. However, funds are not going to be able to sustain that long of a period. Steve is currently working on an action plan. Each provider will be contacted separately to see how many can forgo payment and for how long. Steve is also looking into approval from the State on using funds from Health Choices. These funds can only be used by MH. Health Choices has reinvestment dollars. Some of the dollars are already encumbered. After those two steps, triaging services is a possibility. This would include analyzing mandated services and emergent/urgent services. The goal is to do these steps in a methodical process. If anyone has any other suggestions, please let Steve know. › Input on Potential Separate County Contracts – Steve Nevada MENTAL HEALTH PROVIDER MEETING HUMAN SERVICES BUILDING FRIDAY, SEPTEMBER 11, 2015 5 There has been discussion on splitting contracts into two separate contracts: one for Franklin and one for Fulton. The County does not want to create more administrative paperwork but there have been challenges where the old process is being used (allocations combined). Please keep in mind: Franklin and Fulton counties are a joinder but their allocations are separate. › ICD-10 Update – Steve Nevada Emails have been sent out in regards to ICD-10 going into effect on October 1st. Please review the CMS website at www.cms.gov for information on the crosswalk regarding ICD-10. If anyone has any issues, please let Steve know. › Contract Process Survey Results – Jim Gilbert (handout) Jim reviewed the contract process survey results. We greatly appreciate everyone who participated in the survey. There was a lot of positive feedback on the electronic process. There were some items identified that will be discussed internally. There are certain things that we are unable to change but will make any necessary changes to make the process go smoother. Please review handout for additional information (this handout was also electronically distributed to the MH/ID/EI contracted providers). › Agenda Items Previous meetings provided a Grove Menu update and information on County Transportation services. If providers would like to see an educational component at each meeting or share information about their program, please let Jim know. The meeting was adjourned. Next Meeting: Friday, December 11, 2015 starting at 10:00 a.m. in the Human Services Building Tentative 2016 Meeting Schedule: (All second Fridays of the month beginning at 10:00 a.m.) March 11th June 10th September 9th December 9th