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HomeMy WebLinkAboutMH Provider Meeting Minutes 03-13-20 Mental Health Provider Meeting Friday, March 13, 2020 MH 1 3/13/20 MEETING MINUTES Welcome & Introductions Everyone introduced themselves and their agency affiliation. Provider Announcements & Updates  Mental Health Association (MHA) Wellness Conference is scheduled for May 1, 2020 at King Street Church. The theme is Recovery Oriented Living. Gina Calhoun will be speaking about Power of Language. MHA offers two mental health support groups on Tuesdays and Wednesdays at the MHA Office on Grant Street. Both run from 6:00 p.m. to 8:00 p.m. The Tuesday group is open to those who receive Peer Support Services through MHA. The Wednesday group is open to the public. Individuals are not required to give their name and can remain anonymous if they choose to do so. MHA has two trainings coming up in Chambersburg –  CPS Continuing Education Training – April 21 & 22, 2020 for young adults and youth services. This training is required in order to work with this population.  CPS Training – May 11-22, 2020. This is a two week training that is required by the PA Certification Board to become a Certified Peer Specialist. Franklin County CSP Meetings are now held on the fourth Tuesday of the month from 1:30 p.m. to 3:00 p.m. at the MHA Office on Grant Street. April’s meeting will focus on Advocacy against Extortion. Victoria Bear from MidPenn Legal will talk about rep payees, financial exploitation and Powers of Attorney (POAs).  Service Access & Management, Inc. (SAM) SAM is looking to transition, in the near future, to a Blended Case Manager model. What this means is the case managers at SAM will have a mix of individuals who are in need of intensive services (ICM) and those who would need resource coordination (RC) level. There would not be a need to transition an individual to a new case load (case manager) as their level of need changes. The case managers would increase or decrease the level of contact depending on the individuals needs as far as whether they are doing well/stability. SAM was looking to have an open house in April for providers to talk more about this; however, this open house is on hold right now. Information will be sent out when a date is determined.  Laurel Life Services Laurel Life is working through the transition to Intensive Behavioral Health Services (IBHS). Laurel Life is not IBHS licensed yet but is taking the steps to move forward with the process.  Keystone Rural Health Center Keystone is offering a free seminar on TMS – Therapy for Depression on March 24th. Keystone will notify anyone in the event that the seminar is cancelled. Mental Health Provider Meeting MH 2 3/13/20  Keystone LTSR Keystone Long-Term Structured Residence (LTSR) - through the closure of Harrisburg State Hospital in 2006, Cumberland/Perry and Franklin/Fulton counties combined funding to create a 16 bed facility in Dauphin County. Both counties contract with Dauphin County MH/IDD (now known as Dauphin County Mental Health/Autism/Developmental Programs) for two (2) beds each at the facility. Both beds for Franklin/Fulton are currently filled. Updates  CASSP Not present at this time; no update.  Tuscarora Managed Care Alliance The Office of Mental Health and Substance Abuse Services (OMHSAS) released a bulletin on the guidelines for telehealth. The bulletin is OMHSAS-20-02. Please review the bulletin for clarification. PerformCare will be holding IBHS Training webinars for non-IBHS providers. One training is scheduled for March 31st and another is scheduled for Children Youth Services (CYS)/Juvenile Probation Office (JPO) on April 2nd. Information will be coming out.  PerformCare Not present at this time; no update. Community Resource Spotlight – Fulton County Medical Center Becky Greenawalt presented on the Fulton County Medical Center (FCMC). The medical center expanded services and its building. Becky gave an overview of what services were offered at which area of the building. The main campus, the left side of the building, is the center for Advanced Medicine; the family practice side and specialty services. This includes orthopedic care, general surgery, mental health services, independent pharmacy, etc. The middle of the building is the original part of the campus. It includes a laboratory, express care services, emergency department, etc. The emergency department has their own specific drive as well as entrance. The Fulton County Medical Center has an acute care floor where patient rooms are located. There is a wound care department that specializes in treating individuals with long-term care needs for a sore that won’t heal, deep tissue wound, etc. On the right side of the building, there is a dialysis site. FCMC is looking to expand to five (5) days a week as they are filled up. The second floor is administration. FCMC has an array of services ranging from general services, telemedicine, diagnostic services, rehabilitative services, community wellness center and specialty services. Please review the Medical Directory handout for a list of those services. Mental Health Provider Meeting MH 3 3/13/20 FCMC is a level 4 trauma center. They stabilize and transfer individuals. The reason for the transfer is that they do not provide surgeries 24/7 as they do not have access to a Pediatric or Neurology surgeon at all times. Alongside of mentioning the various services, Becky made note of the following – IV infusion – when a person needs long term antibiotics via IV, they can come in. They do not need to be inpatient. The long term care unit has 67 rooms. The acute care (inpatient) unit has 21 beds. These are not private rooms. Only one (1) room is an isolation room. For social services, they have one (1) licensed full time social worker. Home health agency has 95 patients as of today. Those who are experiencing a stroke have only a certain amount of time to have medication administered to reduce long term effects. This is called stroke alert. FCMC has a doctor who is available in minutes to evaluate the individual and determine if the medication can be provided. FCMC has been trying to get behavioral health telemedicine. However, there have been some road blocks with psychiatric telemedicine. FCMC also has sites available at Southern Huntingdon County Medical Center (in Orbisonia). This location includes a dentist office, laboratory, home health and family practice. Becky is the Director of Patient Safety, Risk Management and Quality Improvement. Her focus is keeping patients and staff safe. She works on quality improvement to reduce errors. Quality metrics are around patient experience, quality of care, and efficiency. FCMC has an emergency response team that has been trained for behavioral health patients. Every month there is a team training. The next training is on Tuesday, March 17th. It is a 10 hour training to teach safe crisis management. The team responds to individuals in crisis to help reduce the need for medication and to utilize different interventions in behavioral health. The purpose is to limit medical restraints to help get individuals to the next level of care faster. There are about 30 individuals trained; four (4) train the trainers who have also gone through Crisis Intervention Team (CIT) training. The Safe Crisis Management training is modified to FCMC’s site. Emergency Room nurses are trained on all shifts as FCMC is 24/7 operations. Key people have been identified so there is at least one person per shift trained in safe crisis management who can respond, when needed. Becky is the primary trainer. Cori Seilhamer and Kay Martin have assisted in developing the training. FCMC is trying to educate others on why to call crisis. There are other avenues of treatment, resources, modalities. De-escalation training is now being taught to all new hires. This training is an hour and a half. Provider Spotlight – New Visions, Inc. Bev Fickes, Marcia Wible and Christine Torres presented on New Visions Social Rehabilitation and Group home programs. Social Rehabilitation (also known as Clubhouse) - Social Rehabilitation is a drop in center for individuals 18 years of age and older. This center provides opportunities for socialization. It includes a computer area, TV room, pool area, and dining area. Lunches are provided. The program gives members support in the community. There are planned activities such as town errands and Wal-Mart trips on Wednesday and Thursday for those who do not have transportation. Once a month, a trip is made to Norland Avenue for those who want to go to Target, Giant, and Aldi’s. Mental Health Provider Meeting MH 4 3/13/20 The center tries to have two (2) to three (3) presentations a month at the member’s request. This month, the presentation is on hoarding. Martha Swope, Mobile Psych Nurse, will present. A presenter will be on-site to speak about life insurance (and the affordability of it) on March 31st. Members are not required to do a task or help out but it is preferred that they do. In order to become a member, individuals must have a mental health diagnosis. Individuals used to need a case manager referral but that is no longer required. It can now be self-referral, therapist, family doctor, psychiatrist, etc. There just needs to be proof that they have a mental health diagnosis. Hours of operation are Monday, Tuesday, Thursday and Friday 8:30 a.m. to 4:30 p.m. Wednesday 9:30 a.m. to 4:30 p.m. Lunch is provided at 12:00 p.m. Members need to sign up by 10:30 a.m. so there is a count of who is attending. Meals are only $1 which is used to help offset the cost of the meal. This has been the same cost for at least the last ten (10) years. If an individual does not have the money, Bev finds something for them to do so they can still have lunch. Social Rehabilitation program provides service to Franklin and Fulton individuals. The purpose of the clubhouse is to give individuals a sense of purpose. Group Home – Marcia handles the referrals to make sure individuals fit the guidelines. The group home helps individuals with obtaining ID such as birth certificate, driver’s license, etc. Once an individual obtains their ID, the program works with individuals on –  Future housing goals and to assist them in starting to get items for the individual’s future home while they are still at the group home.  Cooking – following grocery lists, purchase items on a budget, healthy/friendly meals.  Daily cleaning schedule – staff is available for instructions/assistance.  Doing laundry weekly.  Assisting with medication – taking medication at the same time every day, attending appointments, advocating for consumers at appointments, how to refill medications and get them when needed, educate on the side effects and diagnosis, etc.  Work with Service Access & Management (SAM) to set up Rabbit Transportation. Transportation is provided by New Visions until Rabbit Transportation becomes available.  Supervised outings.  Budgeting – co pays, rent, getting rep payee, etc.  Setting goals. Goals include all the above mentioned but also Advanced Directive WRAPs. Staff work with individuals to identify new goals. They encourage community supports, such as family relationships, peer support, etc. Basic operation of the group home is to help individuals integrate back into the community and help them get the skills to live independently. Individuals must be referred by a case manager. Staff will meet with individuals to have an interview to discuss their needs and try to figure out if the group home can meet those needs. Mental Health Provider Meeting MH 5 3/13/20 The group home has eight (8) single bedrooms. Individuals must follow a routine, such as being up by a certain time, take their meds, etc. The state requires the individuals to be out in the community during the day. They can go to the clubhouse (Social Rehabilitation), volunteer, work, etc. There is a curfew Monday through Friday at 11:00 p.m. Individuals are to be in the building overnight. Over the weekend, individuals can leave on Friday and not return until Sunday if they choose to do so. As for length of stay, there have been individuals there for as few as one (1) day and as long as seven (7) years. The norm would be six (6) months to one (1) year. The biggest struggle is finding supports for the individuals once they move out so that they do not come back. The group home is open to individuals in the community for dinner over the holidays for those who have nowhere to go. The group home also has their own apartments (transitional housing) in Chambersburg and Waynesboro. Individuals can move from the group home into an apartment and still have staff support. The Waynesboro apartments have section 8 vouchers and the Chambersburg apartments have HUD vouchers. County Announcements/Information  Reports due since our last MH Provider Meeting  Audited Financial Reports (for FY ending June 30th)  Audit Engagement/Extension Letter (for calendar year ending December 31st)  Progress Report on Outcomes in Appendix A  Internal Quality of Service Survey  Quarterly Report of Expenditures (October-December)  Reports due prior to our next MH Provider Meeting  Quarterly Report of Expenditures (January-March)  Appendix A for upcoming fiscal year [including measurable outcomes/goals if encumbrance is at least $50,000]  Budget Packets (to include Budget/Rate Letter, Staff Roster, Unit Assumptions, Budget Narrative for upcoming fiscal year – if appropriate) FY 20-21 contract season is approaching!  Psychiatric Admissions Reporting The report provided is comparing fourth quarter 2018 with 2019. Jim noted the difference in case management and individuals with two (2) or more admissions. Danville information includes the fourth quarter report of 2018 and 2019 but also 2019 actual utilization. Our bed cap at Danville is five (5). If anyone has any questions regarding the report, please contact Jim.  Additional Information If anyone has agenda items to suggest for the next meeting, know of a community resource they would be interested in hearing more about or are interested in being the provider spotlight, please let Jim know. Mental Health Provider Meeting MH 6 3/13/20 If you currently do not receive the Sharing Resource Network (SRN) that goes out every Friday and would like to receive it, please contact Jim. If it would be helpful to be able to participate in the provider meetings by phone in the future, please let Jim know so he can make the necessary arrangements to set up the conference line.  Information made Available by Cori Healthy Franklin County’s Behavioral Health Task Force along with County GIS has been working on a provider map. The link has just been released and is live – https://gis.franklincountypa.gov/mentalhealth/. Go ahead and play around with it. If you find your agency is not listed on the map please let Cori know and she can provide the forms to complete. Handouts were made available at the meeting regarding the Coronavirus (COVID-19) as well as the following message: Planning for the Coronavirus – Providers please visit and review your agency’s emergency preparedness/response plan. Make sure your employees are familiar with the plan. Some topics to consider:  Staff sick leave policy (family sick) leads to lack of staffing or quarantining staff or residents.  What supplies do you have and for how long?  Communication & education to staff and residents/persons served. If your agency needs assistance with their emergency plan please feel free to contact Cori. We have access to resources that are able to help. This fall we will be hosting a table top exercise for our providers to work through their emergency plans. The meeting was adjourned. Next Meeting: Friday, June 12, 2020 starting at 10:00 a.m. in the Human Services Building [425 Franklin Farm Lane, Chambersburg] Remaining 2019 Meetings September 11th December 11th Minutes by Erin Nye