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HomeMy WebLinkAboutPros and Cons Presenation.pdfPro’sandCon’sofseparating theAdministration and CaseManagementfunctions Pro’s: Eliminatesthecurrentconflictofinterestissuesrelatedto systemoversightANDprovidingservices. Havebeentrying veryhardtoweartwohatsanditcanlimitefficiencyand effectivenessofallinvolved. Wouldallowadministrativestafftoprovideamorethorough andobjectivemonitoringofcasemanagementasaprovider. Wouldfreesignificantadministrativetimeandallow administrativestafftofocusmoretimeandattentionontheir primaryjobs, whicharebroaderprogram/systemsrelated oversight/topics. Pro’sandCon’sofseparating theAdministration and CaseManagementfunctions Pro’s WouldbetteralignourstructurewithODP’s (OfficeofDevelopmentalPrograms) requirementofaclearandseparate distinctionbetweentheAdministrativestaffandtheCase Managementstaff. Newstructurewouldbetteralignw/ODP’s requirementofa “clearandseparatedistinction…” Thecommunity andconsumers mayfeelmorecomfortablecontactingouradministrativestafftodiscussissueswithincasemanagementiftheydidnotfeelwewereoneinthesame. Itwould eliminatethe “grey” inregardstorolesandresponsibilities. MHcasemanagementhasbeenoperatingunderadeficitthathas hadtobefilledbyCountyGeneralFunds. Thisobligationwouldnot betheCounty'sorthenewentity'sifprivatizedwithoutcasemanagement. Pro’sandCon’sofseparating theAdministration and CaseManagementfunctions Con’s Changeisdifficult/scaryforsome. Wewouldneedtoworkcloselywiththenew providertoassureaseamlesstransition. Theremightbesomelossofcontinuityifanycase managersdonotworkfornewagency. Wewouldneedtoworkcloselywiththenew providertocontinuethecurrentlevelofdata collectiononcasemanagement relatedissues. Pro’sandCon’sofseparating theAdministration and CaseManagementfunctions Con’s Wouldpossiblyimpacttheavailableresourcesto privatizetheadministration, thusmakingit untenableorunnecessary –lossofeconomyofscale Possibilityoflosingtouchwithconsumersorreason weare “inthebusiness” Measurements/controlstoassurethatCaseManagement servicesaremaintainedatsamelevelasnowifprivatized. SameassurancethatCMwouldbemaintainedatthe samelevelaswedooversight withallofour providers. Wewouldhaveacontractwithcase management, justaswedowithallofourother providers, whichwouldmakethe roles/responsibilitiesclearandwouldallowusto holdthemtothesamelevelofaccountabilityasall otherproviders Theyhaveregulationstofollowandwe (andthe Stateandmanagedcare) monitorthemfor compliance