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Developing complex policies at NAMI MI. A small boat in a rough sea Mark Creekmore SAN@convention 2012. Dual Eligibles (DE). People living with mental illness High needs High cost. Why reform services for Dual Eligibles?. Will care integration DEs Save money? Improve care?.

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developing complex policies at nami mi

Developing complex policies at NAMI MI

A small boat in a rough sea

Mark Creekmore

SAN@convention

2012

dual eligibles de
Dual Eligibles (DE)
  • People living with mental illness
  • High needs
  • High cost
why reform services for dual eligibles
Why reform services for Dual Eligibles?
  • Will care integration DEs
  • Save money?
  • Improve care?
  • Will it help people living with mental illness?
  • Most savings on inpatient care
  • Most mental health is outpatient
oz integrating care for people with dual eligibility
Oz: Integrating care for people with dual eligibility
  • Complex subject
  • Impatient and determined to change
  • Complex, slippery process
  • High tension among stakeholders
    • Wariness among consumers re system changes
    • High stakes
    • Predictions: huge changes afoot
  • Advocates: Close ties – Low trust
external and internal p articipants for nami michigan
External and Internal Participants for NAMI Michigan

External:

  • MDCH
  • CMS
  • Community Mental Health Agencies
  • Advocacy organizations. Community – Institutional

Internal:

  • Policy Committee
  • NAMI MI Board
  • NAMI affiliates
  • People living with mental illness
the process for nami de policy
The Process for NAMI DE Policy

Participate in MDCH process

  • Announcement at 5 community meetings
  • Four work groups
  • Presentation of pilot proposal to community
  • Comment to CMS

Decide about DE and care integration:

balance needed

  • Tactics: Combine long ball and small ball tactics
  • Strategy: Develop distinct NAMI policy from others
  • Tone: Keep the tone real and hopeful
what s next
What’s next?
  • Distribute and refine policy
  • Educate members
  • Develop advocacy skills from members who are DE (via SMARTS training)
discussion q uestions
Discussion Questions
  • How can we construct comprehensible policy statements about complex topics that engage and attract “mere mortals”?
  • What are the threats and opportunities for PWSMI (NAMI’s constituents) within the dual eligible demonstration proposals?

Contact:

Mark Creekmore

pmcreek@gmail.com