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Community Integration: Treatment, Supervision, and Community Safety RWJ Cross-System Financing Project Santa Fe, NM March 21 & 22, 2007
Overview Creating a Purchase Plan
Goal: Assuring Access State-wide Access • Services • Core services available throughout state with family choice of provider agency • Specialty Services meet accessibility standards • Ease of access • Access and Crisis (Single Phone Line) • www.mygcal.com • Engagement • Brief Services • Crisis Response
Goal: Increased Choice Families have choice Core Providers FY 2005 Core Providers FY 2006 Core Providers FY 2006 New New CSBs and one other Core Provider New New Provider Pool – Any Qualified Providers CSBs and one other Core Provider
Goal: Accountability • Assuring Accountability • Consumer Outcomes • Focus on Consumer outcomes not program processes • Provider performance measured against common set of consumer outcomes • Employment or School Participation • A place to live • Recovery/Resilience driven system
Developing the Purchasing Plan • SA and portion of MH Day Supports and SA Day Treatment Rolled into Core as Group • Current CST/IFI Spending • IFI Intensive supports would be available to children in IFI for supports services (e.g., tutoring, mentors, basic needs) • Respite and Consumer/Family is Cost Per Purchasing Area--funds will be managed by an intermediary
Developing the Purchasing Plan • After school program include individualized and structures after school recreational programs • SA and MH Day Treatment converted to group services in Core Provider • MH Day Supports now Core group and recreational • Includes current funding in 3 regions and new funding in FY07 for CSP capacity in other 2 regions
“AH-HA” Moments • Funding was unequally distributed throughout the State • Services were inadequately defined • Large percentage of funding was in “deep-end” of the service continuum • Funding designated for children was being used to fund adult mental health services • Realizing what we didn’t know
Guiding Principles • Incorporates evidence-based, best- or emerging practice • Emphasizes access and retention • Positively impacts continuity of care • Facilitates single treatment/recovery/resiliency plan • Integrates treatment across clinical, psychosocial and psychiatric domains • Integrates treatment across organizational boundaries • Supports resiliency and/or recovery in a self-directed way
Regional volume estimates Averaging services to get to cost Case mix uncertainties First of its kind project True Confession – backing into it Braided Funding Qualifiers – Community Integration Project
Where we are now • Reviewing Baseline • Setting priorities • Sanctioning Guiding Principles • Arguing
“Forward, Ho!” • Finalize Baseline & FFS Plan • Community Output/Input • Provider Output/Input • Finalize Purchasing Plan • Award Contracts and implement FFS for adults - FY09