shawnee mental health center, inc
Post on 13-Feb-2016
45 Views
Preview:
DESCRIPTION
TRANSCRIPT
Shawnee Mental Health Center, Inc.
Cohort I
Region 4 Learning Community
Portsmouth, OH
Project Director:
Cynthia Holstein
740-355-8686
c.holstein@shawneemhc.org
Grant Targets
• Primary Care Clients 1,165
• Screening Services 2,565
Current Status
• Primary Care768
• Screening Services 2,196
Basic Info• Hired our own Primary Care Staff
• Serving uninsured and underinsured
• Rural
• Serve residents in 3 counties
• EMR – Implementing NextGen
PC + BH under one administrative structure in all of our locations
Wellness• Fitness @ local
fitness center
• Zumba
• Wii Fit
• Walking
• Tobacco Cessation
• Gardening
• Healthy Cooking
• Whole Health Wellness & Resiliency Groups
(now WHAM)
• Dances with live DJ
PERSON-CENTERED WELLNESS
• Provided by peer wellness coaches
• Based on consumer needs & preferences
• Peer developed wellness plans
• Consumer Advisory Board
Wellness Coaches – Elizabeth – D.J. - Gail
PBHCI Staff(people hired for this project)
• Project Director
• Executive Director
• .10 FTE Primary Care Physician
• 2.10 FTE Nurse Practitioners
• 2.5 LPNs (support NPs & Coordinate Care)
• 3 Peer Wellness Coaches
• Integrated Care Administrative Specialist
• Plus All Mental Health Providers & Support Staff
Every Shawnee staff personis on the integrated care team.
Plans for Sustaining
Services• Pursuing Rural Health Clinic Designation (for
enhanced rate)
• Opening services to children
• Opening services to family members of consumers
• Pursuing health home designation
• Increasing average people seen per day
• Increasing annual visits per practitioner
Strategies for Sustaining Services• Monitoring service data providing feedback to team taking action to meet goals
• Formal written procedures for scheduling appointments
• Formal written procedures for handling consistentno-shows
• Caseload review to identify those not receiving PC and approaching about services
• Asking about PC at 1st appointment and completing health history/referral
Team Building• Regular Staff
Meetings
• Cross Training
• Educational Offerings Provided by PC Staff to BH
Staff
• Educational Offerings provided by BH staff to PC
staff
• Information in newsletter about
project
• Preparing staff for the future – Health
Homes
• Involvement of CEO
Strategies for Team Building
• PC staff participate in staff meetings
• Project Director & CEO attend staff meetings to provide updates about project & address concerns
• Including support staff to educational offerings
• Training psychiatric RNs/LPNs to support PC nurse practitioners
• Involving BH Staff in annual grantee meeting
• Keeping staff updated about state changes
Vision• All RNs/LPNs will serve as nurse care
managers
• All clinical staff have timely access to any and all clinical information
• Strong Consumer Advisory Board
• All staff manifest the spirit of a health home
6 Month Road Map
Clinical Sustainability
• Cross training psychiatric RNs/LPNs to support PC nurse practitioners (in process)
• Going Live with new EMR
Administrative Sustainability
• Modify job descriptions of nursing staff and CPST staff to reflect integration
• Provide Training on Ohio health home standards to all staff
Financial Sustainability
• Extending PC services to populations other than adults with SMI
Health Home Activities
• Participation in state health home development
groups
• Preliminary discussions with staff about state’s vision of health homes
• Participation in state-wide informational trainings on
health homes
• Secured state grant for additional infrastructure development for health
home status
• Estimate target population size
• Design teams
• Identify caseload per team / team member
• Develop per-member-per-month rate based on team configuration & caseloads
• Submit letter of intent
• Await selection or denial from state
Our Next Steps to Becoming aHealth Home in Ohio
top related