Valley healthcare system ccbhc initiative - the vhcs ccbhc-PCI initiative initiates planning, development & implementation of a ccbhc meeting the ccbhc certification criteria in monongalia, marion,…

Valley healthcare system ccbhc initiative - the vhcs ccbhc-PCI initiative initiates planning, development & implementation of a ccbhc meeting the ccbhc certification criteria in monongalia, marion, taylor & preston counties in west virginia, which suffer from high overdose rates, poor mental/physical health & child welfare which are exacerbated by lack of healthcare providers, covid & poor social health determinants. The initiative serves 7,100 clients (1,600-Y1/1,700-Y2/1,800-Y3/2K-Y4). Project goals (interventions/strategies) include: (1) increase access to and availability of services that are responsive to community needs by establishing the initiative by (a) hiring the project director to lead the program & advisory board; (b) completing the needs assessment; (c) implementing the needs assessment staffing & service plans; (d) completing the required attestation demonstrating ccbhc criteria compliance; (e) subscribing to an interpretation service; and (f) expanding non-traditional hours. (2) support recovery from mental health and SUD via achieving the nine core ccbhc criteria by (a) developing current crisis services in response to the needs assessment; (b) developing EBP screening, assessment & diagnosis, including a risk assessment by leveraging the needs assessment to identify screens for children/veterans & hiring an intake specialist; (c) hiring case managers to develop capacity to provide universal crisis plans; (d) developing outpatient mental health/SUD services to include more child/adult services; (e) expanding medical services to rural preston/taylor by purchasing equipment to enable staff to complete full telehealth physicals; (f) developing targeted case management services by hiring additional adult, children/family & adolescent case managers; (g) expanding day treatment services to marion county; (h) developing peer services to include a mental health peer; (i) developing counselor services by increasing counselor licensing and expanding therapy services; (j) developing family services by adding a family therapist & family/child case manager; and (k) developing veteran services to include a peer, more partnerships & increased ability to bill for veteran's services. (3) use evidence-based practices that address community needs by implementing the needs assessment-driven training plan. (4) continually work to measure and improve the quality of ccbhc initiative services by (a) developing capacity to measure/improve service quality by hiring an evaluation specialist & quality assurance staff; (b) purchasing a new EHR to support collecting required ccbhc outcomes; (c) serving 7,100 clients; (d) measuring DLA-20 outcomes; (e) clients experiencing significant improvement in noms mental health outcomes at 6-months; (f) 30% of clients improving in 1 physical health indicator by discharge; (g) clients reducing illicit substance use by 10% at 6-months; (h) 80% of clients remaining in treatment for at least 6-months; (i) monitoring disparity groups to ensure equal use/access/outcomes; (j) designing/implementing CQI plan; (k) leveraging needs assessment to identify ways to improve HIE, HIT & MBC; and (l) maintaining/expanding partnerships in response to the needs assessment. (5) meaningfully involve clients & family members in their own care and in the broader governance of the initiative by (a) ensuring 51% of the advisory board are clients/family members/caregivers; (b) involving clients, family members, and caregivers in the design and implementation of the needs assessment; (c) leveraging the advisory board to RE-designing agency satisfaction surveys; and (d) initiating client-led focus groups & an alumni group for SUD clients. (6) sustain the initiative by (a) obtaining state certification; (b) creating a sustainability plan; (c) working to negotiate a federal indirect cost; and (d) ensuring that agency policies, procedures, protocols, credentialing, licensure, and accreditation align with ccbhc requirements.