Prestera ccbhc-IA initiative - the prestera cbhc-IA initiative enhances and improves the current prestera ccbhc program in cabell, mason, lincoln, wayne, kanawha, putnam, boone and clay counties in…

Prestera ccbhc-IA initiative - the prestera cbhc-IA initiative enhances and improves the current prestera ccbhc program in cabell, mason, lincoln, wayne, kanawha, putnam, boone and clay counties in west virginia. The population suffers from high rates of SUD, overdose, poor physical and mental health, family issues, lack of workforce capacity and poor social health determinants. Project goals (INTERVENTIONS/STRATEGIES) include: (1) increase access to and availability of high-quality services that are responsive to the needs of the community by (a) hiring a ccbhc project director to lead the program and advisory board;(B) completing the community needs assessment; (C) implementing the needs assessment-driven staffing/service plans; (D) updating the samhsa required ccbhc attestation after each needs assessment; (E) improve client access and service availability by purchasing staff I-pads and leasing vehicles to support serving clients in homes/community. (2) support client recovery from mental health and SUD via comprehensive community-based mental and SUD treatment/supports by improving agency core ccbhc criteria services by (a) continuing to provide all 9 core ccbhc criteria services; (B) initiating an adult mobile crisis team which responds to mental health crisis along with EMS services; (C) leveraging the needs assessment to implement a social determinants of health assessment; (D) shortening the agency intake process; (E) hiring mentors for adolescent clients and a children's therapist; (F) hiring hildrenl's communit health workers to work with providers and psychiatric/medical hospitals to facilitate access/follow-up and connect children to services; (G) providing OTC medicine for underinsured/uninsured clients; (H) improving family support services by hiring family peers; and (I) improving services to veterans. (3) use evidence-based practices that address the needs of the individuals the ccbhc serves by implementing the needs assessment-driven training plan. (4) continually work to measure ccbhc initiative service quality by monitoring client outcomes by (a) serving 7K clients; (B) measuring implemented screening outcomes; (C) clients experiencing significant improvement in noms mental health outcomes at 6-months; (D) 30% of clients improving 1 physical health measure by discharge; (E) clients reducing substance use by 10% at 6-month interview; (F) 80% of clients remaining in treatment for at least 6-months; and (G) monitoring disparity group outcomes to ensure equal service use/access/outcomes. (5) continually work to improve ccbhc initiative service quality via expanding infrastructure by (a) integrating with the state-wide HIE to improve care transition; (B) integrating with the wehr for client lab data; (C) continue to maintain and expand care coordination agreements with partners; (D) purchasing an EHR business intelligence enhancement to enable efficient ccbhc measure reporting; and (E) implementing a ccbhc-wide data-driven CQI plan for clinical services and management by hiring a QA coordinator and nurse quality specialist. (6) meaningfully involve clients and family members on their own care and the broader governance of the prestera ccbhc initiative by (a) ensuring that 51% of the advisory board are clients/family members; (B) meaningfully involving clients, family members & caregivers in the needs assessment design, implementation and evaluation; (C) reviewing agency policies/procedures and (D) involving clients/families in reviewing the agency satisfaction survey. (7) sustain the prestera ccbhc initiative by (a) working to become state-certified ccbhc; (B) creating and annually updating a sustainability plan; (C) hiring an evaluation specialist to support the transition to value-based care and (D) initiating a billing contract to enable prestera computer systems to handle prospective payment billing.