Where is Behavioral Health Going?

gabonesedestructionDéveloppement de logiciels

17 févr. 2014 (il y a 3 années et 6 mois)

52 vue(s)

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0

Where is Behavioral Health Going?

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Spring Meeting


June 3, 2013


Corporate Partners/

Affiliate Members

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2

National Council Membership

year

# of

members

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1.
Assertive national and state advocacy
that ensures access to treatment


2.
Public education and communications
that impact communities


3.
Initiatives that position members as
high
-
performing healthcare
organizations


4.
Programs that promote development of
an effective workforce


3

Strategic Areas of Focus

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1.
ADVOCACY

4

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The greatest danger in

times of turbulence is not

the turbulence. It is to act

with yesterday

s logic.

Peter Drucker

5

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Rapid expansion of
Medicaid managed care


Health homes
and

ACOs


Dual
-
eligible

initiatives


Rethinking

substance use treatments

future
of residential


Fee
-
for
-
service to
case rates, bundled
payments and capitation


risk


Health reform rollout:


Medicaid expansion


Exchange enrollment




6

Payment & Delivery System Changes

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PCBHI Grant Program


Health Homes


Excellence in Mental
Health Act

(S. 264)


Mental Health First Aid Act

(H.R. 274/S.153)


Behavioral Health IT Act


7

Policy Agenda: Offense Not Defense

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8

2.
PUBLIC


EDUCATION

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Sandy
Hook

Grand
Rapids

Tucson

Red
Lake

Fort
Hood

Virgini
a Tech

Columbine

Aurora

9

Defined by Tragedies

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Early Identification & Intervention


More than 100,000+ trained


3,000+ instructors


Youth version


Spanish version


President’s recommendations


Policy and media attention


Mental Health First Aid

Partnership with

Maryland and Missouri

State Governments

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3.
HIGH
-
PERFORMING


ORGANIZATIONS

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Vision without execution

is a hallucination.

T h o m a s E d i s o n

12

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Rapid access/open access

Be there when I need you



World
-
class customer service

Kind words are easy…echoes are truly endless



Comprehensive whole
-
person care

Provide or help me get the healthcare and services I
need



Outcomes
-
based care

Make sure I receive the best possible health care



Staff engagement

Being part of something bigger than themselves

13

Behavioral Health Centers
of Excellence

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Same day access


Co
-
occurring disorders learning community


Depression care collaborative


Contracting learning community


Advancing standards of care for bipolar disorder


Trauma
-
informed care


Child conduct difficulties
learning community


Early intervention in first episode psychosis



14

Organizational/Clinical Supports

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SAMHSA
-
HRSA Center for Integrated Health; NY
State Geriatric Technical Assistance Center; and
Ohio Training & Technical Assistance Center



FQHC Look
-
alike learning community



Consulting


state and local governments,
organizations



15

Integration Navigation

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Bosch Health Buddy System
gathers vital signs and
symptoms, educates, and
reinforces positive behavior;
data reviewed by provider to
identify need for intervention.



myStrength


Health Club for
Your Mind



online help with
anxiety and depression

16

Digital Connections

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SPQM Dashboards



Comprehensive quality management system


Supports data
-
informed decision making


Measures performance outcomes and
analyzes organizational practices


Provides essential information to
demonstrate program value


Increases quality, accountability, compliance,
efficiency of services

17

Outcomes
-
based Care

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4.
WORKFORCE


DEVELOPMENT

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People want to be

part of something larger

than themselves.

-
H o w a r d S c h u l t z

19

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Staff feel they have the opportunity to
do what they do best every day



Committed to quality work



Growth and development encouraged



Physical and emotional wellness
prioritized through group activities and
employee development

20

Excellence in the Workplace

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Psychiatrist curriculum for integrated settings


MSW integrated healthcare curriculum and field placements


Case managers to care managers


Whole Health Action Management (WHAM)




21

Integration Training

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Middle Management Academy


Addressing Health Disparities Leadership Program


Executive Leadership Program


Seasoned Leaders at Conference


22

Leadership Programs

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Partnership with Essential
Learning, a Relias Company



Leading provider of verticalized e
-
learning solutions


Compliance with regulatory and
accreditation requirements


Continuing education solutions for
employees

23

E
-
learning

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The healthcare system of

the near future will not look much
like the present.



The implications for

our members and

those they serve

are enormous.

24

Can’t Stop Thinking About
the Future

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Strategic planning is worthless


unless there is first a strategic
vision.


John Naisbitt


25

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Experimentation


Liberation of
information


Demand for impact


Monopoly economy

26

Forces at Play

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Eager to tap $2.6 trillion healthcare economy


Fix impossibly inefficient & bureaucratic system


Boost transparency and communication


Digital healthcare receiving greatest share of total
investment dollars


up 73% since 2011

27

Entrepreneurs & Investors

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Doctor will see you now


ZocDoc



Online service to research & schedule doc
appointments


Doc ratings from patients


Addresses underused health supply


Free to patients, practices pay $300 a month


$50 million (of $95 million) raised from DST
Global, Russian billionaire


1.5 million users a month in 20 markets


28

It’s All Online

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Computer becomes exam room


HealthTap



Army of docs online 24/7


building reputation
among patients and peers


15,000+ docs answering questions, online
conversation for $9.99


Docs rate each other’s responses and algorithm
direct questions to specialists

29

Information Liberation

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Texting can make you healthier


CareSpeak Communications



Simple mobile technology to encourage adherence


(Noncompliance causes hospital re
-
admissions and even death)


2
-
way testing


reminders to patients and caregivers.


United Health hopes it will lower their costs.

30

Going Mobile

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Big data myth busting to build better workers


Kenexa

IBM buys workforce science company for $1.3 billion


Myths busted


Supervisors’ communication skills and personal warmth
more important than worker experience/attributes


Work history not a good predictor of future results


Most important salesforce quality is not extroversion but
emotional courage


Those who score high on “honesty” stay 20
-
30% longer in
their jobs

32

Big Data Meets HR

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Big chains thrive


G
reater variety,
better quality,
lower
cost


Buying power


Centralized
common
functions


Fast adoption and diffusion of innovations



4
airlines =
69%
travel


Walmart

=
57% of all
groceries


Intel =
85
% of micro processing
chips


Doctors =
75% are employees


33

Monopoly Economy

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Cheesecake Factory Medicine



Steward Health Care System



Cerberus, a private
-
investment firm, bought 6
failing Catholic hospitals in Boston area



Cerberus has stakes in Chrysler, GMAC,
Albertsons, Austria’s largest retail bank chains,
and Freedom Group (world’s biggest gun
-
and
-
ammunition manufacturers)

34

Profit from Size & Efficiency

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WHAT DOES THIS ALL
MEAN FOR US?

35

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The measure of intelligence

is the ability to change.

A l b e r t E i n s t e i n

36

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Market power = Degree of influence one
organization has over another


Market power = Ability to raise prices without
losing business


In the U.S. health system, the market power and
market position of specialists is shifting

downward


37

Shift in Market Power

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Redefining

demand


for specialty care


Managing unit costs in an era of declines


Competing for

profitable


consumer segments


Investing in new services


Marketing and business development


Maintaining competitive advantage in face of


New technology


Rules
-
based treatment options


Industry consolidation


Health reform

38

Strategic Challenges for Specialty
Behavioral Health

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Elimination of

卡fe瑹t乥t


䙵湤楮朠f潲⁕湩o獵r敤

䑥捲敡獥e潦⁆敥
-
F潲
-
卥S癩捥⁒vt敳


Medicaid/Medicare Coverage of SPMI Moved to Managed Care/ACOs

Expanding Role of Urgent Care Clinics in Community


Payers Increase Coverage of E
-
Health Services & Remote Monitoring

Responsibility for Health Outcomes and Costs of Defined Populations


Mandatory Adoption of EBP via Comparative Effectiveness Research

Medication Assisted Treatments for Addictive Disorders

Widespread Adoption of Neurotech (Scans, Avatars, Cognitive Retraining, Etc.)

39

Scenarios for Behavioral Health

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We must reorganize and
prepare for
new
ways
in which
services
will be provided

and
paid
for.

40

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Competing for customers (consumers and payers)


Moving to highly regulated, any “willing provider” model


Participating in value
-
based purchasing arrangements


New management knowledge/infrastructure


Delivering services at market rates


Knowing costs and cost
-
cutting techniques


Integrating new technologies into service models

41

What is Required of Us?

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Transactional Leadership

Coping with complexity


keep current system
functioning and improve


Planning and budgeting


Organization structure and staffing


Organizational controls, monitoring, and problem solving


Transformational Leadership

Coping with change


produce useful, non
-
incremental change system


Setting a direction


Aligning people in the organization


Motivating people in the organization

42

Skills in Demand

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Growth
allows organizations to


Leverage expense


Diversify risk


Enhance talent recruitment and retention


Be competitive




Collaborations and
consolidations are the future

43

Bigger IS Better

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The pessimist complains
about the wind.

The optimist expects it

to change.

The realist adjusts the sails.

W i l l i a m A r t h u r W a r d