https://www.integratedcaredc.com/wp-content/uploads/2023/09/RAG-Tool-for-Quality-Measures-and-Contracts.mp4 Description: RAG is a tool designed to assess the viability of expectations related to quality metrics and reporting requirements providers may encounter...
Advances in digital technologies and data analytics have created unparalleled opportunities to assess health data accelerating the ability of science to understand and contribute to improved health behavior and health outcomes. Additionally, behavioral health in the United States is being challenged to address persistent health inequities while improving the quality and value of the care delivered. As regulators, payors, and policies push behavioral health toward data-driven performance, the pressure for behavioral health providers to measure and monitor outcomes increases. This training will introduce providers to the key facets of using data to drive performance including metric selection, diagnosing performance issues and acting on data, driving innovation, and making data analytics a central part of the behavioral health quality strategy.
View materials from this event hosted by Department of Health Care Finance, DBH Training Institute, & Integrated Care DC on May 9, 2023. The in-person workshop was designed for behavioral health providers and other organizations seeking to prepare for the integration of behavioral health into the District’s Medicaid Managed Care Program. Presenters shared information and facilitated exercises to help leadership, clinical and operational staff, and other stakeholders develop the organizational competencies needed to succeed in managed care, including an understanding of managed care principles, how to communicate effectively with managed care partners, and how to effectively demonstrate the value of care through quality measurement and population health.
We often think of the treatment plan as a document to complete. However, it can be a tool to engage and empower the person served in their own recovery process. In this interactive webinar we will learn the core components of the treatment planning process from a person-centered and engagement-focused lens.
Understanding, measuring, working to improve quality performance are critical to ensuring that patients have positive outcomes and providers are satisfied—they’re also critical to ensure your practice is meeting its regulatory requirements and maximizing payment opportunities. As the District of Columbia carves in behavioral health care to managed care arrangements and requires more providers to be in value-based care arrangements, it is even more imperative that quality measurement and improvement is understood and infused across your organization—from providers, to leaders, to auxiliary staff.
This two-part series will describe the quality measurement basics and why it matters, and then treatment planning for population health. In Part 1, we will explore why we need to infuse a culture of quality within healthcare organizations, including an understanding of what we value, who we serve, and who we are accountable to. Presenters will emphasize the importance of all staff understanding quality and its impact on our patients, staff and organization. We will review the basics of measurement and key measures in quality focused on integrated care.
What’s the link between pay for performance and healthy eating on a budget? What about the link between quality metrics and understanding nutrition labels? These are all related topics that providers and practices address every day! Care teams work 1:1 with patients to better manage their chronic diseases while at the same time, measuring and reporting outcomes that are related to payments and incentives. During this webinar, we will make the connection between patient engagement strategies and meeting quality metrics. This webinar is designed for ALL AUDIENCES as everyone has a role in providing high-quality care- from the exam room to the boardroom.
Prior to the webinar, we invite you to view this short video “Bites on a Budget” created by HMA Senior Associate, Brandin Bowden, MSc., as he attempts to build a healthy dinner for under $5. In this #HealthyDinnerChallenge, Brandin puts on his nutrition educator hat to share healthful tips to help your patients and clients navigate the grocery store, increase nutrient intake and promote comfort in the kitchen.
The Primary Care Behavioral Health Consultation model (PCBH) is a psychological approach to population-based clinical health care that is simultaneously co-located, collaborative, and integrated within the primary care clinic. The goal of PCBH is to improve and promote overall health within the general population. This approach is important because approximately half of all patients in primary care present with psychiatric comorbidities, and 60% of psychiatric illness is treated in primary care. This webinar overs the framework of the PCBH model, the behavioral health consultant role, and a day-in-the-life look at integrated care using this model.
Valuable Revenue Cycle Tip of the Week #6 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts.
Valuable Revenue Cycle Tip of the Week #4 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts.
Valuable Revenue Cycle Tip of the Week #3 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts.
During this brief presentation, Kristan McIntosh, LMSW, shares an overview of what a Certified Community Behavioral Health Clinic (CCBHC) is, discusses why it is an important opportunity to build behavioral health system capacity, and talks about some upcoming opportunities to become (or partner with) a CCBHC.
Valuable Revenue Cycle Tip of the Week #2 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts.
Valuable Revenue Cycle Tip of the Week #1 is one of the FREE resources provided by Rev-Up DC, sponsored by the Department of Health Care Finance (DHCF). to help DC Medicaid Behavioral Health providers transition to participating in the Managed Care contracts.
Revenue Cycle Foundations 103 addresses the critical need to resolve accounts receivables’ issues through presentation and discussion on reconciliation. Revenue Cycle Foundations Sessions are part of the FREE resources provided by DHCF to help DC Medicaid Behavioral Health practices prepare to transition to participating in the managed care contract. The Revenue Cycle Foundations sessions will enhance DC Medicaid Behavioral Health practices; knowledge and capabilities to bill more efficiently, get paid faster, and resolve payment issues.
Revenue Cycle Foundations 102 expands your practice’s revenue cycle management capabilities by presenting best practices for claims processing for managed care. Revenue Cycle Foundations Sessions are part of the FREE resources provided by DHCF to help DC Medicaid Behavioral Health practices prepare to transition to participating in the managed care contract. The Revenue Cycle Foundations sessions will enhance DC Medicaid Behavioral Health practices; knowledge and capabilities to bill more efficiently, get paid faster, and resolve payment issues.
Revenue Cycle Foundations 101 provides an overview of revenue cycle management, with an in-depth focus on eligibility, enrollment, credentialing, and authorizations. Revenue Cycle Foundations Sessions are part of the FREE resources provided by DHCF to help DC Medicaid Behavioral Health practices prepare to transition to participating in the managed care contract. The Revenue Cycle Foundations sessions will enhance DC Medicaid Behavioral Health practices' knowledge and capabilities to bill more efficiently, get paid faster and resolve payment issues.
Integrated whole-person care has been shown to improve outcomes and increase Medicaid beneficiary satisfaction. We want to support you to enhance your practice’s capability to deliver person-centered care, use population health analytics, and engage leadership to support value-based care. Join us to learn more about provider engagement opportunities for year 2 of the Integrated Care DC Program.
This webinar focuses on effective strategies for engaging justice-involved populations and ways to support individuals transitioning to communities. The speakers shared case studies to illustrate the ways that providers have managed transitions of care and supported people. This session is approved by the American Academy of Family Physicians for up to 1 AMA Level 1 CME credit.
IBHA recommends that health systems, insurance plans, and others looking to measure progress toward integrating behavioral health in primary care use the 2017 PCPCH Standard 3.C.3 as the integration metric of choice. At the system level, IBHA concurs that measuring practice-level progress toward adopting excellent integrated care delivery models in the most meaningful way to affect system change.
Registries are important population health tools that allow organizations to collect, organize, aggregate, and utilize the information for a variety of purposes. Maintaining registries for certain disease states such as depression or diabetes provides easy access to results, identification of care gaps, and level of improvement and can lead to adjustments in care as needed. This Short Take video provides an introduction to registries and how to use them.
An online resource to provide broad access to resources to clarify best practices to support and improve the care for substance-exposed mothers and newborns. The toolkit includes resources to support screening, assessment, and level of care determination; treatment; transitions of care; and education.
The goal of the ICTA program is to improve care and Medicaid beneficiary outcomes within three practice transformation core competencies:
Delivering person-centered care across the care continuum
Using population health analytics to address complex medical, behavioral health, and social needs; and
Engaging leadership to support value-based care.
This document provides more detail, including sub-elements for each core competency.
The Medication-Assisted Treatment Of Opioid Use Disorder pocket guide to provide guidance on how to assess the need for treatment, referring to higher levels of care if necessary and the approved frequency and route of administration for treatment of Opioid Use Disorder. In addition, a tool has been provided to determine clinical opiate withdrawal.
The Substance Abuse and Mental Health Services Administration provides guidance for substance use disorder treatment services during the COVID-19 pandemic. The document specifies when a medical emergency exists, 42 C.F.R Part 2 does not apply and any disclosure of medical information is temporarily exempt for purposes of medical treatment.
This webinar will focus on the benefits and outcomes of behavioral health integration and key implementation considerations. The presenters will discuss outcomes that include improving population health, patient experience and reduced costs. The webinar will also feature key integration tips such as building internal support, warm handoffs, establishing workflows among other topics.
This webinar will focus on the foundational concepts of health care integration – including physical and behavioral health – will be reviewed and discussed. The presenters will also focus on integrating substance use disorders and reverse integration.
"The systemic approach to providing person-centered care for a defined population that coordinates physical and behavioral healthcare through a team of primary care and behavioral health practitioners, working with the individuals served, families, and other natural and informal supports.
Integrated care models ensure that mental health, substance use disorder, primary care, and specialty services are coordinated and delivered in a manner that is most effective to care for individuals with multiple health care needs and produces the best outcomes."
This webinar focused on the importance and potential impact of using ADT alerts to manage transitions of care, including an interview with Providence and a system demo from the Medical Home Network in Chicago, IL.
