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WRBHO Monthly Provider Meeting
July 13, 2012
WESTERN REGION BEHAVIORAL HEALTH ORGANIZATONWITH BEACON HEALTH STRATEGIES, LLC AND COORDINATED CARE SERVICES, INC
Agenda Welcome/ Introduction of New Meeting Format -
Adele Inpatient Experience Forum Update – Val One-on-One Provider Meetings for Q1 Data
Review: Update- Adele & John Inpatient Review Questions Template: Adele &
Chris June 7 BEST Meeting- Discussion Group
Feedback- John HANYS BH Readmission Project –Adele Q and A -All
New Meeting Format
Webinar being used to improve ability to share information
Feedback will be invited
Inpatient Experience Forum Update First Forum was held on July 11 in Rochester
Good turnout Approach was well received by service recipients
Other Forum dates: Olean – July 27 Buffalo – August 15 Ithaca- August 20
One-on-One Inpatient Provider Meetings All scheduled meetings will have taken place
by this afternoon. We have learned a great deal and appreciate
everyone’s willingness to meet with us. Feedback suggested that inpatient providers
would benefit from additional information concerning the questions we are asking.
Therefore a new Inpatient Review Questions Template has been developed
Inpatient Review Questions Template 1st version highlights the rationale and explanations
for those questions being asked that are currently subject to some confusion.
This draft version will go out to inpatient providers later today.
An extended version (with more questions covered) will be issued in the very near future.
A conference call is being scheduled to obtain feedback from providers on the updated template.
Sample follows:
Sample of Review Question Template
Category/ Rationale
Question Asked Explanation
Diagnostic Categories-Needed to better understand the level of complexity of the needs of the clients being served
Please provide Axes I through V The State Offices require that we capture this information. A MH Axis I diagnosis must be provided for all inpatient psychiatric hospitalizations. A Substance Use Axis I must be provided for all Inpatient Detox and Rehab admissions. Deferred (799) is not an option.
June 7 BEST Meeting- Discussion Group Feedback Three topics were discussed, each
representing an opportunity for system improvement based upon 1st Q data Increasing SPOA referrals Engaging peers and families to support a more
effective discharge Improving inpatient/outpatient communication
10 different groups – 3 to 4 each discussed one of the above topics.
June 7 BEST Meeting- Discussion Group Feedback
Questions asked included: What is currently working? What are barriers to service use? Key components to success? Recommendations for change? If there was one question that could be answered to help
move the process forward, what would it be? If we could do one thing differently, what would it be?
Summary of these discussions will be distributed early next week….
A Preview of What You Will Read… Peer and Family: What changes would you
make? A Peer Services sign-off needs to be included as
a checklist option on the Discharge Plan for each individual
Place peers in the EDs Figure out a way to pay for it.
A Preview of What You Will Read… Increase use of SPOA: What changes would
you make? Streamline SPOA application and place it on-line Use family advocate in SPOA engagement
conversation to increase success Reduce turnaround time of decision to increase
ROI for facility completing application
A Preview of What You Will Read…
Inpatient to Outpatient communication: If you could do one thing to impact communication?: Build relationships with your system partners and
understand their needs as well as yours Foster a peer to peer connection Inpatient and outpatient physicians should manage
the care of the individual together Make it a requirement to communicate.. A standard
of practice
Discussion Group Feedback: Next Steps
Summaries to be sent out early next week Share information with your team Next Provider call: Discuss next steps for
region
HANYS BH Readmission Project Are any providers involved? Is there anything the WRBHO can do to be
helpful
Questions?
Next Meeting: August 10 at 10:00