Iowa Mental Health and Disability Services System Redesign Interim ...

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VIII. IX. Provider qualifications • Assure all regulations/rules are applied and consistent • Eliminate IAC Chapter 24 ~ other state licensing standards require National accreditation as standard (CARF/COS/JCAHO) • Review certificates and licenses of other professionals ~ IBC/CTA/Nursing • Explore opportunities to collaborate/align credentials in adult systems and schools, ie. Behavior analysis specials and Child behavior specials/consultants • Partner with universities to evaluate workforce needs and programs offered in state • Reimbursement rates for qualifications requested • Evidenced based • Remove barriers to funding • Expand opportunities based on training and outcomes • Funding should incentivize evidence based practices, i.e. FFT specially trained workforce • Across your systems knowledge when system is implemented • Trainings should be required with ongoing re-certifications • Offer training opportunities for people to increase qualifications • Cultural competency • Competent in trauma-based care • Do not excessively quality practitioners Performance and Outcome measures • Tracking system to report on aggregate measures o Data repository o Centralized data collection o Data systems o Safe environment to report errors and failures • Common set of measures to track performance o Develop agreed upon standards for Social-Emotional skills across the age-span; need consistency; explore what other states have developed o Meaningful • Continuous improvement system o Quality improvement • Track long term ‘successful’ adults X. Workforce development • Recruiting and developing profession • System training o Education to train teachers in managing aggressive behavior o Cross-system funding for training o Cross training • Curriculum and competency based • Dual diagnosis and positive behavior competencies 140
• State plan for college/university preparation programs (speciality vs. access, distance learning) • Increased reimbursement rates for adequate staffing • Incentives • Psychology Prescribing • Stability • Technology • Outside the ‘box’ innovations such as Microboards; human service coops; and ideas are ‘refreshed’ continuously • Willing to work outside M-F, 8:00 am – 5:00 pm • Child & Youth psychiatric consult program for Iowa • CYC – I XI. XII. XIII. System financing • Identify current funders o Options in Medicaid funding o Buy in from insurance/3 rd party o Buy in at local level financially o Other county funding partners, ie United Way, Foundations o Braided resources • Flexible Funding System ~ what does this child/family need o Non-categorical funding options (wraparound) ~ legislature won’t know what they are specifically buying o Funding system services ~ care coordination, possibly crisis • Performance-based contracting Community Readiness • Non-system investment ~ religious and other informal communities • Ownership of constituents ~ ‘a village’ • Collaboration attempts/successes • Culture of family based decision-making • Assessment of barriers • Service availability • Assessment of readiness • Education opportunities and awareness • Description of process ~ easy to understand so can ‘buy in’ • System of care champion • Community champion • No wrong door concept • Organizing entities • Focus on maintenance of success Request for Proposal (RFP) • Identify return to state and the risks o Define how to fund from start to finish 141
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Iowa Mental Health and Disability S
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E. Process and Timeframes for the F
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The second source of principles is
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order to standardize approaches, re
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Children’s Disability Services Wo
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The Workgroup strived to attain a r
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Psychiatric Medical Institutions fo
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performance measures developed by t
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II. METHODOLOGY Senate File 525 cal
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III. VISION AND PRINCIPLES FOR THE
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Individual Outcomes • People make
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IV. REPORT OF THE INTELLECTUAL AND
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• Financial - Medicaid eligible
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1. Service Coordination Service Coo
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5. Health and Primary Care People w
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- in these difficult budget times -
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D. Outcome Assessment and Performan
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By using the Quality Framework, sta
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The table below illustrates how typ
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• Increased requirements by the C
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of performance data, it is importan
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9. Given the current inclusion of a
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allows supervisors to track a DSP
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Furthermore, this redesign process
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C. Eligibility - Adults The Workgro
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service should be considered for co
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Any current or future state or regi
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1. Peer Run Self-help Centers: The
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areas. ACT teams in rural areas can
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F. Olmstead and System Rebalancing
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continuum, how it should be funded,
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The Workgroup also recommends that
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H. Provider Qualifications and Moni
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VI. REPORT OF THE CHILDREN’S SERV
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• PMIC bed/Residential Services -
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• Learning Supports for Students
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order to provide a strong system of
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D. Initial Recommendations Recommen
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Recommendation Two: Rollout of init
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under the Iowa Plan 50 . Services w
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• Planning for implementation can
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• The RFP will seek proposals fro
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o I am part of a community; I belon
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We get lots of kids from southern I
Page 89 and 90: Table One: Summary of the Potential
Page 91 and 92: families from among the different d
Page 93 and 94: to begin operations and transition
Page 95 and 96: Table Two: Timeframe for Regional F
Page 97 and 98: Function Yes No Comments Data colle
Page 99 and 100: Function Regional discretion within
Page 101 and 102: • Designation of access points o
Page 103 and 104: o o Process to be used and resource
Page 105 and 106: Performance Domain Examples from ot
Page 107 and 108: • Maintenance of the strength of
Page 109 and 110: Service Integration and Coordinatio
Page 111 and 112: B. Regions designate a transportati
Page 113 and 114: • Inclusion of Physician Assistan
Page 115 and 116: and were resolved by the team in th
Page 117 and 118: 9. Mental Health Courts and Identif
Page 119 and 120: See Appendix F for details of each
Page 121 and 122: New Core Services Prioritized new c
Page 123 and 124: IX. REPORT OF THE PSYCHIATRIC MEDIC
Page 125 and 126: X. INTEGRATION AND TRANSITION PLANN
Page 127 and 128: eligible for Medicaid after 2014, t
Page 129 and 130: XI. CONCLUSION This report presents
Page 131 and 132: Services Currently Provided to Adul
Page 133 and 134: CMS State Balancing Incentive Payme
Page 135 and 136: Appendix C Children’s Disability
Page 137 and 138: o Roles o Data o Communication o Co
Page 139: o Crisis teams o Immediate access t
Page 143 and 144: Appendix D Recommended Definition o
Page 145 and 146: Appendix E Brain Injury Definitions
Page 147 and 148: Appendix F Brain Injury Workgroup R
Page 149 and 150: Corresponding # to narrative recomm
Page 161 and 162: Adult Intellectual and Developmenta
Page 163 and 164: Brain Injury Workgroup Name Agency
Page 165 and 166: Judicial-DHS Workgroup Name Agency
Page 167 and 168: PMIC Transition Workgroup Name Agen
Page 169: Regionalization Workgroup Name Agen
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Iowa Mental Health and Disability Services System Redesign Interim ...

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