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

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Corresponding # to narrative recommendati ons Recommendation Best Practice Citation Impact/ Difficulty Score A-6 Increase availability of acute to home neurobehavioral services across the service continuum to reduce need for out-of-state placement and increase ability to bring people back to Iowa. A-7 Increase availability of post-acute neurorehabilitation services across the service continuum to reduce need for out-of-state placement and increase ability to bring people back to Iowa. B-1 Require regional administrative hubs to participate as IBIRN sites with adequate funding for regional resource materials Massachusetts Minnesota Texas Tennessee DPH BIA-OH Impact=10 Difficulty=7 Impact=9 Difficulty=9 Impact=9 Difficulty=3 Policy Funding Timeline for ROI (short, mid, long-range) Legislative Potential to Short save money in the long run due to expense of out of state placement Legislative Potential to save money in the long run due to expense of out of state placement Legislative Mid Mid to long range 150
Corresponding # to narrative recommendati ons Recommendation Best Practice Citation Impact/ Difficulty Score (i.e., Brain Injury Tote Bags). B-2 Amend Iowa Code Chapter 135.22 Brain Injury Registry to align with the brain injury definition in IAC 441- 83.81(249A) and require the BI Registry notification in administrative rule. B-3 Reduce the lag time for receipt of outreach letters generated from the Brain Injury Registry regarding brain injury services in order to increase timely access to services and supports. B-4 Expand the scope of the Residential Care Facilities (3-5 beds) specialized Recommendation developed at final meeting. Florida Impact=8 Difficulty=2 Policy Funding Timeline for ROI (short, mid, long-range) Policy (IDPH) Minimal cost Short Legislative Short 151
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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
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Table One: Summary of the Potential
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families from among the different d
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to begin operations and transition
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Table Two: Timeframe for Regional F
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Function Yes No Comments Data colle
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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 and 140: o Crisis teams o Immediate access t
Page 141 and 142: • State plan for college/universi
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: Corresponding # to narrative recomm
Page 153 and 154: 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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