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

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to all the DHS staff who dedicated time and effort to the Workgroup process. DHS made sure all the logistics of meetings, conference calls, document review, etc. worked smoothly and in a timely manner. In addition, the participants of the Workgroups volunteered many hours, not only to participate in Workgroup meetings, but also to read materials and to bring new information to share with other Workgroup participants, both in an effort to make the maximum amount of contribution to the process. Equally important, Workgroup members came to the meetings ready to listen, to learn and to attempt to forge consensus about the best direction forward for Iowa. This made the Workgroup process more effective, and contributed to the generation of many excellent recommendations. 16
II. METHODOLOGY Senate File 525 calls for the formation of several workgroups through which DHS and the Legislative Interim Committee could derive input and advice related to the redesign and reform of the MH/ID-DD and children’s services systems in Iowa. In response to the SF 525 mandate, DHS formed seven Workgroups: 1. Intellectual Disabilities and Developmental Disabilities (ID-DD) 2. Adult Mental Health (MH) 3. Children’s Disability Services 4. Regionalization 5. Judicial– DHS (i.e. to address Court/Legal issues) 6. Services for people with Brain Injury (BI) 7. Psychiatric Medical Institutions for Children (PMIC) Initially, DHS widely disseminated information about SF 525 and the workgroup process, and requested volunteers to serve on the workgroups. More than 150 individuals representing the geographic diversity of Iowa as well as all the various stakeholder groups initially volunteered to participate. DHS then selected more than 100 workgroup participants from this group of volunteers. In some cases DHS reached out to additional individuals, to achieve balance and adequate representation of certain perspectives on each workgroup. DHS made a special effort to assure consumer and family participation in each workgroup as well. DHS, along with Judiciary and the Department of Public Health, established a schedule for regular workgroup meetings beginning on August 16, 2011 and ending on October 25, 2011. Each workgroup met at least five times during that time frame. DHS established a section of the main DHS website (http://www.dhs.state.ia.us/Partners/MHDSRedesign.html ) where workgroup participants and the general public could readily access information generated by and for the workgroups. 2 DHS established a sequential process whereby the agendas and reading materials for each workgroup were published on DHS’s website by the Thursday or Friday prior to each meeting. The reading materials included (a) a discussion paper developed by TAC/HSRI 3 germane to the topics to be discussed at the up-coming meeting; (b) reference materials identified by TAC/HSRI and DHS related to best practices and examples from other jurisdictions that could inform participant recommendation formulation; and (c) materials submitted by participants in the workgroups also designed to inform participants in their deliberations and consensus building. 2 Detailed information about the membership, schedule, agendas, discussion papers, and related materials are available at the DHS website. 3 The TAC HSRI discussion papers were for the Mental Health, ID-DD, Children’s and Regionalization Workgroups. 17
Page 1 and 2: Iowa Mental Health and Disability S
Page 3 and 4: E. Process and Timeframes for the F
Page 5 and 6: The second source of principles is
Page 7 and 8: order to standardize approaches, re
Page 9 and 10: Children’s Disability Services Wo
Page 11 and 12: The Workgroup strived to attain a r
Page 13 and 14: Psychiatric Medical Institutions fo
Page 15: performance measures developed by t
Page 19 and 20: III. VISION AND PRINCIPLES FOR THE
Page 21 and 22: Individual Outcomes • People make
Page 23 and 24: IV. REPORT OF THE INTELLECTUAL AND
Page 25 and 26: • Financial - Medicaid eligible
Page 27 and 28: 1. Service Coordination Service Coo
Page 29 and 30: 5. Health and Primary Care People w
Page 31 and 32: - in these difficult budget times -
Page 33 and 34: D. Outcome Assessment and Performan
Page 35 and 36: By using the Quality Framework, sta
Page 37 and 38: The table below illustrates how typ
Page 39 and 40: • Increased requirements by the C
Page 41 and 42: of performance data, it is importan
Page 43 and 44: 9. Given the current inclusion of a
Page 45 and 46: allows supervisors to track a DSP
Page 47 and 48: Furthermore, this redesign process
Page 49 and 50: C. Eligibility - Adults The Workgro
Page 51 and 52: service should be considered for co
Page 53 and 54: Any current or future state or regi
Page 55 and 56: 1. Peer Run Self-help Centers: The
Page 57 and 58: areas. ACT teams in rural areas can
Page 59 and 60: F. Olmstead and System Rebalancing
Page 61 and 62: continuum, how it should be funded,
Page 63 and 64: The Workgroup also recommends that
Page 65 and 66: 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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Function Regional discretion within
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• Designation of access points o
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o o Process to be used and resource
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Performance Domain Examples from ot
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• Maintenance of the strength of
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Service Integration and Coordinatio
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B. Regions designate a transportati
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• Inclusion of Physician Assistan
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and were resolved by the team in th
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9. Mental Health Courts and Identif
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See Appendix F for details of each
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New Core Services Prioritized new c
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IX. REPORT OF THE PSYCHIATRIC MEDIC
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X. INTEGRATION AND TRANSITION PLANN
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eligible for Medicaid after 2014, t
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XI. CONCLUSION This report presents
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Services Currently Provided to Adul
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CMS State Balancing Incentive Payme
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Appendix C Children’s Disability
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o Roles o Data o Communication o Co
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o Crisis teams o Immediate access t
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• State plan for college/universi
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Appendix D Recommended Definition o
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Appendix E Brain Injury Definitions
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Appendix F Brain Injury Workgroup R
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Corresponding # to narrative recomm
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Adult Intellectual and Developmenta
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Brain Injury Workgroup Name Agency
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Judicial-DHS Workgroup Name Agency
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PMIC Transition Workgroup Name Agen
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Regionalization Workgroup Name Agen
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