1 / 48

How To Orchestrate Innovative State and Community Collaborative Partnerships

How To Orchestrate Innovative State and Community Collaborative Partnerships. Florida Alcohol Drug Abuse Association Mary Booker Joan Helms. NIATx Conference June 2013. Behavioral Health System Analysis: Is Your Culture Outdated? .

abeni
Download Presentation

How To Orchestrate Innovative State and Community Collaborative Partnerships

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. How To Orchestrate Innovative State and Community Collaborative Partnerships Florida Alcohol Drug Abuse Association Mary Booker Joan Helms NIATx Conference June 2013

  2. Behavioral Health System Analysis: Is Your Culture Outdated?

  3. What is the Best Improvement Path? Is Your Organization Willing to Experiment with New Ideas?

  4. Session Take-Aways • Learn to engage and identify stakeholders • Identify tools and benchmark process • Develop and expand collaboratives • Initiate and grow peer mentor networks • Present outcomes to stakeholders • Integrate and replicate outcomes

  5. Florida Facts Current Budget Substance Abuse: $215,672,421 Mental Health: $760,060,545 Sources of Funding Substance Abuse State: 40% Federal: 60% Mental Health (including State MH Facilities) State: 81% Federal: 19%

  6. Florida Facts Operational Structure Central Office: Guides State System of Care, Monitors progress Regional Offices (6): Manage regional systems of care Percent Funds in Contracted Services Mental Health: Civil Facilities – 1 of 3 privatized Forensic Facilities – 2 of 4 privatized SVPP – privatized Substance Abuse: privatized

  7. Florida Facts Managing Entities (Includes SA and Community MH) Current contracts: 7

  8. Florida Alcohol and Drug Abuse Association • FADAA, incorporated in 1981, is a non-profit membership association representing over 100 of Florida’s premiere community-based substance abuse and co-occurring treatment and prevention agencies, managing entities, community anti-drug coalitions and approximately 3,500 individual members. • Throughout its history, FADAA has been involved in leading industry change to better serve consumers and communities and has been at the forefront in creating responsive systems and tools to facilitate the transfer of evidence-based practices to the field and to initiate and expand continuous quality improvement activities. • FADAA is perceived as the “lead voice” by national, state and local policy makers, providers and the recovery community on substance abuse policy and related practice improvement.

  9. What We Did The State and FADAA aggressively pursued grants to build the capacity for system improvements while removing regulatory and administrative barriers to client access to service: • Robert Wood Johnson – Resources for Recovery • Strengthening Treatment Access and Retention - State Implementation • Robert Wood Johnson – Advancing Recovery • Partnership for Quality Performance State Contract

  10. The First Step Toward Collaboration

  11. RWJ - Resources for Recovery Program In 2005, FADAA and DCF collaborated to establish new state Medicaid codes for substance abuse services and legislative authorization for a local match program to maximize reimbursement for substance abuse services.

  12. Florida STAR Project In 2006, FADAA, DCF and 6 (initial) substance abuse provider agencies received a 3-year STAR-SI grant to improve client access and retention. • Reduce average time between an individual’s first contact for OP treatment and an initial screening/assessment by 25%. • Reduce average time between initial screening/assessment and delivery of first OP treatment service by 25%. • Increase the number of persons who complete detoxification and then enter OP treatment by 50%.

  13. Florida STAR Project By the end of the 3-year project, the team included: • 21 individual provider agencies • Two managing entities • Staff from the State Substance Abuse Mental Health Program Offices and the Florida Alcohol & Drug Abuse Association (FADAA) Other accomplishments: • Implemented more than 50 improvement projects • Provided staff training in the use of change teams and rapid cycle process improvements • 30+ participants have been trained throughout Florida as Change Team Leaders • Established 19 Peer Mentors and 5 Coaches within Florida

  14. Florida Spread

  15. Spin Offs • Cadre of Peer Mentors (NIATx trained) • NIATx Process Improvement Training & Coaching • Florida Learning System Established • System of Care - Client Access & Retention Improved • NIATx Training for Family Intervention Specialists

  16. RWJ Advancing Recovery –Florida Project • Two year funding - $180,000 per year • Three providers (Operation PAR, Spectrum-Miami Behavioral Healthcare, River Region Human Services) • Focus on the use of medication (Nalotrexone), case management and support services for improved client outcomes

  17. 1st Evidence-Based Practice: Vivitrol • The State and its partners agreed to implement the evidenced based practice of providing Vivitrol to patients with alcohol addictions. • Vivitrol is only administered in conjunction with psychosocial interventions • Partner agencies: • Identified and implemented client screening and selection criteria • Developed a medication protocol; • Provided educational training regarding Vivitrol to over 130 staff; • Initially provided Vivitrol to 10 clients; • Tracked client progression.

  18. 2nd Evidenced Based Practice: Case Management The State reviewed and selected evidenced based practice to enhance case management services to substance abuse clients.

  19. Implementation Barriers and Success • Partners reported experiencing the following barriers to implementing the program: • Obtaining the medication • Prohibitive costs • Getting Vivitrol on the Medicaid formulary • Partners reported that staff were fully supportive of the program due to the information received from the medication representatives and staff comfort with administering medication in conjunction with counseling.

  20. Identify and Engage Stakeholders

  21. CQI Partnerships NATIONAL INITIATIVES SAMSHA Paths to Recovery RWJ/NIATx FADAA Florida DCF Collaborative Partners RWJ Resources to Recovery, Advancing Recovery, STAR-SI Florida Learning System

  22. STAR-SI Advisory Workgroup – Foundation for the Florida Learning System • Provided guidance on the progress of the grant as appropriate • Monitored data collection and reporting • Assisted with the revision of regulations and policies that impede service delivery and process improvements • Supported the peer learning network • Disseminated project results

  23. Florida Learning System Florida Learning System

  24. State and National Level Partners • NIATx • SAAS • SAMHSA • The National Council for Behavioral Health • Florida Department of Children & Families • Florida National Guard • Florida Certification Board • Florida State University Local Level Partners • SA, MH and Prevention Providers • Managing Entities • Community Anti-Drug Coalitions

  25. Tools and Benchmark Process

  26. Unique Characteristics & Tools of Florida’s Project • Partnership for Quality Performance State Contractual Work Plan • State and National Level Partners • Provider Commitment

  27. Work Plan • Fluid, flexible – meets on the ground technical service needs • Like a contract • Easy to make changes • No formal contract amendment required • Amount of detail • Tracking • Monitoring partners • Organizational system changes Pros Cons

  28. Key State Level Tools • Data system refinements • Improve client engagement and retention • Increase use of evidence-based practices and assessment • Contract linkages • NIATx resources

  29. Develop and Expand Collaboratives

  30. What Issues Have You Found in Collaboration?

  31. Collaboration Issues • Buy-in • Trust building • Elimination of turf issues • Time-consuming • Resistance • Communication • History with individuals, organizations • Risk taking • Sharing information

  32. What Helps • Research based grants • Transformation • Creativity • Flexibility • Acknowledgement & recognition of what issues partner’s are dealing with • Group dynamics • Drawing on talent of providers

  33. Initiate and Grow Peer Mentor Networks

  34. Peer Mentors Three Key Roles: • Use their experience and expertise during site visits, telephone and online technical assistance to the providers • Identify promising process improvement strategies, tools, and products to be disseminated through the repository • Continue to participate in and expand the peer learning network

  35. Peer Mentors • Provide Technical Assistance • Provider Sites • State • Tiered approach with increasing levels of expertise • Knowledge • Experience • Strengths • Standardize approach • Develop network – on-line data base

  36. FADAA Web Site – Peer Mentor

  37. FADAA Web Site – Peer Mentor

  38. Present Outcomes to Stakeholders

  39. What Does the Florida Learning System Do? • Adjust State’s data • Create financial incentives • Use evidence-based practices • Use uniform, evidence-based assessment • Address regulatory and policy barriers • Implement system performance management/CQI

  40. Integrate and Replicate Outcomes

  41. Challenges • Sustaining successes • Implementing rapid change cycles in interagency matters • Diffusing lessons learned and new processes across provider sites

  42. Sustainability • State/Districts • Integrate successful changes • DCF • SAMHPO • District Office • Provide leadership for Florida Learning System • FADAA/Providers • Active participant in Florida Learning System • Integrate changes in provider infrastructure • Managing Entities • Integrate changes into Association and agency infrastructure

  43. Sustainability and Diffusion • Core competencies (PI, Peer Mentors) • Define role of managing entities • Dissemination of education • Replicating projects • Mentoring • Integrated QI approach within and across managing entities

  44. Strategies to Sustain and Diffuse • Engage networks • Increase participation of provider agencies • Recruit and train additional peer mentors • Increase staff competencies in performance improvement • Participation by all provider networks • Capacity to implement process improvements at state and local areas • Systems integration

  45. What Have We Learned? • Tremendous talent and leadership exists at the provider level. • Improvements are demonstrated quickly at the provider level. • State level change is slower - but not impossible. • State budget and procurement practices can be difficult but leveraging resources are critical. • National partners are essential (e.g., NIATx).

  46. Florida System Change Partners

  47. Contact Information Mary Booker, Assistant Director mbooker@fadaa.org 850-878-2196, ext. 115 Joan Helms, Director of Research & Practice Improvement jhelms@fadaa.org 850-878-2196, ext. 107 NIATx Conference PowerPoint Presentation http://www.fadaa.org/documents/NIATx_Conf.ppt

More Related