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Developing complex policies at NAMI MI

Developing complex policies at NAMI MI. A small boat in a rough sea Mark Creekmore SAN@convention 2012. Dual Eligibles (DE). People living with mental illness High needs High cost. Why reform services for Dual Eligibles?. Will care integration DEs Save money? Improve care?.

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Developing complex policies at NAMI MI

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  1. Developing complex policies at NAMI MI A small boat in a rough sea Mark Creekmore SAN@convention 2012

  2. Dual Eligibles (DE) • People living with mental illness • High needs • High cost

  3. Why reform services for Dual Eligibles? • Will care integration DEs • Save money? • Improve care? • Will it help people living with mental illness? • Most savings on inpatient care • Most mental health is outpatient

  4. Oz: Integrating care for people with dual eligibility • Complex subject • Impatient and determined to change • Complex, slippery process • High tension among stakeholders • Wariness among consumers re system changes • High stakes • Predictions: huge changes afoot • Advocates: Close ties – Low trust

  5. External and Internal Participants for NAMI Michigan External: • MDCH • CMS • Community Mental Health Agencies • Advocacy organizations. Community – Institutional Internal: • Policy Committee • NAMI MI Board • NAMI affiliates • People living with mental illness

  6. The Process for NAMI DE Policy Participate in MDCH process • Announcement at 5 community meetings • Four work groups • Presentation of pilot proposal to community • Comment to CMS Decide about DE and care integration: balance needed • Tactics: Combine long ball and small ball tactics • Strategy: Develop distinct NAMI policy from others • Tone: Keep the tone real and hopeful

  7. What’s next? • Distribute and refine policy • Educate members • Develop advocacy skills from members who are DE (via SMARTS training)

  8. Discussion Questions • How can we construct comprehensible policy statements about complex topics that engage and attract “mere mortals”? • What are the threats and opportunities for PWSMI (NAMI’s constituents) within the dual eligible demonstration proposals? Contact: Mark Creekmore pmcreek@gmail.com

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