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Washington County System Review Project Advisory Committee

Washington County System Review Project Advisory Committee. Undertaken by the Office of Mental Health and Mental Retardation In partnership with Allegheny HealthChoices, Inc. October 1, 2009. Agenda. Introductions Review of Meeting Notes Project Update Washington County Data Discussion

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Washington County System Review Project Advisory Committee

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  1. Washington CountySystem Review Project Advisory Committee Undertaken by the Office of Mental Health and Mental Retardation In partnership with Allegheny HealthChoices, Inc. October 1, 2009

  2. Agenda • Introductions • Review of Meeting Notes • Project Update • Washington County Data Discussion • Wrap up / Next Meeting

  3. Project Update • Letter to stakeholders • Meetings with County staff • Provider forum • Data collection and analysis • Interviews

  4. Project Update cont’d.Interviews • Who • Providers • County committees and departments • Consumer and family support groups, advocates • Interface agencies • How • One-on-one interviews • Group interviews • Focus groups • Attending existing meetings • What • Focus on exploring key areas of project

  5. Project Update cont’d.Data Collection and Analysis 5 • Review available data • Information Systems survey • Data limitations: • Completeness of the data • Limited cost data for Base-funded services • Limited MR data

  6. Discussion of County Data:Purpose • Provide an example of the type of data available • Provide snapshots of Base and HealthChoices Data • Base: • County funded services for people not eligible for HealthChoices • Services that are not funded by HealthChoices • Residential services, administrative case management, social rehabilitation • HealthChoices: • Services available to those who are Medicaid eligible • Paid for by the Managed Care Organization/Medicaid • Individuals can receive both Base and HealthChoices services

  7. Discussion of County Data cont’d.Demographics 2008 Base & HealthChoices (HC) * Includes MH services only * *Includes Asian, Native American, Other, and Unknown • A total of 666 users had services in both HC and Base for Washington during 2008 (MH type services only)

  8. Discussion of County Data cont’d. Where were people served in 2008? • Concentrations in: • City of Washington and Canonsburg (Washington Community MH/MR) • Mon Valley (SPHS) • Spread throughout southern section of county (Centerville Clinics) • Individuals are also served from other Counties * HealthChoices Only

  9. Discussion of County Data cont’d. Users by Service Category: Base & HealthChoices in 2008 • MH services only • Excludes service categories with less than 10 users

  10. Discussion of County Data cont’d.Users by Diagnostic Category: Base & HealthChoices in 2008 • Includes the top 10 MH diagnostic categories for both children and adults

  11. Discussion of County Data cont’d. HealthChoices Summary: 2008

  12. Discussion of County Data cont’d.HealthChoices 2008: Age 00-20/MH Summary

  13. Discussion of County Data cont’d.HealthChoices 2008: Age 21-65+/MH Summary

  14. Discussion of County Data cont’d.Inpatient Utilization:Community IP-MH Admissions Number of Admits * Adult HealthChoices Only • Time frame spans the downsizing and closure of Mayview State Hospital • Admissions are trending downward

  15. Discussion of County Data cont’d.Inpatient Utilization:Community IP-MH Average LOS Days * Adult HealthChoices Only • ALOS is trending very slightly upward, but it has been within one day the entire period.

  16. Discussion of County Data cont’d.BHRS Utilization: Users and Amount Paid Dollars People • Users and amount paid are trending upward over the period 28% and 25%, respectively.

  17. Discussion of County Data cont’d. BHRS Utilization: Users and Amount Paid (re-scaled) People Dollars • Re-scaled chart with a trend line can provide a different way of viewing the same data

  18. Discussion of County Data cont’d. • What did you think of this data? • What more would you like to see? • Other areas we should consider?

  19. Wrap up / Next Meeting • Agenda items for the next meeting • Summary of themes from the interviews • Other ideas • Schedule next meeting

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