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Updates from the Ohio Department of Mental Health

Stay informed with the latest updates from the Ohio Department of Mental Health. Key highlights include certified peer specialists, Medicaid health homes, housing initiatives, and quality improvement practices for children. Learn about budget planning and managing change strategies.

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Updates from the Ohio Department of Mental Health

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  1. Updates from the Ohio Department of Mental Health Tracy J. Plouck September 25, 2012

  2. Overview • Update on certified peer specialists • Highlights of other work underway • Medicaid health homes • Housing initiatives • Quality improvement initiative: antipsychotic prescribing practices for children in primary care settings • FY 14/15 budget planning • Managing change

  3. Certified Peer Specialists • Ohio Empowerment Coalition is revamping its approach to training • Our new partnership with specific ADAMH boards and the Ohio Rehabilitation Services Commission • Continuing to seek approval of peer support as an Ohio Medicaid reimbursable service

  4. Medicaid Health Homes • Key health transformation initiative of the Governor’s Office of Health Transformation • New services focused on better integration between physical & behavioral health care • Comprehensive Care Management • Care Coordination • Health Promotion • Comprehensive Transitional Care • Individual and Family Support • Referral to Community and Social Support Services

  5. Medicaid Health Homes, 2 • Team-based approach led by community MH center • Health Home Team Leader • Embedded Primary Care Clinician • Care Manager • Qualified Health Home Services Specialists • Payment rate is flexible to reflect team composition • Voluntary for providers • Must be broad-based within the agency

  6. Medicaid Health Homes, 2 • Will be implemented statewide in 3 phases: • October 2012 – Adams, Lawrence, Scioto, Butler, Lucas • April 2013 – Fulton, Williams, Defiance, Henry, Cuyahoga, Summit, Portage, Huron, Crawford, Richland, Ashland, Marion, Morrow, Delaware, Knox, Franklin, Licking, Preble, Montgomery, Fayette, Pickaway, Hocking Ross, Vinton, Athens, Washington, Pike, Jackson, Gallia, and Meigs • July 2013 – Remaining 53 counties

  7. Housing Updates • Effective 7/1/12, we have $10 million available for community capital investment. Want to spend vast majority on housing. • Reviewing board proposals now • Focus on projects which are actionable in the near term and address critical housing needs • Partnership with Ohio Housing Finance Agency will help us to further leverage these resources

  8. Housing Updates, 2 • HUD 811 Supportive Housing for Persons with Disabilities Demonstration Program • 36 states competing for these resources • In concert with Ohio HOME Choice, we’ve committed $1.2 million to leverage these resources if HUD provides us with the federal funding • Trainings on housing preservation underway • Housing mini grants (apps due 10/15) • 115 adult care facilities: critical repair grants

  9. Prescribing Practices – MH and Kids • Yesterday DMH and Ohio Medicaid announced $1 million to be used over 3 years to support a quality improvement initiative for Medicaid-enrolled children who are prescribed antipsychotics • Some specific emphasis children in foster care • Some specific emphasis on poly-pharmacy

  10. Prescribing Practices, 2 • Data analysis • Quality improvement initiative to enhance clinical guidelines • Build on pediatric psychiatry network, expand to community psychiatrists • Feedback loop and second opinion consultations • Outreach and education to family physicians, APNs, others

  11. Prescribing Practices, 3 • We are launching this in partnership with Ohio’s children’s hospitals, provider trade associations, families & advocates • Will not be successful without clinical leadership from child psychiatrists – we appreciate their commitment and expertise

  12. FY 14/15 Budget Planning • Focus: how to make the most strategic use of resources which are made available • DMH will consolidate with ODADAS • Together, we will value both substance use and mental health services • We will continue to work with local partners to address challenges

  13. Managing Change • Recognize that doing nothing is an explicit choice – and what are the consequences? • Create a compelling business case • Celebrate even small steps forward • We are all in this together • Don’t be afraid to make improvements

  14. Opportunity Is… • Creativity • Collaboration • Action focused • Time sensitive • Collective impact

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