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In-Reach Program

In-Reach Program. Elizabeth Keck, MSW, LGSW Allina Health - Owatonna Hospital May 19, 2014 Participants:1-866-639-0744, no code needed. In-Reach Program. Coordinating Multiple Service Providers Rare Presentation Partnership between: South Central Human Relations Center

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In-Reach Program

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  1. In-Reach Program Elizabeth Keck, MSW, LGSW Allina Health - Owatonna Hospital May 19, 2014 Participants:1-866-639-0744, no code needed

  2. In-Reach Program Coordinating Multiple Service Providers Rare Presentation Partnership between: • South Central Human Relations Center • Steele County Human Services • South Country Health Alliance • Owatonna Hospital-Allina Health Systems May 19th 2014

  3. Program Value

  4. Objectives of the Program

  5. Process for Identifying and Engaging Patients

  6. Common Patient Profile • Patients are generally between the ages of 20 and 40 years of age. • Diagnosed or undiagnosed anxiety, depression, or substance abuse. • Chief complaint related to physical symptoms related to depression or anxiety (i.e. HA, SOB, palpitations, etc) • Majority are on public assistance (but not ALL) • Majority either have or have had a mental health adult case worker • Often are disconnected primary care physician • Need assistance before qualifying for the Human Service or Mental Health Services as recommended in their discharge instructions/plan from ED • Many have issues with transportation, housing, food, and medications which is often not addressed in their ED stay • Often times patients mental health treatment providers are not aware of their emergency department visits that relate to their mental health symptoms.

  7. How is Health Care Coordination different from typical hospital social worker role?

  8. Health Care Coordinator Tasks

  9. Owatonna Hospital The Program Data

  10. Managed Care Data

  11. Patient Satisfaction • Patient Survey upon closure of case. • Pre and Post Questions Survey

  12. Pre and Post Questions

  13. Billable Service • 2011-Successful legislative effort-payment guidelines imbedded in the HS Omnibus Bill (Sec. 45. Minnesota Statutes 2010, section 256B.0625) • Billing expected to be in 15 minute increments at community health worker hourly salary. • MS 256B.0625 subd, Covered Services; Medical Service Coordination. • Bill 80 hours within a calendar year. • Can not have two overlapping 60 day occurrences • Criteria is 4 visits in 3 months.

  14. Questions?

  15. Contact Information • Elizabeth Keck, MSW, LGSW • elizabeth.keck@allina.com

  16. Upcoming RARE Events…. Stay tuned for the next RARE Mental Health Webinar: New York Office of Mental Health Dr. Molly Finnertry June 26, 2014 (Noon-1pm)

  17. Future webinars… To suggest future topics for this series, Reducing Avoidable Readmissions Effectively “RARE” Networking Webinars, contact: Kathy Cummings, kcummings@icsi.org Jill Kemper, jkemper@icsi.org

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