CHANGE IS ON ITS WAY Don’t know what it will look like

1. CHANGE IS ON ITS WAY Don’t know what it will look like

2. CSAT Strategic Planning For Providers to Improve Business PracticesArlington, October 21-23, 2009

3. NJ DelegationProviders:James Curtin Glenn Duncan Luis R. Nieves Alan Oberman Kristina Raymond Shelly SchefflerDivision of Addiction Services:Raquel Mazon Jeffers Lew Borselino

4. Time For Change… We Need To Prepare

5. TIME

6. Every Modality of Substance Abuse Treatment Will Change Because…

7. The Evolving LandscapeAlan ObermanExecutive DirectorJohn Brooks Recovery Center

8. Change Drivers The economic climate;Technological advances: EHR, Interoperability;Results-oriented evaluation and funding;

9. Change Drivers (cont.) Expanded pay systems; Best practices • for treatment • for solvency; Healthcare reform

10. Change Drivers (cont.) New funding alternatives: Linkages – long term residential, halfway houses; Fee for Service will expand • Interwoven with EHR • Integration of Medical, Clinical, Fiscal;

11. Change Reasons (cont.) Value proposition: Do More With Less; Leverage and Interoperate Technology Stigma remains: • Educate holdouts within treatment community regarding MAT

12. Change Reasons (cont.) Broader acceptance of psychoactive medication in treatment settings in general

13. Survival will depend on your application of business principles and practices

14. Integrating Business PracticesLuis R. Nieves, MBA, Psy.D., ABPPExecutive DirectorNew Horizon Treatment Services, Inc.

15. Key Business Principles • Effective use of scarce resources; • Change in funding options and sources.

16. Basic Management Issues • Financial management • Staffing- work force • Service requirements • Evidence-based practices • Continuity of care • Recovery-Oriented Systems of Care (ROSC)

17. Treatment Assumptions Clients need more than any one system can provide: Expect/plan for integration with medical and other services; Imagine broader qualification for substance abuse treatment

18. Treatment Assumptions (cont.) • More has to be done for clients- broader, longer; • More people need treatment than are receiving treatment: • Envision greater outreach, more robust linkages across modalities, with greater transparency and fewer barriers

19. Finally: Our models of treatment must expand to reach more people

20. Health Reform Health reform defines parity between SA,& Mental Health; Join healthcare networks; Business Plan co-located with Strategic Plan in leadership landscape.

21. Suggested Strategies • Provider networks; • Embrace healthcare reform; • Integrate technology; • Innovate; • Use ROSC

22. State-Level Strategies

23. What to Expect At The State Level • New contracting; • Pay for Performance; • New customers; • New providers; • Expanded services; • Addl. Serv. Sites; • New business models

24. Tom McLellan’s suggestions • Expand your market; • Shift model: cure chronic; • More services to more people; • Integrate w/mainstream; • Align w/primary care; • SBIRT Model: Screening-Brief Intervention-Referral & Treatment

25. McLellan Suggests (cont.) • Early intervention; • Specialized care for offenders; • Longer term treatment; • Teach self-management; • Recovery Support Services; • Align w/Corrections

26. Data Driven • Treatment • Business • Marketing • Financials • Performance

27. Growth

28. … In ConclusionJames Curtin,MBASenior VP/Executive DirectorDaytop New Jersey

29. Key Concepts • Healthcare reform • Electronic Health records (technology) • Business practices • Network Models • Evidence Based Practice • Performance Improvement models

30. That’s The Beginning……….! Thank You!