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Overview of Updates/Changes to Continuity of Care Agreement

Overview of Updates/Changes to Continuity of Care Agreement. April, 2006. Goals of Revisions to the COCA. Adopt a “people first” language approach. Consolidate two existing documents (standard /CHIPS versions) into one.

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Overview of Updates/Changes to Continuity of Care Agreement

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  1. Overview of Updates/Changes to Continuity of Care Agreement April, 2006

  2. Goals of Revisions to the COCA • Adopt a “people first” language approach. • Consolidate two existing documents (standard /CHIPS versions) into one. • Update the agreement to reflect reality that much of the inpatient/outpatient activity is moving to sites other than the state operated hospitals (SOHs).

  3. Some Examples of Changes Made • New definitions section added which introduces “State Funded Inpatient Psychiatric Services or SFIPS;” a term inclusive of both inpatient psychiatric services at an SOH or services purchased at a private hospital via CHIPS or EPS. • Signature page now allows COCA to be used in two ways: • Agreement between the Region Office and an individual community provider; or, • Agreement between the Region Office and an individual SFIPS (SOH, CHIPS, or EPS hospital).

  4. Examples of Changes (Continued) • Language added to strengthen the collaboration between Pre-Screener, community providers, and all SFIPS sites: • Firm appointments by community Pre-Screeners • Appointment protocol for Pre-Screeners/community providers • Documentation of connection to provider • Asks all SFIPS sites to include community provider in the treatment/discharge planning process

  5. Process for Development of the Revised COCA • August – November, 2005 – DMH Executive Staff posts draft COCA to web; interested stakeholders assist in process of incorporating public comment. • November, 2005 – January, 2006 - DMH approves revised document, posts to web and observes a suggested one month waiting period. • February 2006 – present - Decision to roll-out the new COCA with the fiscal year 2007 contract is formulated and approved by DMH Executive Staff.

  6. Executing the COCA • Division letter from Director Jones sent in conjunction with FY’07 contract mailing will alert providers that Region Offices will send instructions on how to complete and submit the new COCA. • Providers submit signed COCA to Region Office by June 15, 2006. • Region Director will sign the agreement, keep original on file, and return a signed copy to the provider by June 30, 2006. • New COCA becomes effective July 1, 2006.

  7. COCA Problem Resolution and Feedback • The new agreement has a place for the provider to indicate the person designated to handle problem resolution matters. • Local matters, such as issues between a community provider and a local CHIPS or EPS hospital, can be referred to the Region Office. • Suggestions for future state level changes, or general comments and feedback about the new COCA can be sent to Dan Wasmer at DHSMHKW@dhs.state.il.us.

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