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Emerging Models of Integrated Care Coordination

As behavioral health providers strategize on where they can fit in healthcare reform, I see care coordination as an obvious role where many providers could thrive. Central to healthcare reform is improved coordination and navigation of the complex healthcare delivery system to ensure whole-person, whole-life prevention, early intervention, supports, and care. Some of the models for care coordination read like good old fashion social work, while other more intensive models sound like modified ACT teams.

Sure, to really excel at this “new” care coordination, behavioral health providers will need to makes some changes but bottom line, this work should be in the wheelhouse of behavioral health core competencies. Likely behavioral health provider development needs include:
~ Shift of staff resources from “therapies” to care coordination
~ Robust training, development, and supervision in medical management
~ Effective partnering with primary care organizations
~ State of the art care coordination data management system

The Institute for Healthcare Innovations published a white paper in 2011 IHICareCoordinationModelWhitePaper2011 which provides a great overview of successful care coordination models.

IL Plan for Williams v Quinn Pending Court Approval

The implementation plan and tasks/timeline for resolution of the Illinois class action suit, Williams v Quinn has been submitted to the court and is pending approval.  Both are available for public review.  On September 30, 2010 the consent decree representing agreement to offer community living arrangements to over 4300 individuals with mental illnesses currently residing in Illinois institutes for mental disease (IMDs) was approved. Over 5 years, Illinois will offer transition to permanent supported housing or similar community settings for the class members.

Illinois ACT/CST Rate Review Report

In preparation for transitioning Williams class members into community services, Parker Dennison was asked to assess whether the current rates for team-based services, ACT and CST, are adequate to support expansion of capacity for these services.  The findings can be found in the complete report available to the public.  ACT CST Summary Rept 6-30-11Final

IL 1915(c) MH Waiver Development Progresses

The Illinois Department of Human Services/Division of Mental Health, in conjunction with the Department of Healthcare and Family Services held its second Stakeholder’s Forum on October 27,2010 to review their progress on the development of a Medicaid 1915(c) mental health waiver.  Upon approval by CMS, Illinois’ 1915(c) waiver will be one of the few nationwide that is targeted towards supporting those with serious mental illnesses who currently reside in nursing facilities or who meet that level of need.  Parker Dennison & Associates is assisting the state in the development of the waiver and public documents related to the development process may be found at IL 1915(c) Waiver.

IL Consent Decree Approved

On September 30, 2010 the consent decree representing agreement to offer community living arrangements to over 4300 individuals with mental illnesses currently residing in Illinois institutes for mental disease (IMDs) was approved. Over 5 years, Illinois will offer transition to permanent supported housing or similar community settings for the class members. A draft implementation plan must be completed within 135 days while the final implementation plan must be agreed to by all parties in no more than 90 days. A similar case (Colbert v Quinn) applying to a broader population of individuals residing in nursing facilities is working its way through the settlement process.

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