Posts Tagged ‘Magellan’

5 Years of Behavioral Health Innovation Paying Dividends (Part II)

April 22nd, 2014

dividendsOver the next couple of weeks I’ll continue reflecting about some of the innovative strategies that we’ve implemented with our behavioral health community partners over the last several years to improve the health status of folks with a serious mental illness. Last week I wrote about the Integrated Health Homes initiative.

Another success has been improvements in our Crisis Response System.  In Maricopa County, Magellan, with providers and partners, restructured and overhauled the system to reduce congestion at emergency rooms- decreasing the amount of time first responders spend processing an admission to behavioral health acute care service from 2.5 hours to 7 minutes.  A strong performance by any standard.  Next week, I’ll cover improvements to the kids system of care.

Behavioral Health Transition Going Smooth

January 31st, 2014

As Cory mentioned in his blog awhile back, our award of the Maricopa County integrated behavioral health services contract to Mercy Maricopa Integrated Care (Mercy Maricopa) was affirmed and the Stay on transition activities was lifted a few weeks ago.  Magellan elected to exercise their right to additional due process and has filed a Motion in Superior Court asking for additional review of our and ADOA’s decision. 

In the mean-time, our team has been working hard with Magellan on the day-to-day management of the current contract as well as continuing to work with both Magellan and Mercy Maricopa on more than 100 transition activities… which are going well.  Magellan has submitted more than 61 out of 99 transition deliverables, and none have been late.  Mercy Maricopa has turned in 74% of their deliverables- and is on track to be ready before April 1. 

We’ve also been continuing our community engagement to let members know about the transition.  Here’s an educational video English [Spanish] and slides that we’ve been sharing with members.  In short, we continue to be on-track for a smooth transition on April 1.

Next Stop On the Due Process Express

December 17th, 2013

As Cory mentioned in his blog last week, the ADOA recently affirmed our award of the Maricopa County integrated behavioral health services contract to Mercy Maricopa Integrated Care and lifted the Stay on transition activities. The Order from ADOA marked one more step in the process of implementing an integrated care model for folks living with a serious mental illness in Maricopa County.  

Magellan elected to exercise their right to additional due process this week by filing a Motion in Superior Court asking for additional review of our and ADOA’s decision- and urging the court to Stay the transition until the review is complete.  In the mean-time, we’ll continue to work with Magellan on the day-to-day management of the current contract as well as continue to work with both Magellan and MMIC on more than 100 transition activities.

 

Maricopa County Contract Decision Announced

December 4th, 2013

The Department of Administration made a decision about the Regional Behavioral Health Contract for Maricopa County this week.  Deputy Director Cory Nelson explains more about the decision and its impact on the current behavioral health service in his blog.

AZ Office of Administrative Hearings Speaks

November 26th, 2013

The formal protest process regarding our award of the Regional Behavioral Health Authority contract in Maricopa County is finally winding down.  The proceedings at the Office of Administrative Hearings (OAH) were completed a few weeks ago, and the Administrative Law Judge (ALJ) issued her recommendation on Monday, concluding that: “Based on the foregoing, it is recommended that ADHS’s award of the 2013 RBHA contract to MMIC shall be affirmed and that Magellan’s appeal shall be dismissed.” 

The Recommendation (at the end) says: “In the event of certification of the Administrative Law Judge Decision by the Director of the Office of Administrative Hearings, the effective date of the Order will be five days from the date of that certification”…  which suggests that the ALJ’s recommendation still needs to be certified by the OAH Director- and that the effective date of the recommendation would be 5 days after that.  At that point the certified recommendation would go to the Arizona Department of Administration for a final determination.

 

Driving Suicides to Zero

April 10th, 2013

Medical providers (doctors, nurse practitioners, registered nurses, etc.) are invited to join Magellan for their Driving Suicides to Zero training Monday, April 29 from 9 to 11 a.m. or 1 to 3 p.m.  The goal of the training is to help reduce the suicide rate by providing behavioral healthcare professionals with the skills, knowledge, attitudes and support to more effectively intervene and engage with those at risk of suicide.  The course is available for free to medical providers and will take place at Magellan’s Learning and Performance Center (4801 E. Washington St., Phoenix). To register visit Magellan’s Learning Website.

Reducing suicides is one of our 5 Winnable Battles at DHS.  Our Office of Prevention in Behavioral Health works with Magellan and all the Regional and Tribal Behavioral Health Authorities across the state.

Hitting Our Mark at Showtime

February 28th, 2013

Last Saturday our Licensing team hit the mark at Showtime- when it matters most.  After hearing that the Fountain Retirement Hotel had put residents on notice it was closing, we immediately became concerned that staff would stop showing up, food and medication would not be given out, and the residents would be turned out into the streets to live. Many of the residents have significant medical and behavioral health needs, and need a caregiver to assist them with things like taking medication and preparing food.  

Our licensing team arrived at the facility immediately after hearing of the situation from the Sheriff’s Office…  and our licensing team pretty much right away called an “immediate jeopardy” (meaning that there was the potential for a real threat to health and safety of the residents).  Our team stayed all afternoon and into the night, working with the facility’s owner and manager to ensure all residents would be safe.  We maintained a strong presence at the facility throughout the weekend, making sure there were proper caregivers, enough food, and that residents were receiving their medication. 

We’re still sending surveyors out twice a day and are working with many other agencies, including AHCCCS, the VA, Adult Protective Services, Magellan, Partners in Recovery, and the Long Term Care Ombudsman’s Program to make sure the residents are finding new homes that will be able to meet their needs.  A huge thanks to Dr. Cara Christ, Kathy McCanna, Richard Young, Ellie Strang, and Jim Tiffany, for responding so effectively and ensuring the Health and Wellness of these Arizonans.  Thanks!

Suicide Prevention: A Winnable Battle

December 18th, 2012

Back in 2009, AZ had the 9th highest rate of suicide in the U.S.  In that year 1,060 Arizonans took their own lives- so it’s easy to see why suicide prevention is an agency priority and is featured in our Strategic Map as a Winnable Battle.  Since we’re responsible for the state’s behavioral health system- we have a leverage point…  especially for the folks that receive services through our public behavioral health system including crisis services. 

One of our primary interventions for this Winnable Battle has been our collaborative Suicide Deterrent System, which was launched in 2009 by Magellan (our Regional Behavioral Health Authority in Maricopa County).  It’s evolved into a training initiative for behavioral health professionals to a comprehensive national model addressing one of the most at-risk populations – folks diagnosed with mental illness. Since kickoff, the initiative has trained more than 3,000 behavioral health care staff to recognize the signs and symptoms of suicide in persons with mental illness, and to help them stay safe and seek help.  The program has also addressed family engagement and support groups for suicide attempt survivors- and has developed clinical tools and procedures for assessing risk and appropriately intervening. 

The ADHS and Magellan Health Services of Arizona won a Council of State Governments Innovation Award this year for the Suicide Deterrent System.  The objective of the Suicide Deterrent System is to make suicide a “never event” for those served by our public behavioral health system.  Nationally, most public sector behavioral health care systems have made suicide prevention a business side-line…  relying mostly on crisis interventionist specialists.  Our model recognizes that to be successful, we need to provide safe, effective, patient-centered, timely, efficient, and equitable care. Our systems approach brings the core business of state-funded behavioral health care to tackle the challenge, including a systematic “do whatever it takes” approach, top leadership commitment, measurement and reporting and robust performance improvement. 

Our collaborative initiative has changed the mindset about suicide prevention. By providing knowledge, skills, tools and management support, this project has made suicide intervention a core responsibility of all behavioral health staff. It recognizes the complexities of suicide and addresses: 1) Behavioral health workers’ skills/confidence to intervene (Applied Suicide Intervention Skills Training – ASIST); 2) Connectedness for those contemplating suicide (attempt survivor support groups, family engagement); and 3) Risk identification and stratification (clinical care and intervention).

ADHS is Seeking an Insightful, Creative Leader for Behavioral Health

May 15th, 2012

Do you think you can help us in “Promoting Health and Wellness for all Arizonans”.  That’s the motto here at ADHS and we are looking for a new leader to join our Behavioral Health team.

We’re looking for an Assistant Director who is insightful and can see the forest and trees at the same time.  This person oversees general business operations, contract compliance and work on policy development.  We’re looking for a caring, forward thinker to join our team that cares for all the folks in the public behavioral health system.

Visit the state jobs website and put in health services.  We’ll start reviewing applicants after May 25th.

Outcomes- Public Health’s Lighthouse

November 18th, 2011

One of our primary goals over the last couple of years has been to shift the focus of our performance measures toward actual outcomes.  In other words, we don’t want to measure our success on simple activities like whether we did an intervention, placed an ad, or whether someone’s paperwork is right- but on whether our interventions and services actually make a difference.  That’s where our data Dashboard resources come in.  

Last year we rolled out our Arizona Health Matters website- to help the public health system to access data and information about community health- and to measure community outcomes.  It helps the public health system, planners, policy makers, and community members learn about issues and identify improvements.  On the site you can compare Arizona’s health with other communities and the nation, using more than 100 health and quality of life indicators; search and compare data by County and zip code within Arizona; learn about evidence-based  promising practices or use the Report Assistant to create quick reports and summaries. 

Another outcome data source is our Health Status Report which measures 70 public health outcome indicators over the last 10 years. Our annual Behavioral Risk Factor Survey plays a role… our brand new 2010 Report provides key data that can be used to monitor and plan health promotion and help our public health system to better target our intervention strategies for chronic disease prevention in Arizona. 

We’re also using Outcome Dashboards throughout the behavioral health system to measure effectiveness… and allowing users to review performance and outcomes information (employment, housing, staying out of crisis centers, abstaining from substance abuse, avoiding arrests, etc.) at the statewide level.  Examples of our accomplishments are available in outcome dashboards developed by CPSA, NARBHACenpatico and Magellan.