CCBHC Expansion Grantp - NAME: CCBHC Emergence Health Network, LMHA in El Paso County
SUMMARY: Emergence Health Network is the local mental health authority in El Paso County, Texas—the largest local infrastructure of community behavioral health outpatient services. Over its 50 years history, EHN’s strategic direction and systems infrastructure has achieved comprehensive healthcare delivery and systems integration. Although not selected as a planning site albeit SM-16-001 FY16 Planning Grants for CCBHC, the agency chose to pursue certification on its own volition and by all estimates should achieve CCBHC designation in 2020.
POPULATION: The population of focus is primarily underinsured Hispanic persons, with a serious mental health diagnosis or substance use disorder or dual diagnosis of all ages and genders. 83% of El Paso county is Hispanic or Latino, 53% predominantly young to middle aged adults between 19-53 years of age (53%) and 35% of the population is under 18 years of age. Education attainment can best be described as below average with only 22.8% of the population showing attainment of a bachelor’s degree or higher. Median household income recorded $44,597, per capital income was $20,763, and 20.5% of persons live in poverty. Persons without health insurance, under age 65 years, are 22.6%. Sixteen (16) adult and child behavioral health care service providers serve the population of focus,
GOALS: The proposed CCBHC expansion program at Emergence Health Network will address three overarching goals: (1) To increase primary care clinical screenings and chronic disease monitoring to underinsured adults and children/adolescents (i.e. program participants) in El Paso County; (2) To improve the quality of community mental health and substance use disorder treatment services in El Paso County; and (3) To improve access to quality and effective care transitions to community mental health and substance use disorder treatment services for underinsured adults and children/adolescents in El Paso County.
OBJECTIVES: The technology infrastructure, training platforms, evidence-based practices, and accreditation and certifications capacities are in place to implement timely execution of the following objectives: 1) HIV and Viral Hepatitis A, B, C screenings, 2) Clinical monitoring for adverse effects of medications, 3) Metabolic syndrome monitoring, 4) Assisted Outpatient Treatment (AOT), 5) Reduction in psychiatric hospitalizations and 6) Care Coordination Development.
STRATEGIES/INTERVENTIONS: EHN ensures timely delivery of CCBHC expansion program services to the population of focus. In-house structure and process established ensure CCBHC implementation. CCBHC infrastructure at EHN involves a CCBHC project team and a management review committee (MRC). The project team is comprised of key staff that, up to this point, drove CCBHC readiness efforts. Project team will integrate CCBHC expansion program personnel to drive the deliverables and activities, measure performance, and report to the MRC, which is comprised of C-suite executives and chiefs of clinical operations, health information and technology, staff/HR, compliance, quality and finance/revenue cycle. Agency wide risk and practice change management is the scope of work for the MRC, including quarterly performance and continuous quality improvement (CQI) metrics monitoring, and reporting to chief executive officer and board of trustees. Similarly, access to care and quality of care policies and procedures addressing the CCBHC criteria have met standards, and an agency wide roll out will ensue through CCBHC project team activities and processes.