Lutheran Family Services of Nebraska (LFS) proposes to improve and advance access to services and service provision at the Certified Community Behavioral Health Clinic (CCBHC) in Lincoln, Nebraska. The catchment area includes a significant portion of Nebraska’s two largest cities, Lincoln and Omaha. Services are to be delivered at Health 360 (H360) CCBHC in Lincoln, the state’s capital and home to the nation’s largest Yazidi population.
H360 CCBHC has successfully addressed disparities in access to services for Native Americans (5% of clients), African Americans (12%), and LGBTQ+ clients (15%), and bridged service gaps for youth, LGBTQ+ individuals, and individuals with SUD. It has assessed the extent of the need, most recently among veterans.
In support of the following goals, LFS will operate in compliance with the CCBHC Certification Criteria, improve three core services, conduct additional needs assessments, improve or advance four CCBHC areas for certification, and satisfy all Required Activities.
Goal 1. LFS advances the transformation of the community behavioral health system.
Goal 2. LFS builds on its recent achievements among traditionally under-represented minority and gender populations and successfully targets two high-need, difficult-to-reach populations (justice-involved individuals and veterans) to improve their physical and behavioral health outcomes.
Goal 3. LFS increases access to high-quality mental health and SUD services, regardless of an individual’s ability to pay.
Health 360 (H360) is an integrated care campus in Lincoln, integrating behavioral health (BH) services within a primary care facility in collaboration with Bluestem Health. In April 2021, SAMHSA acknowledged H360’s attestation of meeting CCBHC certification criteria. This project will utilize the qualified skills, knowledge, and abilities of Key Personnel working with a team of licensed therapists, a Psychiatric Prescriber, and other qualified personnel. It will maintain care coordination agreements with outpatient primary care provider, local pharmacy, crisis responders, and other community partners.
LFS providers and behavioral health partners will collect the required GPRA data from clients receiving services and enter data into their EHR software at baseline, six month follow-ups, and discharge. LFS will assess infrastructure by monitoring policy implementation, partnerships, training, and technical assistance provided.
We have established a way to identify CCBHC clients allowing us to run reports specific to those clients. The Performance Quality Improvement (PQI) Annual Report is approved by the LFS Board of Directors and is used as part of the Board’s planning and review processes and to assess the organizations performance and effectiveness. Further consultation with community stakeholders and the GMO will help refine clinic-level programmatic modifications and improvements.
LFS has a continuous Quality Improvement Plan that meets CCBHC standards and is approved by the LFS Board on an annual basis. The clinic’s annual assessment of its Continuous Quality Improvement (CQI) program and performance data trends includes improved quality of care, client safety, client suicides and deaths, psychiatric/SUD inpatient readmission, other sentinel events and results of performance improvement efforts (as evidenced in the Annual Quality Improvement Plan and Quality Management Year-End Summary).
Numbers to be served: LFS expects rapid increases after Year 1 as it integrates innovative methods to collect accurate NOMs from a greater percentage of participants.
Year 1, 300 individuals
Year 2, 500 individuals
Year 3, 800 individuals
Year 4, 1,000 individuals
Total, 2,600 individuals