Netcare Corporation

PROPOSAL TO PRESERVE CCBHC-COMPATIBLE SERVICES WHILE EXPANDING INTO OUTPATIENT CARE - NETCARE CORPORATION'S (NETCARE'S) CCBHC PROJECT WILL SERVE 200 CLIENTS ANNUALLY AND OVER 4 YEARS WILL SERVE 520 UNDUPLICATED INDIVIDUALS WITH SMI/SED/SUD/COD WHO LIVE IN FRANKLIN COUNTY, OHIO. CLIENTS WILL RECEIVE COMPREHENSIVE, EVIDENCE-BASED BEHAVIORAL HEALTH (BH) AND PRIMARY CARE (PC) SERVICES. WITH CCBHC FUNDING, ENROLLMENT WILL FOCUS ON CLIENTS TRANSITIONING FROM CRISIS INTO ONGOING, EVIDENCE- AND TEAM-BASED OUTPATIENT TREATMENT. AS A SUBPOPULATION OF FOCUS, THE CCBHC WILL MONITOR ACCESS AND OUTCOMES DISPARITIES AMONG BLACK/AFRICAN AMERICAN INDIVIDUALS SERVED. NETCARE DELIVERS A ROBUST CRISIS CONTINUUM AS WELL AS ASSESSMENT, DIAGNOSTIC, AND TREATMENT SERVICES. NETCARE WILL ENSURE THAT ALL SERVICES ARE TRAUMA-INFORMED AND ACCESSIBLE TO VETERANS. NETCARE'S GOALS AND HIGHLIGHTED OBJECTIVES INCLUDE: (1) ENHANCE CCBHC GOVERNANCE AND OVERSEE CCBHC IMPLEMENTATION (OBJ.A: ESTABLISH A CCBHC ADVISORY BOARD. OBJ. B: ESTABLISH AN INTERDEPARTMENTAL STEERING COMMITTEE FOR IMPLEMENTING CCBHC STANDARDS.); (2) EXPAND AND ENHANCE TEAM-BASED OUTPATIENT SERVICES (OBJ. A: RECRUIT, HIRE, AND TRAIN A PROJECT DIRECTOR/CLINIC DIRECTOR, PSYCHIATRIC PRESCRIBER, NURSE CARE MANAGER, LICENSED BH CLINICIAN, AND BACHELOR'S-LEVEL CASE MANAGER. OBJ. B: NETCARE WILL PROVIDE ADDITIONAL EBP TRAINING AND FIDELITY MONITORING.); (3) ENHANCE CARE COORDINATION ACROSS CORE SERVICES, INCLUDING THE TRANSITION FROM CRISIS TO ONGOING OUTPATIENT SERVICES AND LINKAGE TO PC (OBJ. A: IMPLEMENT UNIVERSAL SCREENING FOR PC NEEDS, AND ALL CLIENTS WILL HAVE DESIGNATED PC PROVIDER WITHIN 30 DAYS OF ENROLLING IN OUTPATIENT SERVICES. OBJ. B: ALL OUTPATIENT TREATMENT CLIENTS WILL HAVE A DESIGNATED CASE MANAGER. OBJ. C: AMONG ALL CLIENTS DISCHARGED FROM THE CRISIS STABILIZATION UNIT (CSU), 75% WILL BE CONNECTED AND ENGAGED IN ONGOING BH OUTPATIENT SERVICES. OBJ. D: AMONG ALL CLIENTS DISCHARGED FROM THE CRISIS AND RESIDENTIAL SERVICES, 75% WILL BE CONNECTED AND ENGAGED IN ONGOING BH OUTPATIENT SERVICES); (4) INCREASE ACCESS TO TREATMENT SERVICES (OBJ. A: IMPLEMENT OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES WITH EXTENDED EVENING AND WEEKEND HOURS. OBJ. B: CLIENTS WILL HAVE THE CHOICE TO ATTEND APPOINTMENTS USING TELEHEALTH. OBJ. C: PARTICIPATE IN THE REGION'S 988 ROLLOUT); (5) INCREASE CAPACITY FOR OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE SERVICES (OBJ. A: REFER AND ENROLL AT LEAST 16 NEW CCBHC CLIENTS PER MONTH INTO ONGOING OUTPATIENT TREATMENT. OBJ. B: IN YEAR 2, INCREASE THE NUMBER OF CLIENTS SERVED WITH OUTPATIENT SERVICES BY 33%. OBJ. C: IN YEAR 3, INCREASE THE NUMBER OF CLIENTS SERVED WITH OUTPATIENT SERVICES BY 25%.); (6) ENHANCE QUALITY CARE METRIC MONITORING AND POPULATION HEALTH MANAGEMENT PRACTICES (OBJ. A: FINALIZE METHODS FOR MONITORING AND REPORTING CLIENTS' USE OF RESTRICTIVE SETTINGS. OBJ B: QI TEAM WILL MONITOR AND REPORT ALL CCBHC-REQUIRED QUALITY CARE METRICS. OBJ. C: QI TEAM WILL REPORT ON QUALITY DATA ASSOCIATED WITH SUICIDE PREVENTION, HOSPITAL READMISSIONS, PSYCHOTROPIC SIDE EFFECTS, AND THE DELIVERY OF HEALTH AND WELLNESS SERVICES.); (7) DECREASE THE INCIDENCE OF TROUBLED NIGHTS/EVENTS (OBJ. A: CLIENTS WILL REPORT FEWER TROUBLED NIGHTS/EVENTS AFTER 6 MONTHS. OBJ. B: CLIENTS WILL REPORT IMPROVED PSYCHOSOCIAL FUNCTIONING AFTER 12 MONTHS.).

PROPOSAL TO REDUCE SUICIDE DEATHS VIA EXPANSION OF 988 FOLLOW-UP AND INTEGRATION OF APPROPRIATE AFTERCARE RESOURCES - NETCARE'S 988 FOLLOW-UP INITIATIVE ADDRESSES THE ACUTE BEHAVIORAL HEALTH (BH) NEEDS OF FRANKLIN COUNTY, OHIO, HOME TO APPROXIMATELY 100,000 RESIDENTS WITH SED/SMI & 93,000 PEOPLE WITH SUD. THIS REGION WITNESSED 140 SUICIDE FATALITIES IN 2020 & A 46% SURGE IN DRUG OVERDOSES FROM 2019 TO 2020. THE PROJECT WILL ESTABLISH PARTNERSHIPS, IMPROVE FOLLOW-UP PROTOCOLS/BH SERVICES, & BOLSTER CULTURALLY SENSITIVE CRISIS CARE. PROJECT GOALS/OBJECTIVES INCLUDE GOAL 1 IMPROVE NETCARE'S CRISIS FOLLOW-UP PROTOCOLS & CRISIS FOLLOW-UP TEAM PERFORMANCE. OBJ. WITHIN PY1 Q1, REVIEW & ANALYZE CURRENT FOLLOW-UP PROCEDURES POST-CRISIS ENCOUNTER & FIRST RESPONDER INTERVENTION, IDENTIFYING AREAS OF IMPROVEMENT & GAPS. OBJ. B WITHIN PY1 Q3, IMPLEMENT & TRAIN ALL RELEVANT CLINICAL STAFF ON THE 988 FOLLOW-UP PROTOCOL THAT INCORPORATES BEST PRACTICES FOR CLIENT ENGAGEMENT. OBJ. C WITHIN PY1, ESTABLISH A FOLLOW-UP PROTOCOL MONITORING SYSTEM THAT TRACKS CLIENT ENGAGEMENT & OUTCOMES FOR 90 DAYS TO 12 MONTHS POST-CRISIS. OBJ. D WITHIN PY2, INCREASE FOLLOW-UP RATES BY 20% WITHIN 90 DAYS POST-CRISIS RELATIVE TO PY1, & 30% IN PY3 RELATIVE TO PY1. GOAL 2 ESTABLISH FORMAL CRISIS SYSTEM PARTNERSHIPS TO INCREASE ACCESS TO 988 FOLLOW-UP BEST PRACTICES ACROSS THE CRISIS SYSTEM. OBJ. A WITHIN PY2, ESTABLISH FORMAL COLLABORATIVE AGREEMENTS WITH THREE ADDITIONAL FRANKLIN COUNTY MOBILE CRISIS TEAMS. OBJ. B WITHIN PY3, CONDUCT A COMPREHENSIVE TRAINING PROGRAM FOR 100% OF NETCARE'S FRONTLINE STAFF TO ENHANCE COORDINATION WITH THE PARTNERED MOBILE CRISIS TEAMS & ENSURE OPTIMAL CRISIS RESPONSE. OBJ. C WITHIN PY3, PROVIDE JOINT CRISIS INTERVENTION SERVICES WITH THE PARTNERED MOBILE CRISIS TEAMS TO AT LEAST 30% MORE INDIVIDUALS IN CRISIS THAN THE PREVIOUS YEAR. GOAL 3 ENHANCE ACCESSIBILITY TO SAME-DAY/NEXT-DAY APPOINTMENT AVAILABILITY FOR PEOPLE WITH BH CRISIS IN THE COMMUNITY. OBJ. A WITHIN PY2, REVISE THE CURRENT SCHEDULING SYSTEM & PROCEDURES TO ALLOW FOR AT LEAST A 20% INCREASE IN SAME-DAY & NEXT-DAY APPOINTMENT SLOTS, ACCORDING TO CCBHC GUIDELINES. OBJ B. WITHIN PY2, ACHIEVE A 10% INCREASE IN TOTAL APPOINTMENTS SCHEDULED & KEPT COMPARED TO THE PREVIOUS YEAR. OBJ. C AFTER IMPLEMENTING NEW FOLLOW-UP PROGRAM COMPONENTS AND BEGINNING PY2, EVALUATE APPOINTMENT AVAILABILITY, SCHEDULING EFFICIENCY, & PATIENT SATISFACTION TO GUIDE NECESSARY ADJUSTMENTS. GOAL 4 ENHANCE ANALYTIC CAPACITY TO MONITOR & REDUCE CRISIS CONTACTS REQUIRING POLICE ENGAGEMENT IN THE COMMUNITY. OBJ. A WITHIN PY1 Q2, MONITOR KEY CALLER CHARACTERISTICS FOR THOSE REFERRED TO 911 RELATED TO BH CRISES. OBJ. B WITHIN PY1 Q3, BASED ON IDENTIFIED TRENDS & TRAINING NEEDS, CONDUCT A COMPREHENSIVE CRISIS INTERVENTION TRAINING FOR STAFF. OBJ. C AFTER PY1, ACHIEVE AN ANNUAL 10% REDUCTION IN THE FREQUENCY OF 911 REFERRED CALLS RELATED TO BH CRISES THROUGH EFFECTIVE INTERVENTION & PROACTIVE SUPPORT COMPARED TO THE PRIOR YEAR. GOAL 5 IMPROVE CULTURAL COMPETENCY ACROSS FRANKLIN COUNTY'S CRISIS RESPONSE CONTINUUM. OBJ. A WITHIN PY1, DEVELOP A CULTURALLY RESPONSIVE CARE TRAINING CURRICULUM. OBJ. B WITHIN PY2 Q1, TRAIN AT LEAST 75% OF THE 988 FOLLOW-UP SERVICE STAFF IN CULTURALLY RESPONSIVE CARE & DEMONSTRATE A HIGH CULTURAL COMPETENCY (80% OR BETTER) ON TRAINING POST-TESTS. OBJ. C WITHIN PY3, THROUGH CLIENT SURVEYS, 90% OF CLIENTS RECEIVING CRISIS SERVICES WILL INDICATE STAFF HONORED THEIR CULTURAL VALUES & PREFERENCES. GOAL 6 ENHANCE COUNTY CRISIS CONTINUUM'S COLLABORATIVE EFFORTS & INFORMATION SHARING. OBJ. A WITHIN PY1 Q1, IDENTIFY KEY DATA POINTS THAT MUST BE SHARED WITH THE FRANKLIN COUNTY SUICIDE PREVENTION COALITION (FCSPC) TO IMPROVE CARE COORDINATION. OBJ. B WITHIN PY1 Q3, FORMALIZE A DATA-SHARING AGREEMENT WITH THE FCSPC, DETAILING THE DATA TO BE SHARED, THE FREQUENCY OF DATA SHARING, & DATA SECURITY MEASURES. OBJ. C WITHIN PY2 Q3, ESTABLISH A REGULAR REVIEW PROCESS TO EVALUATE THE EFFICACY & EFFICIENCY OF THESE DATA-SHARING AGREEMENTS, ENSURING THEY MEET ALL PARTIES' NEEDS AND CONTRIBUTE TO IMPROVED OUTCOMES.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION