Arundel Lodge Inc

ARUNDEL LODGE CCBHC EXPANSION AND BEHAVIORAL HEALTH URGENT CARE CLINIC - ARUNDEL LODGE CCBHC EXPANSION AND BEHAVIORAL HEALTH URGENT CARE CLINIC PROJECT PROPOSE TO ADD AN URGENT CARE BEHAVIORAL HEALTH CLINIC (UCCBH) TO ITS COMPREHENSIVE CONTINUUM OF SERVICES FOR THE TREATMENT OF PERSONS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS. UCCBH WILL BE STAFFED BY 3 NURSE PRACTITIONERS OPERATING 12 HOURS PER DAY (9:30AM TO 9:30PM) AND 7 DAYS PER WEEK THAT WILL ASSESS AND INITIATE TREATMENT ON A WALK-IN OR VIRTUAL BASIS FOR 2700 PERSONS IN ITS FIRST 2 YEARS. IN ADDITION, ARUNDEL LODGE WILL DEVELOP WITH ONE OF ITS IT VENDORS A DATA WAREHOUSE THAT WILL PASSIVELY MINE OUR EMR AND GENERAL LEDGER FOR ACTIONABLE DATA REGARDING CLINICAL OUTPUTS, OUTCOMES AND COSTS. THIS WILL STRENGTHEN OUR PARTICIPATION IN SYSTEMS WITH VALUE-BASED COMPENSATION. ARUNDEL LODGE SEEKS TO EXPAND TO A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER BY DEVELOPING A COMPREHENSIVE BEHAVIORAL HEALTH URGENT CARE CENTER OPERATING 12 HOUR PER DAY AND 7 DAYS PER WEEK. MENTAL HEALTH ISSUES ARE RISING VERY RAPIDLY. IN A NEEDS ASSESSMENT COMPLETED IN 2018 IT WAS DETERMINED THERE HAS BEEN A 70 PERCENT INCREASE IN RESIDENTS SEEKING PUBLIC MENTAL HEALTH SERVICES SINCE 2012; 16,343 MEDICAID AND UNINSURED RESIDENTS WERE SERVED BY THE BEHAVIORAL HEALTHCARE PROVIDERS IN 2018. THE TWO HIGHEST PERCENTAGE INCREASES IN RESIDENTS SERVED ARE THE EARLY CHILDHOOD POPULATION AND THOSE OVER 65. SERVICES IDENTIFIED BY THE NEEDS ASSESSMENT FOR PERSONS WITH MENTAL HEALTH AND SUBSTANCE USE DISORDERS INCLUDE: FURTHER SUPPORT FOR THE MENTAL HEALTH AGENCY’S VERY SUCCESSFUL CRISIS INTERVENTION SYSTEM AND RAPID ENGAGEMENT IN OUTPATIENT TREATMENT WITH URGENT CARE CLINICS. THE UCBHC WILL FILL AN IMPORTANT GAP IN THE CRISIS SYSTEM OF ANNE ARUNDEL COUNTY. CURRENTLY, THE CRISIS SYSTEM DOES NOT INITIATE TREATMENT AND NEEDS TO REFER TO OUTPATIENT MENTAL HEALTH AND SUBSTANCE USE PROVIDERS. ARUNDEL LODGE HAS BEEN THE MOST RESPONSIVE PROVIDER THROUGH ITS SAME DAY ACCESS FOR DIAGNOSTIC EVALUATION. THE URGENT CARE CLINIC WILL BE ABLE TO GO BEYOND THIS STEP AND IMMEDIATELY INITIATE TREATMENT DURING THE CRISIS. DURING THE SCREENING, ASSESSMENT, AND DIAGNOSIS A RN WILL IDENTIFY EMERGENCY MEDICAL ISSUES THAT NEED TO MANAGED BY LUMINUS/AAMC ED AND IDENTIFY FOLLOW-UP REFERRALS FOR PRIMARY AND SPECIALTY CARE. A LICENSED BEHAVIORAL HEALTH PROFESSIONAL WILL CONDUCT A THOROUGH AND INTEGRATED EVALUATION FOR MENTAL HEALTH AND SUBSTANCE USE DISORDERS THAT INCLUDES A RISK ASSESSMENT. A NURSE PRACTITIONER WILL ALSO BE AVAILABLE TO CONDUCT A MEDICATION EVALUATION FOR THOSE PERSONS WHO WOULD BENEFIT FROM MAT OR PSYCHOPHARMACOLOGY.

COVID-19 RECOVERY PROJECT - ARUNDEL LODGE, A COMMUNITY MENTAL HEALTH CENTER OPERATING IN ANNAPOLIS, MARYLAND, SUBMITS THIS PROPOSAL, HEREAFTER KNOWN AS THE COVID-19 RECOVERY PROJECT, IN PARTNERSHIP WITH THE MARYLAND BEHAVIORAL HEALTH SOLUTIONS (MBHS) AND ITS PROVIDER NETWORK. THE PROJECT WILL BUILD CAPACITY AND DELIVER EVIDENCE-BASED BEHAVIORAL HEALTH SERVICES TO ADULTS AND CHILDREN WITH MENTAL HEALTH AND CO-OCCURRING ADDICTION TREATMENT NEEDS ACROSS THE STATE OF MARYLAND WITH SPECIAL ATTENTION TO UNINSURED AND UNDERINSURED INDIVIDUALS, UNDERSERVED MINORITY POPULATIONS, AND VETERANS. COVID-19 RECOVERY PROJECT WILL SERVE 800 UNDUPLICATED INDIVIDUALS ANNUALLY WITH A TOTAL OF 1,600 LIVES ACROSS THE LIFESPAN OF THE PROJECT. ARUNDEL LODGE AND ITS PARTNERS WILL ENGAGE THE TARGET POPULATION IN THE AVAILABILITY OF TREATMENT FOR SERIOUS EMOTIONAL DISTURBANCES (SED), SERIOUS MENTAL ILLNESSES (SMI), AND CO-OCCURRING DISORDERS (COD). COVID-19 RECOVERY PROJECT GOALS INCLUDE: GOAL #1: RESTORE NEEDED OUTPATIENT SERVICES FOR THE TARGET POPULATION THAT ADDRESSES UNMET NEED RESULTING FROM THE PANDEMIC. OBJECTIVE #1: RE-ESTABLISH FULL COMPLEMENT OF OUTPATIENT SERVICES SUPPORT FOR BOTH COMMUNITY AND RESIDENTIAL POPULATIONS, ESTABLISHING TARGET POPULATION GOALS, OUTCOME METRICS, AND REPORTING REQUIREMENT AT ARUNDEL LODGE AND WITH TEN MEMBERS OF THE MBHS PROVIDER NETWORK. OBJECTIVE #2: PROVIDE/UPDATE TRAUMA-INFORMED TRAINING WITH CLINICAL TEAMS ACROSS THE MBHS PROVIDER NETWORK, STANDARDIZING OUTCOMES TOOLS AND TRACKING TO SUPPORT CONTINUOUS QUALITY IMPROVEMENT PROCESSES. GOAL #2: INCREASE CAPACITY OF CMHC STAFF TO ADDRESS CRISIS AND EMERGENCY RESPONSE, IMPROVE TIME TO ACCESS CARE, AND IMPROVE PATIENT OUTCOMES BY FACILITATING ACCESS TO TIMELY HOSPITAL DISCHARGE INFORMATION VIA THE STATE’S HEALTH INFORMATION EXCHANGE AND STANDARDIZING STAFF USE OF EPISODE TABLES/PROVIDER WORKFLOWS. OBJECTIVE #1: INTEGRATE THE CHESAPEAKE REGIONAL INFORMATION SYSTEM FOR PATIENTS (CRISP) HEALTH INFORMATION EXCHANGE (HIE) DATA – HOSPITAL ADMISSION/DISCHARGE – INTO THE MBHS DATA WAREHOUSE AND EMRS OF PARTICIPATING MBHS AGENCIES. OUTCOME #2: IMPLEMENT UTILIZATION OF GREENSPACE HEALTH, A PATIENT ASSESSMENT AND OUTCOMES TRACKING SYSTEM STANDARDIZED ACROSS THE MBHS PARTICIPATING PROVIDER AGENCIES, TO IMPROVE AND TRACK CLIENT OUTCOMES. GOAL #3: IMPROVE AND SUPPORT THE MENTAL HEALTH OF ARUNDEL LODGE AND MBHS PROVIDER NETWORK STAFF, FOCUSING ON ORGANIZATIONAL HEALTH, CULTURE, AND WELLNESS PROGRAMS AND RESOURCES TO COMPLEMENT EXISTING EMPLOYEE ASSISTANCE PROGRAMS (EAPS) AND HUMAN RESOURCE (HR) PROGRAMS. OBJECTIVE #1: UTILIZE TECHNICAL ASSISTANCE, TRAINING, AND EFFECTIVE EDUCATIONAL STRATEGIES TO IMPROVE BEHAVIORAL HEALTH WORKFORCE ENGAGEMENT. OBJECTIVE #2: COLLABORATE ACROSS THE COVID-19 RECOVERY PROJECT TO EVALUATE CURRENT EAP RESOURCES AND IMPLEMENT EVIDENCE-BASED ORGANIZATIONAL HEALTH STRATEGIES. OBJECTIVE #3: ESTABLISH AN EMPLOYEE EMERGENCY FUND THAT COMPLEMENTS CURRENT H.R. EFFORTS TO SUPPORT STAFF EXPERIENCING UNFORESEEN CRISES RESULTING FROM COVID-19 RELATED CHALLENGES.