Regional Health Care Partnership (RHP) 8
Overview of 1115 Waiver DSRIP Projects
RHP 8 Plan: http://www.tamhsc.edu/1115-waiver/resources.html
Provider and
Project Lead
Baylor Scott & White Medical
Center – Llano
Brian Gregory
Brian.Gregory@BSWHealth.org
810-201-8365
Baylor Scott & White Medical
Center – Llano
Brian Gregory
Brian.Gregory@BSWHealth.org
810-201-8365
Bell County Public Health District
Renee Stewart
rstewart@bellcountyhealth.org
254-778-4766
Bell County Public Health District
Renee Stewart
rstewart@bellcountyhealth.org
254-778-4766
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Brief Project
Title
Emergency
Services
Emergency
Services Use by
Behavioral Health
(BH) Patients
Brief Project Summary
Apply continuous process improvement strategies guided by
the Institute for Healthcare Improvement Model to identify
causes of avoidable EMS and ED utilization, prioritize
potential solutions, and conduct Plan, Do, Study, Act (PDSA)
cycles.
Identify causes of avoidable sheriff department transport of
BH patients in crisis, reducing ED use and increasing jail
diversion solutions.
IGT Entity
County(ies)
Served
Llano County
Hospital
Authority
Llano
Llano County
Hospital
Authority
Llano
Sexually
Transmitted
Disease (STD)
Testing for Males
STD Testing for
Females
Increase the availability of STD testing at Health District clinics Bell County
for male clients to ultimately decrease the possible harmful Public Health
related outcomes associated with untreated infections.
District
Bell
Increase the availability of STD testing at Health District clinics Bell County
for female clients to ultimately decrease the possible harmful Public Health
related outcomes associated with untreated infections.
District
Bell
Expanded Access
to Care
Provide expansive array of outpatient BH services to lowincome, rural areas in Taylor and surrounding counties.
Bluebonnet Trails
Community
Services
Burnet and
Williamson
48-Hour
Observation Unit
Implement an involuntary and voluntary 48-Hour Extended
Observation Unit in Georgetown for rapid access to
stabilizing crisis services.
Bluebonnet Trails
Community
Services
Burnet and
Williamson
1
Provider and
Project Lead
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Bluebonnet Trails Community
Services
Meghan Nadolski
meghan.nadolski@bbtrails.org
512-244-8283
Brief Project
Title
Brief Project Summary
IGT Entity
Child Crisis Respite
Implement a specialized crisis respite program to help youth
in crisis, diverting them from admission to hospitals or
juvenile justice facilities.
Bluebonnet Trails
Community
Services
Williamson
Crisis Stabilization
Provide crisis assessment, referral, and short-term
stabilization to those needing crisis services.
Bluebonnet Trails
Community
Services
Burnet and
Williamson
Outpatient
Substance Abuse
Treatment
Establish outpatient substance abuse treatment sites in
Georgetown, Marble Falls and Round Rock.
Bluebonnet Trails
Community
Services
Burnet and
Williamson
Transitional
Housing
Provide peer-led transitional housing and services to
Bluebonnet Trails
individuals with mental health challenges referred from
Community
crisis services, criminal justice system, inpatient settings, and Services
the community who are at risk of homelessness.
Williamson
Emergency
Department (ED)
Visit Reduction
Reduce use of emergency services by individuals identified
as high utilizers.
Bluebonnet Trails
Community
Services
Williamson
Intellectual and
Development
Disabilities (IDD)
Provide intensive wrap around services for individuals with
IDD.
Bluebonnet Trails
Community
Services
Williamson
Jail Diversion
Provide screening, assessment, and case management for
youth and adults arrested or incarcerated.
Bluebonnet Trails
Community
Services
Burnet and
Williamson
2
County(ies)
Served
Provider and
Project Lead
Brief Project
Title
Center for Life Resources
Ranita Oliver
Ranita.oliver@cflr.us
325-646-9574
Telehealth
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
School-based
Services
Brief Project Summary
IGT Entity
County(ies)
Served
Implement telemedicine to provide clinically appropriate
treatment as indicated by a psychiatrist or other qualified
provider. Thus, reducing unnecessary ED use, and improving
consumer satisfaction and access where previously limited
or unavailable.
Provide school-based BH services for children, kindergarten5th grade.
Center for Life
Resources
Mills and San
Saba
Central Counties
Services
Bell
Implement group social skills training for persons diagnosed
with high-functioning Autism or Asperger's disorder.
Central Counties
Services
Bell
Central Counties
Services
Bell, Lampasas,
and Milam
Organizational
Capacity
Provide 24/7 residential-based crisis respite, transitional
living, and supportive day services to persons with severe
and persistent mental illness (SPMI) who have experienced a
crisis.
Improve the efficiency of clinical service operations through
improved technology increasing providers’ capacity.
Central Counties
Services
Bell, Lampasas,
and Milam
Chronic Health
Management for
Persons with SPMI
Provide education, training, and support to persons with
SPMI having chronic health conditions due to prolonged
psychiatric medicine use.
Central Counties
Services
Bell
STD Testing for
Persons with SPMI
Co-locate sexually transmitted disease education, testing,
and treatment for adults and adolescents with SPMI in
Temple and Killeen.
Central Counties
Services
Bell
Day Services
Provide supportive day services to adults with SPMI recently
discharged from a psychiatric hospital or jail, or in crisis.
Central Counties
Services
Bell
Autism
Spectrum/Group
Social Skills Breakthru Central
Crisis Respite
3
Provider and
Project Lead
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
Central Counties Services
Nicole Williams
Nicole.Williams@cccmhmr.org
254-298-7108
Hill Country MHDD Centers
Kristie Jacoby
kjacoby@hillcountry.org
830-792-7507
Brief Project
Title
Autism
Spectrum/Work
Adjustment –
Breakthru
Finishline
Jail Diversion
Co-Occurring
Disorders
Hill Country MHDD Centers
Kristie Jacoby
kjacoby@hillcountry.org
830-792-7507
Hill Country MHDD Centers
Kristie Jacoby
kjacoby@hillcountry.org
830-792-7507
Hill Country MHDD Centers
Kristie Jacoby
kjacoby@hillcountry.org
830-792-7507
Hill Country MHDD Centers
Kristie Jacoby
kjacoby@hillcountry.org
830-792-7507
Trauma Informed
Care
Little River Healthcare
George DeReese
gdereese@lrhealthcare.com
512-428-8479
Primary Care
Expansion
Virtual
Consultations
Whole Health Peer
Support
Veteran Services
Brief Project Summary
IGT Entity
County(ies)
Served
Provide work adjustment training to patients with highfunctioning Autism or Asperger's disorder.
Central Counties
Services
Bell
Provide trained law enforcement officers to assess the BH of
someone involved in a minor criminal event, and to direct
that person to BH services instead of the criminal justice
system.
Implement co-occurring psychiatric and substance use
disorder services (COPSD) in order to meet the needs of
individuals with psychiatric and substance use issues locally;
thus, reducing ED utilization, impatient utilization, and
incarceration.
Provide trauma informed care services to meet the need of
individuals who experience trauma that is impacting their
BH.
Central Counties
Services
Bell
Hill Country
MHDD Centers
Blanco and
Llano
Hill Country
MHDD Centers
Blanco and
Llano
Implement psychiatric and clinical guidance 24/7 for primary
care physicians and hospitals to help physicians identify and
treat BH symptoms earlier to avoid exacerbation of
symptoms into a BH crisis.
Provide Whole Health Peer Support services to meet the
overall health needs of individuals who exhibit BH issues.
Hill Country
MHDD Centers
Blanco and
Llano
Hill Country
MHDD Centers
Blanco and
Llano
Enhance veteran mental health services to meet the overall
health needs of veterans dealing with BH issues. Project
expands current peer support services for veterans and their
family members who need comprehensive, communitybased, wrap around BH services.
Increase primary care access by hiring additional staff,
increasing clinic hours and establishing school-based clinics
to provide earlier diagnosis of chronic and life-threatening
diseases reducing ED visits.
Hill Country
MHDD Centers
Blanco and
Llano
Rockdale
Hospital District
Milam
4
Provider and
Project Lead
Brief Project
Title
Little River Healthcare
George DeReese
gdereese@lrhealthcare.com
512-428-8479
Scott & White Memorial Hospital –
Temple
MaryEllen Bond
MaryEllen.Bond@BSWHealth.org
254-724-4071
Seton Medical Center – Harker
Heights
Zach Dietz
Zach.Dietze@SMCHH.org
254-680-6207
Seton Highland Lakes
Lydia Long
ldlong@seton.org
512-324-0000 x87961
St. David’s Round Rock Medical
Center
Michelle Hays
michelle.hays@hcahealthcare.com
512-341-6404
Williamson County and Cities
Health District
Matt Richardson
marichardson@wcchd.org
512-943-3639
Specialty Care
Expansion
Williamson County and Cities
Health District
Matt Richardson
marichardson@wcchd.org
512-943-3639
Community
Paramedicine
Brief Project Summary
IGT Entity
County(ies)
Served
Increase specialty care access by expanding the number of
specialty providers, and promoting breast, cervical and
colorectal screening and diagnostic services for low income
and uninsured individuals.
Provide patient navigation and selected chronic illness
supports for a target group of people who are beneficiaries
of the Bell County Indigent Care Program, Medicaid, and/or
participating hospitals' charity care programs.
Rockdale
Hospital District
Milam
Bell County
Bell
Primary Care
Expansion
Expand existing primary care capacity to provide patients
with increased access to primary care services by
collaborating with the Greater Killeen Free Clinic.
Bell County
Bell
Patient Navigation
Implement a patient navigation system to connect indigent
and uninsured patients to primary care or medical homes in
order to reduce ED utilization and provide cost effective,
timely, and site appropriate healthcare services.
Expand availability of primary care services to the low
income and uninsured. Access2Care Program.
Burnet County
Burnet
Williamson
County
Williamson
Expand capacity of access to preventive clinical care through
availability of same day or next day appointments by
increasing the level of healthcare professionals and
extended hours at four local health clinics located in Cedar
Park, Round Rock, Taylor, and Georgetown. This differs from
the St. David’s Access2Care program which focuses on acute
care for individuals under the 200% federal poverty line.
Implement community paramedicine in rural communities
which will increase access to proactive healthcare and
decrease the overuse of EMS for non-emergent events.
Williamson
County and Cities
Health District
Williamson
Williamson
County and Cities
Health District
Williamson
Patient Navigation
Primary Care
Expansion
Primary Care
Expansion
5
Provider and
Project Lead
Williamson County and Cities
Health District
Matt Richardson
marichardson@wcchd.org
512-943-3639
Williamson County and Cities
Health District
Matt Richardson
marichardson@wcchd.org
512-943-3639
Williamson County and Cities
Health District
Matt Richardson
marichardson@wcchd.org
512-943-3639
Williamson County and Cities
Health District
Matt Richardson
marichardson@wcchd.org
512-943-3639
Brief Project
Title
Brief Project Summary
IGT Entity
County(ies)
Served
REAL Data
Enhance and improve the quality and consistency of public
health REAL (race, ethnicity, gender, and language) client
demographic data collection and interpretation ensuring
health disparities are addressed appropriately.
Williamson
County and Cities
Health District
Williamson
Patient Navigation
Provide navigation services to under/uninsured persons with Williamson
targeted chronic conditions or pregnancy to prevent hospital County and Cities
admissions and readmissions.
Health District
Williamson
Health Education
Promote preventive health awareness by offering health
education classes, eligibility assistance, and case
management, specifically for women of childbearing age,
with a high incidence rate of frequent hospitalizations for
chronic conditions, and/or in need of prenatal care.
Implement innovative evidence-based strategies to reduce
and prevent obesity in children and adolescents (Get Fit, Get
Healthy, Get Movin’ program (G3)).
Williamson
County and Cities
Health District
Williamson
Williamson
County and Cities
Health District
Williamson
Childhood Obesity
6