ORGANIZATION GOALS - FY 2016 Approved by the CenterPoint Human Services Board of Directors on April 23, 2015 MISSION CenterPoint Human Services is a managed care organization responsible for assuring that accessible, quality and accountable care is available for those with mental health, intellectual and developmental disabilities and substance abuse challenges. *Goals apply to all client services irrespective of funding source. Services funded by the State may be subject to funding constraints. The overarching goals (1-11) specified in this document are contained in the approved 2013-2016 Local Business Plan. Approval dates: 8/12/13 CenterPoint Consumer and Family Advisory Council 8/22/13 CenterPoint Board of Directors 9/23/13 Stokes County Board of Commissioners 10/7/13 Davie County Board of Commissioners 10/28/13 Forsyth County Board of Commissioners 11/18/13 Rockingham County Board of Commissioners 4/30/14 NC Division of MH/DD/SAS GOAL 1 To support the State’s Initiative of Transition to Community Living Develop the infrastructure within CenterPoint and the community to support successful community-based living. A. Department of Justice Settlement Agreement (DOJ) staff, through in-reach and/or transition functions, will identify individual needs necessary for maintaining independent living status. Addressing needs including behavioral health care, medical care, financial services, meaningful day activities and employment/volunteer services will lead to maintenance of independent housing. Page 1 of 5 GOAL 2 To support the State’s Initiative for ACTT/Supported Employment Develop and/or enhance community-based wrap-around supports including Assertive Community Treatment Teams with fidelity to the model and evidence-based Supported Employment. A. Maintain a network of contracted Assertive Community Treatment Team (ACTT) and Supported Employment/Long Term Vocational Support (SE/LTVS) service providers operating with fidelity to evidence-based model with sufficient capacity to meet client needs. GOAL 3 To support the State’s Initiative for addressing Crisis Services/ED Wait Times Align programs to emphasize the importance of recovery, self-determination and least restrictive level of care. A. Support the provider network focus on recovery and clinical outcomes by strengthening the quality and long-term viability of CenterPoint’s Peer Support Specialist (PSS) Education Program. B. Improve access to timely, appropriate levels of care by increasing public knowledge/awareness of behavioral health issues and available services and decreasing perceptions / stigma that create barriers to care. C. Decrease rate of client readmissions after discharge from inpatient facilities. D. Decrease ED admissions by helping clients before they get into crisis; use data to predict those clients headed for potential crisis and intervene. E. Utilizing available data sets, from Care Management Technologies (CMT), enhance the clinical information available to Care Coordination staff to allow for quicker identification of clients who have been determined to be at risk for hospitalization. F. Enhance the Crisis Service Array to provide client-centered opportunities for assessment, triage and treatment in the least restrictive setting, promoting recovery-based approaches to meeting the needs of those in crisis. Page 2 of 5 GOAL 4 To support the State’s Initiative Closer to Home Encourage the appropriate use of residential treatment services for children. A. Using evidence-based approaches and “system of care” (SOC) philosophies, implement alternative services for children that offer diversion and step down, assuring that children receive treatment in the most clinically appropriate, least restrictive environment. B. Execute System of Care (SOC) Expansion Grant to enhance the child-serving system and reduce service fragmentation by strengthening the infrastructure with timely access to appropriate services, workforce development, evidence-based approaches and SOC social marketing. C. Care Coordination and Utilization Management will collaborate to enhance care management for PRTF (Psychiatric Residential Treatment Facility) level of care as evidenced by active goal planning prior to/at admission, joint review of progress toward goal during placement and proactive discharge planning. GOAL 5 To support the State’s Initiative Intellectual/Development Disabilities (I/DD) Waitlist Support the needs of individuals waiting for Innovations services. A. Increase the number of individuals with intellectual/developmental disabilities (I/DD) served by enrolling currently unserved or under-served individuals in Medicaid B3 services. GOAL 6 To support the Local Initiative Performance-Based Contracts Implement performance-based contracts with incentives based on client outcomes focused on quality and recovery. A. Strengthen the provider network with performance-based contracts that include incentives based on client outcomes focused on quality and recovery. Page 3 of 5 GOAL 7 To support the Local Initiative Enhancing Lives Focus the I/DD system on delivering meaningful day activities and least restrictive residential settings. A. Implement federal Home and Community Based Services (HCBS) standards according to State Plan across all I/DD service settings. GOAL 8 To support the Local Initiative Integrated Care Implement service initiatives designed to promote “whole person” wellness. A. Working with community partners including Community Care Clinics, medical and behavioral health providers, maximize and sustain evidence-based, recovery-oriented integrated / collaborative care initiatives focused on “whole person” wellness. GOAL 9 To Support the Local Initiative User Friendly Systems Maximize system-wide standardization and enhanced MIS capabilities. A. Explore feasibility of strategic partnerships with Integrated Technologies (IT). B. IT staff, through a computer learning vendor, will facilitate staff education for Excel and MS Office. Page 4 of 5 GOAL 10 To Support the Local Initiative Financial Predictability & Sustainability Meet key financial performance indicators by monitoring to identify system changes quickly & implement appropriate interventions. A. Achieve Medicaid Medical Expense Ratio (MER) of 98% or less with minimum of 80%. B. Achieve Combined Administrative Expense Ratio (AER) of 95% or less. C. Utilize 95% of State Service Funding. D. FYE FY16, Revenues Exceed Expenses. E. Achieve a Clean Audit Opinion FYE FY15. F. Achieve average Medicaid Claims Denial Percentage of 10% or less. GOAL 11 To support the Local Initiative of Housing Develop the infrastructure within CenterPoint and the community to provide community-based housing alternatives. A. Provide linkage and/or appropriate housing options to expand availability of community-based housing alternatives. Page 5 of 5