GREATER NEW ORLEANS COLLABORATIVE TO IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA) WITH SUPPORT FROM THE FOUNDATION (RWJF) ROBERT WOOD JOHNSON C-IBHA FAQ Sheet General Information 1. What is the purpose of the Collaborative to Improve Behavioral Health Access (C-IBHA)? The goal of the Collaborative to Improve Behavioral Health Access (C-IBHA) is to build organizational capacity to implement best practice treatment of depression and other common mental health conditions and produce sustainable systemic change. To accomplish this goal, Louisiana Public Health Institute (LPHI) and its partners will provide technical assistance to organizations on integrating evidence-based practices and utilizing quality improvement tools to improve treatment outcomes for depression and other common mental health disorders. 2. Are all Primary Care Access and Stabilization Grant (PCASG) awardees eligible to participate in the Collaborative to Improve Behavioral Health Access? Yes. 3. Are PCASG awardees required to participate in the Collaborative to Improve Behavioral Health Access? No. Participation is completely voluntary but strongly encouraged. 4. What are the primary objectives for each participating organization in C-IBHA? Implement a clinical model for care of depression and other common mental health problems based upon evidence based practice guidelines and the framework of the chronic care model; Build and consolidate partnerships among appropriate organizations, e.g. develop specific arrangements between primary care practices and mental health specialists for consultation, referral and information flow; Help organizations meet PCASG requirements for quality improvement and incentive payments; Participate in learning collaborative quality improvement efforts: Systematically assess the implementation of the clinical model; Ongoing objective assessments of care and make adjustments to practice as indicated by the findings of such assessments; and Share lessons learned among collaborating organizations. Establish a system to collect, organize and report summary data derived from the components of the model. 5. What will my organization get out of participating in C-IBHA? Depending on the degree and sophistication of implementation, organizations will develop: GREATER NEW ORLEANS COLLABORATIVE TO IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA) WITH SUPPORT FROM THE FOUNDATION (RWJF) ROBERT WOOD JOHNSON Depression and other common mental health disorders evidence based practice guidelines; Stronger internal/external community partnerships to improve overall patient care; Knowledge and practice in using a quality improvement process that can be adapted to future clinical content improvement efforts; and A system and registry to collect, organize and report summary data derived from quality improvement efforts, appropriate to each organizations needs. 6. Will my organization receive financial incentives by participating in C-IBHA? No. 7. How does C-IBHA fit with PCASG requirements and incentives? LPHI and its consultants have designed C-IBHA to work with PCASG requirements and timelines. Participating in C-IBHA may help your organization to meet baseline and/or incentive requirements. 8. Is this Collaborative beneficial to organizations that have collocated primary care and behavioral health services? Yes. Creating and sustaining organizational partnerships across primary care and behavioral health disciplines is one of several goals of the Collaborative. 9. How do I sign up to participate in the Collaborative? Send the following information to Sarah Hoffpauir by July 15, 2008: Complete and email the C-IBHA Technical Assistance and Implementation Questionnaire Sign, date, and deliver the C-IBHA Memorandum of Agreement Complete and email the C-IBHA Kick-off Participant Information Form 10. Who do I contact if I have questions not addressed by this FAQ? Sarah E. Hoffpauir, LCSW-BACS Director Behavioral Health Initiatives Louisiana Public Health Institute (LPHI) 1515 Poydras, Suite 1200, New Orleans, LA 70112 504-301-9845 direct shoffpauir@lphi.org GREATER NEW ORLEANS COLLABORATIVE TO IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA) WITH SUPPORT FROM THE FOUNDATION (RWJF) ROBERT WOOD JOHNSON C-IBHA Technical Assistance 11. What technical assistance will be included in C-IBHA? Technical assistance areas: Clinical content overview such as evidence based practices on depression management, screening, diagnosis and pharmacotherapy; Systems support for clinical content improvement such as care management, patient registry implementation, identifying necessary training, and behavioral health - primary care integration; and Organizational level quality improvement methodology designed to build continuous, sustainable quality improvement adaptable to future improvement endeavors. Delivery methods: Kick-off meeting providing training from nationally recognized experts and resource materials related to implementing the different components of the project; Consultation to organizations to assist them in implementation of components of the Chronic Care Model; and Regularly scheduled Learning Sessions throughout the PCASG grant period that bring representatives from each team together to further learn from expert faculty and each other about improvement methods in depression and other common mental health disorders management. 12. Who are the expert consultants providing the technical assistance? Harold Alan Pincus, M.D. is Professor and Vice Chair of the Department of Psychiatry at Columbia University and Director of Quality and Outcomes Research at New York Presbyterian Hospital. Dr. Pincus also serves as a Senior Scientist at the RAND Corporation. Previously he was Director of the RAND-University of Pittsburgh Health Institute and Executive Vice Chairman of the Department of Psychiatry at the University of Pittsburgh, where he still maintains an adjunct professorship. He is the National Director of the Atlantic Philanthropies' Health and Aging Policy Fellowship and the former director of the Robert Wood Johnson Foundation’s National Program on Depression in Primary Care: Linking Clinical and Systems Strategies, and the Hartford Foundation’s national program on Building Interdisciplinary Geriatric Research Centers. Jeanie Knox Houtsinger is the Academic Affairs Coordinator for the Department of Psychiatry at the University of Pittsburgh School of Medicine. Ms. Knox Houtsinger served as the Deputy Director of the Robert Wood Johnson Foundation’s National Program on Depression in Primary Care: Linking Clinical and Systems Strategies and has worked closely with Dr. Pincus on numerous technical assistance initiatives focusing on implementation of behavioral health and primary care services. GREATER NEW ORLEANS COLLABORATIVE TO IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA) WITH SUPPORT FROM THE FOUNDATION (RWJF) ROBERT WOOD JOHNSON Steven Cole, MD is Professor of Clinical Psychiatry in the Department of Psychiatry and Behavioral Sciences at the Stony Brook University School of Medicine. Dr. Cole’s academic and research interests are in the areas of Geriatric Psychiatry, Consultation-Liaison Psychiatry, and Integrated Depression Care in Medical Patients. Amy Kilbourne, PhD, is Assistant Professor of Psychiatry at the University of Michigan and Core Faculty Member in the VA Ann Arbor Serious Mental Illness Treatment Research and Evaluation Center (SMITREC). Dr. Kilbourne currently serves on national committees dedicated to improving outcomes for persons with mental disorders, including the VA Mental Health Quality Enhancement Research Initiative and Strategic Planning Committees, and was an instrumental member of the Clinical Consulting Team for the Robert Wood Johnson Depression in Primary Care National Program. 13. Why do we need to complete the Technical Assistance and Implementation Questionnaire? The questionnaire is designed to thoroughly assess your organization’s readiness and needed resources in implementing evidence-based practice guidelines for depression and other common mental health conditions. Completion will prepare your organization for the C-IBHA Kick-off event and be a useful guide for the duration of the Collaborative. 14. When is the deadline to submit our Technical Assistance and Implementation Questionnaire? Complete and email the final copy of the Technical Assistance Planning and Implementation Questionnaire; sign and USPS mail or scanned email a copy of the Memorandum of Agreement by July 15, 2008 to: Sarah E. Hoffpauir, LCSW-BACS Director Behavioral Health Initiatives Louisiana Public Health Institute (LPHI) 1515 Poydras, Suite 1200, New Orleans, LA 70112 504-301-9845 direct shoffpauir@lphi.org 15. Is assistance offered in completing the Technical Assistance and Implementation Questionnaire? Yes. We strongly encourage organizations to submit draft versions to Sarah Hoffpauir before the deadline to guide you in successful completion of the materials. We also offer Orientation and Consultation conference calls with expert consultants to address your questions and/or concerns. All conference calls can be accessed at LPHI’s main conference room or via this dial-in information: 888-830-8905; pass code 366546#. GREATER NEW ORLEANS COLLABORATIVE TO IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA) WITH SUPPORT FROM THE FOUNDATION (RWJF) ROBERT WOOD JOHNSON Orientation Conference Calls Thursday, June 26, 1-145pm Consultation Conference Calls Thursday, July 10, 1-2pm Friday, June 27, 10-11am Friday, July 11, 10-11am 16. What is the Memorandum of Agreement (MOA)? The MOA clearly delineates responsibilities on behalf of LPHI and its consultants and C-IBHA participants. 17. Who needs to be on the Leadership Change Team? Each organization in the Collaborative will identify an Administrative Leader, Clinical Leader and an overall Organization Team Leader/Champion. The overall Organization Team Leader/Champion may be whoever is most appropriate for your organization (e.g. CEO, Administrative Leader, and Clinical Leader). This leadership team will drive the strategic implementation and champion the way to success. 18. What is a Change Team? The organization’s leadership will designate all other clinical and administrative members needed to ensure successful collaborative participation. All indentified staff working on C-IBHA constitutes your Change Team. 19. Where can I find more resources on quality improvement and evidence-based practice guidelines for depression and other common mental health conditions? Review additional quality improvement resource materials at http://lphi.org/home2/section/generic-165. C-IBHA Kick-off Event 20. What is the C-IBHA Kick-off event? The Kick-off is the opening event for the Collaborative to Improve Behavioral Health Access and will provide technical assistance and training for your organizations to strategize and plan action steps to meet the goals. 21. What specific technical assistance content will be offered at the C-IBHA Kick-off? The C-IBHA Kick-off agenda will include training and experiential learning sessions designed to fortify participants with tools to successfully implement a quality improvement program on depression and other common mental health conditions, including: GREATER NEW ORLEANS COLLABORATIVE TO IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA) WITH SUPPORT FROM THE FOUNDATION (RWJF) ROBERT WOOD JOHNSON Quality improvement methodology Chronic Care Model Evidence-based practice of depression and other common mental health conditions, e.g. screening, diagnosis, interventions, and pharmacotherapy Providing self-management support Systems support, e.g. care managers and disease registries 22. Who should come to the C-IBHA Kick-off event on July 29-30, 2008 at the New Orleans Hilton Riverside? Each organization should send an Organizational Team Leader/Champion and Clinical and Administrative Leaders/Champions as listed in their Technical Assistance Planning and Implementation Questionnaire. Up to four individuals, including your Champions, determined to be of value to your success may also attend the Kick-off event. The lead individual from your complementary organization partner needs to attend the Kick-off with your team. 23. How do I sign up my organization for the Kick-off event? Complete and email the C-IBHA Kick-off Participant Information Form to Sarah Hoffpauir by July 15, 2008. 24. What is a “complementary organization partner” and why do we need to have one? A “complementary organization partner” is your organization’s reciprocal service organization. E.g. A primary care organization will select a behavioral health organization; behavioral health will choose a primary care organization. Designating a partner organization, and a lead individual from that organization, will strengthen our health care system as a whole and prepare your organization to interact more effectively concerning consultation, referral and information flow. 25. Does my complementary organization partner have to be a PCASG grantee? No. 26. How do I find a community partner? Explore your organization’s informal relationships with complementary community partners, e.g. clinician group, and whether they can become more formalized. Network with the Behavioral Health Action Network members. GREATER NEW ORLEANS COLLABORATIVE TO IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA) WITH SUPPORT FROM THE FOUNDATION (RWJF) ROBERT WOOD JOHNSON If you are still having challenge finding a complementary community partner, contact Sarah Hoffpauir for assistance. 27. If my organization has collocated primary care and behavioral health services do I still need to designate a community partner? While this is left to the judgment of each organization, it is advisable to develop external partnerships to strengthen the level of care offered to each client. External partnerships may be useful in handling patient overflow, specialty referrals and improving our regional health care system.