GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
Technical Assistance Planning and Implementation Questionnaire
Overview of Project
o
o
o
Provide technical assistance to organizations seeking to incorporate an evidence-based model of care for
depression and other common mental health disorders into their practice;
Utilize quality improvement tools to advance treatment outcomes; and
Develop collaborative relationships between primary care and behavioral health organizations.
Section I.
General Information
Information provided in this section will be entered in the LPHI C-IBHA database and made available to all consultants and
grantee organizations to facilitate collaboration. Each organization will identify an overall Organization Team
Leader/Champion; chose whoever is most appropriate for your organization (e.g. CEO, Administrative Leader, and Clinical
Leader). All indentified staff who will be working on this project constitutes your Change Team.
Organization Name
JEFFERSON COMMUNITY HEALTH CARE CENTERS, INC.
Organization Team Leader/Champion
Name: Carol W. Smith
Title: Chief Executive Officer (CEO)
Organization: Jeff. Community Health care Centers, Inc.
Mailing address: 2439 Manhattan Blvd. Suite 306 Harvey, La. 70058
Office Telephone: 504-366-9484
Office FAX: 504-366-2124
E-mail Address: Jefferson_health@bellsouth.net
Project Coordinator
Name: Preston Wright, Jr. MPA
Title: Chief Operations Officer (COO)
Organization: Jeff. Community Health Care Centers, Inc.
Office Telephone: 504-366-9484
Office FAX: 504-366-2124
E-mail Address: Pwrightavondale@bellsouth.net
Administrative Leader/Champion*
Name: Deshannon Cobb Russell
Title: Operations Manager
Organization: Jefferson Community Health Care Centers, Inc.
Office Telephone: 504-463-3002
Office FAX: 504-463-3070
E-mail Address: drussellavondale@bellsouth.net
Clinical Team Leader/Champion*
Name: Dr. Renetta Allen
Title: Clinical Director
Organization: Jefferson Community Health Care Centers, Inc.
Office Telephone: 504-371-8958
Office FAX: 504-371-8963
E-mail Address: rallenmarrero@bellsouth.net
Other Contact Person (e.g. Administrative Assistant, etc. - optional)
Name: Carol Evans
Title: Human Resources and Compliance Officer
Organization: Jefferson Community Health Care Centers, Inc.
Office Telephone: 504-366-9484
Office FAX: 504-366-2124
E-mail Address: cevansavondale@bellsouth.net
*Other Change Team Members
Name and Title
Rickey Vaughn CFO
Organization
Jeff. Comm. Health Care
Centers, Inc.
Telephone and FAX
504-366-9484
504-366-2124
C-IBHA Technical Assistance Planning and Implementation Questionnaire
E-mail Address
rvaughnavondale@bellsouth.net
1
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
*Other Change Team Members
Name and Title
Organization
Telephone and FAX
C-IBHA Technical Assistance Planning and Implementation Questionnaire
E-mail Address
2
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
Section II.
Clinical Framework
Instructions: The purpose of this section is to provide LPHI and its consultants with a summary of what your team already
has in place for the clinical framework and the specific areas where technical assistance will be needed. For each
component of the framework (A – F), please describe the following:

your team’s current status;

the changes that you anticipate will be tested during the planning phase and implemented during the
demonstration phase; and

The technical assistance (TA) you anticipate needing during the planning year to prepare for implementation
phase.
A. Leadership
Key Principle(s): There must be a leadership team composed of organizational partners with overall program accountability
for implementation across partnering organizations.
Please address the following items when describing your current status, planned changes, and projections for technical
assistance needed:
1. Team consists of primary care, mental health, and senior administrative personnel;
2. Team has established personnel, space, and financial resources;
3. Team reviews guidelines for treatment and continuous quality improvement; and
4. Team sets target goals for key process measures and outcomes.
Current Status:
Behavioral Health patients are registered and assessed in the same manner as primary care patients, in an effort to
determine their health concern and the appropriate way to treat them. If it is determined that specialty care is required,
patients are then referred out to providers for further treatment. If mild depression or anxiety or any other common
mental health disorder is detected, patients are treated in house by Jefferson Community Health care centers.
Goals/Planned Changes:
To develop ways to enhance our behavioral health program or services in order to provide treatment to patients that
exhibit more moderate or prolonged needs for more severe depression or other mental health disorders.
Measuring Improvement: What measure(s) will you use to monitor progress in achieving this goal (e.g. performance
measures to be used, benchmarks achieved, etc.)?
Currently, more specific measures are not in place to adequately assess a performance benchmark or measure for this
area.
Technical Assistance Needed:
C-IBHA Technical Assistance Planning and Implementation Questionnaire
3
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
1.
2.
3.
4.
Assistance with developing specific objectives, measures, outcomes and benchmarks to provide a specific
clinical framework for patients with severe depression or other common mental health disorders.
Guidelines for proper treatment and continuous quality improvements associated with the framework needed
to treat patients with mental health disorders.
Assistance in developing a specific program to narrow down specific mental health populations that will be
better served by our services.
Assistance with identifying funding sources for staff and operations to accommodate growth in the area
behavioral health.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
4
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
B. Decision Support
Key Principle(s): Evidence-based behavioral health treatment guidelines and care protocols are available to improve
recognition and treatment of common behavioral health disorders.
Please address the following items when describing your current status, planned changes, and projections for technical
assistance needed:
1. Practices have a plan for implementing evidence based guidelines for depression and other common mental health
disorders;
2. Practices can systemically identify patients at elevated risk for depression and other common mental health
disorders;
3. A validating case-finding tool is available to be implemented to identify patients with depression or other common
mental health disorders;
4. Protocol available to stratify treatment intensity by severity;
5. Mental health specialists are available to primary care providers for decision support and patient referral; and
6. Primary care and behavioral health providers and staff understand the decision support tools.
Current status:
Currently, we only have the capacity to assess and treat basic cases regarding depression, anxiety and other common
mental health disorders.
Planned changes:
To research more evidenced based guidelines for depression and other common mental health disorders, that will assist
us in developing a more focused approach to behavioral health as well as specific program development.
Measuring Improvement: What measure(s) will you use to monitor progress in achieving this goal (e.g. performance
measures to be used, benchmarks achieved, etc.)?
Currently, we don’t have specific measures to accomplish more in the arena of mental health.
Technical assistance needed:
1. Assistance in developing specific goals measures and benchmarks to address the need for treatment of individuals with
common mental health disorders.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
5
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
2. Assistance in researching more evidenced based guidelines to develop programs to address depression and other
common mental health disorders.
3. Assistance in developing the proper protocols for treatment intensity by severity.
4. Education on having the proper staff to accommodate whatever program we decide to implement, as it relates to both
providers and support staff.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
6
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
C. Delivery System Design
Key Principle: A delivery system is available to implement all aspects of decision support.
Please address the following items when describing your current status, planned changes, and projections for technical
assistance needed:
1. Care managers (CMs) are available and are trained to implement coordinated care in conjunction with primary care
providers and mental health specialists (MHSs);
2. A systematized approach has been established for routine follow-up at intervals specific to a patient’s phase of
mental health treatment (acute, continuation, or maintenance); and
3. A system is in place to monitor adherence to guideline-based treatment(s) for depression and other common
mental health disorders.
Current status:
Currently, we have no specific systemized approach to provide routine follow up for patients with mental health
disorders.
Planned changes:
As we develop behavioral health services we plan to implement systems to accommodate patient needs as well as having
the proper staff trained and in place. Additionally, we plan to make sure that all services are coordinated between
primary care providers and mental health specialist.
Measuring Improvement: What measure(s) will you use to monitor progress in achieving this goal (e.g. performance
measures to be used, benchmarks achieved, etc.)?
Currently, there are no specific measures to address this area.
Technical assistance needed:
1.
2.
3.
Once Behavioral health programs are identified, we will need assistance in making sure that systems are in
place to ensure coordinated care between primary care services and mental health initiatives.
Assistance with developing a systematic approach to make sure that we establish routine follow-up in specific,
intervals specific to a patient’s phase of mental health treatment.
Assistance with developing a system or checklist to monitor and adhere to guidelines for depression and other
common mental health disorders.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
7
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
C-IBHA Technical Assistance Planning and Implementation Questionnaire
8
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
D. Clinical Information Systems
Key Principle: The Clinical Information System (CIS) consists of tools to facilitate the roles of the primary care providers and
behavioral health specialists.
Please address the following items when describing your current status, planned changes, and projections for technical
assistance needed:
1. A registry has been established to identify, manage, AND track the care provided to patients with depression or
other common mental health illness patients;
2. The registry (either alone or in conjunction with another information system) can track key process and program
measures (e.g., % patients who received a structured assessment for depression and other common mental health
disorders, % continuing pharmacotherapy after three months, % patients who achieved a 50% decrease in
symptoms) ; and
3. Staff members are available to update patient information in registry AND are trained in using registry.
Current status:
Currently, no specific registry has been established, for patients with depression or other common mental health
disorders, other than the normal registration procedure for all primary care patients.
Planned changes:
To improve our overall clinical information system to include a specific registry system that will enable us to track care
for patients with depression or other common mental health disorders.
Measuring Improvement: What measure(s) will you use to monitor progress in achieving this goal (e.g. performance
measures to be used, benchmarks achieved, etc.)?
No specific measures are in place currently to specifically address this item.
Technical assistance needed:
1.
2.
3.
4.
Assistance with developing a specific registry or registry system to accommodate behavioral health patients.
Assistance with developing specific objectives; measures; and outcomes that will allow us to implement
structure into serving patients with depression or other common mental health disorders.
Assistance with identifying specific required staffing needed for whatever program we decide to implement.
Assistance with identifying the exact or proper training needed for new and existing staff to properly serve the
patients.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
9
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
C-IBHA Technical Assistance Planning and Implementation Questionnaire
10
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
E. Self Management Support
Key Principle: Materials, tools, and processes are available to promote patient activation and self-care for behavioral health
conditions.
Please address the following items when describing your current status, planned changes, and projections for technical
assistance needed:
1. Protocols allow for shared decision making between patient and provider(s) that take into account patient
preferences for treatment and family involvement;
2. Culturally appropriate patient information on care for depression and other common mental health disorders is
available in a variety of formats (e.g., print, audio, and videotape) and language/literacy levels specific to the
populations you serve; and
3. Care manager follows up with patients regarding their use of self-management materials.
Current status:
Currently protocols for shared decision making between patients and providers are in place and take into account patient
preferences for treatment and family involvement based on the primary care services provided. Additionally, culturally
appropriate patient information is available that reflects the population in which we serve.
Planned changes:
To develop and implement a self management support plan or tool for both patients with common mental health
disorders and primary care patients.
Measuring Improvement: What measure(s) will you use to monitor progress in achieving this goal (e.g. performance
measures to be used, benchmarks achieved, etc.)?
No specific performance measures are in place for this area.
Technical assistance needed:
1.
2.
3.
4.
Assistance with developing a specific self management support system or protocol for JCHC to address all
patients, both for mental health and primary care.
Assistance with establishing measures or benchmarks for self management as it relates to mental health.
Assistance with tools to monitor or track success with self management.
Assistance with protocols that allow shared decision making between patient, provider and family involvement.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
11
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
C-IBHA Technical Assistance Planning and Implementation Questionnaire
12
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
F. Community Resources
Key Principle: Patient information and education about behavioral health conditions are available from organizations that
are independent of providers and health plans.
Please address the following items when describing your current status, planned changes, and projections for technical
assistance needed:
1. Decision support materials include protocols for informing patients and families of information and other resources
outside the plan or practice that may assist in their understanding of depression and other common mental health
disorders and the various treatments available (e.g., clergy, support groups, and local/national organizations);
2. Care managers are updated on available community resources; and
3. Community resources identified are appropriate for addressing the needs of the specific patient populations that
are significantly represented in your target population (e.g., African-Americans, immigrants, etc.).
Current status:
Resource materials are available that address wellness specific to all primary care illnesses, which all reflect the
population in which we serve.
Planned changes:
To ensure that all decision making support materials are updated consistently to support and inform patients on the
various treatments that are available. Additionally, patient advocates maintain updated community resources to share
with patients that address their specific needs.
Measuring Improvement: What measure(s) will you use to monitor progress in achieving this goal (e.g. performance
measures to be used, benchmarks achieved, etc.)?
No specific measures or performance are in place to address community resources.
Technical assistance needed:
1.
2.
Assistance with developing a systematic approach to addressing or updating support materials for all patients
served.
Assistance with developing the performance measures needed to address community resources.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
13
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
C-IBHA Technical Assistance Planning and Implementation Questionnaire
14
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
Section III.
Technical Assistance
1. What type of technical assistance activities would you be most likely to participate in (select all that
apply):
(a) Topic-specific conference calls that facilitate group learning
(b) (X) Individual conference calls with experts enlisted by LPHI to assist with site-specific issues
(c) List Serve communications
(d) (X) Site-to-site group learning through in-person activities coordinated by LPHI
(e) Web-based tools and resources provided via LPHI’s web page
2. What other types of technical assistance activities do you feel would benefit your organization?
It is our belief that our organization (JCHCC) would benefit from specific examples such as drafts or
samples of materials presently developed, that would assist by allowing us to customize current
available material to fit our specific needs rather than re-inventing the wheel.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
15
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
Section IV.
Systems Framework
Instructions: The purpose of this section is to provide LPHI and its consultants with information about the
current formal or informal relationships that exist between primary care and behavioral health specialty
services.
1. Please identify the organizations that you currently partner with in order to access either primary care or
behavioral health specialty services and briefly describe the existing arrangements/understandings in place
regarding consultation, referral, and patient information flow.
Currently we do not refer patients to other primary care facilities. We refer mental health patients to
Jefferson Parish Human Service Authority, and to private mental health specialist, however no formal
written arrangements are in place.
Before referring patients out, we obtain a written letter of authorization from each patient. Once the patient
authorizes the request, we provide the patient with a brief history and written copies of prescribes
medications to take with him/her to the referral institution.
2. Please briefly describe your organization’s goals with regard to enhancing and formalizing arrangements
with identified partners regarding information sharing, formal consultation, referral, and information.
Currently we have no plans to change the current arrangement. We may investigate the possibility of
developing specific MOU’s to assist in enhancing and formalizing arrangements with identified partners.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
16
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
C-IBHA Technical Assistance Planning and Implementation Questionnaire
17
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
3. Draw a diagram that illustrates your organization’s current relationship(s) with the partnering
organizations that you listed above (example on following page).
C-IBHA Technical Assistance Planning and Implementation Questionnaire
18
GREATER NEW ORLEANS COLLABORATIVE TO
IMPROVE BEHAVIORAL HEALTH ACCESS (C-IBHA)
WITH SUPPORT FROM THE
FOUNDATION (RWJF)
ROBERT WOOD JOHNSON
REQUEST FOR APPLICATIONS
PARTNER ORGANIZATION RELATIONSHIP DIAGRAM EXAMPLE:
PCASG
Primary Care (PC)
Organization
Behavioral Health (BH)
Organization 1
BH
Clinic 1
BH
Clinic 2
PC
Clinic 1
PC
Clinic 2
Behavioral Health (BH)
Organization 2
PC
Clinic 3
BH
Clinic 1
Provider
Provider
Provider
Provider
Provider
Provider
Provider
Provider
The PCASG Primary Care (PC) Organization has a formal relationship with Behavioral Health (BH) Organization 1.
BH Clinic 2 and PC Clinic 1 are co-located.
PC Clinic 2 and BH Clinic 1 have a formal agreement with regard to patient referral, consultation, and information
flow.
There is no formal agreement between the PCASG PC Organization and BH Organization 2. However, providers at
PC Clinic 3 have an informal relationship with BH Clinic 1 and frequently refer to each other.
C-IBHA Technical Assistance Planning and Implementation Questionnaire
19