Transcript Document

www.TheNationalCouncil.org
Where is Behavioral Health Going?
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www.TheNationalCouncil.org
www.TheNationalCouncil.org
Corporate Partners/
Affiliate Members
Spring Meeting
June 3, 2013
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National Council Membership
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# of
members
year
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Strategic Areas of Focus
www.TheNationalCouncil.org
1. Assertive national and state advocacy
that ensures access to treatment
2. Public education and communications
that impact communities
3. Initiatives that position members as
high-performing healthcare
organizations
4. Programs that promote development of
an effective workforce
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www.TheNationalCouncil.org
1. ADVOCACY
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www.TheNationalCouncil.org
The greatest danger in
times of turbulence is not
the turbulence. It is to act
with yesterday’s logic.
Peter Drucker
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Payment & Delivery System Changes
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Rapid expansion of Medicaid managed care
Health homes and ACOs
Dual-eligible initiatives
Rethinking substance use treatments –future
of residential
• Fee-for-service to case rates, bundled
payments and capitation – risk
• Health reform rollout:
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Medicaid expansion
Exchange enrollment
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Policy Agenda: Offense Not Defense
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• PCBHI Grant Program
• Health Homes
• Excellence in Mental
Health Act
(S. 264)
• Mental Health First Aid Act
(H.R. 274/S.153)
• Behavioral Health IT Act
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2. PUBLIC
EDUCATION
C o n t a c tt :: C
c o m m u n i c aa tt ii oo nn ss @
@ Tt h e n
N aa tt ii oo nn a l cC oo uu nn cc ii ll .. oo r g
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Defined by Tragedies
www.TheNationalCouncil.org
Grand
Rapids
Sandy
Hook
Red
Lake
Tucson
Fort
Hood
Aurora
Virgini
a Tech
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Columbine
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Mental Health First Aid
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Early Identification & Intervention
•More than 100,000+ trained
•3,000+ instructors
•Youth version
•Spanish version
•President’s recommendations
•Policy and media attention
Partnership with
Maryland and Missouri
State Governments
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3. HIGH-PERFORMING
ORGANIZATIONS
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www.TheNationalCouncil.org
Vision without execution
is a hallucination.
T h o m a s
E d i s o n
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Behavioral Health Centers
of Excellence
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• Rapid access/open access
Be there when I need you
• World-class customer service
Kind words are easy…echoes are truly endless
• Comprehensive whole-person care
Provide or help me get the healthcare and services I
need
• Outcomes-based care
Make sure I receive the best possible health care
• Staff engagement
Being part of something bigger than themselves
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Organizational/Clinical Supports
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Same day access
Co-occurring disorders learning community
Depression care collaborative
Contracting learning community
Advancing standards of care for bipolar disorder
Trauma-informed care
Child conduct difficulties learning community
Early intervention in first episode psychosis
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Integration Navigation
www.TheNationalCouncil.org
• SAMHSA-HRSA Center for Integrated Health; NY
State Geriatric Technical Assistance Center; and
Ohio Training & Technical Assistance Center
• FQHC Look-alike learning community
• Consulting — state and local governments,
organizations
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Digital Connections
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• Bosch Health Buddy System
gathers vital signs and
symptoms, educates, and
reinforces positive behavior;
data reviewed by provider to
identify need for intervention.
• myStrength – Health Club for
Your Mind – online help with
anxiety and depression
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Outcomes-based Care
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SPQM Dashboards
• Comprehensive quality management system
• Supports data-informed decision making
• Measures performance outcomes and
analyzes organizational practices
• Provides essential information to
demonstrate program value
• Increases quality, accountability, compliance,
efficiency of services
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www.TheNationalCouncil.org
4. WORKFORCE
DEVELOPMENT
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www.TheNationalCouncil.org
People want to be
part of something larger
than themselves.
- H o w a r d
S c h u l t z
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Excellence in the Workplace
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• Staff feel they have the opportunity to
do what they do best every day
• Committed to quality work
• Growth and development encouraged
• Physical and emotional wellness
prioritized through group activities and
employee development
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Integration Training
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• Psychiatrist curriculum for integrated settings
• MSW integrated healthcare curriculum and field placements
• Case managers to care managers
• Whole Health Action Management (WHAM)
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Leadership Programs
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• Middle Management Academy
• Addressing Health Disparities Leadership Program
• Executive Leadership Program
• Seasoned Leaders at Conference
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E-learning
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Partnership with Essential
Learning, a Relias Company
• Leading provider of verticalized elearning solutions
• Compliance with regulatory and
accreditation requirements
• Continuing education solutions for
employees
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Can’t Stop Thinking About
the Future
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• The healthcare system of
the near future will not look much
like the present.
• The implications for
our members and
those they serve
are enormous.
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www.TheNationalCouncil.org
Strategic planning is worthless –
unless there is first a strategic
vision.
John Naisbitt
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Forces at Play
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• Experimentation
• Liberation of
information
• Demand for impact
• Monopoly economy
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Entrepreneurs & Investors
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• Eager to tap $2.6 trillion healthcare economy
• Fix impossibly inefficient & bureaucratic system
• Boost transparency and communication
• Digital healthcare receiving greatest share of total
investment dollars — up 73% since 2011
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It’s All Online
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Doctor will see you now — ZocDoc
•Online service to research & schedule doc
appointments
•Doc ratings from patients
•Addresses underused health supply
•Free to patients, practices pay $300 a month
•$50 million (of $95 million) raised from DST
Global, Russian billionaire
•1.5 million users a month in 20 markets
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Information Liberation
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Computer becomes exam room — HealthTap
•Army of docs online 24/7 — building reputation
among patients and peers
•15,000+ docs answering questions, online
conversation for $9.99
•Docs rate each other’s responses and algorithm
direct questions to specialists
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Going Mobile
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Texting can make you healthier —
CareSpeak Communications
•Simple mobile technology to encourage adherence
(Noncompliance causes hospital re-admissions and even death)
•2-way testing — reminders to patients and caregivers.
•United Health hopes it will lower their costs.
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www.TheNationalCouncil.org
www.TheNationalCouncil.org
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Big Data Meets HR
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Big data myth busting to build better workers — Kenexa
IBM buys workforce science company for $1.3 billion
Myths busted
•Supervisors’ communication skills and personal warmth
more important than worker experience/attributes
•Work history not a good predictor of future results
•Most important salesforce quality is not extroversion but
emotional courage
•Those who score high on “honesty” stay 20-30% longer in
their jobs
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Monopoly Economy
www.TheNationalCouncil.org
Big chains thrive
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Greater variety, better quality, lower cost
Buying power
Centralized common functions
Fast adoption and diffusion of innovations
 4 airlines = 69% travel
 Walmart = 57% of all groceries
 Intel = 85% of micro processing chips
 Doctors = 75% are employees
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Profit from Size & Efficiency
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Cheesecake Factory Medicine —
Steward Health Care System
•Cerberus, a private-investment firm, bought 6
failing Catholic hospitals in Boston area
•Cerberus has stakes in Chrysler, GMAC,
Albertsons, Austria’s largest retail bank chains,
and Freedom Group (world’s biggest gun-andammunition manufacturers)
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www.TheNationalCouncil.org
WHAT DOES THIS ALL
MEAN FOR US?
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www.TheNationalCouncil.org
The measure of intelligence
is the ability to change.
A l b e r t
E i n s t e i n
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Shift in Market Power
www.TheNationalCouncil.org
• Market power = Degree of influence one
organization has over another
• Market power = Ability to raise prices without
losing business
In the U.S. health system, the market power and
market position of specialists is shifting
“downward”
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Strategic Challenges for Specialty
Behavioral Health
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Redefining “demand” for specialty care
Managing unit costs in an era of declines
Competing for ‘profitable’ consumer segments
Investing in new services
Marketing and business development
Maintaining competitive advantage in face of
 New technology
 Rules-based treatment options
 Industry consolidation
 Health reform
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Scenarios for Behavioral Health
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Elimination of ‘Safety Net’ Funding for Uninsured
Decrease of Fee-For-Service Rates
Medicaid/Medicare Coverage of SPMI Moved to Managed Care/ACOs
Expanding Role of Urgent Care Clinics in Community
Payers Increase Coverage of E-Health Services & Remote Monitoring
Responsibility for Health Outcomes and Costs of Defined Populations
Mandatory Adoption of EBP via Comparative Effectiveness Research
Medication Assisted Treatments for Addictive Disorders
Widespread Adoption of Neurotech (Scans, Avatars, Cognitive Retraining, Etc.)
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www.TheNationalCouncil.org
We must reorganize and
prepare for new ways in which
services will be provided
and paid for.
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What is Required of Us?
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• Competing for customers (consumers and payers)
• Moving to highly regulated, any “willing provider” model
• Participating in value-based purchasing arrangements
• New management knowledge/infrastructure
• Delivering services at market rates
• Knowing costs and cost-cutting techniques
• Integrating new technologies into service models
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Skills in Demand
www.TheNationalCouncil.org
Transactional Leadership
Coping with complexity — keep current system
functioning and improve
 Planning and budgeting
 Organization structure and staffing
 Organizational controls, monitoring, and problem solving
Transformational Leadership
Coping with change — produce useful, nonincremental change system
 Setting a direction
 Aligning people in the organization
 Motivating people in the organization
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Bigger IS Better
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Growth allows organizations to
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Leverage expense
Diversify risk
Enhance talent recruitment and retention
Be competitive
Collaborations and
consolidations are the future
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www.TheNationalCouncil.org
The pessimist complains
about the wind.
The optimist expects it
to change.
The realist adjusts the sails.
W i l l i a m
A r t h u r
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