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1 Health and Human Services Commission Department of State Health Services Presentation to House Committee on Public Health February 17, 2015 Sonja Gaines, HHSC Associate Commissioner for Mental Health Coordination Mike Maples, DSHS Deputy Commissioner Lauren Lacefield Lewis, DSHS Assistant Commissioner for Mental Health and Substance Abuse
2 MHSA Major Initiatives Community mental health wait list Reduced by approximately 5,000 adults in 2013 Increased appropriations from the 83 rd Legislature Public awareness campaign Supported housing Mental Health First Aid Crisis residential services Veterans mental health Expansion of YES Waiver Long-term plan for the state hospital system Expansion of substance abuse services Partnership with DFPS Page 2
3 Senate Bill 58 S.B. 58, 83rd Legislature, Regular Session, 2013, directed HHSC to: Include covered mental health rehabilitation and mental health targeted case management, into managed care Establish an advisory committee tasked with providing formal recommendations on the inclusion of services in managed and integration of physical and behavioral health Develop two health home pilots for the integration of physical and behavioral health. Effective September 1, 2014, the following mental health services were included in the STAR and STAR+PLUS and STARHealth managed care programs for individuals diagnosed with severe mental illness: Targeted Case Management Mental Health Rehabilitative Services Crisis intervention services Medication training and support services Psychosocial rehabilitative services Skills training and development services Day programs for acute needs Page 3
4 Behavioral Healthcare in the 1115 Transformation Waiver Five-Year Medicaid 1115 Demonstration Waiver ( ) Under the waiver, the Delivery System Reform Incentive Payments (DSRIP) program was created to incentivize the transformation of healthcare delivery systems through infrastructure development and testing innovative care models in order to improve care for low-income individuals (access, quality, and health outcomes). Projects are funded at the Medicaid federal match rate with the non-federal share of funds coming from a local or state public entity. Of the 1,491 active DSRIP projects, almost one third (472) have a behavioral health focus. These projects are eligible to earn over $2.6 billion all funds during the life of the waiver. The Meadows Mental Health Policy Institute has estimated that the number of people served for FY : 200,554 Adults; 62,300 Children Page 4
5 Office of Mental Health Coordination The Legislative Budget Board has identified 18 state agencies that receive state money for mental health.* The Office of Mental Health Coordination created by HHSC Rider 59, Senate Bill 1, 83 rd Legislature, provides broad oversight on public mental health policy in Texas and responsible for coordinating the policy and delivery of mental health services throughout the State of Texas. In addition, the office of Mental Health Coordination shall consult and coordinate with other state agencies, local governments and other entities to ensure a strategic, statewide approach to mental health. Mental Health Vision: To ensure that Texas has a unified approach to the delivery of behavioral health services that allows Texans to have access to care at the right time and place. *Source: Legislative Budget Board, 84R Cross-Article Behavioral Health-Related Summary Page 5
6 Office of Mental Health Coordination: Cross-Agency Initiatives Cross Agency Mental Health Liaison Workgroup Comprehensive inventory of cross agency mental health initiatives Cross Agency Data Report Card Veterans Mental Health Initiative Grant program in collaboration with the Meadows Mental Health Policy Institute Mental Health Texas Website One-stop website designed to help Texans gain immediate access to behavioral health resources and education information Mental Health Housing Resources HB 1191 directed HHSC to add mental health housing resources to the 211 website. Page 6
7 Health Information Major Initiatives Health Status of Texas a report of health trends in Texas over the last decade Texas Health Indicators online collection of health trends in Texas in the last decade Web-based query system customized summaries and statistical reports at HealthData.dshs.texas.gov Addition of emergency department data to THCIC Page 7
8 Vital Statistics Major Initiatives Vital Statistics modernization Digitalization of vital events records Electronic business processes for vital statistics events Focus on data security and efficiency Average Days to Register 45.0 Registration Cycle Time and Texas Electronic Registry Death Certificate Birth Certificate Page 8 - Before TER After TER (2012)
9 Family and Community Health Services Major Initiatives Healthy Texas Babies Evidence-based interventions to decrease preterm birth and infant mortality Expanded Primary Health Care Expanded preventive and primary care to annually serve a projected 170,000 women Critical Congenital Heart Disease screening for newborns Over 50 babies identified for further testing Page 9
10 Regulatory Services Major Initiatives Implementation of 83 rd Legislature initiatives EMS fraud reduction Improved maternal and neonatal care Enhancements to the regulatory automation system Broadened online licensing services Mobile inspection for the X-ray and EMS regulatory programs Page 10
11 Disease Control and Prevention Services Major Initiatives Lab enhancements Severe Combined Immunodeficiency (SCID) screening Lab certification for Ebola testing Newborn Screening Transit Times TB disease detection and treatment Increased accuracy of testing through new screening methodologies Increased patient compliance through use of short-course treatment regimen Data systems modernization Better security, timeliness, and validity Page 11
12 Regional and Local Health Services Major Initiatives Public health preparedness and response Ebola response in Dallas TB and pertussis outbreaks Unaccompanied minors along the border West, Texas fertilizer plant explosion Page 12
13 84 th Legislature Items Sunset Commission recommendations Maintenance of services Ten-year plan for the state hospital system Community mental health and substance abuse services Infectious disease preparedness and response Chronic disease prevention Page 13
14 QUESTIONS Page 14
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