The Saguaro Group would like to thank the staff of our member and affiliate companies for their contributions in assembling this annual report.

Transcription

1 Special Thanks The Saguaro Group would like to thank the staff of our member and affiliate companies for their contributions in assembling this annual report the SAGUARO GROUP Year in Review

2 Who We Are Saguaro Group, LLC provides and supports mental health, developmental disability and substance abuse services that demonstrate a commitment to the community, put customers first, and honor our history of quality. The Saguaro Group is made up of three wholly owned subsidiary companies: Saguaro Management and Accounting Services, Inc., Triumph, LLC and Community Innovations, Inc. Our Mission The Saguaro Group of Companies supports its member organizations in delivering excellent services with integrity by valuing partnerships and promoting best practices for success. We Value Integrity Professionalism Operating in North Carolina for over two decades, the leadership of Saguaro Group, LLC, has extensive experience in the development and oversight of mental health and developmental disabilities programs. Longevity has allowed us to establish and evolve clinical and management infrastructures which help us sustain clinical, financial and operational stability. Saguaro Group is committed to a continual search for concrete ways to reassure our stakeholders that even during times of change we seek ways to be a competent and responsible partner. We are here to assist the persons we serve to realize their goals. We demonstrate a clear focus on the persons we serve, their expectations, and the results they need. Social Responsiveness Effectiveness Leadership Innovation Ethics Saguaro Management & Accounting Services Our mission: To create an effective and efficient business environment in support of organizations that assist people with disabilities in attaining meaningful lives in their community. We provide management and accounting services to the human services companies within the group. Services include: fiscal services, human resources, program development, clinical staff recruitment and marketing & risk management.

3 Our mission: Triumph is committed to empowering individuals and families by delivering effective human services which encourage choice and promote wellness. Triumph provides comprehensive mental health and substance abuse services to adults, children and families. Services are evidence-based, best practice models, outcome-oriented and consumer driven. Services include: Day Treatment, Therapeutic Foster Services, Clinical Assessment, Outpatient Therapy, Psycho- Social Rehabilitation, Community Support Team, Intensive In- Home, Assertive Community Treatment Team and Walk-In Crisis and After Care. Evidence-based models include Wellness Management and Recovery, Seven Challenges, Cognitive Behavioral Therapy, Positive Action. Dialectical Behavioral Therapy and Trauma- Focused Cognitive Behavioral Therapy. Our mission: To enable individuals who we support to access services, make choices, pursue aspirations, live and interact with dignity and respect in their communities. Community Innovations (CI) supports individuals in discovering and creating what they most want in their lives. CI provides ICF/MR Residential and Day Services, I/DD Group Residential Programs, Alternative Family Living Homes, Independent Living Programs, Community-Based Services supporting persons with I/DD, Clinical Assessment and Case Management. Additionally, CI provides comprehensive child and adult mental health services including Outpatient Therapy, Psycho-Social Rehabilitation, Community Support Team and Intensive In-Home services. Full Three-Year CARF Accreditation In July 2011 Community Innovations, Inc. and Triumph, LLC achieved a three year re-accreditation from the Commission on Accreditation of Rehabilitative Facilities (CARF) for all periodic services. In addition, an initial three year CARF accreditation was awarded for 17 CI residential programs and 3 Triumph Day Treatment Programs. Both companies were commended for proactive supportive management; quality management activities; person centered treatment approaches; community integration; advocacy efforts; clean, welcoming environments; and well organized medical records. What Surveyors had to say Community Innovations: Blown away with the level of excellence collaborative, respected, pro-active, consistent in audit reviews and a model excellence in services. Triumph: Strong leadership committed to quality improvement in its business and service delivery practices well respected in community as a provider of choice with companionate staff, it s clear they care about the quality of life of the persons served.

4 Services Who We Serve Mental Health Advanced Access (drop-in crisis) Community Support Team Intensive In-Home Assertive Community Treatment Team Psychosocial Rehabilitation Day Treatment Outpatient Therapy (Indiv., Group & Family) Psychiatry/Medication Management MH/SA Targeted Case Management I like our IIH team because I have someone to talk to now and I realize it s not good to hold in my feelings. I am learning how to control my anger without yelling. This year, the Saguaro Group served over 13,500 individuals in North Carolina. Consumers by Age 2% 1% 1% 52% Consumers by Race 3% African American/Black Asain 4% 38% 1% 2% Hispanic Native American White Other 0-5 years Triumph has made life much better for me. I was in a bad place, and they helped me overcome my obstacles. Thanks! Substance Abuse SA Counseling Case Management 35% 39% 23% 6-17 years years years years 86+ years Consumers by Gender Developmental Disabilities Independent Living Alternative Family Living Supported Living ICF/MR Group Homes Day Activity Programs CAP Services Personal Assistance Developmental Therapy I/DD Targeted Case Management Community Innovations has been a life saver for me and my family. 45% Female 55% Male

5 Triumph s corporate office is located in Raleigh, NC. Community Innovations corporate office is located in Whiteville, NC. Saguaro Management and Accounting is located in Raleigh, NC. Triumph and Community Innovations together provide services in thirty one counties and have Service Agreements in nine LME/MCOs. TRIUMPH shaded in yellow Davie Stokes Forsyth Rockingham Chatham Orange Person Durham Vance Franklin Warren Halifax Caswell Wake Alamance Granville COMMUNITY INNOVATIONS shaded in dark green Columbus Brunswick Hoke Jones Robeson Cumberland Lee Onslow Bladen Wake Harnett Hertford Scotland Randolph Craven Guilford

6 Highlights Move iintto Managed Carre In 2011 the NC General Assembly passed House Bill 916 calling for the Department of Health and Human Services to restructure the delivery of mental health, developmental disability and substance abuse services through the statewide expansion of the 1915(b)/(c) Medicaid Waiver. To prepare to become a member of a managed care provider network, the companies of the Saguaro Group formed a workgroup to examine all of the tasks to be completed to ensure that we had all the necessary tools and met all the applicable standards for entrance into the network. The group established an internal website to keep current on the many changes required. The group reviewed procedures and identified needed revisions in the areas of consumer enrollment, provider enrollment, third party billing, consumer access, privacy, confidentiality, medical records and compliance. Triumph and Community Innovations staff submitted the enrollment application for entrance into the PBH, ECBH and the Sandhills networks. Since that time we have been awarded contracts and have begun providing services in PBH and ECBH. Advanced Access Prrogrrams Opened Triumph began operating two walk-in crisis programs in 2011 called Advanced Access. Both programs came to Triumph as the result of success in competitive RFP processes held by the Five County LME and pbh. As a result of the support from these LMEs and MCOs, we opened these services in Roanoke Rapids and Burlington. Both programs are staffed five days a week with psychiatrists, outpatient therapists, and qualified professionals who provide immediate assessment and treatment for individuals who present at our facilities. The facilities provide a community alternative to hospitalization and provide appointment options within 2-3 days after hospital discharge to ensure individuals receive medications and follow up care. In Burlington, at the request of pbh, the program operates with extended hours, serving the citizens of Alamance and Caswell counties from 8:00 am to 8:00 pm. Both programs have been enthusiastically received and supported by their respective communities, other providers, and the MCO. Worrkfforrce Devellopmentt Community Innovations, Inc. requested and received a Proclamation from Governor Purdue in recognition of NC Direct Support Professionals Recognition Week. This workforce development initiative is intended to raise awareness of the dedication by direct support professionals who enhance the lives and provide the essential support to help keep individuals with disabilities connected to family, friends and community. Chiilld Pllacementt Agency Liicense On June 30, 2011, Triumph became a Licensed Child Placement Agency in the state of North Carolina. This license allows Triumph to recruit, train, and oversee foster and therapeutic foster homes serving youth with serious emotional disturbances. Each home is required to meet specific criteria in order to be individually licensed by the Division of Social Services. The first home was licensed in October, and respite care is provided in this home. The first respite stay provided was a youth being served by Intensive In-Home Services in Five County.

7 Accomplishments Goals Services and Operations Business Practices CI expanded into Cumberland, Wake and Brunswick Counties Six new Telepsychiatry locations Therapeutic Foster Care division established Triumph Walk-in Crisis & Psychiatric Aftercare program in Burlington and Roanoke Rapids established Psychiatric services expanded in both companies In-school Outpatient Therapy established in Forsyth & Stokes Triumph of Wilkes County was closed in the fall of 2011, with a successful transition of services to other providers in the area Business Practices Saguaro Management and Accounting Services reorganized, resulting in more efficient and streamlined billing processes Established internal Managed Care workgroup for the transition to MCO services. E-prescribing by physicians implemented with support of Saguaro Management IT Culture of Quality Staff Development plan approved by company leadership Triumph personnel certified as MINT trainers Staff from several programs completed Trauma-focused CBT certification Staff focus groups to address impact of staff retention and general quality Saguaro Group participating in Community Care North Carolina (CCNC) pilot Community Innovations, Inc. and Triumph, LLC. will combine administrative and operational structures into one company. The combined entity will be known as Triumph beginning January 1, Begin implementation of an Electronic Health Record Seek enrollment in eight additional MCOs Culture of Quality Improve Access to services through quality improvement (QI) project that focuses on effective response when an individual or family seeks services, and will also focus on ensuring the individual remains in treatment long enough to see a positive outcome. A system that responds quickly to an individual s request for services can prevent a crisis which may result in more distress to the individual and more costly care for the system. Saguaro Group recognizes the importance of a fully integrated culture of quality that includes the use of Evidence Based Practice (EBP) in service delivery. This QI project is intended to improve resources and trainings related to the EBPs. National data indicate that people with mh/dd/sa issues have overall poorer heath than those who do not experience these conditions. Saguaro Group is a Community Care of North Carolina (CCNC) partner, working closely with that group in a coordinated health effort. to improve individuals physical and behavioral health integration activities. The leadership of the Saguaro Group understands the importance of strengthening the alignment between leadership and our employees. The staff development QI project promotes employee engagement in the company, resulting in actions that are purposeful and passionate and consistent with the company s mission and strategic goals.