Healthy Montgomery Meeting NAMI Montgomery County, 11718 Parklawn Drive, Rockville, MD 20852 Tuesday, August 21, 2012 2:00 4:00 PM Members Present: Thomas Harr, Beth Kane Davidson, Gene Morris, Susie Sinclair-Smith, Katherine Slye-Griffin, Tony Sturgess, Robert Tobin, Celia Young and Kevin Young Members Absent: Betsy Bowman, Scott Davis, Larry Epp and Hope Hill Healthy Montgomery Staff: Jeanine Gould-Kostka and Ruth Martin IPHi Staff: Evelyn Kelly and Michael Materials distributed: The Work Group handouts included Agenda, Updated Contact List, Healthy Montgomery August 8, 2012, Draft Meeting Minutes, Updated Healthy Montgomery Glossary, Draft 2-Month Progress Report Topic/Presenter Key Points Follow-up Welcome and Introductions The meeting was called to order at 2:12 p.m. Healthy Montgomery: Ruth Martin Mr. Harr welcomed everyone and asked them to introduce themselves. Mr. Harr thanked Ms. Slye-Griffin for hosting the meeting at NAMI Montgomery County. Mr. Kevin Young joined the meeting by telephone. Ms. Beth Kane Davidson, Suburban Hospital, and Ms. Susie Sinclair-Smith, Montgomery County Coalition for the Homeless, have joined the (BHWG). Page 1 8-21-12
Approval of Minutes Mr. Harr asked the BHWG to look at the draft minutes from the August 8, 2012, meeting. MOTION: Mr. Gene Morris made a motion to approve the August 8, 2012, Healthy Montgomery Behavioral Health Work Group minutes. Ms. Slye-Griffin seconded the motion, which was approved unanimously by voice vote. BHWG Updates and Mr. Harr requested that Ms. Jennifer Pauk with the Primary Background Care Coalition be invited to join the BHWG. Mr. said that IPHi helps the HM Steering Committee and Work Groups by facilitating and adding structure to the meetings. Ms. Martin gave an overview of the Healthy Montgomery effort beginning with the creation of the Community Health Improvement Process and the Needs Assessment up through the creation of the local issues the Healthy Montgomery Steering Committee (HMSC) selected to work on. The HMSC will meet on September 10, 2012, at which time the Work Groups will give updates on their work to date. Ms. Pauk will be contacted about joining the BHWG. The link to the Needs Assessment will be shared with the BHWG in an upcoming invitation packet. Kostka will post the approved minutes on the Healthy Montgomery web site. Ms. Martin Kostka Review Concept Paper Refinement of Key Opportunities and Areas of Strategic Intervention Mr. reviewed the draft concept paper, describing the BHWG efforts to-date as a progress report to be shared with the HMSC on September 10, 2012. Mr. said that he offered to prepare a draft progress report at the August 8, 2012 meeting. The report would recognize previous efforts and seek to identify planning processes that happened prior to this effort. Mr. s draft offers three strategic action areas: Page 2 8-21-12
1. Challenge: There is a lack of a comprehensive analysis of behavioral health services and policies in Montgomery County that would allow for a clearer understanding of the current system, including available services and service gaps. 2. Challenge: The lack of communications systems across providers, poor coordinated client linkages at intake and discharge, and insufficient and disjoined navigation across the service system contribute to a loss of clients to follow-up, larger percentages of clients in need who are out of care, and increased likelihood of suboptimal care. 3. Opportunity: The movement toward Accountable Care Organizations and Systems nationally provides Montgomery County with an opportunity to explore significant local systems reform to improve outcomes and reduce costs related to the prevention and treatment of behavioral health issues. Mr. said the draft concept paper was shared to add clarity and help the BHWG refine their focus. Once the members are in agreement they can focus on outcomes and create an action plan. Discussion Discussion followed on the following issues: access and interface issues are key; focusing on short-term achievable goals is critical to this effort; consumers and family members of behavioral health care need direction and an explanation about their care plans; County residents need to know their options other than calling 911; comprehensive mapping will be helpful for systems reform; integration/benefits counselor Page 3 8-21-12
support needed; how the Affordable Care Act (ACA) will require Health Insurance Navigators to enroll and advise on how to obtain benefits; the increasing number of homeless people in the 18-21 years of age range with mental health issues; the need for a public education effort related to mental health resources; and how the health care system in many cases takes the issue of money off the table and finds the services first (e.g. hospice care) unlike the behavioral health system. Mr. said that the ACA implementation is a longer term effort. Further Discussion Discussion continued on the following issues: re-integration plans; the hope that an orderly system could be created by the government; behavioral health care within the corrections system; discharge planning and the difficulty in following up with patients; and recognition that there are short- and longterm realities and that the ACA will change the system. Finalize 9/10/12 Status Report to the Steering Committee Begin Clarifying Desired Outcomes Mr. will incorporate changes into the draft document and share it with the BHWG. The progress report will be finalized prior to the September 10, 2012, HMSC meeting. Mr. said that that creating integrated systems through technological solutions as well as providing better communication to the consumer by using Navigators and advocates seems to be a priority for the BHWG along with providing clear information on available services for consumers, providers and caregivers. Discussion followed: behavioral health is a part of the An updated report will be shared by 8/31/12. Mr. Page 4 8-21-12
Maryland Health Care Reform conversations at the State level; hospital re-admission policies and how to stabilize patients; college students with difficult behavioral health issues and lack of access to care; an Urban Institute study conducted in D.C. on identifying a group of residents who continually used emergency medical, emergency services, etc. for targeted case management; Chesapeake Regional Information System for our Patients (CRISP) exchange; and a possible study to include hospitals as well as Fire & Rescue to identify a targeted group of repeat consumers. Next Steps Ms. Martin asked about the availability of the BHWG The BHWG membership on September 7, 2012. Ms. Slye-Griffin, Mr. Progress Report Morris, Mr. Tobin, Mr. Sturgess and Mr. Young indicated will be finalized that they are available to meet on that date. Mr. Sturgess and prior to the Mr. Young will serve as co-chairs for that meeting and will 9/7/12 BHWG attend the September 10, 2012, HMSC meeting to present meeting. the BHWG Progress Report. Healthy Montgomery: Ruth Martin) Discussion followed: InfoMontgomery; the BHWG members support electronic health records but cannot focus on it at this time; BHWG members hope that through this effort public and private partnerships could be formed to allow for better sharing of information; the Montgomery County hospitals might be very interested in the design and implementation of a client tracking and communication system across behavioral health, medical and social service. Ms. Martin will contact Mr. Scot Marken with the Mental Health Association (MHA) and Ms. Jennifer Pauk with the Primary Care Coalition (PCC) to see if they would like to join the BHWG. Add members from the MHA and the PCC. Mr. Sturgess and Mr. Young will present the progress report at the 9/10/12 HMSC meeting. Ms. Martin Page 5 8-21-12
Setting the Calendar and Administrative Tasks Kostka announced the next two BHWG meeting dates. September 7, 2012 September 25, 2012 Two additional dates were determined for October: October 9, 2012 October 23, 2012 Healthy Montgomery staff will work with BHWG members to set up the meeting locations. Kostka The membership determined that 2:30-4:30 p.m. would be a better timeframe for all members to meet. Ms. Sinclair- Smith offered to host the meeting on September 25, 2012, at the Montgomery County Coalition for the Homeless. Ms. Martin clarified that the action plans offered by the BHWG are not the responsibility of DHHS to implement. This is a community-wide process and the Work Group will have to identify how action plan will be implement. Some efforts may be funded through grants. Wrap-Up/Adjourn Mr. Harr thanked Ms. Slye-Griffin for hosting the meeting at NAMI Montgomery County. Mr. Harr thanked Mr. Sturgess and Mr. Young for presenting the BHWG Progress Report to the HMSC in his absence. The meeting was adjourned at approximately 3:50 p.m. Kostka will contact the BHWG with meeting logistics Respectfully Submitted: Ruth Martin and Jeanine Gould-Kostka Approved: Page 6 8-21-12