Command Directed Behavioral Health Evaluation Decision Tree. Improve member and provider satisfaction with the health plan services; and 4. <>/Metadata 3151 0 R/ViewerPreferences 3152 0 R>> INTRODUCTION 1.1. These indicators provide the drive for health institutions to do better and to submit timely reports of progress. Purpose. All Performance specifications are located online at tuftshealthplan.com in the Provider Resource Center. 904 0 obj Starting July 1, 2020, Comagine Health has assumed responsibility for assessments from the current contractor, KEPRO. The medical provider endobj Our performance as a health plan is a direct reflection of your performance as a provider. A nonprofit organization founded in 1979, Tufts Health Plan is nationally recognized for its commitment to providing innovative, high-quality health care coverage. Achieve a 2 percentage point improvement from baseline over a one-year period for key performance metrics. As an extension of the Provider Agreement, this manual describes the policies, Evaluation, Therapy and Training. Produce actionable, valid and reliable data to drive decision making resulting in With Blue Premier Behavioral Health, behavioral health providers earn incentives in addition to their current fee-for-service billing when they help patients gain quick access to care, coordinate their efforts with primary care providers (PCPs), and most importantly, help patients improve. %PDF-1.7 The purpose of the Healthcare Provider’s Practice Guide for the Utilization of Behavioral Health Technicians. Document Purpose and Philosophy This manual serves as a guide for providers within the Community Behavioral Health (CBH) network. 887 0 obj endobj �]j�K���W1��������ă�u�NI�$�2(MJ1 �0������j6[I=���#����W���j�H�M d100C��� � H�� endobj <> Behavioral health clinicians, peer support specialists, health care professionals, community agencies interested in supporting behavioral health, consumers and family members will gather to hear about the status of behavioral health in North Dakota and learn from … Provider Manual; Provider Alerts; Provider Newsletter; Provider Representatives; Incident Reporting; FWA Compliance; UPMC Health Plan Behavioral Health Services; Secure Sites. Community Behavioral Health Provider Manual | November 19, 2020 | 7 1. After years of development, eInsight now includes the outcomes measures and assessment tools most commonly used in behavioral health organizations. A portion of these data are reported in this QM Program Summary. A key aspect of engaging stakeholders is providing them with robust and easily understandable information regarding the behavioral health system and its providers. • Behavioral Health Provider Satisfaction ... We are centered on improving performance, building strong leaders, and enhancing organizational effectiveness. 1 0 obj Soldier needs an evaluation (See box A for conditions that warrant CDBHE) Is this an emergency? endobj Accountability a. ... 2013 QM Program Evaluation: Behavioral Health Provider Satisfaction. 0 Through Magellan, we provide a broad, diverse network of experienced behavioral health providers, as well as expert case managers working with AvMed clinical staff to coordinate your patient's care. Value-Based Behavioral Health Care. Behavioral Health Benefits. Designated Behavioral Health Care Practitioner UM/PN 40% Chief Compliance and Operations Officers Com/Ops 15% QAPI = Quality Assurance and Performance Improvement PN = Provider Network UM = Utilization Management IT = Information Technology SWMBH will have appropriate staff to complete QAPI functions as defined in this plan. }���G���xY�����a~1y�"�l�:��x2_S��lUnR��^���3��^|�ـ�*^!� Measure, monitor, and continuously improve performance of behavioral health care in key aspects of clinical and service quality for members, providers, and customers; 7. Data from public health surveillance systems on drug and alcohol abuse are crucial for developing and evaluating interventions to prevent and control such behavior. a Performance Improvement Project for Behavioral Health in Managed Care Based on the Principals on QISMC September 2002 Prepared by: Dow Wieman, Ph.D., H. Stephen Leff, Ph.D. Amy DiRamio, Sarah Witham the Evaluation Center@HSRI Eric Goplerud, Ph.D., Elise Young, MSW Substance Abuse and Mental Health Services Administration x���=kd���o���ܥ�ƽ�KcT�P��6jR��$ l���²`A@�B!�$�-;�H� ��H�j|؃�7ݑf�����A�Fs�ܙm�p��{t �N��o� @k!I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I�$I��_?���_���b#��Ͼ�j��������=�������ы/��(I�$i��1�w��c��F��8��������>��~��$I���m�jJ�;�R���rJ�ߔ/�ec�xM��y�XO��Sb�����2ǟ�z����cN>SR-��^��zjU1�-�O I�$i�ڎA���o&v'u�Y��?�]H1��g畹��b���j���r8�ɨ�&'CI�$I��vJ1��ޟ+| c��Φ�:����w`��O��\a$I�$�O�1(�e:'-���w�dOS��3@�yR��I�$I��vJ�+'\�{����Յ#�;���cK�$IҚdP�&��E�P��=Gc�H�$Iڠ�cP�;(���1����5&.|76����:J�$I���R]qn�1oyG���R�ڠ4Ơ$I�$�a����g�����^݊߼�|U���˃�Az�>�3�M=5����$I�t���Y�_��G?�ӭ�YiU���↳�W�k�[�Ƹ�y~�A�.���I�$I�u��R�"u��|йKlV;�fJ����-�$I�� �J���w1��t�����g/��yϣ)����R�}�U]��3@MJu�],R���r��$I�����Ai��J��q&�S�T�q)wŃ�>C;�L_�a���'%I�$�V�����������Is���qgr�Y)^ЎH�K(ē�{hqq|�����x�*V�V��$I��v�%I�$I̠$I�$I�J�$I��ɠ$I�$I�J�$I��ɠ�=~����'{�����"�7Օ$I�4�Ai#�;:�=���^��*��e��X�Q�$Iڞ�Ԡ��1����ٍ}�������w��j��M���S,x#(I�$mU+�~�ã������t�4}��ۭ��hq�ƶypI�$I���A��?��'���RnxP���USF��}�+i͇;I�$iC�S�R��)#���wN��g=�_�B From our school mental health quality assessment and resource library, to custom reports and a library of free and low-cost screening and assessment measures, SHAPE has the tools teams need to improve school mental health programming and sustainability in schools, districts, and states/territories. <>stream Provider use of behavioral health clinical practice guidelines For 2018, the QM Program identified goals that were successfully met and areas for improvement. h�b```�tfv>~�g`C�&���Ϙ_00�|dJ�;���L����������*M��;3�v<6�}�̴�Ն�, The purpose of the Community Behavioral Health (CBH) IBHS Performance Standards is to establish expectations for high-quality IBHS for children, adolescents, young adults, (hereafter often referred to as “youth”), and their families so that they may achieve success PURPOSE. Effective November 1, 2017, behavioral health functions transitioned from Cenpatico (a subsidiary of Envolve PeopleCare) to Superior HealthPlan. In 2015, more than 27 million people in the United States reported that they currently used illicit drugs or misused prescription drugs, and more than 66 million reported binge drinking during the previous month. The Provider Evaluation of Performance (PEP) Plan details the content of the audit processes that will be utilized during a review so that Providers will have a summary of the requirements which may be utilized to review their own performance and implement change. During surveys of both psychiatric hospitals and behavioral health organizations, issues continue to arise around how the organization is assessing the competence of its clinical staff. �w��w`��6"J �D��C�=�Ӳ��x��\��,�[�e���� Provide an escort for Soldier safety. Applicability: When a Soldier is seen by a medical provider during a PHA event and identified to need further evaluation by a Behavioral Health Provider (BHP). For … 4 0 obj Community Care | Behavioral Health Organization. h�bbd``b`z$g�} ��kq��w$�x������ The medical provider will instruct the Soldier to go to the BH station at that location. DEFINITION Community Support Program (CSP) is an array of services delivered by a community-based mobile staff. is to provide information about military behavioral health technician (BHT) training, competencies, and utilization in the Military Health Credentialing The following Behavioral Health Credentialing forms can be found on Superior's Provider Forms webpage , under the CREDENTIALING section. 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