Behavioral Health Workgroup (BHW)
Priority 1 (BHW.1)
Develop and Implement Crisis Stabilization Centers
Action Item | Status | When | Note | ||
---|---|---|---|---|---|
1 | Feasibility study for what model | Unknown | Short-term focused on stabilizing illness | ||
2 | Outreach with existing patients | Not Started |
Potential Metrics of Success
- Completion of feasibility study
- Number of outreach interactions
- Number without a hospital admission
- Number that resulted in a M1 hold
- ? cost per patient episode
- ALOS for stabilization
- ? readmissions or multiple visits within 6 months or 12 months
Priority 2 (BHW.2)
Address the increased demand on Emergency Services and justice involved services including education around the M1 hold process.
Action Item | Status | When | Note | ||
---|---|---|---|---|---|
1 | Deliver training to Providers plus train the trainer on the crisis continuum | Unknown | |||
2 | Expand crisis assessment time and space capacity by replicating Life Spans model | Unknown | |||
3 | Expand crisis assessment time and space capacity by replicating Life Spans model Develop and test community paramedic service | Unknown |
Potential Metrics of Success
- # of providers trained
- Average % increase in M1 holds in the Emergency Departments
Priority 3 (BHW.3)
Develop a coordinated entry system for behavioral health needs and placement into the continuum.
Action Item | Status | When | Note | ||
---|---|---|---|---|---|
1 | Map the current services by levels of care (resource) | Not Started | |||
2 | Create visual tool | Not Started | |||
3 | Evaluate GVC expansion | Not Started | |||
4 | Develop risk assessment training for all entry points including front line staff | Not Started |
Potential Metrics of Success
- Average # of days between referral or outreach and behavioral health assessment
- Average # of days between completed assessment and placement into appropriate level of care.
- Volume of people accessing the system (helps with demand forecasting).
- Percent of individuals referred who completed a behavioral health needs assessment.
- Percent of placements that match the recommended level of care from the assessment (e.g., not under- or over-placed).
- Percent of people diverted from higher levels of care (e.g., emergency department, inpatient) into lower acuity services.
- Percent of people placed into different parts of the continuum (e.g., outpatient, IOP, residential) relative to capacity.
- Percent of individuals who are still connected to services or report improvement at 90 days post-placement (GVC?)
Priority 4 (BHW.4)
Streamline and coordinate already existing care coordination and case management services.
Action Item | Status | When | Note | ||
---|---|---|---|---|---|
1 | Identify who is already care coord and CM + RN | Not Started | |||
2 | Identify gaps, specialized services and barriers | Not Started | |||
3 | Define system (i.e. RN, CC, CM) | Not Started | |||
4 | Identify funding opportunities for non-billable sources/services | Not Started |
Potential Metrics of Success
- Potential Metrics of Success:
- Average number of active clients per cm, rn, cc
- Average number of contacts per client per month (calls, visits, texts, etc.).
- Percent of clients referred to community services (e.g., housing, employment, substance use) who successfully engage.
- Number of crisis events (e.g., emergency department visits, psychiatric hospitalizations) per client per 6 or 12 months.
- Average # of days from referral to first behavioral health appointment.
stratified by risk level or service type?
Priority 5 (BHW.5)
Improve Communication and Data Sharing Across Agencies (ie Create a shared data tracking system for crisis cases).
Action Item | Status | When | Note | ||
---|---|---|---|---|---|
1 | Combine with MCCUH data group | In Progress | 5/9/2024 | Approved at meeting 4/11/25. | |
2 | Mapping the gaps between baseline/prevention/crisis | In Progress | 5/31/2024 | ||
3 | Identify who else needs to be included in the data group and the systems they currently use | In Progress | 5/31/2024 | ||
4 | Identify who else needs to be included in the data group and the systems they currently use | In Progress | 5/31/2024 |
Potential Metrics of Success
- Success metrics provided for 5 other workgroups,
- Number of data sharing gaps closed,
- Number of agencies that are tracking consistent (the same) data,
- Number of agencies actively sharing data with Mesa County Public Health