john talbot, ph.d., executive vice president, open minds ...12 1. develop vision of future compet...
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John Talbot, Ph.D., Executive Vice President, OPEN MINDSSeptember 29, 2012, 2:30 pm — 4:00 pm
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• The Link Between Strategy & New Service Lines
• New Technologies Fueling New Service Line Development
• Emerging New Service Opportunities
2OPEN MINDS © 2012. All rights reserved.
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Strategy, New Service Lines & Technology
3OPEN MINDS © 2012. All rights reserved.
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Environment Drives
Strategy
Strategy Drives
Organizational Structure
Operating Systems Support
Organizational StructureTo paraphrase Peter Drucker. . .
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Ability to monitor brain functionality
and changes
Changing theory of brain development
and maturity – longer and later
Identification of genetic and epigenetic factors in
behavioral and cognitive disability
Better understanding of brain chemistry
Discovery of possibility of brain cell regeneration
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Emerging Developments in
Neuroscience
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New Functionality In New Functionality In Telecommunications
Telehealth
Telecare & Assistive
Technologyehealth
Smart home Technology
Tech-assisted cognitive retraining
Companion robots
Remote monitoring
systems
Remote vital sign sensors
Wearable wireless devices
mhealth
Smartphone applications
Text message
alerts
Telehealth
Real-time consultation
Remote audio/video
therapy
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BioconnectivitySingle Real-Time Clinical, Admin, &
Cost Data Set
EMRs & EMR Data (NHIN of the future)
Clinical Metrics From
Telehealth
Connection of & Access To All Data Sets
Health Systems
Connection of & Access To All Data Sets Via Web Tools -- For Consumers,
Professionals, Health Systems
Clinical Data From
New Diagnostics
& Neurotech
New Health Data Systems & Informatics
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Electronic health recordkeeping systems
Computer-assisted treatment planning and clinical expert systems
Predictive clinical analytics
Remote monitoring and smart homes
Web-based consumer interaction and consumer
self-management
Telehealth, virtual and alternate reality
technologies, and web-based treatment
management
Neurotech devices and computer-based
cognitive retraining tools
New pharmacological delivery systems - smart drug delivery systems: patches,
injectibles, microchips, etc.
New diagnostics – scans, biologic testing, web-
based assessments, etc.
Integrated performance metrics monitoring – clinical, HR, financial, marketing
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Synergistic Environmental Factors In
Current Market Emerging
Developments in Neuroscience
New Health Data Systems & Informatics
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New Functionality In Telecommunications
Move to Risk-Based & Performance-Based
Reimbursement
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Complexity of diagnosis and
treatment
Time
Performance that consumers want or need
Disruptive innovation brings crisis to established institutions that cannot adopt
their business model
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• Previous relationships with payer changing◦ Role of mission-based,
tax-exempt organizations evolving
• More competition• Technological
substitution reducing price point on rates
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“Specialist” organizations need strategic repositioning to maintain competitive advantage
“To win, create what is scarce”
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12
1. Develop vision of future competitive advantage and market positioning
2. Scenario-based strategic plan incorporating alternate future positioning options
3. Detailed plans – marketing, financial, operational, capital, HR, etc. – to implement strategy and future vision
4. Key performance metrics and metrics-based management to track strategy implementation (and allow mid-course adjustments)
5. Optimization of current operations to keep current programs as competitive (and profitable) as possible as long as possible
6. New service model development to support future vision
7. Collaborations as needed to facilitate new market vision
Making New Models A Sustainable Reality Takes New Management Practices & Management Discipline
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For each strategy and service line, assess how technology adoption can:• Increase customer
preference• Reduce costs
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Sustainable business models rarely possible without deploying new technologies
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What Are New Technologies Fueling Innovative Service Development?
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• Diagnoses• Early detection• Predict and monitor the
effectiveness of medications
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Vagus Nerve Stimulation Device Transcranial Magnetic StimulationDeep Brain Stimulation
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Full Immersion VR “Cave” VR
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21OPEN MINDS © 2012. All rights reserved.
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22OPEN MINDS © 2012. All rights reserved.
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23OPEN MINDS © 2012. All rights reserved.
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24OPEN MINDS © 2012. All rights reserved.
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25OPEN MINDS © 2012. All rights reserved.
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26OPEN MINDS © 2012. All rights reserved.
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27OPEN MINDS © 2012. All rights reserved.
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28OPEN MINDS © 2012. All rights reserved.
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29OPEN MINDS © 2012. All rights reserved.
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30OPEN MINDS © 2012. All rights reserved.
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31OPEN MINDS © 2012. All rights reserved.
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32OPEN MINDS © 2012. All rights reserved.
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PERS Plus System Basic System Butler System
OPEN MINDS © 2012. All rights reserved.33
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34OPEN MINDS © 2012. All rights reserved.
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What Are The Emerging New Service Opportunities?
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1. Center of excellence/destination services2. One-stop shop/convenience services3. Mobile, community-based, and home-
based services4. Remote and e-health services5. Health and social service system
management services
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1. Specialized mental health and addiction treatment centers
2. Diagnostics centers for intellectual and mental disorders and disabilities
3. Specialized treatment programs for TBI or other brain injury
4. Schools focused on learning needs of individuals with disabilities
5. Specialized “camp” experiences for children6. Cognitive improvement centers
38OPEN MINDS © 2012. All rights reserved.
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Category #1: Centers of Excellence & Destination Services
#1. Specialized Mental Health & Addiction Treatment Centers
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40OPEN MINDS © 2012. All rights reserved.
Category #1: Centers of Excellence & Destination Services
Hazelden: Center Of Excellence (Addiction Treatment)
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41OPEN MINDS © 2012. All rights reserved.
Sierra Tucson: Center Of Excellence (Addiction Treatment)
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42OPEN MINDS © 2012. All rights reserved.
Autism Ahead: Center Of Excellence (Autism)
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Advanced TMS Clinics: Center Of Excellence (TMS)
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Amen Clinics: Center Of Excellence (Brain Health)
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45OPEN MINDS © 2012. All rights reserved.
Cottages on Mountain Creek: Destination Services (Serious Mental
Illness)
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46OPEN MINDS © 2012. All rights reserved.
Boys Town National Research Hospital: Destination Services
(Pediatrics)
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Category #1: Centers of Excellence & Destination Services
#2. Diagnostics Centers for Intellectual & Mental Disorders & Disabilities
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48OPEN MINDS © 2012. All rights reserved.
Mind Matters Clinic : Diagnostics
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49OPEN MINDS © 2012. All rights reserved.
United Neuro Diagnotic Services : Diagnostics
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Category #1: Centers of Excellence & Destination Services
#3. Specialty Programs For Brain Injury
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51OPEN MINDS © 2012. All rights reserved.
ResCare: Brain Injury
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52OPEN MINDS © 2012. All rights reserved.
Craig Hospital: Brain Injury
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53OPEN MINDS © 2012. All rights reserved.
Spaulding Rehabilitation Network: Brain Injury
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54OPEN MINDS © 2012. All rights reserved.
Centre For Neuro Skills: Brain Injury
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55OPEN MINDS © 2012. All rights reserved.
Kessler Institute for Rehabilitation: Brain Injury
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56OPEN MINDS © 2012. All rights reserved.
NYU Langone Medical Center: Brain Injury
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Category #1: Centers of Excellence & Destination Services
#4. Schools For Consumers With Specific Disorders & Disabilities
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58OPEN MINDS © 2012. All rights reserved.
The Help Group: Schools
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59OPEN MINDS © 2012. All rights reserved.
ResCare: Schools
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Category #1: Centers of Excellence & Destination Services
#5. Specialized “Camp” Experiences For Children
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61OPEN MINDS © 2012. All rights reserved.
LeBonheur Children’s Hospital: Camps
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62OPEN MINDS © 2012. All rights reserved.
Merrimack Hall Performing Center: Camps
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63OPEN MINDS © 2012. All rights reserved.
ASAP: Camps
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64OPEN MINDS © 2012. All rights reserved.
Adam’s Camp: Camps
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65OPEN MINDS © 2012. All rights reserved.
Fowler Center: Camp
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66
Category #1: Centers of Excellence & Destination Services
#6. Cognitive Training & Rehabilitation Centers
OPEN MINDS © 2012. All rights reserved.
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67OPEN MINDS © 2012. All rights reserved.
Mind Spa: Cognitive Training
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68OPEN MINDS © 2012. All rights reserved.
Sparks of Genius: Cognitive Training
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69OPEN MINDS © 2012. All rights reserved.
VibrantBrains: Cognitive Training
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70OPEN MINDS © 2012. All rights reserved.
My Ray: Cognitive Training
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OPEN MINDS © 2012. All rights reserved.71
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1. Services imbedded in retail centers2. Services imbedded in health spas3. Services in primary care locations
72OPEN MINDS © 2012. All rights reserved.
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73
Category #2. One-Stop Shop
Or Convenience Services
#1. Services Imbedded In
Retail Centers
OPEN MINDS © 2012. All rights reserved.
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74OPEN MINDS © 2012. All rights reserved.
NowClinic: Imbedded in Retail
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75OPEN MINDS © 2012. All rights reserved.
2. One-Stop Shop Or Convenience Sminuteclinic: Imbedded in Retail
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76
Category #2. One-Stop Shop
Or Convenience Services #2.
Specialty Services
Imbedded in Spa Locations
OPEN MINDS © 2012. All rights reserved.
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77OPEN MINDS © 2012. All rights reserved.
TurningLeaf: Imbedded in Spa
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78OPEN MINDS © 2012. All rights reserved.
The Chopra Center: Imbedded in Spa
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79
#3. Specialty Services
Imbedded In Primary Care
Locations
OPEN MINDS © 2012. All rights reserved.
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80OPEN MINDS © 2012. All rights reserved.
Mind Matters Clinic : Diagnostics
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OPEN MINDS © 2012. All rights reserved.81
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1. Remote support and monitoring services for consumers with disabilities
2. “Aging in place” support services for older individuals
3. In-home health care and mental health care services
4. In-home tutoring services5. Sober companion support services
82OPEN MINDS © 2012. All rights reserved.
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83
Category #3. Mobile,
Community-Based, & Home-Based Services#1. Remote Monitoring/ Supports for
Consumers With Disabilities
OPEN MINDS © 2012. All rights reserved.
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84OPEN MINDS © 2012. All rights reserved.
Res Care: Remote Monitoring
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85
• Remote caregiver◦ Telecams◦ Sensors◦ Two-way
audio
• On-call first responder
OPEN MINDS © 2012. All rights reserved.
Res Care: Remote Monitoring
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86OPEN MINDS © 2012. All rights reserved.
Mind Matters Clinic : Diagnostics
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87OPEN MINDS © 2012. All rights reserved.
SmartHome: Remote Monitor
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88
Category #3. Mobile,
Community-Based, &
Home-Based Services
#2. “Aging In Place” Support
Services
OPEN MINDS © 2012. All rights reserved.
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89OPEN MINDS © 2012. All rights reserved.
Ecumen: “Aging In Place”
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90OPEN MINDS © 2012. All rights reserved.
QuietCare: “Aging In Place”
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91OPEN MINDS © 2012. All rights reserved.
Intel-GE: “Aging In Place”
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92
Category #3. Mobile,
Community-Based, &
Home-Based Services
#3. In-Home Clinical Services
OPEN MINDS © 2012. All rights reserved.
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93OPEN MINDS © 2012. All rights reserved.
In Home Health Services : In Home Clinical services
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94
Category #3. Mobile,
Community-Based, &
Home-Based Services
#4. In-Home Tutoring & Learning
Assistance
OPEN MINDS © 2012. All rights reserved.
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95OPEN MINDS © 2012. All rights reserved.
Mind Matters Clinic : Diagnostics
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96
Category #3. Mobile,
Community-Based, &
Home-Based Services
#5. Sober Companion &
Recovery Support
ProgramsOPEN MINDS © 2012. All rights reserved.
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97OPEN MINDS © 2012. All rights reserved.
HiredPower: Recovery Support
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98OPEN MINDS © 2012. All rights reserved.
Sober Companions: Recovery Support
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OPEN MINDS © 2012. All rights reserved.99
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1. On-line and telephonic mental health counseling
2. Telepsychiatry consultation3. On-line second opinions and expert
consultation4. Virtual reality5. Smartphone applications
100OPEN MINDS © 2012. All rights reserved.
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101
Category #4. Remote & E-
Health Services#1. Telephonic/
On-Line Counseling
Services
OPEN MINDS © 2012. All rights reserved.
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102OPEN MINDS © 2012. All rights reserved.
Caring Therapy: On-line Counseling
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103OPEN MINDS © 2012. All rights reserved.
LIVEPERSON: On-line Counseling
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104OPEN MINDS © 2012. All rights reserved.
Ask The Internet Therapist: On-line Counseling
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105OPEN MINDS © 2012. All rights reserved.
Breakthrough: On-line Counseling
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106OPEN MINDS © 2012. All rights reserved.
Complete Counseling Solutions: On-line Counseling
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107OPEN MINDS © 2012. All rights reserved.
Cope Today: On-line Counseling
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108OPEN MINDS © 2012. All rights reserved.
E Mental Health Center: On-line Counseling
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109OPEN MINDS © 2012. All rights reserved.
eTherapist: On-line Counseling
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110OPEN MINDS © 2012. All rights reserved.
Barton Associates: On-line Counseling
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111OPEN MINDS © 2012. All rights reserved.
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1. Behavioral health benefit management (carve-out programs)
2. Management of IDD support benefits3. Chronic disease management programs4. Management of government-funded child
care services5. Management of mental health courts and
drug courts6. Disability management services7. Organizational crisis management services
112OPEN MINDS © 2012. All rights reserved.
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113
Category #5. Health & Social Service System Management
Services#1. Behavioral Health Benefit Management
Programs
OPEN MINDS © 2012. All rights reserved.
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114OPEN MINDS © 2012. All rights reserved.
Magellan: Behavioral Health Benefit Management
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115
Category #5. Health & Social Service System Management
Services#2. IDD/Autism
Benefit Management
Programs
OPEN MINDS © 2012. All rights reserved.
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116OPEN MINDS © 2012. All rights reserved.
Magellan: Autism Benefit Management
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117
Category #5. Health & Social Service System Management
Services#3. Specialty
Disease Management
Programs
OPEN MINDS © 2012. All rights reserved.
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118OPEN MINDS © 2012. All rights reserved.
CompCare: Substance Abuse Disease Management
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119OPEN MINDS © 2012. All rights reserved.
Magellan: Obesity & Behavioral Health Disease Management
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120
Category #5. Health & Social Service System Management
Service#4. Management Of Government-
Funded Child Care Programs
OPEN MINDS © 2012. All rights reserved.
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121OPEN MINDS © 2012. All rights reserved.
ResCare: Management of Children’s Services
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122
Category #5. Health & Social Service System Management
Service#5. Management
Of Specialty Court Services
OPEN MINDS © 2012. All rights reserved.
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123OPEN MINDS © 2012. All rights reserved.
Providence Service Corporation: Drug Court
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124
Category #5. Health & Social Service System Management
Service#6. Disability Management
Services
OPEN MINDS © 2012. All rights reserved.
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125OPEN MINDS © 2012. All rights reserved.
Cascade Disability Management, Inc : Disability Management
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126
Category #5. Health & Social Service System Management
Service#7. Crisis/
Disaster Response Programs
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ComPsych: Crisis Services
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Caron & Hanley: Merger
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Meridian: Merger With Health Clinics
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Prism: Collaboration with Mental and Primary Care
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