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Division of Mental Hygiene BUREAU OF SYSTEM STRENGTHENING AND ACCESS

Elise Kohl-Grant Director, Behavioral Health IT ProgramEkohlgrant@health.nyc.gov

Standardized Data Across Home & Community Based Care Settings

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Collaboration of Stakeholders &

Leveraging National Standards to help

Normalize Small Data to make Big Data More Meaningful

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NYS Medicaid Redesign Team Findings

$53 Billion for 5 million Medicaid enrollees

$7 Billion in the mental health system which

serves 600,000 individuals

$1.7 Billion in the substance use disorder system which serves 250,000 individuals

NYS rates 22nd in the country for quality Healthcare

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Behavioral Health Medicaid Reform in NYS

BH Medicaid Reform

Health Homes

Transition FFS to managed

care

Additional services

to the State Plan

Home and

Community Based Services (HCBS)

DSRIP

Home & Community Based

Services (HCBS)

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Live Independently•Psychosocial Rehabilitation •Community Psychiatric Support and Treatment •Habilitation•Non-Medical Transportation

Manage Stress Prevent Crises •Short-Term Crisis Respite•Intensive Crisis Respite

Return to School Find a Job• Education Support Services

• Pre-vocational Services

• Transitional, Intensive, and Ongoing Supported Employment

Help from People Who Have Been There and Other Significant Supporters•Peer Support Services•Family Support and Training

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Advisory Committee

BH Service Participants

BH and Community

OrganizationsManaged Care Plans (MCO) NYC Agencies DSRIP BH PPS Health Homes

Work groups form to consider a particular issue. They include representatives from multiple stakeholder groups. They disband once their work is complete.

Together we can drive effective problem-solving around system impact and improvement

Collaboration of Stakeholders Regional Planning Consortium (RPC)

Monitors the implementation of BH managed care through collaboration, shared understanding and real-time consensus

Workgroups

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NYC - 135 HCBS Orgs

ROS - 185 HCBS Orgs

Behavioral Health IT (BHIT) Grant Program

Assist Adult HCBS Providers to adopt, implement and/or upgrade an Electronic Health Record in order to properly

case document, bill Medicaid and report on HCBS Services

$20 Million to support HCBS Provider Organizations

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HIT Steering Committee

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26%

74%

Leveraging National Standards to Define Program Guidelines

Full service 26%Upgrade 30%

Partial 44%

74% Providers using an ONC EHR

26% Providers that need to Adopt an ONC EHR

NYC HCBS Provider Landscape Assessment

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Making a Bigger Impact on Providers

Change the way we incentivize providers by partnering

with vendors

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Leveraging National Standards to Support HCBS Vendor Qualification

Process

Website: http://fphny.org/whatsnew/rfps

Request For Information

BHIT HCBS Qualified Vendor

ListDevelopment of

HCBS functionality

BHIT Pre- Qualified Vendor

List

Open to all ONC Vendors that meet minimum criteria

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Normalize Small Data to Make Big Data More Meaningful

HCBS Technical Specifications

Standard HCBS data across the HCBS Provider Landscape Forms Data Fields Billing Process Reports

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Quality Improveme

nt• Practice

Improvement• Service Delivery• Social Outcomes

Make Big Data More Meaningful

Improve Quality of Data

Provider EHR User Groups

Standard Data Set across HCBS

Provider Community

Standard Data Fields across

Qualified Vendors

Field Mapping Document to Read

Data across Different Infrastructures

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“Do not wait to strike till the iron is hot.  Make it hot by striking.”

William Butler Yeats