2013-14 Learning Community

Addiction Treatment Providers, Health Homes, and Integration with Primary Care: Preparing for the Future

APPLICATION

Applications Due by September 18, 2013

Submit applications electronically to:

Daisy Wheeler

Addiction Treatment Providers, Health Homes, and

Integration with Primary Care: Preparing for the Future

Passage of mental health and addiction parity and new health home provisions in the Affordable Care Act have generated unprecedented opportunities for addiction treatment providers by creating great changes in service delivery. For addiction treatment providers, this leaves many questions unanswered: What does addictions-primary care integration look like? Can an addiction treatment agency be a health home? Can integration with primary care support recovery? How do I start integration discussions in my community? Can my agency integrate with primary care without losing its “addiction treatment provider” identity?

The National Council for Behavioral Health’s 2013-2014 Addiction Treatment Providers, Health Homes, and Integration with Primary Care: Preparing for the Future learning community will prepare addiction treatment providers for integration implementation. For a full year, participants will have ongoing access to bidirectional integration experts and nationally known learning community facilitators, ensuring they learn the foremost integration strategies and models, including Screening, Brief Intervention, and Referral to Treatment (SBIRT) and Medication Assisted Treatment/Recovery (MAT/R). With this expert guidance, participants will develop action and implementation plans, which assure a solid return on investment by way of actual organizational change and improved service delivery.

Staff from up to 15 provider organizations will comprise the learning community. These participants will work within the learning community to fully understand three core areas:

The role of addiction services and addiction treatment providers in primary care practices and health homes.
Implications and opportunities for addiction treatment providers to expand use of proven medications for recovery/treatment, SBIRT, and other emerging practices.
Linking service utilization and finance data to determine cost per unit of service and cost per outcome.

The participants will also identify new service opportunities; learn collaborative treatment planning and service delivery skills; expand their organizational capacity to use data to inform and improve care; understand population management strategies; and embed continuous quality improvement programs into their organizations.

Goals and Objectives

Learning community participants will:

· Increase their organizational knowledge and skills in bidirectional integration; partnering with primary care; implementing SBIRT and MAT/R; and costing services and service utilization.

· Complete at least one project that prepares them for healthcare changes in their community.

· Create action plans for at least two other projects for implementation by the end of the yearlong learning community.

Faculty

Experienced addiction treatment professionals, Joan K. King, RN, MSN, CNS, our Integrated Health Senior Consultant, and Aaron Williams, MPH, Director of Training/Technical Assistance/Substance Abuse/CHIS, from the National Council will facilitate the learning community. In addition, five national experts will bring experience in addiction and primary care integration:

Kathleen Reynolds, LMSW, ACSW, Vice President Health Integration and Wellness Promotion, is a renowned expert in bidirectional integration and brings extensive knowledge of the addiction treatment provider’s role in primary care practices and health homes.

Les Sperling serves as the Chief Executive Officer of the Central Kansas Foundation. The Foundation provides a full continuum of substance abuse prevention and treatment services to residents of Saline County and five locations throughout Kansas. He has 28 years of experience in the substance use disorder field and has owned and operated two treatment centers prior to coming to the Central Kansas Foundation.

Mady Chalk, PhD, is an expert in the use of medication in addiction treatment. A national recognized expert, Dr. Chalk brings extensive content knowledge of medication assisted treatment/recovery (MAT/R) to the learning community.

Richard Brown, MD, MPH is a University of Wisconsin, Department of Family Medicine professor. Dr. Brown's research interests involve use of innovative technologies and clinical systems to deliver substance abuse prevention and intervention services. He teaches about substance abuse screening and intervention and related topics in several health professional schools and programs at UW-Madison.

Becky Vaughn, M.S. Ed., the Chief Executive Officer of State Associations of Addiction Services, has been working in the addictions field for over 25 years. She was a member of the founding board of The Georgia Association for the Prevention and Treatment of Substance Abuse (GAPTSA) in 1992 and became their first Executive Director in 1994. In July of 2000 GAPTSA merged with an Atlanta coalition creating The Georgia Council on Substance Abuse where she served as President and CEO until 2007. Her work continued there as an advocate at the Legislature and catalyst in the community on issues related to prevention, treatment, recovery, homelessness and drug courts with the goal of reducing the impact of substance abuse on GA communities.

Criteria for Participation

· Participants must be licensed or certified addiction treatment providers in their state.

· At least 50% of the organization’s (or program’s) clients must have an addiction as their primary behavioral health diagnosis.

Organizational Commitments

· Organization must submit a completed application by September 18, 2013.

· Organization must submit a non-refundable payment of $7,500 within 14 days of notification of selection.

· Organization must participate in a pre-learning community conference call.

· Organization must participate in all six instructional webinars.

· Organization must complete a work plan in each of the three areas of focus and implement one of them while participating in the learning community.

· Organization must participate in monthly coaching calls with the facilitator(s).

· Organization’s CEOs must participate in the first instructional webinar.

· Organization must commit a two-three person team for:

o A pre-session conference call.

o An in-person kick-off meeting in late October.

o A face-to-face wrap-up meeting in Fall 2014.

o Six bimonthly instructional webinars.

o Monthly coaching calls with each participating organization to develop work plans and work through implementation.

o Information sharing in affinity groups based on project types.

o Completion of all learning community requirements.

Performance Monitoring

The National Council requires all participants to develop and implement one project during the learning community. This will include identifying core outcomes measures, collecting data on those measures, and submitting the project’s results at the in-person wrap-up meeting. To support achievement of participating organizations’ determined outcomes, learning community faculty will provide resources and routinely review participants’ implementation plans and action plans.

Organization Name
Address
Telephone
CEO Name
E-mail Address
Medical Director Name
E-Mail Address
What was the size of your organization in 2012? / Total Budget / Total FTEs
What is your organizational structure? / Private Non-Profit Agency / Public Non-Profit County Agency / State Agency / Other (describe)
Program Type / Residential / Outpatient / Methadone/Opioid Treatment Program / Mixed Type
Which most closely describes your geographic location? / Rural / Frontier / Urban / Suburban / Other
How many visits/encounters did your agency provide in 2012? / Number
How many unduplicated clients did your agency serve in 2012? / Number

Describe how learning community participation fits into your overall organizational strategic direction.

Describe any of your existing integrated health services or plans.

Describe your existing medication assisted treatment services.

Describe your current needs and concerns around data.

Describe any other significant information about your organization.

Organizational Commitments

Please identify your team and attach CVs for each member.

We have identified the following individuals as our project team: / Role / Title / Phone / E-mail
1.
2.
3.
These two-three individuals commit to: / Yes / No
Participate in pre-session conference call
Pay $7,500 within 14 days of acceptance into learning community
Attend six instructional webinars
Participate in monthly coaching calls
Attend two face-to-face meetings
Complete three work plans and implement one during the course of the learning community
Participate on learning community listserv

By submitting this application, we commit to providing organizational leadership and support for our team in completion of the project.

______

CEO Date

______

Organization