Multiple sites services to DD Substance Abuse populations
No child psychiatry available within the region
HRSA grant to develop the technical capacity and clinical service and to ensure its sustainability
Gaining board of directors support
Required building the talent within IT department
Convincing clinical staff that it could work
Assuring financial staff that it would not inflate expenses
3 Process for engaging State partners
NH is a laboratory environment (geographic and population)
With the award notified potential partners and launched a good will tour.
Good Will Tour to outline the process discuss the value offer to be a resource for other CMHC ask for their help in achieving sustainability
Tour included Bureau of Behavioral Health Commissioner of the Department of Health Human Services UNH (Health Management and Policy Institute) Dartmouth Medical Center the Department of Psychiatry other NH CMHC who was attempting to initiate tele-health
Outlined a role for each of the potential players and key contact person
Provided brief updates as we progressed through the project.
Once the technical challenges were achieved and with a clinical partner engaged in an intensive reimbursement planning effort with the Bureau of Behavioral Health (MH is carved out to BBH in NH)
BBH agreed to a pilot for one year
4 Successes Challenges
BBH required to assure the new service codes would be budget neutral
High visibility. Tracking via a modifier code on the bill satisfaction/outcomes.
No change was required to the State Plan (different delivery vehicle)
Other interested parties wanting to join the pilot.
Pressure to accelerate and expand (both internal external)
BBH Commissioners office outstanding partners as they view this as a portable model that will enhance services
5 Outcome of the partnership
We share the failures as well as the successes (commitment testimony)
Viewed as a partner to assist with other transformative issues.
Builds expectations that are not always achieved (electronic supervision)
Use of the technology grants permission to conduct other business (eligibility reviews etc.)
Establishes a platform for other innovation.
6 How do you maintain the relationship
We are the contracted entity for our region
Built in review of progress and problems re the tele-health project with BBH
Semi-annual meeting with the Commissioner BBH on the project
7 Lessons Learned
More extensive research on what is in place earlier. UNH was helpful in retrieving this information
Building in local grassroots support (other healthcare providers and legislators etc.) to get to the next level of other third party reimbursement
Let the staff become familiar with the equipment and the process (educate and control)
Engage billing and A/R staff early on
8 Resources Tools
Build the case for the value added
Share the data/information (proposal and the process)
Face to face initial meetings
Support from the top (Board Medical Director and CEO)
9 Current Future
Bringing down the cost of transmission
Negotiating a longer term relationship with Dartmouth (provider)
Partnership with BBH UNH to pursue legislation to require other third party reimbursement
Explore other clinical uses for the equipment (internal external)
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