CSAT Strategic Planning Conference

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CHANGE IS ON ITS WAY Dont know what it will look
like
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CSAT Strategic Planning For Providers to Improve
Business PracticesArlington, October 21-23, 2009
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NJ DelegationProviders James Curtin Glenn
Duncan Luis R. Nieves Alan Oberman Kristina
Raymond Shelly SchefflerDivision of Addiction
Services Raquel Mazon Jeffers Lew Borselino
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Time For Change We Need To Prepare
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TIME
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Every Modality of Substance Abuse Treatment Will
Change Because
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The Evolving LandscapeAlan ObermanExecutive
DirectorJohn Brooks Recovery Center
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The economic climateTechnological advances
EHR, InteroperabilityResults-oriented
evaluation and funding
Change Drivers
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Change Drivers (cont.)

• Expanded pay systems
• Best practices
• for treatment
• for solvency
• Healthcare reform

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Change Drivers (cont.)

• New funding alternatives Linkages long term
  residential, halfway houses
• Fee for Service will expand
• Interwoven with EHR
• Integration of Medical, Clinical, Fiscal

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Change Reasons (cont.)

• Value proposition Do More With Less
• Leverage and Interoperate Technology
• Stigma remains
• Educate holdouts within treatment community
  regarding MAT

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Change Reasons (cont.)

• Broader acceptance of psychoactive medication in
  treatment settings in general

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Survival will depend on your application of
business principles and practices

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Integrating Business PracticesLuis R. Nieves,
MBA, Psy.D., ABPPExecutive DirectorNew Horizon
Treatment Services, Inc.
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Key Business Principles

• Effective use of scarce resources
• Change in funding options and sources.

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Basic Management Issues

• Financial management
• Staffing- work force
• Service requirements
• Evidence-based practices
• Continuity of care
• Recovery-Oriented Systems of Care (ROSC)

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Treatment Assumptions

• Clients need more than any one system can
  provide
• Expect/plan for integration with medical and
  other services
• Imagine broader qualification for substance
  abuse treatment

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Treatment Assumptions (cont.)

• More has to be done for clients- broader, longer
• More people need treatment than are receiving
  treatment
• Envision greater outreach, more robust linkages
  across modalities, with greater transparency and
  fewer barriers

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Finally Our models of treatment must expand to
reach more people
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Health Reform

• Health reform defines parity between SA, Mental
  Health
• Join healthcare networks
• Business Plan co-located with Strategic Plan in
  leadership landscape.

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Suggested Strategies

• Provider networks
• Embrace healthcare reform
• Integrate technology
• Innovate
• Use ROSC

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State-Level Strategies
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What to Expect At The State Level

• New contracting
• Pay for Performance
• New customers
• New providers
• Expanded services
• Addl. Serv. Sites
• New business models

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Tom McLellans suggestions

• Expand your market
• Shift model cure chronic
• More services to more people
• Integrate w/mainstream
• Align w/primary care
• SBIRT Model Screening-Brief Intervention-Referral
  Treatment

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McLellan Suggests (cont.)

• Early intervention
• Specialized care for offenders
• Longer term treatment
• Teach self-management
• Recovery Support Services
• Align w/Corrections

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Data Driven

• Treatment
• Business
• Marketing
• Financials
• Performance

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Growth
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In ConclusionJames Curtin,MBASenior
VP/Executive DirectorDaytop New Jersey
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Key Concepts

• Healthcare reform
• Electronic Health records (technology)
• Business practices
• Network Models
• Evidence Based Practice
• Performance Improvement models

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Thats The Beginning.! Thank You!