Overview of Updates/Changes to Continuity of Care Agreement

1
Overview of Updates/Changes to Continuity of Care
Agreement

• April, 2006

2
Goals of Revisions to the COCA

• Adopt a people first language approach.
• Consolidate two existing documents (standard
  /CHIPS versions) into one.
• Update the agreement to reflect reality that much
  of the inpatient/outpatient activity is moving to
  sites other than the state operated hospitals
  (SOHs).

3
Some Examples of Changes Made

• New definitions section added which introduces
  State Funded Inpatient Psychiatric Services or
  SFIPS a term inclusive of both inpatient
  psychiatric services at an SOH or services
  purchased at a private hospital via CHIPS or EPS.
  
• Signature page now allows COCA to be used in two
  ways
• Agreement between the Region Office and an
  individual community provider or,
• Agreement between the Region Office and an
  individual SFIPS (SOH, CHIPS, or EPS hospital).

4
Examples of Changes (Continued)

• Language added to strengthen the collaboration
  between Pre-Screener, community providers, and
  all SFIPS sites
• Firm appointments by community Pre-Screeners
• Appointment protocol for Pre-Screeners/community
  providers
• Documentation of connection to provider
• Asks all SFIPS sites to include community
  provider in the treatment/discharge planning
  process

5
Process for Development of the Revised COCA

1. August November, 2005 DMH Executive Staff
   posts draft COCA to web interested stakeholders
   assist in process of incorporating public
   comment.
2. November, 2005 January, 2006 - DMH approves
   revised document, posts to web and observes a
   suggested one month waiting period.
3. February 2006 present - Decision to roll-out
   the new COCA with the fiscal year 2007 contract
   is formulated and approved by DMH Executive Staff.

6
Executing the COCA

• Division letter from Director Jones sent in
  conjunction with FY07 contract mailing will
  alert providers that Region Offices will send
  instructions on how to complete and submit the
  new COCA.
• Providers submit signed COCA to Region Office by
  June 15, 2006.
• Region Director will sign the agreement, keep
  original on file, and return a signed copy to the
  provider by June 30, 2006.
• New COCA becomes effective July 1, 2006.

7
COCA Problem Resolution and Feedback

• The new agreement has a place for the provider to
  indicate the person designated to handle problem
  resolution matters.
• Local matters, such as issues between a community
  provider and a local CHIPS or EPS hospital, can
  be referred to the Region Office.
• Suggestions for future state level changes, or
  general comments and feedback about the new COCA
  can be sent to Dan Wasmer at DHSMHKW_at_dhs.state.il.
  us.