Florida STARSI Diffusion

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FloridaSTAR-SI Diffusion

• Sheila Barbee
• Performance Improvement Director
• Substance Abuse Program

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Background

• The Florida Learning System conceptually launched
  in 2006
• Strengthen client access to and retention
• Increase the efficiency of substance abuse
  services
• Support state strategic initiative
• The State aggressively pursued two grants
• Strengthening Treatment Access and Retention -
  State Implementation (STAR-SI)
• Robert Wood Johnson Advancing Recovery (AR)

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Establishing A Network

• Functions
• Managing Entities
• Peer Mentors
• State

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Managing Entities

• Develop PI Capacity
• Provide Technical Assistance
• Educate Participants
• Disseminate best practices
• Integrate within network and state

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Peer Mentors

• Provide Technical Assistance
• Provider Sites
• State
• Develop Capacity
• Tier approach
• Knowledge
• Experience
• Strengths
• Standardize
• Network

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Strategies to Expand the Number of Treatment
Providers

• Partner with FADAA
• Utilize a Geographic Approach
• Establish Managing Entities as hub
• Engage local state staff

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Develop Peer Mentor Capacity
Access
NEFAN
Develop Peer Mentor Capacity
CFDFL
CFBHN
Develop Peer Mentor Capacity
Florida STAR-SI Participants
SWFAS
SFPC
Develop Peer Mentor Capacity
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Engaging Agencies in Process Improvement

• Education
• Newsletters
• Webinar
• Learning Sessions
• Regional/Managing Entities
• Partnering
• Advancing Recovery
• Mental Health

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State Level Spread Diffusion

• Proposed statutory and rule changes
• Incorporated requirements to increase data
  integrity into Managing Entity Contracts
• Established State Change Teams
• Improve data pamphlet forms
• Data Validation process
• Develop feedback reports to providers

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State Level Spread Diffusion

• Training and Education
• Developing Peer Mentor Capacity
• Examining Provider Incentives
• Utilization of virtual walkthrough (i.e., data
  flow from provider agency to state)

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Data Entry Flow
You must not have entered the data!
This isnt our numbers!
Feedback?
SAMHIS

• Provider
• Upload

Reports Performance Outcomes
Managing Entity
Data change?
Provider Manual
Data change?
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Florida Learning System
Florida Substance Abuse Program
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The Florida Learning System

• Areas of Focus
• Access to services
• Engage clients who leave detox with services
• Assessment
• Screening/Engagement
• Retention

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Where are we going?

• Refine and Target Areas of Focus
• Access establish standards for access
• Detox increase referrals, engage and link
  clients to services
• Assessment evidence-based!
• Screening Initiate engagement activities
• Retention measure engagement and retention

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Where are we going?

• Link and integrate current practices
• Licensure
• Peer Review
• Contracts
• Contract Monitoring

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Where are we going?

• Develop and utilize common practices
• Walkthrough
• Rapid cycle improvements
• Use data
• Team approach
• Communicate lessons learned

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Our Goal

• Establish a statewide system based on performance
  improvement!