SAMHSA Standard Title Slide

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SAMHSA Standard Title Slide
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Improving Access and Quality Care

• John OBrien
• Senior Advisor on Healthcare Financing

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Avoid Information Overload
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• Be careful about reading health booksyou may
  die of a misprintMark Twain

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Why Are We Here?

• We have a specific problem that needs to be
  addressed
• We have tools to help you address the problem
• Need some smart people like yourself with
  expertise in
• Policy
• Financing
• Program/Content
• Execution

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We Understand the Context

• Shrinking revenuesdifficult budget times
• Heightened concerns about 2014
• Information and Work Overload
• New guidance
• New initiatives
• Pressures from stakeholders
• Time pressures

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How Are The Days Structured?

• Provide some information that may help shape
  strategies
• Business Case
• State example
• Models
• Feedback from session plannerskeep it more
  interactive
• Specific topics
• Input from attendees

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What Are The Goals?

• UltimatelyDevelop a workable strategy to address
  individuals with health conditions and MH/SUD
• Better understand how our federal initiatives can
  support your work
• Start or continue conversation
• Better inform us so we can better help you

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What Are The Real Goals?

• What Do We Want You To Do After This Meeting
• Get busy with a 2703 Strategy with your partners
  in this room (and others)
• Decide 2703 is nice, but not sufficient
• Nothingbad timing, too hard

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What Are The Parameters?

• Remain Focused on the Issue
• Be Patientwe each have different sides of the
  elephant
• Check the Baggagestay clear of Issues that
  arent quite on topic
• Other coverage issues
• Reimbursement rates
• Procurements

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Other Major Drivers

• Primary Care and Specialty CoordinationWhy All
  the Fuss?
• 20 of Medicare and Medicaid patients are
  readmitted within 30 days after a hospital
  discharge
• Lack of coordination in handoffs from hospital
  is a particular problem
• More than half of these readmitted patients have
  not seen their physician between discharge and
  readmission
• Most FQHCs and BH Providers dont have a
  relationship

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So Whats The Response

• Health Homesstart with folks that have a variety
  of chronic conditions
• Accountable Care Organizationsstart with
  Medicare population
• Patient Safety Initiativereward hospitals and
  other facilities for fewer incidents
• Quality Measuresfocus on identifying people who
  are at risk of certain conditions

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Thanks To

• BH Technical Assistance Group
• Centers for Medicare and Medicaid Services
• Health Resources Services Administration
• Center for Health Care Strategies