National Council Accomplishments


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Linda Rosenberg outlines the recent policy accomplishments and the dedication of the the National Council to mental health community providers

Published in: Health & Medicine
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National Council Accomplishments

  1. 1. The National Council ―The most effective way to cope with change is to help create it‖ L.W. Lynett
  2. 2. Not for profit advocacy and education association committed to the delivery of behavioral health services of the highest quality that promote recovery and full social inclusion
  3. 3. Lobbying > US Chamber of Commerce $52,750,000 > General Electric $23,660,000 > Pharmaceutical Research & Mfrs of America $22,733,400 > American Medical Assn $22,132,000 > American Hospital Assn $19,734,545 > AARP $19,540,000
  4. 4. “Must Haves” > Broad and engaged membership > Effective communications - actionable information > Reputation for quality practices > Strategic alliances > Assertive public policy agenda
  5. 5. Membership Growth
  6. 6. Member Engagement Data Collected > Annual Conference > National Council Call for Papers Webinars > Awards of Excellence > Mental Health First Aid > CapWiz > Access & Retention > Hill Day Primary Care > International Collaborative Exchange (08-09) > Primary Care Learning > Job Bank Communities > Bookstore Sales > Psychiatric Leadership Program > National Council Magazine > Transition-Age Youth
  7. 7. Summary of 2010 Member Engagement > 1,720 members > 76% have participated in at least one activity; 67% in 2009 > 27% involved in fifteen or more activities/programs; 14% involved in 20 or more > 24% (410) not involved
  8. 8. Highly Engaged Members > Colorado West (Glenwood Springs, CO) > Meridian Behavioral Healthcare (Gainesville, FL) > NHS Human Services (Lafayette Hill, PA) > Rushford Center, Inc. (Meriden, CT) > Mental Health Center of Denver (Denver, CO) > Oakland County Community MH (Auburn Hills, MI) > Centerstone (Nashville, TN) > The Center for Health Care Services (San Antonio, TX) > Heritage Behavioral Health (Decatur, IL) > Mental Health Center of Boulder and Broomfield Counties (Boulder, CO)
  9. 9. Response to Action Alerts
  10. 10. Actionable Information > Public Policy Update and Alerts > National Council Magazine > Technical Assistance Newsletter > Addictions/Co-occurring Newsletter > Compliance Watch > Journal of Behavioral Health Services & Research > Online Learning – Essential Learning > Web site and communities, blogging, and tweeting > Webinars – 1400 for ―Understanding Anxiety‖;604 ―Contracting with VA‖ 414 ―Accountable Care‖
  11. 11.
  12. 12. Compliance Watch Newsletter > Quality & compliance best practices > Regulatory changes > Enforcement and oversight updates > Annual subscription
  13. 13. 41st National Mental Health and Addictions Conference & Expo May 2-4, 2011, San Diego, CA San Diego: There’s no better place to be! 202.684.7457
  14. 14. Quality Practice Initiatives > Health Promotion - Mental Health First Aid > Healthcare Homes - Healthcare Collaborative/Learning Communities > Leadership - Psychiatric Leadership Project; CEO U; MMA; Emerging Leaders and Health Disparities > Capacity - Access and Retention Initiatives
  15. 15. Health Promotion: Mental Health First Aid USA > 6,500+ Mental Health First Aiders trained > 800+ instructors certified > 12-hour program for the public > 5-day training for instructors
  16. 16. 2010 Mental Health First Aid Instructor Trainings > Washington, DC — June 28-July 2 > Houston, TX — July 12-16 > Chicago, IL - August 2-6 > San Francisco, CA — September 13- 17 > Atlanta, GA - September 27 - October 1 Or ask how we can bring training program to your location,
  17. 17. Healthcare Homes: Learning Communities > 149 pairs of Community Behavioral Health Organizations and Federally Qualified Health Centers serving 98,000 consumers > Increase screening, detection and treatment of behavioral health disorders in primary care > Increase screening and treatment for physical health issues in CBHOs > Foster collaborative relationship of cross system referrals and supports
  18. 18. Building Capacity: Access Redesign Phase I > Carlsbad – 20% capacity and revenue increase Phase II > 48 organizations- Wyoming, Florida, Ohio > Average annual savings $199,989.43; 34% reduction in staff time; and 40% reduction in consumer wait-time Phase III > 45 organizations in Washington, Pennsylvania, Minnesota
  19. 19. Tipping Point… > Behavioral Health is essential to health > Prevention/early intervention is possible > Treatment is effective > People recover
  20. 20. Public Policy - Success 2008/09 > Community Mental Health Services Improvement Act – 7 million for primary care into mental health organizations*** > Medicaid Regulatory Moratorium*** > Medicare HR 6331 (2010 to 2014) > Second Chance Act and MIOTCRA > Veterans M H Outreach & Access Act > M H Parity & Addiction Equity Act of 2008
  21. 21. Legislative Advocacy – Healthcare Reform Amendments to reform that passed in one or both chambers: > FQBHC (House Energy and Commerce Committee) > Inclusion of therapeutic foster care in Medicaid (Senate Finance Committee) > $50 million authorization for behavioral-primary care integration grants (Senate HELP Committee) > CMHCs included as eligible providers in Medicaid medical home demonstration program (Senate Finance Committee) > Mental illness classified as eligible chronic illness for Medicaid medical home demo (Senate Finance Committee) > Melanie Blocker Stokes MOTHERS Act to combat postpartum depression (Senate Finance Committee)
  22. 22. Success HEALTHCARE REFORM > SEC. 2703. STATE OPTION TO PROVIDE HEALTH HOMES FOR ENROLLEES WITH CHRONIC CONDITIONS. • State option; Includes persons with substance use disorders & mental illness as eligible participants; Community mental health centers eligible providers > SEC. 5604. CO-LOCATING PRIMARY AND SPECIALTY CARE IN COMMUNITY- BASED MENTAL HEALTH SETTINGS. • Authorizes $50,000,000 SAMHSA program, already funded at $14,000,000
  23. 23. Legislative Advocacy – Healthcare Reform > Federal parity applied to the Medicaid expansion and state health insurance exchanges > CLASS Act to provide long-term care insurance > Ban on pre-existing condition exclusions > Elimination of the Part D Donut-Hole > Coverage of Young Adults
  24. 24. Stronger Recognition by Congress and the Administration > Rep. Tonko ―Dear Colleague‖ Letter Urging Congressional Support for Strong Parity Regulations > 37 Members of House Sign Dear Colleague Letter Support ing Increased Funding for Mental Health Block Grant > 11 Members of Congress Submit Letters to Regulating Agencies Supporting Congressional Intent of Federal Parity Law > Secretary Sebelius remarks on importance of integration: • “We know that these integrated care models can be especially effective when they combine behavioral and physical health conditions. That’s because mental illnesses and substance use disorders usually go hand in hand with other physical conditions. We know that the sicker you are, the more likely you are to be depressed… And we also know that when physical and mental health problems come together, they usually make each other worse.”
  25. 25. President‟s FY11 Budget Requests Increase Funding to Several Key Programs: > Center for Mental Health Services, Programs of National and Regional Significance: $374 million, a $13 million increase over FY 2010 > Center for Substance Abuse Treatment, Programs of National and Regional Significance: $487 million, a 34 million increase over FY 2010 > Children’s Mental Health Services: $126 million, a $5 million increase over FY 2010 > Treatment Drug Courts: $56 million, a $12 million increase over FY 2010 > Ex-offender Reentry: $23 million, a $5 million increase over FY 2010
  26. 26. Raising Awareness Through Congressional Briefings > Impact of The Economic Crisis on America’s Public Mental Health Safety Net – February 24, 2010 > Policy Alternatives to End Chronic Homelessness – March 23, 2010 > Information Technology and the Behavioral Health and Substance Use Provider – June 30, 2010
  27. 27. Increasing Awareness Through the Media > Letter to the Editor of the New York Times emphasizing importance of federal parity regulations: • ―The current fight over parity foreshadows the larger health care reform implementation battle; the outcome will determine if parity and health care reform result in meaningful access to care, or just business as usual for the insurance industry.” > Behavioral Healthcare interview on the passage of reform: • “Healthcare reform is really a „game changer,‟ something that opens up wonderful new opportunities as well as a range of important challenges” > Reuters article on parity: • "Now people in need won't have to go without treatment
  28. 28. Struggles…Fiscal Crisis
  29. 29. Struggles…FMAP Extension ARRA included an increase in the FMAP to help states with the financial crisis • This increase will expire on Dec. 31, 2010 unless it is extended
  30. 30. HIT Extension for Behavioral Health Services Act (HR 5040) ARRA included over $19B in grants and Medicare and Medicaid incentive payments to encourage the use of EHRs - Only MDs and NPs practicing within CBHOs would be eligible for the incentive payments > Introduced in the House on April 15 > Would make psychiatric hospitals, behavioral and mental health treatment facilities, and substance abuse treatment facilities eligible for facility payments > Would add psychologists and social workers to the list of eligible professionals
  31. 31. New Paradigm – Federally Qualified Behavioral Health Centers > A parallel structure for CBHOs, Federally Qualified Behavioral Healthcare Centers (FQBHC), based on the FQHC accountability and payment structures > 10 benefits and 8 responsibilities of FQHC status
  32. 32. Implementing Healthcare Reform’s Four Key Strategies… U.S. health care reform is moving forward to address key issues 32
  33. 33. Success is not a matter of spontaneous combustion, you must set yourself on fire.” Denice Torres