Well Care Health Plans, Inc.
Presentation to Georgia House Children's Mental Health Study Committee
October 20, 2015
Dauda Griffin, MD
Behavioral Health Medical Director
Remedios Roderiguez, Senior Director
Behavioral Health Operations
Global Partnership for Telehealth
Shea Ross
Georgia House Study Committee on Health, Education, and School-Based Healthcare
www.gacommissiononwomen.org
MaryJane Lewitt, PhD, APRN, CNM, FACNM
Nurse-Midwifery Program Director
Emory University Nell Hodgson Woodruff School of Nursing
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
James R. Zaidan, MD, MBA
Associate Dean, Graduate Medical Education
Emory University School of Medicine
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
Paul C. Browne, MD
Maternal-Fetal Medicine
Medical College of Georgia
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Amerigroup Georgia
Presentation to the Georgia House Children's Mental Health Study Committee
October 20, 2015
Earlie Rockette, Regional Vice President
Special Programs
Nicole S. Carlson, PhD, CNM
President, Georgia Affiliate of American College of Nurse-Midwives
Assistant Professor, Emory University School of Nursing
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
Lucy Marion, PhD, RN, FAAN, FAANP
Dean, College of Nursing, Augusta University
Chair, APRN Task Force of Georgia Nursing Leadership Coalition
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
Global Partnership for Telehealth
Shea Ross
Georgia House Study Committee on Health, Education, and School-Based Healthcare
www.gacommissiononwomen.org
MaryJane Lewitt, PhD, APRN, CNM, FACNM
Nurse-Midwifery Program Director
Emory University Nell Hodgson Woodruff School of Nursing
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
James R. Zaidan, MD, MBA
Associate Dean, Graduate Medical Education
Emory University School of Medicine
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
Paul C. Browne, MD
Maternal-Fetal Medicine
Medical College of Georgia
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Amerigroup Georgia
Presentation to the Georgia House Children's Mental Health Study Committee
October 20, 2015
Earlie Rockette, Regional Vice President
Special Programs
Nicole S. Carlson, PhD, CNM
President, Georgia Affiliate of American College of Nurse-Midwives
Assistant Professor, Emory University School of Nursing
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
Lucy Marion, PhD, RN, FAAN, FAANP
Dean, College of Nursing, Augusta University
Chair, APRN Task Force of Georgia Nursing Leadership Coalition
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
Seema Csukas, MD, PhD
Medical Director, Maternal and Child Health
Georgia Department of Public Health
Presentation to Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
Lucy Marion, PhD, RN
Dean, College of Nursing
Augusta University
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Nancy M. Paris, President and CEO
Angie Patterson, Vice President
Georgia CORE Center for Oncology Research and Education
Presentation to Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Pat Cota, Executive Director
Georgia Obstetrics and Gynecology Society
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
D. Stephen Goggans, MD, MPH
District Health Director - East Central District
Georgia Department of Public Health
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
GA House Study Committee on Health, Education, and School-Based Health Centers
Dr. Veda Johnson , Director of Partners for Equity in Child & Adolescent Health, Emory Univ School of Medicine
www.gacommissiononwomen.org
Georgia Department of Community Health
Presentation to the Georgia House Children's Mental Health Study Committee
October 20, 2015
Marcey Alter, Assistant Chief
Medicaid
Adrienne D. Zertuche, MD, MPH
Georgia Maternal and Infant Health Research Group
Georgia Obstetrical and Gynecological Society
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Dr. Brenda Fitzgerald, Commissioner and State Health Officer, Georgia Department of Public Health
Presentation to the Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Sharad Ghamande, MD, FACOG
Professor and Director of Gynecologic Oncology
Augusta University Cancer Center
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Seema Csukas, MD, PhD
Medical Director, Maternal and Child Health
Georgia Department of Public Health
Presentation to Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
Lucy Marion, PhD, RN
Dean, College of Nursing
Augusta University
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Nancy M. Paris, President and CEO
Angie Patterson, Vice President
Georgia CORE Center for Oncology Research and Education
Presentation to Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Pat Cota, Executive Director
Georgia Obstetrics and Gynecology Society
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
November 9, 2015
D. Stephen Goggans, MD, MPH
District Health Director - East Central District
Georgia Department of Public Health
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
GA House Study Committee on Health, Education, and School-Based Health Centers
Dr. Veda Johnson , Director of Partners for Equity in Child & Adolescent Health, Emory Univ School of Medicine
www.gacommissiononwomen.org
Georgia Department of Community Health
Presentation to the Georgia House Children's Mental Health Study Committee
October 20, 2015
Marcey Alter, Assistant Chief
Medicaid
Adrienne D. Zertuche, MD, MPH
Georgia Maternal and Infant Health Research Group
Georgia Obstetrical and Gynecological Society
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Dr. Brenda Fitzgerald, Commissioner and State Health Officer, Georgia Department of Public Health
Presentation to the Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
Sharad Ghamande, MD, FACOG
Professor and Director of Gynecologic Oncology
Augusta University Cancer Center
Presentation to the Georgia Senate Women's Adequate Healthcare Study Committee
www.gacommissiononwomen.org
This was a presentation I delivered at the Bread and butter festival in London in November 2016 for food and drink entrepreneurs and start ups. It was aimed to give the audience some insights into what to think about when taking their food and drink brands overseas and some of the issues and complexities faced by this industry.
A brief story about the mobile world by Filipi Neves from Movile.
A little bit about virtual reality, internet of things, artificial intelligence and bots.
Mindmap series of the book "Pursuing sustainability"
Map1-goals & determinants of sustainability
Map2-dynamics of social-environmental systems
Map3-governance of social-environmental systems
Map4-from knowledge to action
Reducing Health Disparities: The Journey of Brightpoint HealthBrightpoint Health
Brightpoint Health's CEO and President, Paul Vitale and Chief Clinical Officer, Dr. Barbara Zeller, share Brightpoint's journey, strategies and best practices to reduce health disparities in New York City's high-need neighborhoods.
Improving the Health Outcomes of Both Patients AND PopulationsCHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 23, 2019 | 2 p.m. EST
In this webinar experts will share their journey in planning, preparing and launching a population health initiative. With the goals of impacting population health outcomes while ensuring cost effectiveness, our experts designed interventions to eliminate gaps in care, particularly among special populations.
An ACO Case Study: Quality Improvement in HealthcareHealth Catalyst
OSF HealthCare—one of the first Pioneer Accountable Care Organizations (ACOs)—has a strong history of providing outstanding quality improvement in healthcare within hospitals, clinics, home health and other health provider entities across Illinois. For ACOs to succeed under value-based care, it is critical that organizations effectively coordinate care in the effort to maximize quality and safety, while minimizing costs and waste. It is also imperative that ACOs understand patients’ needs and values and incorporate them into all health decisions.
Please join Leslie Falk, Health Catalyst and the OSF team—recipient of the 2014 Illinois Hospital Association (IHA) Institute for Innovations in Care and Quality’s first annual Tim Philipp Award for Excellence in Palliative and End-of-Life Care—as they discuss how they leveraged technology and data to launch a community-wide supportive care initiative that has successfully maximized value for the populations they serve.
Attendees of the webinar will:
Learn how OSF is improving healthcare quality and delivering on the Triple Aim.
Explore innovative ways to improve care coordination.
Discover how technology-enabled solutions drives community, patient, and physician engagement.
Understand the benefit of a team approach to improving care coordination.
Key Principles and Approaches to Populaiton Health mManagement - HAS Session 21Health Catalyst
Population Health Management is in its early stages of maturity, suffering from inconsistent definitions and understanding, and is overhyped by vendors and ill-defined by the industry. And yet, many systems are moving forward in innovative pioneering ways to address this growing trend. In this session, you will hear from two very different, successful health systems: a physician-led group and a large integrated delivery system. They will share their best practices, learnings, and different approaches to population health management.
Advancing Team-Based Care: Complex Care Management in Primary CareCHC Connecticut
This webinar investigated the ways that team members can contribute to the care of patients with complex medical and/or social needs. The focus was on developing the expanded care team and ensuring ready communication between the core and expanded care teams. Models for effective care management were presented.
This webinar was presented May 5, 2016 3:00 p.m. Eastern Time
as part of the IFPRI-Egypt Seminar Series- funded by the United States Agency for International Development (USAID) project called “Evaluating Impact and Building Capacity” (EIBC) that is implemented by IFPRI.
Similar to Children's Mental Health Services - Well Care Presentation (20)
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Russian anarchist and anti-war movement in the third year of full-scale warAntti Rautiainen
Anarchist group ANA Regensburg hosted my online-presentation on 16th of May 2024, in which I discussed tactics of anti-war activism in Russia, and reasons why the anti-war movement has not been able to make an impact to change the course of events yet. Cases of anarchists repressed for anti-war activities are presented, as well as strategies of support for political prisoners, and modest successes in supporting their struggles.
Thumbnail picture is by MediaZona, you may read their report on anti-war arson attacks in Russia here: https://en.zona.media/article/2022/10/13/burn-map
Links:
Autonomous Action
http://Avtonom.org
Anarchist Black Cross Moscow
http://Avtonom.org/abc
Solidarity Zone
https://t.me/solidarity_zone
Memorial
https://memopzk.org/, https://t.me/pzk_memorial
OVD-Info
https://en.ovdinfo.org/antiwar-ovd-info-guide
RosUznik
https://rosuznik.org/
Uznik Online
http://uznikonline.tilda.ws/
Russian Reader
https://therussianreader.com/
ABC Irkutsk
https://abc38.noblogs.org/
Send mail to prisoners from abroad:
http://Prisonmail.online
YouTube: https://youtu.be/c5nSOdU48O8
Spotify: https://podcasters.spotify.com/pod/show/libertarianlifecoach/episodes/Russian-anarchist-and-anti-war-movement-in-the-third-year-of-full-scale-war-e2k8ai4
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
ZGB - The Role of Generative AI in Government transformation.pdfSaeed Al Dhaheri
This keynote was presented during the the 7th edition of the UAE Hackathon 2024. It highlights the role of AI and Generative AI in addressing government transformation to achieve zero government bureaucracy
This session provides a comprehensive overview of the latest updates to the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards (commonly known as the Uniform Guidance) outlined in the 2 CFR 200.
With a focus on the 2024 revisions issued by the Office of Management and Budget (OMB), participants will gain insight into the key changes affecting federal grant recipients. The session will delve into critical regulatory updates, providing attendees with the knowledge and tools necessary to navigate and comply with the evolving landscape of federal grant management.
Learning Objectives:
- Understand the rationale behind the 2024 updates to the Uniform Guidance outlined in 2 CFR 200, and their implications for federal grant recipients.
- Identify the key changes and revisions introduced by the Office of Management and Budget (OMB) in the 2024 edition of 2 CFR 200.
- Gain proficiency in applying the updated regulations to ensure compliance with federal grant requirements and avoid potential audit findings.
- Develop strategies for effectively implementing the new guidelines within the grant management processes of their respective organizations, fostering efficiency and accountability in federal grant administration.
Many ways to support street children.pptxSERUDS INDIA
By raising awareness, providing support, advocating for change, and offering assistance to children in need, individuals can play a crucial role in improving the lives of street children and helping them realize their full potential
Donate Us
https://serudsindia.org/how-individuals-can-support-street-children-in-india/
#donatefororphan, #donateforhomelesschildren, #childeducation, #ngochildeducation, #donateforeducation, #donationforchildeducation, #sponsorforpoorchild, #sponsororphanage #sponsororphanchild, #donation, #education, #charity, #educationforchild, #seruds, #kurnool, #joyhome
MHM Roundtable Slide Deck WHA Side-event May 28 2024.pptx
Children's Mental Health Services - Well Care Presentation
1. WellCare Health Plans, Inc.
Agenda
I. Who is WellCare
II. Healthcare Quality and Access
III. Integrated Health Services
IV. Quality
V. Innovation
VI. Questions
1
2. 11/2/2015
THIS AREA CAN BE
LEFT BLANK or ADD A
PICTURE
WellCare Health
Plans, Inc.
House Study Committee on Children’s Mental Health
By Dauda Griffin, MD, Behavioral Health Medical Director
Remedios Rodriguez, Senior Director, Behavioral Health Operations
October, 20, 2015
3. WellCare Health Plans, Inc.
Agenda
I. Who is WellCare
II. Healthcare Quality and Access
III. Integrated Health Services
IV. Quality
V. Innovation
VI. Questions
3
4. WellCare Health Plans, Inc.
Vision
To be a leader in government-sponsored health care programs in partnership
with the members, providers, governments and communities we serve.
Mission
• Enhance our members' health and quality of life
• Partner with providers and governments to provide quality, cost-effective
health care solutions
• Create a rewarding and enriching environment for our associates
Core Values
• Partnership
• Integrity
• Accountability
• One Team
4
Data is per the last reported quarter, ending June 30, 2015
All numbers are approximated.
Updated: September 18, 2015
5. Serving Georgia
WellCare’s direct economic impact* on the state of Georgia is $26 million annually.
In Georgia, WellCare:
• Serves 653,000 members across the state†
• Has a local presence with five office locations
• Employs 305 people
Counties with WellCare offices
Echols
Lowndes
Charlton
Thomas
BrooksGradyDecatur
Camden
Lanier
Clinch
Miller Colquitt
Cook
Brantley
Atkinson
Mitchell
Baker
Glynn
Ware
Berrien
Early Pierce
TiftCalhoun Dougherty
McIntosh
Bacon
Irwin
Coffee Wayne
Worth
Ben Hill
Turner
LeeRandolph
ApplingTerrell Long
Crisp
Liberty
Wilcox Telfair
SumterStewart Chatham
Bryan
EvansDooly
Tattnall
Toombs
Pulaski
Dodge
Treutlen
Macon
CandlerMarion
Effingham
Muscogee
Bulloch
Houston
Laurens
Taylor
Johnson
Emanuel
CrawfordHarris
Talbot
Twiggs
Bibb Jenkins
Upson
Wilkinson
Screven
Jones
Baldwin
Monroe
Pike
Troup
Washington
BurkeJefferson
SpaldingHeard Butts Hancock
Putnam
Coweta
Jasper RichmondWarren
Henry
ColumbiaNewton Greene
Douglas
Carroll Morgan
Haralson
WaltonDekalb LincolnWilkes
Clarke
OglethorpePaulding
CobbPolk Barrow
Gwinnett
Madison
ElbertJackson
ForsythCherokee
Bartow
Banks Hart
Hall
Franklin
Pickens
Floyd
Chattooga Gordon
StephensLumpkin
White
GilmerWalker
Dade
Union
Catoosa Fannin
Murray
Towns
Rabun
5
Data is per the last reported quarter, ending June 30, 2015
All numbers are approximated.
Updated: September 18, 2015
6. Overview of BH Population
6
Data is per the last reported quarter, ending June 30, 2015
All numbers are approximated.
Updated: September 18, 2015
% of Child Members with a Behavioral Health Diagnosis
Estimated % of Child Members with a BH
Diagnosis
0.00% - 0.19% Members
0.20% - 0.99% Members
1.00% - 2.99% Members
3%+ Members
Estimated % of Child Members with a BH
Diagnosis
American Indian: 40 .09%
Asian: 212 .38%
Black: 20,2303 36%
Black (non-Hispanic): 1223 2%
Caucasian: 31,606 57%
Other: 1,926 3.5%
7. Health Care Quality and Access
Access*
Provider Access:
• 5,200 primary care providers.
• 21,700 specialists.
• 1,900 behavioral health and substance abuse
providers.
Facilities Access:
• 150 hospitals
• 26 community mental health centers
• 160 federally qualified health centers
• 115 CORE providers
• 68 Intensive Family Intervention providers
Geographic Access:
• One primary care provider within 30 minutes for
urban counties and 45 minutes for rural counties.
• One hospital within 30 minutes for urban counties
and 45 minutes for rural counties.
School Based/Telemedicine
• School Based Health Center Partners: Emory University,
Clayton County Public Schools and Family Health Centers of
Georgia
• The school based health center is located at North
Clayton High School. The clinic provides on-site BH
support groups and individual counseling. The goal is to
evaluate 9th graders over the next four years as they
matriculate through high school (academics, social needs,
class behaviors). In addition, there is a student committee
that works closely with the SHBC team.
• Telemedicine : Crisp County and Appling County (school
based)
• Currently, there is limited to no access to therapist
and/or psychiatrist in the community. The setup for the
telemedicine would be in a convenient location to the
school as well as in an area that adults and/or seniors
could access it as well.
• CORE and CSB
• Tanner Medical Center partnership with Haralson
County School Systems
• APEX Project – school-based counseling by CSB’s
WellCare is committed to continually improving the quality of care and service that we
provide to our members.
7Data is per the last reported quarter, ending June 30, 2015
All numbers are approximated.
Updated: September 18, 2015
8. 8
Integrated Health Services
Member
Care
Coordination
& Provider
Engagement
Community
& Social
Safety Net
Resources
Primary
Care, EPSDT
& Wellness
Services
Medical &
Behavioral
Health
Services
MedicalManagement
Services
Community-Based
Services
BENEFIT
COORDINATION
• Comprehensive Needs Assessment
• Multidisciplinary Care Plan
Development
• Covered Benefits
• Enhanced Benefits
BUSINESS & QUALITY
MANAGEMENT
• Education & training
• Continuous Improvement Plans
• HEDIS Care gap closures
• PIPS - data review and trending
• Expanded Benefits & Quality Incentives
CLINICAL CARE
MANAGEMENT
• Disease Management
• Complex Medical Management
• Transitions in Levels of Care
• Medication Management
• Medical Service Authorizations
COMMUNITY CARE
MANAGEMENT
• Social , Functional & Behavioral
Interventions
• Social Determinants of Health
• Community Advocacy
• Community Resource Mapping
9. Integrated Case Management
Regional Pod Assignments
7 Regional pods
Metro Atlanta – North
Metro Atlanta – South
Non-Metro Atlanta
Central
Southeast
East
Southwest
Pod configuration
3 Field Service Coordinators
(RN – Medical, OB & Pediatrics)
1 Social Worker
1 Clinical BH Social Worker
1 OB Social Worker
1 Community Health Worker
1 Care Coordinator
1 Utilization Management nurse
10. Integrated Health Services
Focus on Quality – Behavioral Health HEDIS® Measures
Follow-up care for children prescribed ADHD medication – One follow-up visit within 30 days of medication
initiation. At least two more follow-up visits between 4 and 9 weeks if on medication at least 210 days.
Follow-up after hospital discharge: One follow-up visit with a mental health provider within 7 and 30 days of
discharge.
Use of multiple concurrent antipsychotics in children and adolescents
Focus on Care Coordination
Bilateral communication between PCPs and Behavioral Health providers, with member consent, upon care initiation
and quarterly thereafter via summary reports that include treatment plan, health status changes and medications.
Psychiatric Hospital communication with PCP and outpatient behavioral health providers upon admission and
discharge plan.
11. On Site Utilization Management /
Discharge Planner
11
Embedded Care Manger in high
volume hospital
Partnership with hospital to
provide efficient and high quality
care
Assist inpatient team with
members who have barriers to
discharge
Provide access to outpatient
and transition services
Transportation
Referral to field-base case
management
Call member to ensure they
have everything needed to
attend follow-up appointment
within 7 days
12. COBALT
Web-based confidential care
When it comes to your patients’ emotional
health, we have a program that makes it
easy for them to get the support they
need. Access self-guided, self-paced,
online programs to support them anytime
and anywhere.
Programs are:
• Clinically proven
• Medication free
• Easy to use
• Long-lasting improvement
This is short-term, goal-oriented,
computerized cognitive behavioral
therapy (CCBT) that focuses on problem-
solving and skill building to help identify
thoughts, modify beliefs and change
behaviors.
You can refer your patients now to these
programs:
RESTORE (Insomnia) — for difficulty
sleeping, 7 online sessions
SHADE — for alcohol or substance use,
10 online sessions
FEARFIGHTER—for anxiety, panic and
phobia, 9 online sessions
MOODCALMER—for mild to moderate
depression, 4 online sessions
Enroll patients now by going to:
wellcare.cobaltcbt.com and select
"Create Account Now"
Questions?
Please call Bridget Cepalia at 860-507-1844