The following document was presented at a community meeting held June
14, 2012 at Vancouver's YWCA. The document provides a brief history of
the Regional Support Network merger, goals and objectives and more.
of regional integration • Introducing: Southwest Washington Behavioral Health (SWBH) • Goals/Values • Organizational Structure • Time Line for SWBH Development • Questions and answers about SWBH 2
with Regional Health Alliance formation • Feasibility planning began in earnest in December 2011 • Operational assessment completed involving leadership and RSN staff in February and March 2012 • Legal consultation with Commissioners to develop initial draft of interlocal agreement in April 2012 • In May 2012, Clark/Cowlitz/Skamania counties agree to initiate the submission of documentation to DSHS for the creation of a multi-county behavioral health managed care organization to serve as RSN; preliminary business plan developed 4
Commissioners agreed to key terms of interlocal (June 7) • DSHS application submitted (June 12) • County attorneys working with Commissioners to execute interlocal and form SWBH • Contract with HR consulting firm to hire SWBH leadership, staff • July 2012: Expect preliminary approval from DSHS; hire executive leads • August 2012: Develop position descriptions • September 2012: Hiring process for staff SWBH values the expertise of all current RSN staff and invites each of them to be a part of the new entity. The goal is for all willing RSN staff to choose to move to SWBH. • October 1, 2012: SWBH takes over RSN function 5
excellent clinical and consistent care for the people of Southwest Washington by building on the strengths of current RSNs, providers, and community partner systems. • Responsiveness to DSHS`goals: - Administrative efficiency to enhance capacity to carry out contract requirements; - Implementation of best, promising, evidence-based, recovery- oriented, and culturally competent practices across the region for children and adults; and - Standardization and improvement of data collection on consumer and system process and outcome variables for the region. 8
reform more broadly by developing organizational capacity to response and adapt rapidly to new system requirements and opportunities, (e.g. behavioral health / primary care integration). • Commitment to the common health priorities of the Southwest Washington region by maintaining and improving local systems of health care service delivery responsive to Southwest Washington`s distinct communities, cultures, resources, and needs. • Local responsiveness to the needs of the people of each participating county and tribal jurisdiction, including Clark County, Cowlitz County, Skamania County, and the Cowlitz Tribe, as well as any additional jurisdictions that may join over time. 9
over $3 million in planned expansions of Medicaid services) with federal, state and local funds • Planned transition on 10/1/2012 will maintain current provider contracts • Use of administrative efficiencies to meet enhanced contractual expectations and competitive environment 10
SWBH Combined Clark Cowlitz Skamania Provider Spending 29,900,000 8,750,000 450,000 39,100,000 Medicaid 23,500,000 6,600,000 325,000 30,425,000 State and Local 6,400,000 2,150,000 125,000 8,675,000 (budget figures cited are current estimates) 11
funding for mental health services through SWBH: • Specific county funds will continue to be spent on the residents of the county providing the funding, • All participating counties expect to dedicate local funds, as available, to address local gaps and priorities, • Local funding is expected over time to move away from state priorities as needed to address local priorities – this will involve changes in collaboration with local providers to better address these needs. 12
like a professional health plan – more responsive, more accountable, more nimble • Use of administrative efficiencies to increase capacity and limit growth of administrative costs despite higher contractual expectations • Administrative resources shifted to enhance (in green): • Compliance function • Provider relations function • Customer service function (direct contact with members) • Transitional case management 13
counties to create SWBH • Application is made to DSHS for SWBH to serve as the RSN for Clark, Cowlitz, and Skamania • 6/14/2012: Three lpre-launchzmeetings are held to share key messages with key stakeholders and Cowlitz Tribe and carry out additional planning • Location for operational staff has been identified. A new location for administrative leadership yet to be identified. • A human resources consulting firm is engaged to support the staff transition. 15
application. • County commissioners appoint governing board. • Hiring of key executive leadership and human resource positions. • New position descriptions begin to be completed and posted. September 2012 • SWBH begins application and selection process for new staff positions within organization. 16
RSN duties for the three counties under contract to DSHS; Clark County RSN and Southwest RSN cease ongoing operations, and Skamania County moves from Greater Columbia Behavioral Health RSN to SWBH. • Current county staff carry out SWBH functions on loan from the counties to SWBH until new SWBH positions are completely filled. • All SWBH positions that can be filled by current RSN staff are filled. 17
RSN contracts with providers are assigned to SWBH without substantive changes. • All current RSN memoranda of understanding and other agreements with community partners are assigned to SWBH without substantive changes. November 2012 • All current RSN positions in the two counties transition to the new RSN after all staff that choose to do so move to SWBH 18
bkeepers
reverentgeek
jonoalderson
katarinadahlin
lfama
addyosmani
mayunak
asonas
morganepeng
tammyeverts
tmiket
