2019 five county community board meeting · 2019. 3. 28. · halifax agricultural center. •...
TRANSCRIPT
2016 Board of Directors Meeting
2019 Five
County Community
Board Meeting
January 28, 2019
2016 Board of Directors Meeting
FIVE COUNTY COMMUNITY BOARD AGENDA January 28, 2019 DINNER (SERVED AT 6:30 p.m.)
SPEAKER PAGE PURPOSE 1. Call to Order- Matters of the
PublicMarcelle Smith, Chair 1 Information
2. Opening Remarks Marcelle Smith, Chair 2 Information
3. Approval of October 22, 2018Meeting Minutes
Marcelle Smith, Chair 3 Action
4. Local CFAC Update Angelena Kearney-Dunlap 5 Information
5. Presentations
A. Community Relations Report
Elliot Clark 6 Information
B. Network Management Adequacy and Accessibility Analysis
Leslie Gerard 7 Information
C. Community Operations Annual Report
Elliot Clark 8 Information
D. Corporate Training & Development Annual Report
Revella Nesbit Information
6. Community Updates Marcelle Smith, Chair 10 Information
7. Closing Remarks Marcelle Smith, Chair 11 Information
Adjournment
FIVE COUNTY COMMUNITY BOARD MEMBERS
NAME PHONE EMAIL
Franklin County
Cedric K. Jones, Sr. (919) 495-1379 [email protected]
T. Allen Gardner, Jr. (919) 815-8990 [email protected]
Jacqueline Sills (919) 215-5273 [email protected]
Granville County
Halifax County Marcelle Smith, Chair
(252) 526-1861
Regina Schaaf-Dickens (252) 308-2994 [email protected]
Vacant
Vance County R. Dan Brummitt
(252) 432-4774
Danny Wright, Vice Chair (252) 432-1141 [email protected]
Vacant
Warren County
CFAC Angelena Kearney-Dunlap (252) 213-9932 [email protected]
Edgar Smoak (919) 819-0181 [email protected]
Albert H. Freeman (919) 485-9339 [email protected]
Thomas Lane (919) 906-4817 [email protected]
Bertadean Baker (252) 213-2598 [email protected]
Constance Davis (252) 213-0182 [email protected]
Arconstar Powell (252) 213-9773 [email protected]
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 1
SUBJECT: Call to Order – Matters of the Public
BRIEF SUMMARY: Marcelle Smith, Chair, calls the meeting to order. The public may address the
Community Board.
REQUESTED ACTION: None
ATTACHMENTS: No
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 2
SUBJECT: Opening Remarks
BRIEF SUMMARY: Marcelle Smith, Chair, will provide opening remarks.
REQUESTED ACTION: Information Only
ATTACHMENTS: No
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 3
SUBJECT: Approval of the October 22, 2018 Meeting Minutes
BRIEF SUMMARY: The minutes for the October 22, 2018 Five County Community Board
meeting are attached for approval.
REQUESTED ACTION: Approve the minutes for the October 22, 2018 Five County Community
Board meeting as presented.
ATTACHMENTS: Yes
Five County Community Board
Meeting Minutes October 22, 2018
Members Present: Marcelle Smith, Chair, Dan Brummit, Constance Davis, Angelena Kearney-Dunlap, Albert Freeman, T. Allen Gardner, Cedric Jones, Thomas Lane, Arcornstar Powell, and Edgar Smoak
Members Absent: Danny Wright, Vice Chair, Bertadean Baker, Regina Dickens, and Jacqueline Sills
Staff Present: Elliot Clark, Michael Norton, and Felicia Williams
1. Call to Order
Marcelle Smith, Chair, called the meeting to order at 7:02 p.m.
Matters of the Public Any citizen may address the Community Board. No citizen addressed the Community Board.
2. Opening Remarks Opening remarks by Marcelle Smith, Chair, welcomed everyone to the meeting.
3. Approval of the July 23, 2018 Meeting Minutes The minutes from the Monday, July 23, 2018 Five County Community Board meeting were reviewed.
Dan Brummit motioned to approve the minutes as presented. Thomas Lane seconded the motion. All in favor. Motion carried.
4. Local CFAC Update Angelena Kearney-Dunlap, CFAC Representative, provided updates and pertinent information was shared with the Community Board.
5. Special Presentations A. Community Relations Report was presented by Elliot Clark.
B. Annual Fiscal Year County Dashboard Report [July-June] was reviewed by Elliot Clark.
C. Quality Assurance Annual Performance Improvement Plan was reviewed by Michael Norton.
D. Quality Management Annual Report was discussed by Michael Norton.
6. Community UpdatesMarcelle Smith, Chair, requested community updates from the Board.
Information was shared about the new hospital opening in Franklin County.
7. Closing remarksClosing remarks were provided by Marcelle Smith, Chair. The next Five County Community Boardmeeting date will be January 21, 2019.
Albert Freeman motioned to adjourn the meeting. Dan Brummit seconded the motion.
All in favor. Motion carried.
Meeting adjourned at 8:35 p.m.
Community Board Clerk Date
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 4
SUBJECT: Local CFAC Update
BRIEF SUMMARY: Angelena Kearney-Dunlap will provide the Local CFAC Update.
REQUESTED ACTION: Information Only
ATTACHMENTS: No
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 5.A.
SUBJECT: Community Relations Report
BRIEF SUMMARY: Elliot Clark, Senior Community Executive, will present the Community
Relations Report.
REQUESTED ACTION: Information Only
ATTACHMENTS: Appendix A
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 5.B.
SUBJECT: Network Management Adequacy and Accessibility Analysis
BRIEF SUMMARY: Leslie Gerard, Network Development and Field Director, will present the
Network Management Adequacy and Accessibility Analysis.
REQUESTED ACTION: Information Only
ATTACHMENTS: Appendix B
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 5.C.
SUBJECT: Community Operations Annual Report
BRIEF SUMMARY: Elliot Clark, Senior Community Executive, will present the
Community Operations Annual Report.
REQUESTED ACTION: Information Only
ATTACHMENTS: Appendix C
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 5.D.
SUBJECT: Corporate Training & Development Annual Report
BRIEF SUMMARY: Revella Nesbit, Director of Corporate Education Training, will present the
Corporate Training & Development Annual Report.
REQUESTED ACTION: Information Only
ATTACHMENTS: Appendix D
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 6
SUBJECT: Community Updates
BRIEF SUMMARY: Marcelle Smith, Chair, will request community updates from the Community
Board.
REQUESTED ACTION: Information Only
ATTACHMENTS: No
FIVE COUNTY COMMUNITY BOARD AGENDA ITEM
MEETING DATE: January 28, 2019 AGENDA ITEM: 7
SUBJECT: Closing Remarks
BRIEF SUMMARY: Marcelle Smith, Chair, will provide closing remarks.
REQUESTED ACTION: Information Only
ATTACHMENTS: No
Appendix A: Community Relations Report NOTES
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
FIVE COUNTY COMMUNITY BOARD MEETINGJanuary 28, 2019
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
COMMUNITY RELATIONS REPORTElliot ClarkSenior Community Executive
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Information provided in this presentation pertains only to the counties in the Cardinal Innovations Healthcare service area. This information is specific to the Cardinal Innovations service area and may not apply to other organizations, providers, stakeholders or individuals outside the Cardinal Innovations service area.
Presentation slides are brief, bullet-points of information and should not be used out of context.
Disclaimer
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Community Partners MeetingsGeneral Update
– Common themes for FY 1819 Q2 include review of Community Reinvestment Initiatives, 211 Training, Wellness Alliance Initiatives, and TCLI Updates.
– County specific issues and community initiatives drive the content of these meetings. – The board is welcomed and encouraged to attend as schedules and interest permit.
Contact Gina Dement at [email protected] for Interest in Franklin, Granville, or Vance CP MeetingsContact Nancy Hux at [email protected] for interest in Halifax and Warren CP Meetings.
• Highlights– Franklin, Granville, and Vance
• Occurring monthly on 3rd Monday at 10am at Cardinal Innovations Office in Henderson.
• Activities around connecting training for providers and community around referrals for TCLI.
• Wellness Alliance Subcommittee work around advertising services, constructing “Walk in my Shoes” event, contributing to Public Health’s Community Health Assessment, and collaboration with Granville County Schools.
• Faith Connections Subcommittee work around connecting with local churches to offer MHFA and other trainings, and to connect congregations to services.
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Community Partners Meetings (Cont.)
• Highlights– Warren
• Meeting monthly on 2nd Thursday at Warren County DSS 1pm-2:30pm.
• FY 1819 Q2 focused on promoting position of Mental HealthOfficer within the County.
– Working to ensure adequate customized training available to the officer. – Position has yet to be filled, but is being carried through 3 officers currently
on staff. Position is still posted with the county.– Shared accountability and participation through Warrenton PD and other
stakeholders.
• NC MedAssist Event OTC Medications Giveaway eventpromotion.
– Feb. 21 9am-2pm Warrenton Armory
• Active participation and feedback regarding SB 630.
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Community Partners Meetings (Cont.)
– Halifax• Occurs monthly on 3rd Monday from 11:30am-1pm at the
Halifax Agricultural Center. • Engagement with Halifax Council on Aging and 211 Training• Expansion on representation from school system to include
RRGSD, Halifax County, and Weldon. Need further expansion to include KIPP and Private Sector.
• Updates on Community Reinvestment Initiative.• Expansion of Mental Health First Aid to Older Adults.
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Five County Stepping Up Initiative• General Recent Updates
– Warren County Status• Contract between Cardinal Innovations, Warren County Sheriff’s Dept, and
Correctional Behavioral Health.
– Halifax County MH/SUD Court• Vision Behavioral and CCD Pilot• Clinical Staffings
– Plan for continued funding through FY 1920• MOE • Contracts• Grants to support efforts
– Expansion of MH/SUD Court efforts
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Grants and Special Projects
- North Carolina Healthcare Quality Alliance- HRSA – Rural Communities Opioid Response Planning
- Joining Consortium for action planning.in Halifax County- June 2019 – May 2020 (Pending)
- Granville Vance District Health Department- Innovative Approaches: Improving Systems of Care for Children and Youth
with Special Health Care Needs- 2nd Term of Funding Secured in December 2018- Member of the Committee and Medical Home Subcommittee.
- Medical Home Projects- Interagency release for cross system communication- Medical Coverage and Resource Guide.
- Grant with NC Safer Schools through Department of Public Instruction
- Update: Working with Family Education Initiative in Granville on CIT Youth.
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Grants and Special Projects (Cont.)
• Opioid and SUD County Specific Committees– Granville Opioid Advisory Committee– Warren SA Committee– SA Committee Planning Grant for Franklin County– Opioid Practice Support Project
• Committee established under grant from The Duke Endowment• Opioid Prescriptive Practice Workflow and Efficacy Models• Expansion of Medication Assisted Treatment to Rural Communities and Primary Care• Halifax and Edgecombe Counties Identified for state model pilot. • Goal: Reduce acute and chronic opioid prescribing by 30% in a 3 year period.
– Update: Expansion of MAT services project in Halifax County, with newMedicaid provider for MAT and OTP. Established Halifax Workgroup inpartnership with Area L AHEC and NCHQA
• Bridge Housing Initiative– TCLI Funded Transitional Living (RFI in process)– Available to all Cardinal Innovations Members– Locations to be determined.
July 21, 2016
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Senate Bill 630
- Overview:- Legislation revising the laws pertaining to IVC in order to improve the delivery of behavioral
health services in NC. - LME/MCO community crisis services plan; commitment examiners; transporting agencies;
training; collaboration.- Every LME/MCO shall adopt a community crisis services plan in accordance with this section to
facilitate first examination in conjunction with a health screening at the same location required. - Collaboration with community stakeholders
- NC DHHS Memo- Memorandum for counties to submit Transportation Agreements by January,1 2019 around
transport of IVCs for evaluation and processing. - Limited response to request.- Cardinal outreach efforts
- Chief District Court Judges- Clerk of Superior Court- Sheriff - County Management
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Senate Bill 630 (cont.)
- Activity Update- Plan for constructing community crisis plans.
- Separate Teams should coincide within the service area of local hospitals:
- 1. Franklin (Maria Parham Franklin - 2. Granville (Granville Health System) - 3. Halifax (Halifax Regional Medical Center) - 4. Vance / Warren (Maria Parham Henderson)
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Facility Based Crisis Quarterly Data
• Overview:– FY 1819 Q1 Summary
• Referral Outcome Volume• Triage Outcome Data• Activity Wait Times• Readmissions• Occupancy Rates• County Specific Volume• Legal Status Outcome• Payer Source Data
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Drugs Uncovered Event
Drugs Uncovered: What Parents Need to Know- Event held on January 17th
- 130 Attended including Public, School Representatives, Vance County Sheriff, 5 Providers, Families Living Violence Free, DSS, Public Health, Granville Sheriffs Dept, Henderson PD, CFAC, Halifax County Schools, and County Government.
- Follow Up event on January 30th 6-8pm at VGCC Civic Center- Open Panel Discussion with Providers, Public Health, and Cardinal Innovations
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Cardinal Innovations Contacts
Connect to Services 1.800.939.5911 For 24 hour referral and crisis
Report concerns and grievances 1.888.213.9687
Comments and Requests 1.800.357.9084
Report fraud and abuse 1.844.231.0963
January 28, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Discussion
• QUESTIONS??– Was this helpful?
THANK YOU FOR YOUR COMMITMENT!
January 28, 2019
APPENDIX B: Network Management Adequacy and NOT ES Accessibilty Analysis
January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Five County Community Board
January 29, 2019
January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
AGENDA
January 16, 2019
• Cardinal Innovations Adequacy and AccessibilityAnalysis for FY1819
• Network Management Development Plan
• Community Operations Efforts
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
2018 Adequacy and Accessibility Analysis Timeline
• November, 2017: Community Operations conducted NeedsAssessment Survey
• March 6, 2018: JCB #278 notification that the due date for theAdequacy and Accessibility Analysis would be September 21,2018
• Analysis based on reporting period of July 1, 2016-June 30,2017and on contracted providers as January 1, 2018
• December 21, 2018: Received pending approval of the 2018Adequacy and Accessibility Analysis
• January 8, 2019: Final approvalJanuary 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
2018 Adequacy and Accessibility Analysis
• Assures that there is a choice of 2 providers for Medicaid and 1 for Statefunded services within the access standards- if not met at 100% there is agap
• Access standards are 30 miles/30 minutes for Urban and 45 miles/45minutes for Rural (as determined by the State per NC Office of State Budget& Management)
Urban counties- Mecklenburg, Davie, Forsyth, Stokes Rockingham, Alamance, Orange, Cabarrus, Davidson, Rowan, Union, Franklin, Person, Chatham
Rural Counties: Stanly, Caswell, Granville, Halifax, Vance, Warren
• Includes identified needs gathered via the Needs Assessment Survey
January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
2018 Adequacy and Accessibility Analysis
January 16, 2019
• Identified Gaps for Five County area:• Child and Adolescent Day Treatment (Medicaid and State)
• Day Supports (State)
• Opioid Treatment (Medicaid and State)
• Residential Level 2 other than TFC (State)
• Residential L2 TFC (State)
• Residential L4 (Medicaid and State)
• SACOT (Medicaid and Sate)
• SA Non-medical Community Residential-all counties (Medicaid)
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
2018 Needs Assessment
• 2,880 responses; all counties represented; all disabilities represented• Top service barriers: lack of employment, lack of reliable transportation, medical issues,
homelessness/housing issues, no insurance/cannot pay for services, lack of support fromfamily
• Top service needs: Improved provider staff competency, stability and quality of work;Improved availability of services during non-traditional hours, flexibility in scheduling,decreased wait time between appointments (particularly related to out-patient services);Increased provider choice and accessibility, especially for substance use services andmedication management; decreased perception of wait lists; Increased treatment options forchildren and youth (e.g., ages 3-6; SUD for adolescents); increased focus on person centeredthinking; Increased treatment options for dually diagnosed members (I/DD and MH);increased respite options; increased availability of non-English speaking services; increasedavailability of Innovations services; increased understanding of service continuums and howto access them
January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
2018 Network Management Development Plan
January 16, 2019
1. Increase residential options for members with co-occurring disorders (MentalHealth/Intellectual Developmental Disabilities).
2. Increase availability of Applied Behavioral Analysis (ABA) and otherresearch-based treatment options for children with Autism Spectrum Disorder(ASD).
3. Provide training opportunities for providers to improve their ability to offertreatment for members with co-occurring disorders (MH/IDD).
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
2018 Network Management Development Plan Con’t.
January 16, 2019
4. Increase (b)(3) psychiatric consultation services in both the Five Countyregion and Person County.
5. Increase utilization of Cardinal Innovations In-Lieu Of ACTT-Step Downservices.
6. Align contracts and service delivery by Substance Use Disorder residentialproviders with American Society of Addiction Medicine (ASAM) Criteria.
7. Support Cardinal Innovations Psychiatric Residential Treatment Facilities(PRTF) project.
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
2018 Network Management Development Plan Con’t.
8. Assure follow up within seven (7) days of discharge from an acute caresetting for a minimum of 40% of MH and SUD members.
9. Monitor quality and assure capacity for services identified to supportTransitions to Community Living (TCL) members (Assertive Community Treatment Team (ACTT); Individual Placement and Support- Supported Employment (IPS-SE); Community Support Team (CST); Transition Management Services (TMS); Peer Support Services (PSS); and Individual Support Services).
10. Expand the network for Innovations Supported Living.
January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Community Operations
Overarching General Initiatives across Entire Footprint:• Actively engaged in community planning regarding both the
Stepping Up initiative and opioid-related initiatives across allparticipating counties in our footprint.
• Developing measureable outcomes for tracking social needs• Working with registry team to assess members waiting and
additional supports that may be available to them while waiting(community resources and Medicaid services)
• Targeting certain community members who could benefit fromCardinal education and support to better understand Cardinal’srole, limitations and operational/community efforts.
January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Community Operations Five County Efforts
January 16, 2019
1. Community Reinvestment: Successful program and projectimplementation that meets goals and outcomes set forth withinindividual proposals.
2. Department of Social Services (DSS) Involvement: Engage all DSSDirectors in the quarterly Joint DSS Directors Meeting.
3. Expansion of Behavioral Health clinic: Determine need, and addressthe potential for CCC presence / expanded behavioral health cliniccapacity in Granville county.
.
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Community Operations Five County Efforts Con’t.
4. School System: Enhance relationships and improve access to behavioralhealth with our local school systems in Five County territory, with focuson School Board, School Health Advisory Coalitions, administration andExceptional Children / Social Worker leadership.
5. Stepping Up : Assist Five County Stepping Up Initiative to expandmembership, establish new programs, and pursue grant opportunities.
6. Halifax County: Improve current continuum of care in Halifax Countyindicative of solidifying partnership with RHG, improved feedback onservice provision through Halifax Integrated Healthcare Coalition.
January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Community Operations Five County Efforts Con’t.
7. Vance County: Participate in Community Case Management Projectin Vance County and evaluate replication in other counties.
8. Navigate through the process and submit application forHealthcare Professional Shortage Area (HPSA) designation forHalifax County.
9. Franklin County: Partner with Duke Lifepoint / Maria ParhamHospital for the successful operation of Franklin RegionalHospital.
10. Law Enforcement: Link Jail telehealth programs to bridgeprograms that promote linkage and decrease recidivism forinmates.
January 16, 2019
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Community Operations Five County Efforts Con’t.
10. Law Enforcement: Link Jail telehealth programs to bridgeprograms that promote linkage and decrease recidivism forinmates.
11. Crisis Continuums: Assist in building of community orientedcrisis continuums as a subset of the Community Partners groups.
12. Plan and implement the County Leadership Engagement project“Walk in My Shoes” in FY 1819.
January 16, 2019
APPENDIX C: Community Operations Annual Report
NOTES
July 1, 2017 – June 30, 2018
Community Operations End of Fiscal Year Report2017 - 2018
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Community Engagement
July 1, 2017 – June 30, 2018
FY 2017 – 2018: A total of 19,688 people were trained by Community Engagement employees during a total of 508 trainings.Community Engagement team members attended a total of 541 community events (excluding training) throughout all regions that we currently serve.
242 177 4 85
6512
7130
2062
3984
279 159 0 103
Northern Southern Statewide Triad
Total Community Engagement Trainings
Total Training Attendees
Total Other Events
FY 2017 ‐ 2018
128 106 63
22012059
1212
257 283 256
Northern Southern Triad
Total Community Engagement Trainings
Total Training Attendees
Total Other Events
FY 2016 ‐ 2017Total Trainings by Region
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Community Engagement
July 1, 2016 – June 30, 2017
FY 2016 – 2017: A total of 5,472 people were trained by Community Engagement employees during a total of 297 trainings.Community Engagement team members attended a total of 796 community events (excluding training) throughout all regions that we currently serve.
128
28
45
70
26
MHFA CIT QPR Cardinal Overview Other77
31
6
111
6
26
44
35
32
Cardinal Overview
CIT (Crisis Intervention Training)
Innovation Waiver Overview
MHFA (Mental Health First Aid)
Other
Psychosis Simulation
QPR (Question, Persuade, Refer)
Stigma
Trauma
FY 2016 ‐ 2017FY 2017 ‐ 2018Total Trainings by Type
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Narrative outcome data is available upon request and may be accessed directly via SharePoint
A Champion Connection is a community stakeholder achievement that positively benefits or enhances services and supports to members or that contributes to various CIH business objectives.
There were a total of 72 Champion Connections during FY 2017 ‐ 2018. Please note that this data was not yet being captured in Q1.
Community Relations Champion Connections
41
8 7
3
23
2 3
13
4 5
27
7
25 4 4
22
Central Five County Mecklenburg Piedmont Triad
Q1 Q2 Q3 Q4
Cumulative
July 1, 2017 – June 30, 2018
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.July 1, 2017 – June 30, 2018
6
11
4
23
79
2
22
9 10
4
20
Company Branding Political Gain Positive Media Exposure Strategic Alliance
Q2 Q3 Q4Company Branding: CR speaking opportunity and/or logo visibilityPolitical Gain: Interface results in positive connection or alignment with elected officialsPositive Media Exposure: CIH positively referenced in an article, news outlet or social mediaStrategic Alliance: Interface w/ key partners to promote CIH or community education
A Champion Connection is a community stakeholder achievement that positively benefits or enhances services and supports to members or that contributes to various CIH business objectives.
Community Relations Champion Connections by Impact Type
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.July 1, 2017 – June 30, 2018
0
1
0 00
1
0 00 0
1 1
0
1
3
1
Central Northern Southern Triad
Q1 Q2 Q3 Q4
Community Relations Legislative Inquiries
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.July 1, 2017 – June 30, 2018
Community Relations Performance Highlights
1. Participated in Community Empowerment Initiatives2. Organized Health Care Agreement consensus in Halifax Integrated Healthcare Coalition3. Assisting with procedure development focusing on treatment v. placement at YFS4. Participated in Charlotte Observer interview related to First Responder Data Collaborative focus to reduce MHSUD
crisis calls for service to 911 5. Hand delivered Narcan Kits to key stakeholders across all communities6. Coordinated Mecklenburg FQHC meetings to support integrated care partnership and development of SUD
programming7. Initiated Business Associate Agreement with Community Care Services to support transitional and coordination of
care for high risk/need individuals with SPMI and prescribed an anti‐psychotic medication8. Participated in STEP Treatment Court Leadership with county contracted providers9. Facilitated development of the FY17‐18 Crisis Continuum Work plan with new/modified goals10. Participated in co‐meetings with County Behavioral Health Division to support development of a specialized
provider network to support youth and families in custody
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.
Member EngagementTotal Prevention Strategies Presented
July 1, 2017 – June 30, 2018
614
370
33
447 456
50
FY 2016 – 2017 = 997FY 2017 – 2018 = 1,970
183139
11
348
279
37
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.July 1, 2017 – June 30, 2018
Training Type Total Trainings
Achieving a Better Life Experience (ABLE Act) 6
Cardinal Innovations Healthcare Overview for Members 13
Guardianship and Alternatives for Intellectual/Developmental Disabilities and Mental Health 8
Member Engagement Overview 9
Peer Support Specialist 11
Prime for Life (Now That I Am 18) 6
Upward to Financial Stability 11
Wellness Recovery Action Plan (WRAP) 75
Whole Health Action Management (WHAM) 24
Other 85
Member Engagement Total Trainings = 248
Copyright © 2017 Cardinal Innovations Healthcare. All rights reserved.July 1, 2017 – June 30, 2018
Member Engagement Medical Loss Ratio (MLR) activities and hours completed
• Any quality reporting and related documentation in non‐electronic form for wellness and health promotionactivities = 498.75 hours
• Coaching or education programs and health promotion activities designed to change member behavior andconditions (i.e., smoke or obesity) = 1,666.50 hours
• Coaching programs designed to educate individuals on clinically effective methods for dealing with specific chronicdisease or condition = 905 hours
• Public Health education campaigns that are performed in conjunction with state or local health departments = 739.75 hours• Wellness Assessments = 310.50 hours• Blank = 682 hours
TOTAL MLR Hours Completed = 4,802.50
APPENDIX D: Corporate Training & Development Annual Report
NOTES
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Corporate Training & Development
Community Board Annual Report
January 2019Revella H. Nesbit, M.Ed., LPCS, ODCP
Director, Corporate Training & Development
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Cultural Competency
Diversity & Inclusion
Professional Continuing Education Credits
Learning Management System
Centralized Training
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Cultural Competency Accomplishments Cultural Competence Provider Monitoring Tool Revision: Provider requested tool revision to allow for more flexibility in
implementing cultural competence
Cultural Competence Provider Monitoring Tool:70.4% of providers scored in the Full and Emerging categories (FY 17-18)
6 Active Cultural Competence Provider Councils: Provider – led & driven councils invested in promoting Cultural Competencethroughout the network
LGBTQ Learning Collaborative: Provider collaborative created to encourage a learning community for best practices in working with members who identify as LGBTQ.
Provider TIP Sheets: Transportation; Interpretation & Translation; Cultural Competence Monitoring; Cultural Humility; LGBTQ+; Culture
Trainings for providers & staff: 12 trainings were offered in 2018 related to Cultural Competency
Training Topics: Hispanic/Latino Culture; African American Trauma; LGBTQ+; Transgender; Ethics of Cultural Competence Pt. 1 & Pt. 2
Advisory Subcommittee for Latino Affairs (ASLA): Internal committee established to support the Latino community & bringawareness to how we serve this community; 1st Latino Forum – May 4, 2019
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Inclusion @ Cardinal Innovations Appointment of Chief Diversity & Inclusion Officer
Creation of Diversity Leadership Council
Creation of Diversity & Inclusion Statement
Development of Diversity & Inclusion Strategy
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Continuing Education Credits NBCC = National Board Certified Counselor
NAADAC = The Association for Addictions
Professionals
Credits applied toward re-licensure for
clinicians
Support best practices/emerging practice
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Continuing Education Credits - 2018 25 NBCC approved trainings
67.5 NBCC credit hours offered
266 NBCC certificates distributed to Cardinal Innovations staff
186 NBCC certificates distributed to stakeholders
1,010 Registrations for NBCC trainings
January 16, 2019
73%Completion
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Continuing Education Accomplishments Future addition of web-based and home-based training options
Approved as a NAADAC continuing education provider
LMS integration providing more efficiency
Staff as subject matter experts
41 Trainers (Cardinal staff, providers, community experts)
7 Grand Rounds
Trainings located in all regions
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Learning Management System Create a culture of learning and empowerment
Provide flexible learning opportunities
Provide on-demand reporting, analytics and dashboards
Automate registration management, tracking and evaluation
Maintain version control of curricula and training materials
Offer & maintain robust and relevant training resources
Centralize eLearning that is available any time/place to all users
Design & implement customizable training that is proprietary to CardinalInnovations
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
The Learning Center FY 17-18 100% of internal staff have used The Learning Center 60% on average internal staff use The Learning Center monthly 1216 = number of courses available 2861 = number of external training registrations 307 = number of CI trainings created 4.18 out of 5 = average course rating
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
External1. Triad Mental Health Awareness Event2. Provider Direct System Administrator Rules and
Regulations3. Starting a Private Practice Forum4. Sustaining Your Business through Medicaid
Reform5. Financial Matters: Understanding Your Business
by the Numbers
Top 5 Trainings Internal1. Compliance Courses2. Diversity and Inclusion
Curriculum 3. Text Messaging Guidelines
for Care Coordination4. Member Home and
Community Safety Practices
5. Blood Borne Pathogens for Healthcare Professionals
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Consumer Family Advisory Council
CFAC Microsite Launched April 2018 43 CFAC members registered On-line courses completed include:
CFAC OrientationGetting Started in the Learning CenterMeetings that Get Results Upward to Financial Stability
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
The Learning Center Accomplishments Launch of CFAC Microsite Promotion of The Learning Center as an Employee Benefit Promotion of modules in The Learning Center that align with monthly
Communications’ Thematic Calendar 60 topical articles in 411 11 Trainings for users of Learning Center Learning Center Ticketing System created and enhanced to align with Training
Request Tool Automated employee assignments in The Learning Center
(HIPAA Remediation, Diversity & Inclusion, Compliance, New Hire Assignments) Increased reporting & data collection iCal Training Invitations
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.January 16, 2019
Centralized Training Model
Member/
Community Engagement
Care Coordination
Finance
Service Center
Network
Clinical Operations
Quality Management
Compliance
Provider Training
Employee Training
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
Looking Forward
Centralization of Training Diversity & Inclusion Strategic Plan Latino Forum – May 6, 2019
Caminando en mis zapatos (Walking In My Shoes) CFAC Microsite Provider Microsite Receipt of electronic payment in The Learning Center NAADAC Continuing Education offering More robust data collection, trending, and outcomes
January 16, 2019
Copyright © 2016 Cardinal Innovations Healthcare. All rights reserved.
An organization’s ability to learn, and translate that learning into action rapidly, is the ultimate competitive
advantage.”
Jack Welch
January 16, 2019
2016 Board of Directors Meeting
Franklin County Dashboards
FYTD September 2018
County Funded Program Descriptions
Community CollaborativeFunds allocated for utilization through the leadership of System of Care for the coordination of the Community Collaborative to address needs of members with
SED from ages 21 and under
Daymark Funds allocated for the cost associated with Labs and Medications through Daymark Recovery Services in Vance County.
KARTS County funds are allocated for cost of transportation services for members.
Recovery Innovations Facility Based Crisis
County Funded Program
Central Community Services Funds for use as part of a Client Specific Agreement.
County Funded Program Description
Franklin County Dashboards
FYTD September 2018
Report data as of November 24, 2018. All graphs are county specific unless otherwise noted.
County Funded Programs*
Central Community Services
Community Collaborative
Daymark
KARTS
Recovery Innovations
Total:
*Please see the County Funded Program Descriptions (Pg. 1) for additional detail
FY Budget
Amount
-16.2%
$111,700
0.0%
16.7%
$0
FYTD
Expenses
$0$87
Franklin Funding
$0
$17,808
$1,452
$106,850
0.0%
% Spent
0.0%$1,452
-$301$1,859
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The numbers for
the previous months will be updated each reporting period.
$17,507 15.7%
NOTE: County “Maintenance of Effort” funds targeting local behavioral health needs may be managed by Cardinal Innovations or by the county. Data shown here only represents county funds managed by Cardinal Innovations. Some counties manage all of their "Maintenance of Effort" funding.
Franklin County Dashboards
FYTD September 2018
Registry of Unmet Needs
Number of Members Served by Age and Diagnosis
Number of Members Served All Age and All Diagnosis
265 262291
44 44 47
2 0 00
50
100
150
200
250
300
350
Jul'1
8
Au
g'1
8
Sep
'18
Child Members Served by DiagnosisAges 3 through 17
MH IDD SUD
432 432391
85 82 82126 133 115
0
50
100
150
200
250
300
350
400
450
500
Jul'1
8
Au
g'1
8
Sep
'18
Adult Members Served by DiagnosisAges 18 and over
MH IDD SUD
30 30
32
29
30
31
32
33
Jul'1
8
Au
g'1
8
Sep
'18
Nu
mb
er o
f M
emb
ers
on
Reg
istr
y
Innovations Registry of Unmet Needs
NOTE: Innovations slots and funding are allocated by the state. MCOs have no ability to fund or expand the number of Innovations slots.
697 694 682
129 126 129
128 133 115
0000000000100200300400500600700800
Jul'1
8
Au
g'1
8
Sep
'18
All Members Served Ages 3 and over
All Diagnosis
MH IDD SUD
NOTE: This is a distinct count of members served. Members with multiple diagnosis will only be counted once. The sum of the previous graph will not be equal to the total in this graph.
Franklin County Dashboards
FYTD September 2018
Service Category Definitions
Community
Psych Rehab
Residential
PRTF
Emergency Department
Service to help adults with psychiatric disabilities manage their illness and their lives with as little professional intervention as possible.
Hospital emergency department.
Intermediate Care Facility for individuals with Intellectual Disabilities.
Intensive In-Home Services - services provided in the person's home by a small team with at least one Licensed Professional.
BH Long Term Residential
Community Support
Medicaid Waiver for individuals with Intellectual Disabilities.
Hospital-based psychiatric care.
Multisystemic Therapy is a family and community-based therapy for juveniles.
Services received in the community including evaluation, therapy, and psychiatric care.
Outpatient ED
Partial Hosp/Day Tx
Mandated service categories effective 7/1/2013.
IIHS
Definition
Additional supports for Medicaid recipients such as Community Guide and Individual Support.
Assertive Community Treatment Team - services received in the community that address functional areas of the identified population.
Services provided in a hospital Emergency Department on an outpatient basis.
A short-term service for acutely mentally ill children or adults designed to prevent hospitalizations or to serve as a step down for those leaving an
inpatient facility.
Crisis Services
A long-term residential program for people with behavioral health needs.
ACTT
ICF
Group settings that serve people across all disability groups.
Psychiatric Residential Treatment Facilities provide residential care to persons under the age of 21 who need 24-hour supervision and specialized
interventions.
Inpatient
MST
Outpatient
Innovations
Services that are provided in the community.
Community based mental health and substance abuse rehabilitation services and interventions.
Services received in a crisis or emergency situation such as Mobile Crisis and Facility-based crisis.
Service Category
1915 (b)(3) Services
Franklin County Dashboards
FYTD September 2018
Members Served and Expenses by Service Category
Members Served is based on Member's County of Medicaid Eligibility not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
*Please see the Service Category Definitions (Pg. 4) for additional detail
2
2
6
17
8
14
17
21
27
20
38
44
47
69
95
898
0
1
5
10
11
15
20
25
25
26
32
38
42
68
119
827
0 200 400 600 800 1000
Partial Hosp/Day Tx
MST
PRTF (Psychiatric ResidentialTreatment Facility)
Crisis Services
Community Support
BH Long Term Residential
IIHS
ACTT (Assertive CommunityTreatment Team)
ICF
Outpatient ED
Psych Rehab
Inpatient
Emergency Department
Innovations
1915 (b)(3) Services
Outpatient
Distinct Members Served - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
$21,736
$3,250
$156,408
$15,155
$24,330
$126,143
$90,314
$68,685
$1,299,021
$2,213
$113,001
$172,442
$67,449
$846,481
$388,201
$383,709
$0
$4,639
$153,223
$16,479
$45,286
$127,282
$84,287
$90,068
$1,310,426
$2,868
$94,061
$350,814
$41,914
$758,956
$519,307
$382,940
$0 $400,000 $800,000 $1,200,000
Partial Hosp/Day Tx
MST
PRTF (Psychiatric Residential Treatment Facility)
Crisis Services
Community Support
BH Long Term Residential
IIHS
ACTT (Assertive Community Treatment Team)
ICF
Outpatient ED
Psych Rehab
Inpatient
Emergency Department
Innovations
1915 (b)(3) Services
Outpatient
Expenses by Service Category - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
Franklin County Dashboards
FYTD September 2018
*Please see the Service Category Definitions (Pg. 4) for additional detail
Expenses by Service Categories is based on the Total Paid Amount.
Members Served and Expenses by Service Category
Members Served is based on member's County of Residence not on the Provider's physical
location.
0
0
7
8
19
21
24
208
1
1
6
15
18
21
45
234
0 50 100 150 200 250
Community Support
Psych Rehab
ACTT (Assertive CommunityTreatment Team)
Inpatient
Residential
Crisis Services
Community
Outpatient
Distinct Members Served - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
$0
$0
$26,243
$30,288
$123,525
$5,484
$41,145
$51,062
$595
$560
$18,467
$59,215
$166,811
$0
$162,182
$60,320
$0 $50,000 $100,000 $150,000 $200,000
Community Support
Psych Rehab
ACTT (Assertive CommunityTreatment Team)
Inpatient
Residential
Crisis Services
Community
Outpatient
Expenses by Service Category - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
Franklin County Dashboards
FYTD September 2018
Members Served is based on member's County of Residence not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
Members Served and Expense Amounts - Facility Based Crisis & Mobile Crisis Management Services
Medicaid Member served for Facility Based Crisis & Mobile Crisis Services are based on the
Consumers Eligibility. Expenses by Facility Based Crisis & Mobile Crisis Services are based on the total Adjudicated
Amount.
5
11
8
3
0
2
4
6
8
10
12
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
86
21
00
5
10
15
20
25
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesState
Jul'17-Sep'17 Jul'18-Sep'18
$6,442
$2,853
$15,379
$1,100
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
$18,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
$10,799
$653
$23,062
$0
$5,000
$10,000
$15,000
$20,000
$25,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceState
Jul'17-Sep'17 Jul'18-Sep'18
Franklin County Dashboards
FYTD September 2018
Entity Type Definitions
Hospital Non-contracted Hospitals for which we reimburse Emergency Department services and Inpatient services.
Physician's Group of HospitalsA group of physicians, contracting or non-contracting, associated with hospitals but not employed by the facility. Considered non-contracting
unless otherwise specified.
Inpatient Hospital providing contracted behavioral health Inpatient and Emergency Department services.
Comprehensive Community
Clinics
Agency based entities providing a number of services, including assessment, enrollment, Outpatient and Psychiatric services, and serve at least
two disabilities. They are designated points of entry that ensure easy access for members.
Inpatient/Outpatient Hospital providing contracted behavioral health Emergency Department and Outpatient services.
Licensed Independent Practitioner (LIP) Groups are a group of clinicians, Therapists, Psychiatrists, Psychologists, etc. providing outpatient services
such as therapy, psychiatric care, assessment, and testing. They contract with the MCO as a group.
Mandated Entity types effective 11/1/2017.
Entity Type Definition
Agency
Senate Bill 163
Other Other entity not elsewhere defined.
County Agency Public health agency.
Neuro Behavioral Center State
Institution
State run medical and nursing care facility for individuals with severe or moderate developmental disability (IDD) and medical conditions of a
serious or chronic nature requiring 24 hour care.
ICFMR State Institution Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) - State run Intermediate Care Facility serving IDD Adults and children.
ADATC State InstitutionAlcohol Drug Abuse Treatment Center (ADATC) State Institution-A state run SUD Adult facility which provides medical detox and medically
monitored residential treatment.
Residential Facility located in-catchment but affiliated with another MCO/LME with local Quality Management mandated site visits and limited
oversight required.
Psych State Institution State run Psychiatric care facility for children and adults.
Agencies provide one or more enhanced clinical/therapeutic/rehabilitative/habilitative service to MH, SUD, IDD, or multiple diagnosis groups.
LIPLicensed Independent Practitioner (LIP) - Individual Clinicians, Therapists, Psychiatrists, Psychologists, etc. that are individually contracted with
the MCO. They provide outpatient services such as therapy, psychiatric care, assessment and testing.
LIP Group
Franklin County Dashboards
FYTD September 2018
*Please see the Entity Type Definitions (Pg. 8) for additional detail
Vision Behavioral Health Services, LLC Comprehensive Community Clinics
At-home Counseling Services, Inc LIP Group
DAYMARK Recovery Services, Inc.(Cabarrus Center) Comprehensive Community Clinics
North Carolina Neuropsychiatry, P.A. LIP Group
Central Community Services, LLC Agency
Triangle Primary Care Associates, PLLC LIP
Therapeutic Resource Associates, PA LIP
Holly Hill Hospital Inpatient
Freedom House Recovery Center, Inc Comprehensive Community Clinics
Vance Recovery, PC Agency
Top 10 Providers by Members Served - Franklin Entity Type
Provider Information
Access Call Center
5,303 5,665 5,068
5 5 5
0
1
2
3
4
5
6
0
2000
4000
6000
8000
Jul'1
8
Au
g'1
8
Sep
'18
Spee
d t
o A
nsw
er (
secs
)
# o
f C
alls
Total Number of Calls and Speed to Answer
2.1% 2.0% 2.2%
0%
2%
4%
6%
8%
10%
Jul'1
8
Au
g'1
8
Sep
'18
Per
cen
t o
f C
alls
Ab
and
on
ed
Call Abandonment Rate
Access HEDIS Benchmark 8.6% Cardinal Innovations Target 5.0%
0101010203030407282937
146191
415868
0 200 400 600 800 1000
Other
Neuro Behavioral Center State Institution
County Agency
ADATC State Institution
Inpatient/Outpatient
ICFMR State Institution
Psych State Institution
Comprehensive Community Clinics
Inpatient
Physician's Group of Hospitals
Hospital
LIP Group
LIP
Agency
Total Providers
All Cardinal Innovations Providers by Entity Type
Note: The Top 10 Providers by Members Served is based on member's County of Medicaid Eligibility not on the Provider's physical location.
Franklin County Dashboards
FYTD September 2018
Members Served by Age and Diagnosis
Members Served and Expense Amounts by Service Category - Medicaid
Members Served and Expense Amounts by Service Category - State
Members Served and Expense Amounts for Crisis Services
Call Abandonment Rate
Analysis:
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The
numbers for the previous months will be updated each reporting period.
Call Center information in the charts above reflect Cardinal Innovations data and are not county specific.
Medicaid funded Outpatient services were the most utilized services for 1st Qtr FY1819. 1915 (b)(3) services had a 25% increase in utilization (95 to
119) with a 34% increase in expense ($388,201 to $519,307). ICF had the highest expense of $1,310,426 followed by Innovations with an expense
of of $758,956. Inpatient had the largest percentage increase in expense of 103% ($172,442 to $350,814) with two providers accounting for
approximately 75% of the expense.
State funded Outpatient services were the most utilized services for 1st Qtr FY1819. Community services had the largest percentage increase in
utilization of 88% (24 to 45) and in expense of 294% ($41,145 to $162,182). This can be attributed to Peer Support Services, which accounted for
73% of the entire expense for Community Services in the 1st Qtr FY1819.
Medicaid and State funded Facility Based Crisis increased both in utilization and expense for 1st Qtr FY1819. State funded Facility Based Crisis had
the largest percentage increase in utilization of 163% (8 to 21) and in expense of 114% ($10,799 to $23,062). Medicaid and State funded Mobile
Crisis Management decreased in both utilization and expense. State funded Mobile Crisis Management had the largest percentage decrease in
utilization of 100% (6 to 0).
Average speed to answer and call abandonment rate remained consistent for the quarter.
Child MH members served has been gradually increasing, whereas Adult MH members served has ben decreasing.
Granville County Dashboards
FYTD September 2018
County Funded Program Descriptions
County Funded Program
Central Community Services Funds for use as part of a Client Specific Agreement.
County Funded Program Description
Community CollaborativeFunds allocated for utilization through the leadership of System of Care for the coordination of the Community Collaborative to address needs of members with
SED from ages 21 and under
Daymark Funds allocated for the cost associated with Labs and Medications through Daymark Recovery Services in Vance County.
KARTS County funds are allocated for cost of transportation services for members.
Recovery Innovations Facility Based Crisis
Granville County Dashboards
FYTD September 2018
Report data as of November 24, 2018. All graphs are county specific unless otherwise noted.
County Funded Programs*
Central Community Services
Community Collaborative
Daymark
KARTS
Recovery Innovations
Total:
*Please see the County Funded Program Descriptions (Pg. 1) for additional detail
15.7%$18,778
0.0%
% Spent
0.0%$1,558
-$322$1,990
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The numbers for
the previous months will be updated each reporting period.
$0
FYTD
Expenses
$0$93
Granville Funding
$0
$19,100
$1,557
$114,602
-16.2%
$119,800
0.0%
16.7%
FY Budget
Amount
NOTE: County “Maintenance of Effort” funds targeting local behavioral health needs may be managed by Cardinal Innovations or by the county. Data shown here only represents county funds managed by Cardinal Innovations. Some counties manage all of their "Maintenance of Effort" funding.
Granville County Dashboards
FYTD September 2018
Number of Members Served by Age and Diagnosis
Number of Members Served All Age and All Diagnosis Registry of Unmet Needs
191 200 203
23 23 23
1 1 10
50
100
150
200
250
Jul'1
8
Au
g'1
8
Sep
'18
Child Members Served by DiagnosisAges 3 through 17
MH IDD SUD
340364
319
110 112 113128 133 124
0
50
100
150
200
250
300
350
400
Jul'1
8
Au
g'1
8
Sep
'18
Adult Members Served by DiagnosisAges 18 and over
MH IDD SUD
26
25
27
24
25
26
27
28
Jul'1
8
Au
g'1
8
Sep
'18
Nu
mb
er o
f M
emb
ers
on
Reg
istr
y
Innovations Registry of Unmet Needs
NOTE: Innovations slots and funding are allocated by the state. MCOs have no ability to fund or expand the number of Innovations slots.
531564
522
133 135 136
129 134 125
0000000000
100
200
300
400
500
600
Jul'1
8
Au
g'1
8
Sep
'18
All Members Served Ages 3 and over
All Diagnosis
MH IDD SUD
NOTE: This is a distinct count of members served. Members with multiple diagnosis will only be counted once. The sum of the previous graph will not be equal to the total in this graph.
Granville County Dashboards
FYTD September 2018
Service Category Definitions
Service Category
1915 (b)(3) Services
ACTT
ICF
Group settings that serve people across all disability groups.
Psychiatric Residential Treatment Facilities provide residential care to persons under the age of 21 who need 24-hour supervision and specialized
interventions.
Inpatient
MST
Outpatient
Innovations
Services that are provided in the community.
Community based mental health and substance abuse rehabilitation services and interventions.
Services received in a crisis or emergency situation such as Mobile Crisis and Facility-based crisis.
A long-term residential program for people with behavioral health needs.
A short-term service for acutely mentally ill children or adults designed to prevent hospitalizations or to serve as a step down for those leaving an
inpatient facility.
Crisis Services
Services provided in a hospital Emergency Department on an outpatient basis.
BH Long Term Residential
Community Support
Medicaid Waiver for individuals with Intellectual Disabilities.
Hospital-based psychiatric care.
Multisystemic Therapy is a family and community-based therapy for juveniles.
Services received in the community including evaluation, therapy, and psychiatric care.
Outpatient ED
Partial Hosp/Day Tx
Mandated service categories effective 7/1/2013.
IIHS
Definition
Additional supports for Medicaid recipients such as Community Guide and Individual Support.
Assertive Community Treatment Team - services received in the community that address functional areas of the identified population.
Residential
PRTF
Emergency Department
Service to help adults with psychiatric disabilities manage their illness and their lives with as little professional intervention as possible.
Hospital emergency department.
Intermediate Care Facility for individuals with Intellectual Disabilities.
Intensive In-Home Services - services provided in the person's home by a small team with at least one Licensed Professional.
Community
Psych Rehab
Granville County Dashboards
FYTD September 2018
Members Served is based on Member's County of Medicaid Eligibility not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
*Please see the Service Category Definitions (Pg. 4) for additional detail
Members Served and Expenses by Service Category
2
7
0
9
12
25
18
18
21
9
30
30
20
64
101
733
1
1
2
8
11
15
15
18
19
22
26
30
31
63
120
699
0 200 400 600 800
Partial Hosp/Day Tx
PRTF (Psychiatric ResidentialTreatment Facility)
MST
BH Long Term Residential
IIHS
Crisis Services
Outpatient ED
Emergency Department
ACTT (Assertive CommunityTreatment Team)
Community Support
Inpatient
ICF
Psych Rehab
Innovations
1915 (b)(3) Services
Outpatient
Distinct Members Served - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
$3,078
$99,050
$0
$73,737
$64,494
$23,964
$1,715
$16,058
$69,333
$40,444
$287,776
$1,496,346
$65,663
$823,951
$409,443
$340,299
$10,020
$45,282
$6,185
$73,511
$43,752
$14,714
$1,601
$16,272
$68,685
$85,320
$135,921
$1,515,805
$80,579
$767,879
$479,525
$351,127
$0 $400,000 $800,000 $1,200,000 $1,600,000
Partial Hosp/Day Tx
PRTF (Psychiatric Residential Treatment Facility)
MST
BH Long Term Residential
IIHS
Crisis Services
Outpatient ED
Emergency Department
ACTT (Assertive Community Treatment Team)
Community Support
Inpatient
ICF
Psych Rehab
Innovations
1915 (b)(3) Services
Outpatient
Expenses by Service Category - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
Granville County Dashboards
FYTD September 2018
Members Served and Expenses by Service Category
Members Served is based on member's County of Residence not on the Provider's physical
location.
*Please see the Service Category Definitions (Pg. 4) for additional detail
Expenses by Service Categories is based on the Total Paid Amount.
0
4
5
16
21
29
131
2
4
5
21
23
45
124
0 50 100 150
Community Support
Inpatient
ACTT (Assertive CommunityTreatment Team)
Residential
Community
Crisis Services
Outpatient
Distinct Members Served - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
$0
$34,276
$15,875
$90,288
$43,857
$4,926
$24,373
$1,173
$13,484
$15,227
$136,188
$46,385
$8,155
$40,078
$0 $50,000 $100,000 $150,000
Community Support
Inpatient
ACTT (Assertive CommunityTreatment Team)
Residential
Community
Crisis Services
Outpatient
Expenses by Service Category - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
Granville County Dashboards
FYTD September 2018
Members Served and Expense Amounts - Facility Based Crisis & Mobile Crisis Management Services
Medicaid Member served for Facility Based Crisis & Mobile Crisis Services are based on the
Consumers Eligibility. Expenses by Facility Based Crisis & Mobile Crisis Services are based on the total Adjudicated
Amount.
Members Served is based on member's County of Residence not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
9
14
98
0
2
4
6
8
10
12
14
16
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
13
9
26
19
0
5
10
15
20
25
30
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesState
Jul'17-Sep'17 Jul'18-Sep'18
$15,475
$2,303
$13,149
$1,065
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
$18,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
$9,127
$1,272
$33,691
$2,303
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceState
Jul'17-Sep'17 Jul'18-Sep'18
Granville County Dashboards
FYTD September 2018
Entity Type Definitions
Psych State Institution State run Psychiatric care facility for children and adults.
Agencies provide one or more enhanced clinical/therapeutic/rehabilitative/habilitative service to MH, SUD, IDD, or multiple diagnosis groups.
LIPLicensed Independent Practitioner (LIP) - Individual Clinicians, Therapists, Psychiatrists, Psychologists, etc. that are individually contracted with
the MCO. They provide outpatient services such as therapy, psychiatric care, assessment and testing.
LIP Group
Residential Facility located in-catchment but affiliated with another MCO/LME with local Quality Management mandated site visits and limited
oversight required.Senate Bill 163
Other Other entity not elsewhere defined.
County Agency Public health agency.
Neuro Behavioral Center State
Institution
State run medical and nursing care facility for individuals with severe or moderate developmental disability (IDD) and medical conditions of a
serious or chronic nature requiring 24 hour care.
ICFMR State Institution Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) - State run Intermediate Care Facility serving IDD Adults and children.
ADATC State InstitutionAlcohol Drug Abuse Treatment Center (ADATC) State Institution-A state run SUD Adult facility which provides medical detox and medically
monitored residential treatment.
Licensed Independent Practitioner (LIP) Groups are a group of clinicians, Therapists, Psychiatrists, Psychologists, etc. providing outpatient services
such as therapy, psychiatric care, assessment, and testing. They contract with the MCO as a group.
Mandated Entity types effective 11/1/2017.
Entity Type Definition
Agency
Hospital Non-contracted Hospitals for which we reimburse Emergency Department services and Inpatient services.
Physician's Group of HospitalsA group of physicians, contracting or non-contracting, associated with hospitals but not employed by the facility. Considered non-contracting
unless otherwise specified.
Inpatient Hospital providing contracted behavioral health Inpatient and Emergency Department services.
Comprehensive Community
Clinics
Agency based entities providing a number of services, including assessment, enrollment, Outpatient and Psychiatric services, and serve at least
two disabilities. They are designated points of entry that ensure easy access for members.
Inpatient/Outpatient Hospital providing contracted behavioral health Emergency Department and Outpatient services.
Granville County Dashboards
FYTD September 2018
*Please see the Entity Type Definitions (Pg. 8) for additional detail
DAYMARK Recovery Services, Inc.(Cabarrus Center) Comprehensive Community Clinics
Granville Health System-Behavioral Health Services Hospital
At-home Counseling Services, Inc LIP Group
Central Community Services, LLC Agency
Carolina Behavioral Care, P.A. LIP Group
Fast Braiin Oxford, LLC LIP Group
Vance Recovery, PC Agency
Duke University Health System, Inc. dba Duke University HospitalInpatient
Recovery Innovations, Inc. Agency
Vision Behavioral Health Services, LLC Comprehensive Community Clinics
Access Call Center
Top 10 Providers by Members Served - Granville Entity Type
Provider Information
5,303 5,665 5,068
5 5 5
0
1
2
3
4
5
6
0
2000
4000
6000
8000
Jul'1
8
Au
g'1
8
Sep
'18
Spee
d t
o A
nsw
er (
secs
)
# o
f C
alls
Total Number of Calls and Speed to Answer
2.1% 2.0% 2.2%
0%
2%
4%
6%
8%
10%
Jul'1
8
Au
g'1
8
Sep
'18
Per
cen
t o
f C
alls
Ab
and
on
ed
Call Abandonment Rate
Access HEDIS Benchmark 8.6% Cardinal Innovations Target 5.0%
0101010203030407282937
146191
415868
0 200 400 600 800 1000
Other
Neuro Behavioral Center State Institution
County Agency
ADATC State Institution
Inpatient/Outpatient
ICFMR State Institution
Psych State Institution
Comprehensive Community Clinics
Inpatient
Physician's Group of Hospitals
Hospital
LIP Group
LIP
Agency
Total Providers
All Cardinal Innovations Providers by Entity Type
Note: The Top 10 Providers by Members Served is based on member's County of Medicaid Eligibility not on the Provider's physical location.
Granville County Dashboards
FYTD September 2018
Members Served by Age and Diagnosis
Members Served and Expense Amounts by Service Category - Medicaid
Members Served and Expense Amounts by Service Category - State
Members Served and Expense Amounts for Crisis Services
Call Abandonment Rate
Medicaid funded Outpatient services continued to be the highest utilized services for 1st Qtr FY1819. ICF had the highest expense of $1,515,805
followed by Innovations of $767,879. Although Inpatient utilization remained fairly consistent (30 to 26), expense decreased by 53% ($287,776 to
$135,921) from the 1st Qtr FY1718 to the 1st Qtr FY1819. PRTF decreased in utilization by 86% (7 to 1) and in expense by 54% ($99,050 to $45,282).
State funded Outpatient Services was the highest utilized service for 1st Qtr FY1819. Crisis services had the largest percentage increase in
utilization of 55% (29 to 45) and in expense of 66% ($4,926 to $8,155). Inpatient services had the largest percentage decrease in expense of 61%
($34,276 to $13,484). Residential services had the overall highest expense of $136,188 for the quarter.
Medicaid funded Facility Based Crisis remained consistent in utilization, whereas State funded Facility Based Crisis increased in utilization by 100%
(13 to 26) and in expense by 269% ($9,127 to $33,691). Medicaid funded Mobile Crisis Management decreased in utilization by 43% (14 to 8) and
in expense by 54% ($2,303 to $1,065). On the other hand, State funded Mobile Crisis Management increased in utilization by 111% (9 to 19) and in
expense by 81% ($1,271 to $2,303).
Average speed to answer and call abandonment rate remained consistent for the quarter.
Child MH members served has been slightly increasing while Adult MH members served has been slightly decreasing.
Analysis:
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The
numbers for the previous months will be updated each reporting period.
Call Center information in the charts above reflect Cardinal Innovations data and are not county specific.
Halifax County Dashboards
FYTD September 2018
County Funded Program Descriptions
Community CollaborativeFunds allocated for utilization through the leadership of System of Care for the coordination of the Community Collaborative to address needs of members with
SED from ages 21 and under
Recovery Innovations Facility Based Crisis
County Funded Program
Central Community Services Funds for use as part of a Client Specific Agreement.
County Funded Program Description
Halifax County Dashboards
FYTD September 2018
Report data as of November 24, 2018. All graphs are county specific unless otherwise noted.
County Funded Programs*
Central Community Services
Community Collaborative
Recovery Innovations
Total:
*Please see the County Funded Program Descriptions (Pg. 1) for additional detail
FY Budget
Amount
16.7%
$299,500
$0
FYTD
Expenses
$0$253
Halifax Funding
0.0%
% Spent
0.0%$4,219
$49,171$295,028
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The numbers for
the previous months will be updated each reporting period.
$49,171 16.4%
NOTE: County “Maintenance of Effort” funds targeting local behavioral health needs may be managed by Cardinal Innovations or by the county. Data shown here only represents county funds managed by Cardinal Innovations. Some counties manage all of their "Maintenance of Effort" funding.
Halifax County Dashboards
FYTD September 2018
Registry of Unmet Needs
Number of Members Served by Age and Diagnosis
Number of Members Served All Age and All Diagnosis
335361 368
16 18 17
3 2 20
50
100
150
200
250
300
350
400
Jul'1
8
Au
g'1
8
Sep
'18
Child Members Served by DiagnosisAges 3 through 17
MH IDD SUD
782820
714
151 156 152
144 145 128
0
100
200
300
400
500
600
700
800
900
Jul'1
8
Au
g'1
8
Sep
'18
Adult Members Served by DiagnosisAges 18 and over
MH IDD SUD
50
51
50
49
50
51
52
Jul'1
8
Au
g'1
8
Sep
'18
Nu
mb
er o
f M
emb
ers
on
Reg
istr
y
Innovations Registry of Unmet Needs
NOTE: Innovations slots and funding are allocated by the state. MCOs have no ability to fund or expand the number of Innovations slots.
1117 11811082
167 174 169
147 147 1300000000000
200
400
600
800
1000
1200
1400
Jul'1
8
Au
g'1
8
Sep
'18
All Members Served Ages 3 and over
All Diagnosis
MH IDD SUD
NOTE: This is a distinct count of members served. Members with multiple diagnosis will only be counted once. The sum of the previous graph will not be equal to the total in this graph.
Halifax County Dashboards
FYTD September 2018
Service Category Definitions
Community
Psych Rehab
Residential
PRTF
Emergency Department
Service to help adults with psychiatric disabilities manage their illness and their lives with as little professional intervention as possible.
Hospital emergency department.
Intermediate Care Facility for individuals with Intellectual Disabilities.
Intensive In-Home Services - services provided in the person's home by a small team with at least one Licensed Professional.
BH Long Term Residential
Community Support
Medicaid Waiver for individuals with Intellectual Disabilities.
Hospital-based psychiatric care.
Multisystemic Therapy is a family and community-based therapy for juveniles.
Services received in the community including evaluation, therapy, and psychiatric care.
Outpatient ED
Partial Hosp/Day Tx
Mandated service categories effective 7/1/2013.
IIHS
Definition
Additional supports for Medicaid recipients such as Community Guide and Individual Support.
Assertive Community Treatment Team - services received in the community that address functional areas of the identified population.
Services provided in a hospital Emergency Department on an outpatient basis.
A short-term service for acutely mentally ill children or adults designed to prevent hospitalizations or to serve as a step down for those leaving an
inpatient facility.
Crisis Services
A long-term residential program for people with behavioral health needs.
ACTT
ICF
Group settings that serve people across all disability groups.
Psychiatric Residential Treatment Facilities provide residential care to persons under the age of 21 who need 24-hour supervision and specialized
interventions.
Inpatient
MST
Outpatient
Innovations
Services that are provided in the community.
Community based mental health and substance abuse rehabilitation services and interventions.
Services received in a crisis or emergency situation such as Mobile Crisis and Facility-based crisis.
Service Category
1915 (b)(3) Services
Halifax County Dashboards
FYTD September 2018
Members Served and Expenses by Service Category
Members Served is based on Member's County of Medicaid Eligibility not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
*Please see the Service Category Definitions (Pg. 4) for additional detail
3
1
3
6
6
15
33
38
47
35
72
94
79
95
221
1354
0
1
3
7
14
15
31
36
36
37
68
72
78
90
289
1282
0 500 1000 1500
Community Support
PRTF (Psychiatric ResidentialTreatment Facility)
BH Long Term Residential
MST
Partial Hosp/Day Tx
Crisis Services
ACTT (Assertive CommunityTreatment Team)
ICF
Outpatient ED
IIHS
Innovations
Inpatient
Psych Rehab
Emergency Department
1915 (b)(3) Services
Outpatient
Distinct Members Served - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
$14,982
$70,455
$33,938
$18,623
$37,975
$13,559
$106,915
$1,361,387
$5,603
$186,789
$929,264
$379,224
$193,523
$60,280
$958,289
$470,858
$0
$34,068
$46,576
$41,742
$89,707
$24,757
$111,775
$1,343,903
$4,660
$166,963
$891,785
$359,635
$201,596
$72,373
$1,014,650
$480,167
$0 $400,000 $800,000 $1,200,000 $1,600,000
Community Support
PRTF (Psychiatric Residential Treatment Facility)
BH Long Term Residential
MST
Partial Hosp/Day Tx
Crisis Services
ACTT (Assertive Community Treatment Team)
ICF
Outpatient ED
IIHS
Innovations
Inpatient
Psych Rehab
Emergency Department
1915 (b)(3) Services
Outpatient
Expenses by Service Category - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
Halifax County Dashboards
FYTD September 2018
*Please see the Service Category Definitions (Pg. 4) for additional detail
Expenses by Service Categories is based on the Total Paid Amount.
Members Served and Expenses by Service Category
Members Served is based on member's County of Residence not on the Provider's physical
location.
2
10
32
31
30
74
167
2
7
24
30
41
105
189
0 50 100 150 200
Psych Rehab
ACTT (Assertive CommunityTreatment Team)
Crisis Services
Residential
Inpatient
Community
Outpatient
Distinct Members Served - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
$1,827
$27,214
$6,967
$115,364
$136,500
$149,224
$51,187
$344
$24,623
$6,227
$138,932
$187,393
$194,075
$105,915
$0 $50,000 $100,000 $150,000 $200,000 $250,000
Psych Rehab
ACTT (Assertive CommunityTreatment Team)
Crisis Services
Residential
Inpatient
Community
Outpatient
Expenses by Service Category - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
Halifax County Dashboards
FYTD September 2018
Members Served is based on member's County of Residence not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
Members Served and Expense Amounts - Facility Based Crisis & Mobile Crisis Management Services
Medicaid Member served for Facility Based Crisis & Mobile Crisis Services are based on the
Consumers Eligibility. Expenses by Facility Based Crisis & Mobile Crisis Services are based on the total Adjudicated
Amount.
5 5
13
2
0
2
4
6
8
10
12
14
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
16
5
20
6
0
5
10
15
20
25
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesState
Jul'17-Sep'17 Jul'18-Sep'18
$7,850
$825
$24,939
$241$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
$17,991
$481
$31,513
$1,856
$0
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceState
Jul'17-Sep'17 Jul'18-Sep'18
Halifax County Dashboards
FYTD September 2018
Entity Type Definitions
Hospital Non-contracted Hospitals for which we reimburse Emergency Department services and Inpatient services.
Physician's Group of HospitalsA group of physicians, contracting or non-contracting, associated with hospitals but not employed by the facility. Considered non-contracting
unless otherwise specified.
Inpatient Hospital providing contracted behavioral health Inpatient and Emergency Department services.
Comprehensive Community
Clinics
Agency based entities providing a number of services, including assessment, enrollment, Outpatient and Psychiatric services, and serve at least
two disabilities. They are designated points of entry that ensure easy access for members.
Inpatient/Outpatient Hospital providing contracted behavioral health Emergency Department and Outpatient services.
Licensed Independent Practitioner (LIP) Groups are a group of clinicians, Therapists, Psychiatrists, Psychologists, etc. providing outpatient services
such as therapy, psychiatric care, assessment, and testing. They contract with the MCO as a group.
Mandated Entity types effective 11/1/2017.
Entity Type Definition
Agency
Senate Bill 163
Other Other entity not elsewhere defined.
County Agency Public health agency.
Neuro Behavioral Center State
Institution
State run medical and nursing care facility for individuals with severe or moderate developmental disability (IDD) and medical conditions of a
serious or chronic nature requiring 24 hour care.
ICFMR State Institution Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) - State run Intermediate Care Facility serving IDD Adults and children.
ADATC State InstitutionAlcohol Drug Abuse Treatment Center (ADATC) State Institution-A state run SUD Adult facility which provides medical detox and medically
monitored residential treatment.
Residential Facility located in-catchment but affiliated with another MCO/LME with local Quality Management mandated site visits and limited
oversight required.
Psych State Institution State run Psychiatric care facility for children and adults.
Agencies provide one or more enhanced clinical/therapeutic/rehabilitative/habilitative service to MH, SUD, IDD, or multiple diagnosis groups.
LIPLicensed Independent Practitioner (LIP) - Individual Clinicians, Therapists, Psychiatrists, Psychologists, etc. that are individually contracted with
the MCO. They provide outpatient services such as therapy, psychiatric care, assessment and testing.
LIP Group
Halifax County Dashboards
FYTD September 2018
*Please see the Entity Type Definitions (Pg. 8) for additional detail
RHA Behavioral Health NC LLC Comprehensive Community Clinics
Roanoke Valley Psychiatric Associates, P.A. LIP Group
Statewide Mental Health & Disability Services, PLLC LIP Group
CW Counseling Services, Inc. LIP Group
Halifax Regional Medical Center, Inc. Inpatient
New Beginnings Day Treatment Center, LLC Agency
Edwards' Assessments and Counseling, Inc. Agency
Easter Seals UCP North Carolina & Virginia, Inc. Agency
Structured Family Interventions, LLC Agency
C&M Behavioral Health, PLLC LIP
Top 10 Providers by Members Served - Halifax Entity Type
Provider Information
Access Call Center
5,303 5,665 5,068
5 5 5
0
1
2
3
4
5
6
0
2000
4000
6000
8000
Jul'1
8
Au
g'1
8
Sep
'18
Spee
d t
o A
nsw
er (
secs
)
# o
f C
alls
Total Number of Calls and Speed to Answer
2.1% 2.0% 2.2%
0%
2%
4%
6%
8%
10%
Jul'1
8
Au
g'1
8
Sep
'18
Per
cen
t o
f C
alls
Ab
and
on
ed
Call Abandonment Rate
Access HEDIS Benchmark 8.6% Cardinal Innovations Target 5.0%
0101010203030407282937
146191
415868
0 200 400 600 800 1000
Other
Neuro Behavioral Center State Institution
County Agency
ADATC State Institution
Inpatient/Outpatient
ICFMR State Institution
Psych State Institution
Comprehensive Community Clinics
Inpatient
Physician's Group of Hospitals
Hospital
LIP Group
LIP
Agency
Total Providers
All Cardinal Innovations Providers by Entity Type
Note: The Top 10 Providers by Members Served is based on member's County of Medicaid Eligibility not on the Provider's physical location.
Halifax County Dashboards
FYTD September 2018
Members Served by Age and Diagnosis
Members Served and Expense Amounts by Service Category - Medicaid
Members Served and Expense Amounts by Service Category - State
Members Served and Expense Amounts for Crisis Services
Call Abandonment Rate
Analysis:
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The
numbers for the previous months will be updated each reporting period.
Call Center information in the charts above reflect Cardinal Innovations data and are not county specific.
Medicaid funded Outpatient services continued to be the highest utilized service for 1st Qtr FY1819. Partial Hosp/Day Tx had the largest
percentage increase in utilization of 133% (6 to 14) and in expense of 136% ($37,975 to $89,707). ICF services had the highest expense for 1st Qtr
FY1819 with $1,343,903. 1915(b)(3) Services had the second highest expense of $1,014,650, with a 31% increase in utilization (221 to 289) and only
a 6% increase in expense ($958,289 to $1,014,650).
State funded Outpatient services continued to be the highest utilized services for 1st Qtr FY1819, and utilization increased by 13% (167 to 189) over
the previous fiscal year. Community services had the higest expense of $194,075, with an increase in utilization of 42% (74 to 105) and in expense
of 30% ($149,224 to $194,075) over the previous fiscal year. Expenses for State funded Outpatient services increased by 107% ($51,187 to
$105,915) over the previous fiscal year, some of which can be attributed to an increase of 190% ($25,696 to $74,409) in expenses for Substance
Abuse - Intensive Outpatient services.
Medicaid and State funded Facility Based Crisis increased in both utilization and in expense for 1st Qtr FY1819. Medicaid funded Facility Based
Crisis had the largest increase in utilization of 160% (5 to 13) and in expense of 218% ($7,850 to $24,939). Medicaid funded Mobile Crisis
Management decreased in utilization (5 to 2), whereas State funded Mobile Crisis Management slightly increased in utilization (5 to 6).
Average speed to answer and call abandonment rate remained consistent for the quarter.
Child MH members served have been increasing, whereas Adult MH members served have been decreasing. Both Child and Adult SUD and IDD
members served have remained consistent for 1st Qtr FY1819.
Vance County Dashboards
FYTD September 2018
County Funded Program Descriptions
County Funded Program
Central Community Services Funds for use as part of a Client Specific Agreement.
County Funded Program Description
Community CollaborativeFunds allocated for utilization through the leadership of System of Care for the coordination of the Community Collaborative to address needs of members with
SED from ages 21 and underCorrectional Behavioral Health
ServicesBehavioral health couneling and support to jail inmates
Daymark Funds allocated for the cost associated with Labs and Medications through Daymark Recovery Services in Vance County.
KARTS County funds are allocated for cost of transportation services for members.
Recovery Innovations Facility Based Crisis
Vance County Dashboards
FYTD September 2018
Report data as of November 24, 2018. All graphs are county specific unless otherwise noted.
County Funded Programs*
Central Community Services
Community Collaborative
Correctional Behavioral Health Services
Daymark
KARTS
Recovery Innovations
Total:
*Please see the County Funded Program Descriptions (Pg. 1) for additional detail
13.7%$22,957
0.0%
% Spent
0.0%$2,185
$0$20,400
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The numbers for
the previous months will be updated each reporting period.
$0
$140,430
FYTD
Expenses
$0$132
Vance Funding
-$448
$0
$23,405
$2,768
$2,185
16.7%
0.0%
$168,100
-16.2%
0.0%
FY Budget
Amount
NOTE: County “Maintenance of Effort” funds targeting local behavioral health needs may be managed by Cardinal Innovations or by the county. Data shown here only represents county funds managed by Cardinal Innovations. Some counties manage all of their "Maintenance of Effort" funding.
Vance County Dashboards
FYTD September 2018
Number of Members Served by Age and Diagnosis
Number of Members Served All Age and All Diagnosis Registry of Unmet Needs
327 315 302
24 23 20
10 11 110
50
100
150
200
250
300
350
Jul'1
8
Au
g'1
8
Sep
'18
Child Members Served by DiagnosisAges 3 through 17
MH IDD SUD
746809
720
136 140 138285 285 288
0
100
200
300
400
500
600
700
800
900
Jul'1
8
Au
g'1
8
Sep
'18
Adult Members Served by DiagnosisAges 18 and over
MH IDD SUD
50 50
51
49
50
51
52
Jul'1
8
Au
g'1
8
Sep
'18
Nu
mb
er o
f M
emb
ers
on
Reg
istr
y
Innovations Registry of Unmet Needs
NOTE: Innovations slots and funding are allocated by the state. MCOs have no ability to fund or expand the number of Innovations slots.
1073 11241022
160 163 158295 296 299
0000000000
200
400
600
800
1000
1200
Jul'1
8
Au
g'1
8
Sep
'18
All Members Served Ages 3 and over
All Diagnosis
MH IDD SUD
NOTE: This is a distinct count of members served. Members with multiple diagnosis will only be counted once. The sum of the previous graph will not be equal to the total in this graph.
Vance County Dashboards
FYTD September 2018
Service Category Definitions
Service Category
1915 (b)(3) Services
ACTT
ICF
Group settings that serve people across all disability groups.
Psychiatric Residential Treatment Facilities provide residential care to persons under the age of 21 who need 24-hour supervision and specialized
interventions.
Inpatient
MST
Outpatient
Innovations
Services that are provided in the community.
Community based mental health and substance abuse rehabilitation services and interventions.
Services received in a crisis or emergency situation such as Mobile Crisis and Facility-based crisis.
A long-term residential program for people with behavioral health needs.
A short-term service for acutely mentally ill children or adults designed to prevent hospitalizations or to serve as a step down for those leaving an
inpatient facility.
Crisis Services
Services provided in a hospital Emergency Department on an outpatient basis.
BH Long Term Residential
Community Support
Medicaid Waiver for individuals with Intellectual Disabilities.
Hospital-based psychiatric care.
Multisystemic Therapy is a family and community-based therapy for juveniles.
Services received in the community including evaluation, therapy, and psychiatric care.
Outpatient ED
Partial Hosp/Day Tx
Mandated service categories effective 7/1/2013.
IIHS
Definition
Additional supports for Medicaid recipients such as Community Guide and Individual Support.
Assertive Community Treatment Team - services received in the community that address functional areas of the identified population.
Residential
PRTF
Emergency Department
Service to help adults with psychiatric disabilities manage their illness and their lives with as little professional intervention as possible.
Hospital emergency department.
Intermediate Care Facility for individuals with Intellectual Disabilities.
Intensive In-Home Services - services provided in the person's home by a small team with at least one Licensed Professional.
Community
Psych Rehab
Vance County Dashboards
FYTD September 2018
Members Served is based on Member's County of Medicaid Eligibility not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
*Please see the Service Category Definitions (Pg. 4) for additional detail
Members Served and Expenses by Service Category
2
1
3
3
26
23
26
21
38
49
44
50
57
73
356
1296
1
2
4
7
10
20
23
29
37
42
51
53
55
58
422
1300
0 200 400 600 800 1000 1200 1400
MST
Partial Hosp/Day Tx
PRTF (Psychiatric ResidentialTreatment Facility)
BH Long Term Residential
Community Support
IIHS
ICF
Outpatient ED
ACTT (Assertive CommunityTreatment Team)
Crisis Services
Psych Rehab
Inpatient
Innovations
Emergency Department
1915 (b)(3) Services
Outpatient
Distinct Members Served - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
$8,924
$10,365
$50,979
$56,120
$58,032
$136,744
$1,208,948
$1,286
$138,342
$43,291
$156,522
$171,194
$853,316
$44,600
$1,556,547
$637,577
$773
$20,008
$10,337
$80,158
$32,383
$84,154
$1,145,760
$2,186
$135,103
$57,647
$166,791
$348,215
$807,420
$38,329
$1,791,118
$717,109
$0 $500,000 $1,000,000 $1,500,000 $2,000,000
MST
Partial Hosp/Day Tx
PRTF (Psychiatric Residential Treatment Facility)
BH Long Term Residential
Community Support
IIHS
ICF
Outpatient ED
ACTT (Assertive Community Treatment Team)
Crisis Services
Psych Rehab
Inpatient
Innovations
Emergency Department
1915 (b)(3) Services
Outpatient
Expenses by Service Category - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
Vance County Dashboards
FYTD September 2018
Members Served and Expenses by Service Category
Members Served is based on member's County of Residence not on the Provider's physical
location.
*Please see the Service Category Definitions (Pg. 4) for additional detail
Expenses by Service Categories is based on the Total Paid Amount.
0
2
3
12
42
56
50
229
3
3
5
5
38
51
66
238
0 50 100 150 200 250
Community Support
Psych Rehab
ACTT (Assertive CommunityTreatment Team)
Inpatient
Residential
Crisis Services
Community
Outpatient
Distinct Members Served - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
$0
$3,626
$10,044
$54,349
$193,056
$12,336
$133,587
$30,831
$2,280
$3,637
$16,523
$27,988
$228,597
$9,720
$173,191
$88,974
$0 $50,000 $100,000 $150,000 $200,000 $250,000
Community Support
Psych Rehab
ACTT (Assertive CommunityTreatment Team)
Inpatient
Residential
Crisis Services
Community
Outpatient
Expenses by Service Category - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
Vance County Dashboards
FYTD September 2018
Members Served and Expense Amounts - Facility Based Crisis & Mobile Crisis Management Services
Medicaid Member served for Facility Based Crisis & Mobile Crisis Services are based on the
Consumers Eligibility. Expenses by Facility Based Crisis & Mobile Crisis Services are based on the total Adjudicated
Amount.
Members Served is based on member's County of Residence not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
2022
28
18
0
5
10
15
20
25
30
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
28
9
47
5
0
10
20
30
40
50
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesState
Jul'17-Sep'17 Jul'18-Sep'18
$33,654
$2,475
$55,804
$2,853
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
$33,072
$1,993
$54,199
$1,684
$0
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceState
Jul'17-Sep'17 Jul'18-Sep'18
Vance County Dashboards
FYTD September 2018
Entity Type Definitions
Psych State Institution State run Psychiatric care facility for children and adults.
Agencies provide one or more enhanced clinical/therapeutic/rehabilitative/habilitative service to MH, SUD, IDD, or multiple diagnosis groups.
LIPLicensed Independent Practitioner (LIP) - Individual Clinicians, Therapists, Psychiatrists, Psychologists, etc. that are individually contracted with
the MCO. They provide outpatient services such as therapy, psychiatric care, assessment and testing.
LIP Group
Residential Facility located in-catchment but affiliated with another MCO/LME with local Quality Management mandated site visits and limited
oversight required.Senate Bill 163
Other Other entity not elsewhere defined.
County Agency Public health agency.
Neuro Behavioral Center State
Institution
State run medical and nursing care facility for individuals with severe or moderate developmental disability (IDD) and medical conditions of a
serious or chronic nature requiring 24 hour care.
ICFMR State Institution Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) - State run Intermediate Care Facility serving IDD Adults and children.
ADATC State InstitutionAlcohol Drug Abuse Treatment Center (ADATC) State Institution-A state run SUD Adult facility which provides medical detox and medically
monitored residential treatment.
Licensed Independent Practitioner (LIP) Groups are a group of clinicians, Therapists, Psychiatrists, Psychologists, etc. providing outpatient services
such as therapy, psychiatric care, assessment, and testing. They contract with the MCO as a group.
Mandated Entity types effective 11/1/2017.
Entity Type Definition
Agency
Hospital Non-contracted Hospitals for which we reimburse Emergency Department services and Inpatient services.
Physician's Group of HospitalsA group of physicians, contracting or non-contracting, associated with hospitals but not employed by the facility. Considered non-contracting
unless otherwise specified.
Inpatient Hospital providing contracted behavioral health Inpatient and Emergency Department services.
Comprehensive Community
Clinics
Agency based entities providing a number of services, including assessment, enrollment, Outpatient and Psychiatric services, and serve at least
two disabilities. They are designated points of entry that ensure easy access for members.
Inpatient/Outpatient Hospital providing contracted behavioral health Emergency Department and Outpatient services.
Vance County Dashboards
FYTD September 2018
*Please see the Entity Type Definitions (Pg. 8) for additional detail
DAYMARK Recovery Services, Inc.(Cabarrus Center) Comprehensive Community Clinics
Vance Recovery, PC Agency
At-home Counseling Services, Inc LIP Group
Alliance Rehabilitative Care, Inc Agency
Rehabilitated Support Services, PLLC LIP Group
Henderson Psychological Services, PLLC LIP Group
Granville Health System-Behavioral Health Services Hospital
Women, Children and Family Counseling Services, PLLC LIP Group
Recovery Innovations, Inc. Agency
Carolina Community Support Services, Inc. Agency
Access Call Center
Top 10 Providers by Members Served - Vance Entity Type
Provider Information
5,303 5,665 5,068
5 5 5
0
1
2
3
4
5
6
0
2000
4000
6000
8000
Jul'1
8
Au
g'1
8
Sep
'18
Spee
d t
o A
nsw
er (
secs
)
# o
f C
alls
Total Number of Calls and Speed to Answer
2.1% 2.0% 2.2%
0%
2%
4%
6%
8%
10%
Jul'1
8
Au
g'1
8
Sep
'18
Per
cen
t o
f C
alls
Ab
and
on
ed
Call Abandonment Rate
Access HEDIS Benchmark 8.6% Cardinal Innovations Target 5.0%
0101010203030407282937
146191
415868
0 200 400 600 800 1000
Other
Neuro Behavioral Center State Institution
County Agency
ADATC State Institution
Inpatient/Outpatient
ICFMR State Institution
Psych State Institution
Comprehensive Community Clinics
Inpatient
Physician's Group of Hospitals
Hospital
LIP Group
LIP
Agency
Total Providers
All Cardinal Innovations Providers by Entity Type
Note: The Top 10 Providers by Members Served is based on member's County of Medicaid Eligibility not on the Provider's physical location.
Vance County Dashboards
FYTD September 2018
Members Served by Age and Diagnosis
Members Served and Expense Amounts by Service Category - Medicaid
Members Served and Expense Amounts by Service Category - State
Members Served and Expense Amounts for Crisis Services
Call Abandonment Rate
Medicaid funded Outpatient services continued to be the most utilized services for 1st Qtr FY1819. Community Support had the largest percentage
decrease in utilization of 62% (26 to 10), and also experienced a 44% decrease in expense ($58,032 to $32,383). 1915(b)(3) services had the highest
expense of $1,791,118, with a 19% increase in utilization (356 to 422) over the previous fiscal year. ICF services had the second highest expense of
$1,145,760, followed by Innovations of $807,420.
State funded Outpatient services had the highest utilization for 1st Qtr FY1819. Residential services had the highest cost of $228,597, followed by
Community services of $173,191, with both service categories increasing in expense compared to the previous quarter for FY1718. Inpatient had
the largest percentage decrease of 58% in utilization (12 to 5) and of 49% in expense ($54,349 to $27,988). State funded Outpatient services
experienced an increase in expense of 189% ($30,831 to $88,974) over the previous fiscal year, much of which can be attributed to an increase in
expenses for Opioid Treatment services (from $1,246 to $64,017).
Medicaid and State funded Facility Based Crisis increased in both utilization and expense. State funded Facility Based Crisis had the largest
percentage increase in utilization of 68% (28 to 47) and in expense of 64% ($33,072 to $54,199). Medicaid and State funded Mobile Crisis
Management decreased in both utilization and expense. State funded Mobile Crisis Management had the largest percentage decrease in utilization
of 44% (9 to 5) and only decreased slightly in expense (16% - $1,993 to $1,684).
Average speed to answer and call abandonment rate remained consistent for the quarter.
Both Child MH and Adult MH members served have been on a downward trend for 1st Qtr FY1819.
Analysis:
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The
numbers for the previous months will be updated each reporting period.
Call Center information in the charts above reflect Cardinal Innovations data and are not county specific.
Warren County Dashboards
FYTD September 2018
County Funded Program Descriptions
County Funded Program
Central Community Services Funds for use as part of a Client Specific Agreement.
County Funded Program Description
Community CollaborativeFunds allocated for utilization through the leadership of System of Care for the coordination of the Community Collaborative to address needs of members
with SED from ages 21 and underCorrectional Behavioral Health
ServicesBehavioral health couneling and support to jail inmates
Daymark Funds allocated for the cost associated with Labs and Medications through Daymark Recovery Services in Vance County.
KARTS County funds are allocated for cost of transportation services for members.
Recovery Innovations Facility Based Crisis
Warren County Dashboards
FYTD September 2018
Report data as of November 24, 2018. All graphs are county specific unless otherwise noted.
County Funded Programs*
Central Community Services
Community Collaborative
Correctional Behavioral Health Services
Daymark
KARTS
Recovery Innovations
Total:
*Please see the County Funded Program Descriptions (Pg. 1) for additional detail
11.2%$5,058
0.0%
% Spent
0.0%$586
$0$12,000
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The numbers
for the previous months will be updated each reporting period.
$0
$31,110
FYTD
Expenses
$0$35
Warren Funding
-$127
$0
$5,185
$783
$586
16.7%
0.0%
$45,100
-16.2%
0.0%
FY Budget
Amount
NOTE: County “Maintenance of Effort” funds targeting local behavioral health needs may be managed by Cardinal Innovations or by the county. Data shown here only represents county funds managed by Cardinal Innovations. Some counties manage all of their "Maintenance of Effort" funding.
Warren County Dashboards
FYTD September 2018
Number of Members Served by Age and Diagnosis
Number of Members Served All Age and All Diagnosis Registry of Unmet Needs
87 8680
812
8
2 2 20
10
20
30
40
50
60
70
80
90
100
Jul'1
8
Au
g'1
8
Sep
'18
Child Members Served by DiagnosisAges 3 through 17
MH IDD SUD
187208
179
64 66 64
48 4936
0
50
100
150
200
250
Jul'1
8
Au
g'1
8
Sep
'18
Adult Members Served by DiagnosisAges 18 and over
MH IDD SUD
18 18 18
0
2
4
6
8
10
12
14
16
18
20
Jul'1
8
Au
g'1
8
Sep
'18
Nu
mb
er o
f M
emb
ers
on
Reg
istr
y
Innovations Registry of Unmet Needs
NOTE: Innovations slots and funding are allocated by the state. MCOs have no ability to fund or expand the number of Innovations slots.
274294
259
72 78 72
50 51 380000000000
50
100
150
200
250
300
350
Jul'1
8
Au
g'1
8
Sep
'18
All Members Served Ages 3 and over
All Diagnosis
MH IDD SUD
NOTE: This is a distinct count of members served. Members with multiple diagnosis will only be counted once. The sum of the previous graph will not be equal to the total in this graph.
Warren County Dashboards
FYTD September 2018
Service Category Definitions
Service Category
1915 (b)(3) Services
ACTT
ICF
Group settings that serve people across all disability groups.
Psychiatric Residential Treatment Facilities provide residential care to persons under the age of 21 who need 24-hour supervision and
specialized interventions.
Inpatient
MST
Outpatient
Innovations
Services that are provided in the community.
Community based mental health and substance abuse rehabilitation services and interventions.
Services received in a crisis or emergency situation such as Mobile Crisis and Facility-based crisis.
A long-term residential program for people with behavioral health needs.
A short-term service for acutely mentally ill children or adults designed to prevent hospitalizations or to serve as a step down for those
leaving an inpatient facility.
Crisis Services
Services provided in a hospital Emergency Department on an outpatient basis.
BH Long Term Residential
Community Support
Medicaid Waiver for individuals with Intellectual Disabilities.
Hospital-based psychiatric care.
Multisystemic Therapy is a family and community-based therapy for juveniles.
Services received in the community including evaluation, therapy, and psychiatric care.
Outpatient ED
Partial Hosp/Day Tx
Mandated service categories effective 7/1/2013.
IIHS
Definition
Additional supports for Medicaid recipients such as Community Guide and Individual Support.
Assertive Community Treatment Team - services received in the community that address functional areas of the identified population.
Residential
PRTF
Emergency Department
Service to help adults with psychiatric disabilities manage their illness and their lives with as little professional intervention as possible.
Hospital emergency department.
Intermediate Care Facility for individuals with Intellectual Disabilities.
Intensive In-Home Services - services provided in the person's home by a small team with at least one Licensed Professional.
Community
Psych Rehab
Warren County Dashboards
FYTD September 2018
Members Served is based on Member's County of Medicaid Eligibility not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
*Please see the Service Category Definitions (Pg. 4) for additional detail
Members Served and Expenses by Service Category
1
0
3
3
11
2
7
5
17
9
23
13
20
38
67
381
0
1
2
2
3
3
7
8
9
9
9
14
16
37
88
346
0 100 200 300 400 500
Partial Hosp/Day Tx
MST
BH Long Term Residential
Community Support
IIHS
PRTF (Psychiatric ResidentialTreatment Facility)
Psych Rehab
Outpatient ED
Crisis Services
ICF
Inpatient
ACTT (Assertive CommunityTreatment Team)
Emergency Department
Innovations
1915 (b)(3) Services
Outpatient
Distinct Members Served - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
$597
$0
$17,558
$11,687
$44,352
$143,825
$22,254
$194
$20,270
$418,771
$51,543
$41,471
$9,714
$613,824
$259,055
$126,331
$0
$7,827
$6,037
$1,041
$10,844
$61,796
$22,585
$457
$8,058
$429,395
$84,821
$53,782
$6,657
$606,318
$361,630
$101,745
$0 $100,000 $200,000 $300,000 $400,000 $500,000 $600,000 $700,000
Partial Hosp/Day Tx
MST
BH Long Term Residential
Community Support
IIHS
PRTF (Psychiatric ResidentialTreatment Facility)
Psych Rehab
Outpatient ED
Crisis Services
ICF
Inpatient
ACTT (Assertive CommunityTreatment Team)
Emergency Department
Innovations
1915 (b)(3) Services
Outpatient
Expenses by Service Category - Medicaid Funding
Jul'18-Sep'18 Jul'17-Sep'17
Warren County Dashboards
FYTD September 2018
Members Served and Expenses by Service Category
Members Served is based on member's County of Residence not on the Provider's physical
location.
*Please see the Service Category Definitions (Pg. 4) for additional detail
Expenses by Service Categories is based on the Total Paid Amount.
1
2
2
14
12
33
85
0
1
3
12
17
30
78
0 20 40 60 80 100
Community Support
Inpatient
ACTT (Assertive CommunityTreatment Team)
Crisis Services
Community
Residential
Outpatient
Distinct Members Served - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
$2,379
$7,500
$7,452
$4,454
$35,370
$103,570
$28,999
$0
$3,000
$9,072
$2,152
$52,617
$100,409
$42,059
$0 $20,000 $40,000 $60,000 $80,000 $100,000 $120,000
Community Support
Inpatient
ACTT (Assertive CommunityTreatment Team)
Crisis Services
Community
Residential
Outpatient
Expenses by Service Category - State Funding
Jul'18-Sep'18 Jul'17-Sep'17
Warren County Dashboards
FYTD September 2018
Members Served and Expense Amounts - Facility Based Crisis & Mobile Crisis Management Services
Medicaid Member served for Facility Based Crisis & Mobile Crisis Services are based on the
Consumers Eligibility. Expenses by Facility Based Crisis & Mobile Crisis Services are based on the total Adjudicated
Amount.
Members Served is based on member's County of Residence not on the Provider's physical
location.
Expenses by Service Categories is based on the Total Paid Amount.
9
8
5
3
0
2
4
6
8
10
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
12
3
10
3
0
2
4
6
8
10
12
14
Facility Based Crisis Mobile Crisis Management
Distinct Members Receiving FBC & MCM Crisis ServicesState
Jul'17-Sep'17 Jul'18-Sep'18
$15,569
$2,097
$6,038
$550
$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
$18,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceMedicaid
Jul'17-Sep'17 Jul'18-Sep'18
$6,254
$1,993
$9,484
$894
$0
$2,000
$4,000
$6,000
$8,000
$10,000
Facility Based Crisis Mobile Crisis Management
Expenses by FBC & MCM Crisis ServiceState
Jul'17-Sep'17 Jul'18-Sep'18
Warren County Dashboards
FYTD September 2018
Entity Type Definitions
Psych State Institution State run Psychiatric care facility for children and adults.
Agencies provide one or more enhanced clinical/therapeutic/rehabilitative/habilitative service to MH, SUD, IDD, or multiple diagnosis
groups.
LIPLicensed Independent Practitioner (LIP) - Individual Clinicians, Therapists, Psychiatrists, Psychologists, etc. that are individually contracted
with the MCO. They provide outpatient services such as therapy, psychiatric care, assessment and testing.
LIP Group
Residential Facility located in-catchment but affiliated with another MCO/LME with local Quality Management mandated site visits and
limited oversight required.Senate Bill 163
Other Other entity not elsewhere defined.
County Agency Public health agency.
Neuro Behavioral Center State
Institution
State run medical and nursing care facility for individuals with severe or moderate developmental disability (IDD) and medical conditions of a
serious or chronic nature requiring 24 hour care.
ICFMR State InstitutionIntermediate Care Facilities for Persons with Mental Retardation (ICF/MR) - State run Intermediate Care Facility serving IDD Adults and
children.
ADATC State InstitutionAlcohol Drug Abuse Treatment Center (ADATC) State Institution-A state run SUD Adult facility which provides medical detox and medically
monitored residential treatment.
Licensed Independent Practitioner (LIP) Groups are a group of clinicians, Therapists, Psychiatrists, Psychologists, etc. providing outpatient
services such as therapy, psychiatric care, assessment, and testing. They contract with the MCO as a group.
Mandated Entity types effective 11/1/2017.
Entity Type Definition
Agency
Hospital Non-contracted Hospitals for which we reimburse Emergency Department services and Inpatient services.
Physician's Group of HospitalsA group of physicians, contracting or non-contracting, associated with hospitals but not employed by the facility. Considered non-contracting
unless otherwise specified.
Inpatient Hospital providing contracted behavioral health Inpatient and Emergency Department services.
Comprehensive Community
Clinics
Agency based entities providing a number of services, including assessment, enrollment, Outpatient and Psychiatric services, and serve at
least two disabilities. They are designated points of entry that ensure easy access for members.
Inpatient/Outpatient Hospital providing contracted behavioral health Emergency Department and Outpatient services.
Warren County Dashboards
FYTD September 2018
*Please see the Entity Type Definitions (Pg. 8) for additional detail
DAYMARK Recovery Services, Inc.(Cabarrus Center) Comprehensive Community Clinics
Freedom House Recovery Center, Inc Comprehensive Community Clinics
Granville Health System-Behavioral Health Services Hospital
Alliance Rehabilitative Care, Inc Agency
Henderson Psychological Services, PLLC LIP Group
Ariel Community Care, LLC Agency
Community Workforce Solutions, Inc. Agency
Beyond Challenges Community Services, LLC Agency
Fast Braiin Oxford, LLC LIP Group
United Support Services, Inc. Agency
Access Call Center
Top 10 Providers by Members Served - Warren Entity Type
Provider Information
5,303 5,665 5,068
5 5 5
0
1
2
3
4
5
6
0
2000
4000
6000
8000
Jul'1
8
Au
g'1
8
Sep
'18
Spee
d t
o A
nsw
er (
secs
)
# o
f C
alls
Total Number of Calls and Speed to Answer
2.1% 2.0% 2.2%
0%
2%
4%
6%
8%
10%
Jul'1
8
Au
g'1
8
Sep
'18
Per
cen
t o
f C
alls
Ab
and
on
ed
Call Abandonment Rate
Access HEDIS Benchmark 8.6% Cardinal Innovations Target 5.0%
0101010203030407282937
146191
415868
0 200 400 600 800 1000
Other
Neuro Behavioral Center State Institution
County Agency
ADATC State Institution
Inpatient/Outpatient
ICFMR State Institution
Psych State Institution
Comprehensive Community Clinics
Inpatient
Physician's Group of Hospitals
Hospital
LIP Group
LIP
Agency
Total Providers
All Cardinal Innovations Providers by Entity Type
Note: The Top 10 Providers by Members Served is based on member's County of Medicaid Eligibility not on the Provider's physical location.
Warren County Dashboards
FYTD September 2018
Members Served by Age and Diagnosis
Members Served and Expense Amounts by Service Category - Medicaid
Members Served and Expense Amounts by Service Category - State
Members Served and Expense Amounts for Crisis Services
Call Abandonment Rate
Medicaid funded Outpatient services were the largest utilized services for 1st Qtr FY1819. IIHS had the largest percentage decrease in utilization of
73% (11 to 3) and in expense of 76% ($44,352 to $10,844). Innovations had the highest expense of $606,318 followed by ICF of $429,395. PRTF
decreased in expense by 57% ($143,825 to $61,796) even though utilization slightly increased (2 to 3). Crisis Services experienced a decrease in
utilization of 47% (17 to 9) and in expense of 60% ($20,280 to $8,058). Even though utilization of Inpatient services decreased by 61% (23 to 9)
over the previous fiscal year, expenses increased by 65% ($51,543 to $84,821). Some of this can be attributed to an increase in the average length
of stay from 10 days in 1st Qtr FY1718 to 19 days in 1st Qtr FY1819.
State funded Outpatient services were the highest utilized services for 1st Qtr FY1819. Residential services had the highest cost of $100,409.
Inpatient services had the largest percentage decrease in expense of 60% ($7,500 to $3,000) with only a slight decrease in utilization (2 to 1).
Expenses for Outpatient services increased by 45% ($28,999 to $42,059) due to increased utilization and expense for Opioid Treatment services.
Medicaid Facility Based Crisis decreased in utilization by 44% (9 to 5) and in expense by 61% ($15,569 to $6,038). State funded Facility Based Crisis
slightly decreased in utilization (12 to 10) but increased in expense by 52% ($6,254 to $9,484). Medicaid funded Mobile Crisis Management
decreased in utilization by 63% (8 to 3) and in expense by 74% ($2,097 to $550). State funded Mobile Crisis Management remained the same in
utilization but decreased in expense by 55% ($1,993 to $894).
Average speed to answer and call abandonment rate remained consistent for the quarter.
Both Child MH and Adult MH members served were on a downward trend for 1st Qtr FY1819.
Analysis:
Please note that providers have up to 90 days to submit claims and that this will affect the number of members served and expense amounts on this report. The
numbers for the previous months will be updated each reporting period.
Call Center information in the charts above reflect Cardinal Innovations data and are not county specific.
Five County Community OfficeQuality Management Dashboard
FYTD September 2018
## ##
Medicaid Population - FYTD September 2018
Members
Served
11,498
13,097
8,739
12,554
6,814
% Eligible in
Cardinal
Innovations
Population
24%
33%
19%
23%
12%
Eligible
Population
117,034
159,012
93,531
110,761
8%
9%
11%
11%59,404
% Served
10%
Incidents
The number of Level II Incidents in the Five County Catchment during the 1st Qtr. of FY1819 remained consistent compared to the 4th Qtr. of FY1718 (49 to 52).
The majority (54% - 28/52) of Level II Incidents were Member Behavior Incidents, and AWOL > 3 Hours was the most prevalent incident type in this group.
Southern
Mecklenburg
Triad
Northern Region
Central
11%51,357 5,740Five County 11%
Report data from November 29, 2018
Region
17 16 19
3.32
3.02
3.82
0.00
0.50
1.00
1.50
2.00
2.50
3.00
3.50
4.00
4.50
14.5
15
15.5
16
16.5
17
17.5
18
18.5
19
19.5
Jul'18 Aug'18 Sep'18
Level II Incidents Count & Rate of Incidents Per 1,000 Members Served
Level II Incidents Rate/1,000 Members Served
FYTD: July 2018 - September 2018
Five County Community OfficeQuality Management Dashboard
FYTD September 2018
Incidents (continued)
There was 1 Restrictive Intervention reported in the Five County catchment area during the 1st Qtr. of FY1819, which was for Physical Restraint - Standing.
Level III Incidents reported in the Five County catchment area in the 1st Qtr. of FY1819 decreased by 43% (from 14 to 8) compared to the previous quarter (4th
Qtr. of FY1718). Much of this can be attributed to a decrease in Member Deaths (from 8 to 2). Both of the Member Deaths reported in the 1st Qtr. of FY1819
were due to Unknown Cause. The remaining 6 Level III Incidents were Abuse, Neglect or Exploitation, all of which were alleged (4 Alleged Sexual
Abuse/Assault/Rape, 1 Alleged Physical Abuse, 1 Alleged Neglect).
4 1 3
0.78
0.19
0.60
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
0.90
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
Jul'18 Aug'18 Sep'18
Level III Incidents Count & Rate of Incidents Per 1,000 Members Served
Level III Incidents Rate/1,000 Members Served
FYTD: July 2018 - September 2018
1
0.20
0.00 0.00
0.00
0.05
0.10
0.15
0.20
0.25
0
0.2
0.4
0.6
0.8
1
1.2
Jul'18 Aug'18 Sep'18
Restrictive Intervention Count & Rate of Incidents Per 1,000 Members Served
Level II Incidents Level III Incidents Rate/1,000 Members Served
FYTD: July 2018 - September 2018
Five County Community OfficeQuality Management Dashboard
FYTD September 2018
Incidents (continued)
90% (55/61) of the Incidents reported in the Five County catchment area were received within 3 days of learning of the incident during the 1st Qtr. of FY1819.
46% (28/61) of Incidents reported were due to Member Behavior, of which 54% (15/28) occurred in the CMH population and 29% (8/28) occurred in the AMH
population. 73% (8/11) of Member Injuries occurred in the ADD population, of which 4 were Trip/Fall Incidents.
There was 1 Incident reported in Five County in FY1819 which did not have a target population listed, which was a Member Behavior incident.
0
5
10
15
20
25
30
Abuse, Neglect orExploitation
RestrictiveInterventions
Member Behavior Member Death Member Injury Expulsion Fire Medication Error Suspsension
Incidents by Type & Target Population
ADD AMH ASA CDD CMH CSA
FYTD: July 2018 - September 2018
Five County Community OfficeQuality Management Dashboard
FYTD September 2018
15 24 66 33 27
20.6
100%
0
1
Mecklenburg
Catchment
Central
Catchment
Five County
Catchment
13
53
2
6
15
Triad
Catchment
8
2
3
11
0
2
1
2
Piedmont
Catchment
0
1
21
6
0
Total # Grievances Not Against Provider or MCO
0
122
46
0
0
4
11
0
14% 39% 20%
Measure
Total # of Grievances by
Disability
110
Child
Adult
Unknown
Does Not Apply
Total # Grievances by Age Group
Subcategory
MH Only
IDD Only
SUD Only
Multi-Disability
TBI Only
Unknown
Does Not Apply
% Resolved within 30
Days
For Resolved Grievances
Total # Grievances Pending
2
Average Days to
Resolve
00
0
11
0
1
0
11
20.8 22.5
0
13
1
17
7
13
16
50
0
Total # of Grievances
Total # Grievances Against Providers
Total # Grievances Against Cardinal Innovations
0
100%
21.4
168
Total # Grievances Resulting in Investigations
1
8
100%
18.5
0
11
4
0
9%
0
Grievances - FYTD September 2018
7
5
49
0
3
24
All Grievances
62
28
3
3
4
5
11
4
1
5
0
2
1
8
0
0
20
In the Five County Catchment area, the number of Grievances in the 1st Qtr. of FY1819 remained consistent with the number of Grievances in the 4th Qtr. of
FY1718 (from 14 to 15).
0
1
6
13
6
18
0
2
3
20
43 20
Please Note: The State benchmark for grievances requires that 90% of grievances are resolved within 30 days of submission. Three Grievances were Out-
of-Catchment
0
4
20
16%
100%
0 0 0
100%
21.3
100%
2 9 4
0.39
1.70
0.80
0.00
0.20
0.40
0.60
0.80
1.00
1.20
1.40
1.60
1.80
0
1
2
3
4
5
6
7
8
9
10
Jul'18 Aug'18 Sep'18
Grievance Count & Rate of Complaints Per 1,000 Member Served
Grievances Rate/1,000 Members Served
FYTD: July 2018 - September 2018
Five County Community OfficeQuality Management Dashboard
FYTD September 2018
Grievances (continued)
2
2
2
2
3
3
5
6
11
11
0 2 4 6 8 10 12
Ethics
Dispensing Medication
Customer Service (CS) Telephone Responsiveness
Incomplete/Inaccurate Paperwork Issues
Inadequate Treatment
Other Administrative Issues
Potential Fraud
Abuse
Delay in Treatment
Conflict with Provider (disagreement with treatment, diagnosis, etc)
Top 10 Grievances TypesFYTD: September 2018
1
3
3
3
4
5
7
8
8
8
0 1 2 3 4 5 6 7 8 9
Community Guide
Medication Administration
Inpatient
IDD Care Coordination
Assertive Community Treatment Team
Other
Peer Support Services
Residential Services
Outpatient Services
Innovations
Top 10 Services with GrievancesFYTD: September 2018
Five County Community OfficeQuality Management Dashboard
FYTD September 2018
Please note: Cardinal Innovations Quality Management requires any provider receiving out of compliances on selected review items and trending out of
compliance areas to complete a POC as a standard measure to prevent future out of compliances.
In the 1st Qtr. of FY1819, 5 providers of the 12 reviewed in the Five County catchment area scored 100%. Zero providers scored below the 85% target on their
NC Provider Monitoring Reviews during the 1st Qtr. Of FY1819.
During the 1st Qtr. Of FY1819, there were 373 claims reviewed in the Five County catchment area.
Provider Monitoring Reviews
1
1
1
2
3
4
6
12
12
78
0 10 20 30 40 50 60 70 80 90
POC Follow-up
Self-Audit
EOR
New Unlicensed SiteReview
Clinical Quality Review
Unlicensed AFL Review
Concern Module
Cultural Competency
NC Provider MonitoringReview
Innovations Annual AFLReview
Monitoring Reviews
Jul-Sep'18
98.8% 99.0%92.8% 97.5%
90.9%
0%
25%
50%
75%
100%
Five County Central Mecklenburg Piedmont Triad
NC Provider Monitoring Review Scores
85% Target
July 2018 - September 2018
FYTD: July 2018 - September 2018
Five County Community OfficeQuality Management Dashboard
FYTD September 2018
Provider Monitoring Reviews (All)
Compared to the previous quarter (4th Qtr. Of FY1718), the number of Reviews requiring POC's decreased by 31% (16 to 11).
5
11
0
2
4
6
8
10
12
Jul-Sep'18
Monitoring Review Outcomes
Reviews requiring Paybacks Reviews requiring POC's
FYTD: July 2018 - September 2018
Five County Community OfficeQuality Management Dashboard
FYTD September 2018
56% ($190.65/$339.79) of the paybacks identified in FY1819 have been recouped thus far for the Five County catchment. One provider is responsible for 100%
($149.14) of the amount yet to be recouped for the 1st Qtr. Of FY1819, which was the result of a POC Follow-Up.
Please note: The Identified Payback amount is in the recoupment and reconsideration process.
Provider Monitoring Reviews - Paybacks
$7,456.64
$7,456.64
$190.65
$339.79
$0 $1,000 $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 $8,000
Amount Recouped
Identified Payback
Amount Recouped
Identified Payback
FY
1718
FY
1819
Payback Amounts from Post Payment Reviews
Jul-Sep