AG 2007 05 21 - Laserfiche WebLink

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PBH Local Business Plan 2007 Executive Summary PBH is not the same organization it was four years ago. It has been completely redesigned, totally reengineered. March 2003 Snapshot: • Piedmont Behavioral Healthcare had 650 employees. Piedmont Behavioral Healthcare directly operated more than 50% of the services that were available to consumers. • Piedmont Behavioral Healthcare offered outpatient services through only one community mental health center in each county (no consumer choice). We covered only four counties, with a population of 450,000. • We were organized into disability and management department silos (DD, Mental Health, Substance Abuse, Finance, Human Resources, etc). We had no community alternatives to state psychiatric hospitalization. Openly declared consumers were not employed in key staff and executive positions. • We did not have a Medical Director. March 2007 Snapshot: • We are now PBH, and we are a certified Local Management Entity (LME) per General Statute 122 C. • We have just over 100 LME staff (not including case management). The only "service" we operate is case management for Developmental Disabilities. • We are organized by function: Access, Utilization Management, Quality Management, Network Operations, Office of Medical Affairs, etc. We have a new management system that supports our new role: Because most plans and decisions are not limited to single functions or departments, we have developed an extensive system of Cross Functional Teams which bring together key resources from each department to plan and solve problems. We are composed of five counties with 670,000 general population. We have single stream state funding. We have two Medicaid Waivers, a managed care waiver for Mental Health and Substance Abuse, and a home and community based waiver for Developmental Disabilities. We manage state psychiatric inpatient funding and have developed alternatives to psychiatric hospitalization; we have plans to continue to expand these resources and serve people needing inpatient care locally whenever possible. • We have consumers employed at high levels within the organization; we have an Office of Consumer Affairs staffed by an experienced Consumer Leader. We have an office of Medical Affairs, with a Medical Director and an Assistant Medical Director. • We have a Call Center that can assist consumers 24 hours per day, 365 days per year. We have providers that are actively involved in operational forums for our organization. We have a Consumer Family Advisory Committee that involves consumers and family members at the highest levels of PBH management, including the PBH Board of Directors. Although we do not have offices in the counties any more, we have maintained and strengthened our community partnerships through our county level Advisory Councils and participation in an even wider array of community forums than we did as an Area Program. ~~~'