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AG 2007 05 21
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AG 2007 05 21
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Last modified
1/3/2008 3:42:21 PM
Creation date
11/27/2017 11:30:33 AM
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Template:
Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
5/21/2007
Board
Board of Commissioners
Meeting Type
Regular
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PBH Local Business Plan 2007 <br />The followin table describes the functions of the teams within the Network 0 erations De artment. <br />Director of Network Network Coordinator Area Coordinator for Development ` <br />Management for Data Malysis and Provider Relations Team ', <br /> Decision Support (members-report to the <br /> '' Director Network <br /> This team is responsible for This team is responsible for Management) <br /> collecdng,and maintaining .support and;customer service _ <br /> information. about the PBH for individual providers in ae <br />The unit <br />PBH Network <br />The Development Team consists of <br /> Provider Network that is used tp <br />provide management and . <br />:enrolls providers, develo <br />~ Subject matter experts responsible for <br />n <br />a <br /> <br />'. <br />monroori '-mfortnation. I This unit <br />ng <br />-contraar, antl monitors <br /> <br />e nd supportin I <br />ew <br />:bringing on line <br />4 <br />pracdtes. Team will <br />servce models and <br />: Is responsible for written ss <br />wmpliance with the busin <br />requirements'of coruracts.', . <br />collaborate with Provider Relations : <br /> materials. such ascontract <br />and the provider <br />formats The unit is r~ponslble for Managers and other deparbnerits in <br /> , <br />manual. TFe unit develops collaborative activities with planning implementaton of services. <br /> reports and monitors <br />e 'and among providers in order <br />to achieve the goals of the <br />u <br /> nsures <br />performance data, and <br />that DeparonenC staff have <br />Network Development Plan. bstance Abuse <br />5 <br />Mental Health (primary consumer) <br /> appropdate Information`; S of Care <br />Overall management of PBH Annual network capacity and Supervise Provider Relations Ongoing support for newly implemented <br />provider network operabons. adequacy assessment of provider Managers service models: MST, Community <br />' <br />Establish appropriate operational network (type and adequacy) to s, SA continuum, <br />Support, new CCP <br />procedures. Responsible for meet the needs of Enrollees system of care <br />performance indicators and goals <br />from the Annual Plan of Work. <br />Planning and Development: Provider Demographic: Develop annually a provider Procurement: Management of RPP <br />Oversight for annual capacity study Maintenance of continually up to training needs assessment process <br />and network assessment; date listing of providers by type, process and coordinate <br />coordinate development and location, services provided, development of annual <br />implementation of the Network clinical specialties, cultural training plan <br />Development Plan; RFP and specialization, providers not <br />provider selection process; accepting new referrals, and <br />implementation for new service quality performance data (obtain <br />models. performance data from QM) <br />G -I"I 25 <br />
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