AG 2002 12 16 (Regular) - Laserfiche WebLink

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Outcomes to be Realized throuqh implementation of the Local Business Plan: Consumer Empowermeht. Piedmont believes that system change can most effectively be supported by educated and empowered consumers and families. A major outcome of reform must be greater inclusion of consumers and families in the management of the system. Therefore, in addition to memberships on the Area Board and Client Rights Committee, consumers and family members will be involved in system management through the initiation of an Office of Consumer Affairs within the LME, a Consumer Family Advisory Committee which will function as a sub-committee of the Area Board, Consumer and Family representation on operational committees of the LME including the Network Council, Clinical Advisory Committee and Global Continuous Quality ]:mprovement Committee. Consumer and family participation in these processes will achieve a greater understanding between those served by the system and those providing the services. Consumers will equally participate along with LME staff and Network Providers in the development and monitoring of goals and outcomes through involvement in these critical committees of the LME. Additionally, consumers and family' members will have access to real and timely information regarding best practices, service options, and provider abilities and performance that will enable them to direct the evolvement of the local network through choice of providers. Thus, over time, the network will reflect the choices and values of the people it serves. Separation of Management and Services. One of the main tenants of the reform is the separation of management and service provision. The new Local Management Entity's responsibilities for community planning, development and management of policy, partnerships and collaborations with consumers, providers and community stakeholders, management of resources, system outcomes, monitoring and oversight, and development of infrastructures to support the local service system, requires singular focus and neutrality. To meet these requirements, the Piedmont LME is required to divest of direct service provision other than "Core Services". The development of the private provider system over the past 10 years makes divestment of services a realistic option for the Piedmont LME. We are committed to the divestment of services in a way that achieves real choice for consumers, is not disruptive to care, and preserves the valuable staff resources that Piedmont Area Authority has developed. Best Practices. The overriding goal of reform is to achieve best practices in services and supports to consumers and families. The LME will serve as the catalyst to initiate and manage changes in the services system to ensure implementation of evidence based and best practice services and supports. This will be achieved through directing resources and incentives to proven strategies and consumer selected supports, including consumer-operated services. The LME will establish clinical pathways based on evidence based/best practices through local consensus panels (Clinical Advisory Committee) that determine review "gates" and criteria for Utilization Review. A collaborative approach for developing treatment guidelines and supports will be utilized to ensure optimal success. Support in the proliferation of best practices through out the network will be provided through education and training of network providers based on .an annual training plan. Resources must be directed toward the development of a real continuum in crisis care, recovery based services and greater options in the area of behavioral health (mental health and substance abUse), community education and addressing the waiting list. This must be achieved through a consumer-directed/person-centered planning process. The LME will commit to increasing penetration of the targeted populations by targeting resources, developing alternative services including self-help and drop-in centers, utilization of new reimbursement payments (such as case rates, or "package" payments), efficiency in management, and by managing services for high cost and high length-of-stay users. Access to flexible funding as delineated below in Financial Strategy will be critical in the development of new, cost effective and best practice options. Page2 --~-I Piedmont Local Business Plan Executive Summary