1115 Behavioral Health Learning Collaborative Presented by Cindy Hernandez, Emergence Health Network

Welcome Agenda Welcome What is a learning collaborative? History on behavioral health learning collaborative Analysis of high utilization at ERs Organization participation Next meetings Every first Thursday of the month at 3:30 pm at Texas Tech Adjourn

What is a Learning Collaborative?

Background on Behavioral Health Learning Collaborative Met from September 2015 – April 2016 Participation from diverse organizations Hospitals, behavioral health providers, law enforcement departments, public health department Initial topic of focus was diversion of behavioral health admissions into emergency rooms Blas Meza, Former UMC ER Director, presented data on UMC’s ER

Evaluation of BH Learning Collaborative Reevaluated focus of learning collaborative Topic that affects multiple systems including behavioral and primary health. Impatient & Outpatient Care Researched other initiatives going on at the state and national level Stepping Up Initiative

Stepping Up Initiative https://www.youtube.com/watch?v=SHnjh1iIVp0

Analysis of High Utilization Demographics Age Sex Race/Ethnicity Income Employment Housing status Type of Admission into ER Boarding, Inpatient (boarding refers to those awaiting transfer to BH level of care facilities) Discharge to mental health facility or jail Length of stay Diagnosis Secondary Diagnosis Payer Source Cost per admission Times seen at the ER per year Method of arrival to ER LMHA Client

Next Steps Trend ER Data Identifying patterns in data Defining high utilization Based on ER visits per year Investigate possibility of establishing MOUs, BAAs in order to identify persons with high utilization Research comprehensive healthcare and community service models for individuals identified

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