Presentation to the Greater Columbia ACH Leadership Council 5.18.2017 A Brief Review of the Survey of Relevant Organizations in the Greater Columbia ACH Presentation to the Greater Columbia ACH Leadership Council 5.18.2017

Response overview: Location of responding organization

Response overview: by sector (shares)

General ranking of project areas

Number of responses by project area

Other comments to project area responses The size of the responses doesn’t allow us to summarize the proposals here; available in project team handouts Many responses very thorough Majority were proposed by organizations that operate the programs Geographical footprint – about half were one county-specific, with other half multi-county

Other comments to survey responses Greatest Opportunities? Builds on existing resources Will provide stronger coordination than the status quo Based on national or evidence-based model Targets underserved populations Helps to reduce expensive healthcare use Greatest Challenges? Financial resources Reimbursements Skilled workforce Patient engagement

Behavioral health integration progress map (n = 37) Categories Not implementing Planning Engaging Executing Reflecting & evaluating Doesn’t apply (N/A) Most frequent responses N/A

Behavioral health integration progress map for those answering “executing”

Workforce question results (n=41) Part of Waiver requirements To analyze To create more supply, where needed 3 categories Little to no additional need Moderate need Great need Two numerical questions & two open-ended ones

Workforce question results: current area of “greatest need”

Workforce questions: occupations in highest demand to be able to respond to Waiver

Workforce Questions What has been most helpful in filling positions? Pay & financial incentives A strategy in place Residencies What has been the greatest challenge? Attracting workers to rural areas (salaries, spouses, amenities)

Concluding comments Not too many comments Wide variety, but the most common was a concern about the relevance of the Waiver to non-clinical service providers Advice for staff to reach out to many organizations Some criticism that the survey was too open-ended Others thought it was good at capturing all underway in the ACH

Institute for Public Policy & Economic Analysis Thank You! D. Patrick Jones, Ph.D. Institute for Public Policy & Economic Analysis 509.828.1246 dpjones@ewu.edu