Outcomes 1. Reviewed/refined the prioritized problem statements 2. Generated a “wish list” of outcomes for each of the prioritized problem statements 3. Asked a series of guiding questions Are these really outcomes? Are these really outcomes? Do they address the problem directly? Do they address the problem directly? Do they address the problem fully? Do they address the problem fully? What type of difference will the outcomes make in the problem? What type of difference will the outcomes make in the problem?

Outcomes 4. Reviewed/narrowed the outcomes Which outcomes seemed most realistic/possible/measurable? Which outcomes seemed most realistic/possible/measurable? Which outcomes were clearly not measurable (e.g. social norm change) Which outcomes were clearly not measurable (e.g. social norm change) What types of “proxy” measures could we utilize to measure some of the “not measurable” outcomes What types of “proxy” measures could we utilize to measure some of the “not measurable” outcomes What does the research say? What are the realistic measures? What does the research say? What are the realistic measures?

Outcomes 5. Reviewed the outcome measures with the committees/staff –Which seemed to be more “goal” level measures and “objective” level measures –Which appeared to be Standards and Practices? –Began dividing out the measures 6. Prioritized the outcome measures

Standards and Practices StandardsPractices Prevention Providers sign: * Certification of Compliance with the Strategic Prevention Framework (Prevention Business Practices) * Certification of Compliance with Safe and Drug Free Schools Requirements ADTP provides preliminary allocation to each provider All Providers sign a Contract Compliance Policy agreementProviders complete Exhibits A and B based on allocation amounts for each modality All Providers have Reporting Requirements: * Exhibits A & B * Invoices submitted by the 10th of the following month * Complete annual Self Audit * Participation in annual Self Audit Site Visit * Participation in Cost Reporting * Submit Annual Report * Staff Member List * Board Member List * Assurance of "No Unlawful Use of Drugs or Alcohol" Form * Certification of Smoking Prohibitions * Liability Insurance * Sliding Scale Fee Schedule * Program Admission and Re-Admission Criteria * Policy Regarding Use of Medication(s) Prevention Providers: * Quarterly Progress Reports * CalOMS Prevention data entered within 10 days of event All billing submissions must include a monthly Client Activity Report which includes client ID and associated units of service being billed for on the monthly invoice All Client and Provider activity must be entered into CalOMS and CalOMS Prevention respectively on a monthly basis CalOMS and CalOMS Prevention activity must match monthly invoices before payment will be processed Only Drug Medi-Cal submissions approved by the State will be paid. Submissions not approved will not be paid. Provider can review declined submissions and resubmit as appropriate after resolving the reason why the submission of declined All Treatment Providers: * DATAR submitted by Provider to the State monthly * CalOMS data entered * Drug Medi-Cal data entry on a monthly basis * Drug Medi-Cal data released to ADTP on monthly basis Tobacco Programs: * Quarterly Progress Reports PC1210 Provider(s): * Submission of intake, progress and discharge reports to ADTP BASN Providers: * Monthly Report Form with modality, admissions and discharge details All services are reimbursed according to actual units of service provided on the monthly invoice. ADTP does not reimburse on a 1/12 basis Marin County Living Wage Ordinance Declaration must be signed annually by all providers with employees ADTP requires agencies providing substance use disorder services to complete at least one (1) NIATx change project per fiscal year Treatment Providers to adhere to the Standardized Rates set by ADTP * Outpatient - Individual: $70.00 per session * Outpatient - Group: $32.00 per individual per session * IOP/DCH: $75.00 per slot Residential: $95.00 per bed day (inc. housing) * Peri Residential: $ per bed day (inc. housing) * Case Management: $65.00 per staff hour ADTP requires agencies providing substance use disorder services to complete a Program Design document for each modality of service provided with their Exhibit A Secondary Prevention System adhere to the Standardized Rates set by ADTP * Outreach (Code 19): $32.00 per staff hour * Screening, Referral, Intake (Code 21): $45.00 per staff hour * Early Intervention (Code 18): $45.00 per session/$70.00 per session for licensed/certified AOD staff Error Correction Report… are we still doing this?