1. August 9, 2018 Jose J. Arbelaez Director of Epidemiology
RecoveryStat – Summer Overview of Public Behavioral Health System (PBHS) Baltimore City - FY2017
August 9, 2018
Jose J. Arbelaez
Director of Epidemiology

2. RecoveryStat Process and goals
Provider-driven development process
Generation of indicators to paint the picture of a high quality behavioral health system
Action-oriented discussion
Goals
Increasing access, quality, effectiveness and efficiency of the public behavioral health system
Increasing the capacity of the network to use data to drive decision making
Being nimble and responsive to the needs of Baltimore City consumers

3. ASO/Beacon Health Data
What it can tell us
What it cannot tell us
Mental Health claims
SUD claims
Reimbursed costs
Dates of service and flow of consumers across providers, time and behavioral health system silos
Gaps in service time
Capacity but might be overextending or not necessarily fully realized
Privately-funded services
Need or demand that exceeds what is reimbursed
The Black Box of claims data
Integrated Behavioral Health Report
Complete Residential providers (until January 2019)
Providers serving Baltimore City residents ≠ providers IN Baltimore City
Number of IDs may ≠ number of providers/consumers
Billing and CPT code complexities

4. Your role – Bringing the data to life
Do these data resonate with you?
Important piece of the puzzle missing?
Helping us contextualize – historical, service or consumer side, etc.
Change is the keyword
Tracking change is vital
Consider how you might use these data
Advocacy
Decision support
Solution finding
Forecasting
What analyses would be helpful for future meetings?
What data needs should we anticipate?
Can be macro or micro
Changes in consumer needs

5. Baltimore City – Behavioral health Epidemiological Profile

6. Baltimore – A City Of neighborhoods
Demographics
Total Population: 614,664 (2016 ACS estimate)
Age: Youth (21.2%) and Adults (78.8%) Median: 34.7 years.
Gender: Female (52.9%); Male (47.1%)
Race: African Americans (64%); White (29%); Other (7%)
Socio-Economic
Income: Median Household ($44,262)
Poverty Rate: 21.8%
Unemployment Rate: 6.3%
Health Indicators (Rates)
Life Expectancy: 73.4 years
Mortality: 1,089 deaths per 100,000 people (2016)
Infant Mortality: 8.8 deaths per 1,000 live births
Mixed pattern with Chronic Diseases, Trauma, Homicides, and Infectious Diseases (HIV/AIDS)
Overdose Deaths

7. Overdose death rates Baltimore City (BC) and Maryland (MD) 2007-2017

8. Heroin-related death rates Baltimore City (BC) and Maryland (MD) 2007-2017

9. Fentanyl-related death rates Baltimore City (BC) and Maryland (MD) 2007-2017

10. Baltimore City – Behavioral health prevalence rates (General Population)

11. ANY Mental Illness – Baltimore city
*Any Mental Illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, which met the criteria found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

12. Serious Mental Illness – Baltimore city
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012–2014

13. Substance use (past Month) – Baltimore city
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012–2014.

14. Substance use disorders – Baltimore city
*Substance Use Disorder (either Alcohol and/or Illicit Drugs) includes the concepts of Dependence or Abuse. Dependence or Abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

15. Baltimore City – Behavioral health prevalence rates (Youth population)

16. MH proxy indicators – Baltimore city
Source: CDC Youth Risk Behavior Surveillance System (YRBSS), 2015

17. MH proxy indicators – Baltimore city
Source: CDC Youth Risk Behavior Surveillance System (YRBSS), 2015

18. SUD indicators – Baltimore city
Source: CDC Youth Risk Behavior Surveillance System (YRBSS), 2015

19. SUD indicators – Baltimore city
Source: CDC Youth Risk Behavior Surveillance System (YRBSS), 2015

20. SUD indicators – Baltimore city
Source: CDC Youth Risk Behavior Surveillance System (YRBSS), 2015

21. SUD indicators – Baltimore city
Source: CDC Youth Risk Behavior Surveillance System (YRBSS), 2015

22. SUD indicators – Baltimore city
Source: CDC Youth Risk Behavior Surveillance System (YRBSS), 2015

23. Baltimore City - Utilization Data from the public behavioral health system (PBHS)

24. people served during FY2017 (MH, SUD and BOTH)
Data Source: ASO Claims FY2017
Total Unduplicated: 74,930 people served
MH = 59,559
Overlap =
16,850
SUD = 32,221

25. MH – people served FY15-17

26. SuD – people served FY15-17

27. MH - Expenditures FY15-17

28. SuD - Expenditures FY15-17

29. MH – residents – people served (%) FY15-17

30. SuD – residents – people served (%) FY16 -17

31. MH – average cost per consumer FY15-17

32. SuD – average cost per consumer FY16 -17

33. MH – average cost per consumer by Age groups FY17

34. SuD – average cost per consumer by Age groups FY17

35. MH – Adults vs. youth FY15-17

36. SuD – Adults vs. youth FY16 -17

37. MH – expenditures by service lines FY17

38. SuD – expenditures by service lines FY17

39. MH – Baltimore city - expenditures by service lines FY17

40. SuD – Baltimore city - expenditures by service lines FY17

41. MH – statewide - expenditures by service lines FY17

42. SuD – statewide - expenditures by service lines FY17

43. MH – Medicaid penetration rates FY15-17

44. Discussion
Next Steps

45. Contact us Jose J. Arbelaez
100 S. Charles Street, Tower II, 8th Floor, Baltimore, MD, Phone: Website: Facebook:
Envisioning a city where people live and thrive in communities that promote and support behavioral health