1. RHP 9 Stakeholder Forum RHP 9 Plan Update for DY7-8
September 13, 2018
10:00 am – 11:00 am
WebEx

2. texasrhp9.com 
You will be able to find an extended copy of this presentation and the RHP 9 Final Plan Update Template by going to the RHP 9 website, texasrhp9.com. Clicking on the link found under the Waiver Information area will take you to the presentation and template.

3. RHP Plan Update Overview
1115 Medicaid Waiver renewed for 5 years (October 1, 2017 – September 30, 2022).
Regional Healthcare Partnerships (RHP) are required to submit updated RHP Plan.
HHSC requires the RHP Plan to seek stakeholder feedback.
This is the DY 7-8 Plan as submitted and approved by HHSC.

4. How to submit feedback!
The RHP 9 Update Draft Plan was made available on the RHP 9 website prior to submission for a ten day public comment period. No comments were received.
Comments can be made through the “Contact Us” function on the RHP 9 Website: RHP 9 Stakeholder Feedback (Contact Us)

5. Texas DSRIP* DY 7-8 Requirements Summary
For more information on the 1115 Healthcare Transformation Waiver Renewal click here
*DSRIP- Delivery System Reform Incentive Payment

8. RHP 9 DSRIP Performing Providers
Hospitals
Baylor Scott & White Carrolton
Baylor Scott & White Irving
Baylor University Medical Center
Children’s Health
City Hospital at White Rock
Methodist Charlton Medical Center
Methodist Dallas Medical Center
Methodist Richardson Health Center
Texas Health Dallas
Texas Health Denton
Texas Health Kaufman
Medical City Lewisville
Medical City Las Colinas
Medical City Dallas
Medical City Denton
Parkland Health & Hospital System
UT Southwestern Medical Center
Community Mental Health Centers
Metrocare Services
Denton County MHMR Center
Lakes Regional Community Center
Local Health Departments
Dallas County Health & Human Services
Denton County Health & Human Services
Dental Provider
Texas A&M University – College of Dentistry
As mentioned, RHP 9 is made up of three Counties : Dallas, Denton, & Kaufmann.
Within this region we have 23 providers participating in DSRIP.
This includes most major hospitals, community mental health centers, local health departments and Texas A&M University – College of Dentistry as a Dental Provider.

9. RHP 9 Community Needs Assessment
Key findings from current Community Health Needs Assessment (2017)*
This new assessment presents an updated set of regional priorities and associated high-level strategies as the primary community health needs within RHP 9.
Capacity and Access - More Providers and Better Health Care Coverage: Improve Access to Primary and Specialty Care in Rural Areas.
Chronic Diseases Care – Focused Care on Specific Chronic Diseases: Cardiovascular, Diabetes, Lung Cancer, Breast Cancer, Colorectal Cancer, and Respiratory Diseases.
Care Coordination- Organized Culturally Competent Patient Care: Activities and Sharing of Information Across all Patient Care Participants including Oral Health and Palliative Care.
Behavioral Health - Mental Health and Substance Abuse: Collaborative and Coordinated Efforts to Address Disparities Associated with Mental Health and Substance Abuse.
Infant and Maternal Health: Community-Level Education, Awareness, and Coordination with Social Services to Reduce Infant and Maternal Mortality.
As part of the 1115 waiver requirements RHP 9 was required to update the community needs assessment. DFW Hospital Council Foundation conducted the Community Needs assessment for RHP 9 and the key findings that were identified as:
Capacity and Access
Chronic Disease Care
Care Coordination
Behavioral Health
Infant and Maternal Health
*Completed by DFWHC Foundation

10. RHP 9 Community Needs Assessment
Bridging the Gap: In addition to above-focused priorities the following themes are key factors that were identified across all priority areas as ways to enhance the ability to implement sustainable and improved care for the patient populations identified in this community needs assessment:
Technology in Healthcare
Promoting Telehealth/ Tele psych
Use of technology to improve health outcomes
Health information sharing strategies
Addressing Social Determinants of Health
Advancing Nursing Workforce
The full RHP 9 Community Needs Assessment is available at texasrhp9.com  
In addition to the above focused priorities these additonal themes are key factors that help us bridge the gap across all priority areas. You can view the entire RHP 9 Community needs assessment on the RHPH 9 website: texasrhp9.com

11. Category A – Core Activities
Required reporting for Category A in DY(Demonstration Year) 7-8 includes progress on Core Activities, Alternative Payment Model (APM) arrangements, costs and savings, and collaborative activities.
The Category A requirements were developed to serve as an opportunity for Performing Providers to move further towards sustainability of their transformed systems, including development of APMs to continue services for Medicaid and low-income or uninsured (MLIU) individuals after DSRIP ends.
The listing of Core Activities in the Measure Bundle Protocol reflects those project areas that have been determined to be the most transformational and will support continuation of the work begun by Performing Providers during the first years of DSRIP.
These Core Activities will be continued or implemented by a Performing Provider to support achievement of its Category C measure goals.
RHP 9 Core Activity selection by Outcome Measure themes can be found at the end of this presentation.

12. Chronic Disease Management: Diabetes
Utilization of care teams tailored to patient healthcare needs
Baylor University Medical Center
Utilization of care/chronic care management services
Methodist Dallas
Texas Health Resources Dallas
Texas Health Resources Denton
Texas Health Resources Kaufman
Denton County Health & Human Services
Implement interventions focused on social determinants of health
Management of targeted patient populations
Parkland Health & Hospital System
Provision of care aligned with certified community behavioral health clinic model
Metrocare Services
Utilization of enhanced patient portal for disease management
A1; M1-115, 182, 207; L1-115, 207
As an example, here you can see an example of a core activities associated with Chronic disease management with a focus on Diabetes. You can see and which providers are working on similar type core activities to achieve improved outcomes. You can see more about Category A Core activities by outcome measure themes in the extended version of this presentation located on our website. Additionally, you can find which activities each provider has identified in the RHP 9 Plan Update Template found on the RHP 9 Website.

13. Category B – System Definition
As DSRIP shifts from project-level reporting to system-level reporting, HHSC wants to ensure that providers maintain a focus on serving the DSRIP target population: MLIU individuals (Medicaid and Low Income Uninsured).
To that end, Category B will require each Performing Provider to report the total number of individuals and the number of MLIU individuals served by its system during each DY.
The Measure Bundle Protocol sets out parameters for a Performing Provider to define its “system” to reflect the Performing Provider’s current care landscape that is striving to advance the Triple Aim: improving the patient experience of care; improving the health of populations; and reducing the per capita cost of health care.

14. Category C - Outcome Measure Bundles
Targeted measure bundles have been developed for hospitals and physician practices, and lists of measures are available for community mental health centers and local health departments.
Measure Bundles consist of measures that share a unified theme, apply to a similar population, and are impacted by similar activities.
Bundling measures for DY7-8 allows for ease in measure selection and approval, increases standardization of measures across the state for hospitals and physician practices with similar activities, facilitates the use of regional networks to identify best practices and share innovative ideas, and continues to build on the foundation set in the initial waiver period while providing additional opportunities for transforming the healthcare system and bending the cost curve.
The menu of available Measure Bundles for hospitals and physician practices and measures for community mental health centers and local health departments were built with measures from common DY2-6 Category 3 pay-for-performance (P4P) measures; new P4P measures added from authoritative sources, with a preference for measures endorsed by the National Quality Forum; and innovative measures as needed, which will be pay-for-reporting (P4R) for DY7-8 and function as a measure testing process.
Category C –
For Hospitals and Physician Practices, outcome Measure Bundles, which are a group of targeted measures that have been bundled together and selected because they seem to have the most impact on the key focus areas of healthcare improvement.
Bundling measures for DY7-8 allows for ease in measure selection and approval, increases standardization of measures across the state for hospitals and physician practices with similar activities, facilitates the use of regional networks to identify best practices and share innovative ideas, and continues to build on the foundation set in the initial waiver period while providing additional opportunities for transforming the healthcare system and bending the cost curve.
A similar process was used for Community Mental Health Centers and Local Health Departments. However, they selected from various individual measures rather than bundles.

15. Category C - Outcome Measure Bundles
Participating Providers select from a menu of outcome measures to reach their identified Minimum Point Threshold (MPT)
Participating Providers select the bundles that align with the regional community needs assessment and organizational goals and strategies to improve patient outcomes.
RHP 9
Total MPT = 462
Total Points Selected = 630
# of Measures Selected = 132 of 193
Hospital and Physician Practice = 96/113
Community Mental Health Centers – 27/48
Local Health Departments = 9/32

16. RHP 9 Provider Outcome Measure Bundle Selections – Category C
Hospitals and Physician Practices
Parkland Health & Hospital System
Medical City Lewisville (HCA)
Medical City Denton (HCA)
Medical City Dallas (HCA)
Medical City Los Colinas (HCA)
Baylor University Medical Center
Baylor Scott & White Irving
Baylor Scott & White Carrolton
Methodist Richardson Medical Center
Methodist Charlton Medical Center
Methodist Dallas Medical Center
Texas Health Resources Dallas
Texas Health Resources Denton
Texas Health Resources Kaufmann
UT Southwestern Medical Center
Children's Health
City Hospital at White Rock 
Texas A&M University - College of Dentistry
RHP 9 Total Points
(Minimum Point Threshold) MPT 75 3 18 1 36 6 4 10 15 2 13
362
Total Points Selected 81 38 42 16 35 19 80 77 11 32
529
# of Measure Bundles Selected 5 8

17. RHP 9 Provider Outcome Measure Bundle Selections – Category C
Community Mental Health Centers
Metrocare Services
Lakes Regional Community Center
Denton County MHMR Center
RHP 9 Total Points
(Minimum Point Threshold) MPT 40 25 16 81
Total Points Selected 17 82
# of Measures Selected 20 15 9

18. RHP 9 Provider Outcome Measure Bundle Selections – Category C
Local Health Departments
Dallas County HHS
Denton County HHS
Texas A&M University - College of Dentistry*
RHP 9 Total Points
(Minimum Point Threshold) MPT 13 6 19
Total Points Selected
# of Measures Selected 5 2
*TAMU MPT & Total Points Selected are noted above on slide 14

19. Outcome Measures by Providers
Hospitals and Physician Practices
Parkland Health & Hospital System
Medical City Lewisville (HCA)
Medical City Denton (HCA)
Medical City Dallas (HCA)
Medical City Los Colinas (HCA)
Baylor University Medical Center
Baylor Scott & White Irving
Baylor Scott & White Carrolton
Methodist Richardson Medical Center
Methodist Charlton Medical Center
Methodist Dallas Medical Center
Texas Health Resources Dallas
Texas Health Resources Denton
Texas Health Resources Kaufmann
UT Southwestern Medical Center
Children's Health
City Hospital  at White Rock
Texas A&M University - College of Dentistry
RHP 9 total A1
Chronic Disease Mgmt:  Diabetes x 7 A2
Chronic Disease Mgmt: Heart Disease B1
Care Transitions & Hospital Readmissions 3 B2
Patient Navigation and ED Diversion C1
Primary Care Prevention:  Healthy Texans 2 C2
Primary Care Prevention: Cancer Screening 5 C3
Hepatitis C D1
Pediatric Primary Care  D3
Pediatric Hospital Safety 1 D4
Pediatric Chronic Disease Mgmt:  Asthma

20. Outcome Measures by Providers
Hospitals and Physician Practices
Parkland Health & Hospital System
Medical City Lewisville (HCA)
Medical City Denton (HCA)
Medical City Dallas (HCA)
Medical City Los Colinas(HCA)
Baylor University Medical Center
Baylor Scott & White Irving
Baylor Scott & White Carrolton
Methodist Richardson Medical Center
Methodist Charlton Medical Center
Methodist Dallas Medical Center
Texas Health Resources Dallas
Texas Health Resources Denton
Texas Health Resources Kaufmann
UT Southwestern Medical Center
Children's Health
City Hospital at White Rock
Texas A&M University - College of Dentistry
RHP 9 Total D5
Pediatric Chronic Disease Mgmt: Diabetes x 1 E1
Improved Maternal Care E2
Maternal Safety F1
Improved Access to Adult Dental Care F2
Preventive Pediatric Dental 2 G1
Palliative Care H1
Integration of PC/BH 3 H2
Behavorial Health and Appropriate Utilization I1
Specialty Care J1
Hospital Safety  x 6

21. Outcome Measures by Providers
Community Mental Health Centers
Metrocare Services
Lakes Regional Community Center
Denton County MHMR Center
RHP 9 Total
M1-103
Controlling High Blood Pressure x 2
M1-105
Preventive Care & Screening: Tobacco Use: Screening & Cessation Intervention 3
M1-115
Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) 1
M1-125
Antidepressant Medication Management (AMM-AD)
M1-146
Screening for Clinical Depression and Follow-Up Plan (CDF-AD)
M1-147
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up
M1-160
Follow-Up after Hospitalization for MI
M1-180
Adherence to Antipsychotics for Individuals with Schizophrenia (SAA-AD)
M1-182
Diabetes Screening for People With Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (SSD-AD)
M1-207
Diabetes care: BP control (<140/90mm Hg)

22. Outcome Measures by Providers
Community Mental Health Centers
Metrocare Services
Lakes Regional Community Center
Denton County MHMR
RHP 9 Total
M1-210
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented x 1
M1-211
Weight Assessment and Counseling for Nutrition and Physical Activity for Children/ Adolescents 2
M1-255
Follow-up Care for Children Prescribed ADHD Medication (ADD)
M1-257
Care Planning for Dual Diagnosis
M1-259
Assignment of Primary Care Physician to Individuals with Schizophrenia
M1-261
Assessment for SU Problems of Psychiatric Patients
M1-262
Assessment of Risk to Self/Others
M1-263
Assessment for Psychosocial Issues of Psychiatric Patients
M1-265
Housing Assessment for Individuals with Schizophrenia
M1-266
Independent Living Skills Assessment for Individuals with Schizophrenia

23. Outcome Measures by Providers
Community Mental Health Centers
Metrocare Services
Lakes Regional Community Center
Denton County MHMR
RHP 9 Total
M1-317
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling x 3
M1-319
Adult Major Depressive Disorder (MDD): Suicide Risk Assessment (eMeasure)
MI -385
Assessment of Functional Status or QoL (Modified from NQF# 0260/2624) 2
M1-386
Improvement in Functional Status or QoL (Modified from PQRS #435)
M1-390
Time to Initial Evaluation: Mean Days to Evaluation
M1-400
Tobacco Use and Help with Quitting Among Adolescents 1
M1-405
Bipolar Disorder and Major Depression: Appraisal for alcohol or chemical substance use

24. Outcome Measures by Providers
Local Health Departments
Dallas County HHS
Denton County HHS
Texas A&M University - College of Dentistry
RHP 9 Total
L1-115
Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Poor Control (>9.0%) x 1
L1-160
Follow-up after Hospitalization for MI
L1-207
Diabetes care: BP control (<140/90mm Hg)
L1-225
Dental Caries: Children
L1-231
Preventive Services for Children at Elevated Caries Risk
L1-241
Decrease in MH admissions & readmissions to criminal justice settings such as jails or prisons
L1-271
Immunization for adolescents-Tdap/TD, MCV and HPV
L1-344
Follow-up after treatment for primary or secondary syphilis
L1-347
Latent Tuberculosis Infection (LTBI) treatment rate

25. Category D – Statewide Reporting Measure Bundles
For DY7-8, the Category D Statewide Reporting Measure Bundles have replaced the former Category 4 reporting on population-focused measures.
The Statewide Reporting Measure Bundles align with the MLIU population, are identified as high priority given the health care needs and issues of the patient population served, and are viewed as valid health care indicators to inform and identify areas for improvement in population health within the health care system.
These bundles refine the hospital measures from the former Category 4 and add measures for physician practices, community mental health centers and local health departments.
The emphasis of Category D is on the reporting of population health measures to gain information on and understanding of the health status of key populations and to build the capacity for reporting on a comprehensive set of population health metrics.

26. Category D Focus areas by Provider Type:
Hospitals
Potentially Preventable admissions (PPAs)
Potentially Preventable readmissions (PPRs)
Potentially preventable complications (PPCs)
Potentially Preventable ED visits (PPVs)
Patient Satisfaction
For Community Mental Health Centers
Effective Crisis Response
Crisis Follow-up
Community Tenure (Adult and Child/Youth)
Reduction in Juvenile Justice Involvement
Adult Jail Diversion
The Category D reporting areas focus for Hospitals are:
Potentially Preventable admissions (PPAs)
Potentially Preventable readmissions (PPRs)
Potentially preventable complications (PPCs)
Potentially Preventable ED visits (PPVs)
Patient Satisfaction
For CMHC:
Effective Crisis Response
Crisis Follow-up
Community Tenure (Adult and Child/Youth)
Reduction in Juvenile Justice Involvement
Adult Jail Diversion

27. Category D Focus areas by Provider Type:
Local Health Departments:
Access to healthcare services
Health status by population
Selected immunizations
Prevention of sexually transmitted diseases
Physician Practices
Diabetes short-term complications admission rate
Hypertension Admissions Rates
Heart Failure Admission Rates
Low Birth Weight Rate
For LHDs:
Access to healthcare services
Health status by population
Selected immunizations
Prevention of sexually transmitted diseases
Physician Practices will provide a qualitative report on their activities that they are doing to potentially reduce:
Diabetes short-term complications admission rate
Hypertension Admissions Rates
Heart Failure Admission Rates
Low Birth Weight Rate
And others - the idea is that if adequately monitored or self-management education is provided in the outpatient setting that it can reduce the impact on the ED’s and Impatient Admissions
By review this type of data across the state we can see where there may be opportunities for improvements and where they may have been improvements made which we can learn from.

28. Learning Collaboratives (DY 7-8)
RHP 9 RHP 9 Stakeholder Forum (9/13/2018, 10:00 am – 11:00am)
5th Annual Collaborative Connections – Impacting Care: A Learning Collaborative Summit sponsored by RHP 9, 10, & 18 (TBD – 2019)
RHP 9 Biannual Event (TBD 2019)
Cohorts – Ad hoc as needed and requested by providers

29. Proposed Core Activities by Outcome Measure Themes
Extended Version

30. Chronic Disease Management: Diabetes
Utilization of care teams tailored to patient healthcare needs
Baylor University Medical Center
Utilization of care/chronic care management services
Methodist Dallas
Texas Health Resources Dallas
Texas Health Resources Denton
Texas Health Resources Kaufman
Denton County Health & Human Services
Implement interventions focused on social determinants of health
Management of targeted patient populations
Parkland Health & Hospital System
Provision of care aligned with certified community behavioral health clinic model
Metrocare Services
Utilization of enhanced patient portal for disease management
A1; M1-115, 182, 207; L1-115, 207

31. Chronic Disease Management: Heart Disease
Provision of Screening and follow up services
UT Southwestern Medical Center
Utilization of Care/Chronic Care Management Services
Baylor University Medical Center
Texas Health Resources Dallas
Texas Health Resources Denton
Texas Health Resources Kaufman
Implement interventions focused on social determinants of health
Management of Targeted Patient Populations
Parkland Health & Hospital System
Utilization of enhanced patient portal for disease management
Provision of Care Aligned with Certified Community Behavioral Health Clinic Model
Metrocare Services
Utilization of telehealth/telemedicine in delivering behavioral services.
Lakes Regional Community Center
A2; M1-103, 210

32. Care Transitions & Hospital Readmissions
Implementation of a care transition and/or discharge planning program and post discharge support program.
UT Southwestern Medical Center
Children’s Health Dallas
Use of a comprehensive, multidisciplinary intervention to address the needs of high risk patients.
City Hospital at White Rock B1
Patient Navigation & ED Diversion
Provision of navigation services to targeted patients
Methodist Hospital Dallas
Methodist Hospital Richardson
Methodist Hospital Charlton
Utilization of care management and/or chronic care management service
Implement interventions focused on social determinants of health B2

33. Primary Care Prevention – Healthy Texans
Provision of screening and follow up services
UT Southwestern Medical Center
Dallas County Health & Human Services
Implementation of evidence based strategies to reduce sexually transmitted diseases.
Dallas County Health & Human Services
Provide appropriate behavioral services to individuals to reduce ED usage
Denton County MHMR
Utilization of Care Management function that integrates primary and behavioral health needs of individuals
Provision of care aligned with Certified Community Behavioral Health Clinic (CCBHC) model
Denton County MHMR
Metrocare Services
Utilization of telehealth/telemedicine in delivering behavioral services
Lakes Regional Community Center
Implementation of evidence-based strategies to empower patients to make lifestyle changes to stay healthy and self‐manage their chronic conditions
Parkland Health & Hospital Systems
C1; M1-105, 147, 205; L1-344,347

34. Primary Care Prevention – Cancer Screening
Provision of screening and follow up services
UT Southwestern Medical Center
Utilization of care teams tailored to patient healthcare needs
Baylor University Medical Center
Baylor Scott & White Irving
Baylor Scott & White Carrolton
Implementation of evidence-based strategies to empower patients to make lifestyle changes to stay healthy and self‐manage their chronic conditions
Parkland Health & Hospital System C2
Primary Care Prevention – Hepatitis C
Utilization of care management and/or chronic care management services, including education in chronic disease self‐management
Baylor Scott & White Dallas
Management of targeted patient populations
Parkland Health & Hospital System
Utilization of care teams tailored to patient healthcare needs C3

35. Pediatric Primary Care and Chronic Disease Management
Management of targeted patient populations
Medical City Dallas (HCA)
Children’s Health Dallas
Provision of care aligned with Certified Community Behavioral Health Clinic (CCBHC) model
Denton County MHMR
Metrocare Services
Implementation of evidence based strategies to reduce sexually transmitted diseases
Dallas County Health & Human Services
Implementation of evidence-based strategies to empower patients to make lifestyle changes to stay healthy and self‐manage their chronic conditions
Parkland Health & Hospital System
Patient Reminder Outreach
Utilization of care management and/or chronic care management services, including education in chronic disease self‐management
D4, D5; M1-211, 400; L1-108, 211, 271

36. Improved Maternal Care & Safety
Implementation of evidence-based strategies to reduce low birth weight and preterm birth
UT Southwestern Medical Center
Develop and implement standard protocols for the leading causes of preventable death and complications for mothers and infants
Medical City Dallas (HCA)
Maternal Depression Screening – As part of the well-child visit based on AAP recommendations during infants 1st year.
Parkland Health & Hospital System
E1, E2, D1
Improved Access to Adult Dental Care & Preventive Pediatric Dental
Expanded use of existing dental clinics for underserved population
Texas A&M Health Science Center – College of Dentistry
Dental Reminder Outreach – Pediatric
Children’s Health Dallas
F1; F2; L1-225, 231

37. Palliative Care
Assessment of Quality of Life or Functional Status
UT Southwestern Medical Center
Provision of coordinated palliative care to address patients with end‐of‐life decisions and care needs.
Children’s Health Dallas G1
Decrease in Mental Health Admissions/Readmissions to Criminal Justice Settings (Jails & Prisons)
Implement models supporting recovery of individuals with behavioral health needs.
Dallas County Health & Human Services
L1-241

38. Integration of Behavioral Health in Primary or Specialty Care Setting
Behavioral Health and Appropriate Utilization
Utilization of care teams that are tailored to the patient’s health care needs
Baylor University Medical Center
Utilization of care management and/or chronic care management services, including education in chronic disease self‐management
Utilization of telehealth/telemedicine in delivering behavioral services
UT Southwestern Medical Center
Utilization of care management function that integrates primary and behavioral health needs of individuals
Children’s Health Dallas
Integrated physical and behavioral health care services H1
Behavioral Health and Appropriate Utilization
Education of primary care practitioners on preventive treatment option
Medical City Dallas (HCA) H2

39. Hospital Safety (Pediatric & Adult)
Specialty Care
Assessment of Quality of Life or Functional Status
UT Southwestern Medical Center I1
Hospital Safety (Pediatric & Adult)
Implementation/enhancement of evidence based protocols to reduce hospital acquired complications/infections
Medical City Lewisville
Medical City Dallas
Medical City Denton
Medical City Los Colinas
Provision of navigation services to targeted patients
Methodist Charlton
Methodist Dallas
Pediatric Hospital Safety
Children’s Health Dallas
D3, J1

40. Follow-Up After Hospitalization for Mental Illness
Implement models supporting recovery of individuals with behavioral health needs.
Dallas County Health & Human Services
Provision of care aligned with Certified Community Behavioral Health Clinic (CCBHC) model
Denton County MHMR Center
Utilization of telehealth/telemedicine in delivering behavioral services
Lakes Regional Community Center
L1-160; M1-160
Medication Management
Provision of care aligned with Certified Community Behavioral Health Clinic (CCBHC) model
Metrocare Services
Denton County MHMR Center
Utilization of Care Management function that integrates primary and behavioral health needs of individuals
M1-125, 180, 255

41. Alcohol Use & Substance Abuse Depression Screening & Follow-Up Plan
Utilization of telehealth/telemedicine in delivering behavioral services
Lakes Regional Community Center
Provision of care aligned with Certified Community Behavioral Health Clinic (CCBHC) model
Metrocare Services
Denton County MHMR
Utilization of Care Management function that integrates primary and behavioral health needs of individuals
M1-261, 317, 405
Depression Screening & Follow-Up Plan
Utilization of telehealth/telemedicine in delivering behavioral services
Lakes Regional Community Center
Utilization of Care Management function that integrates primary and behavioral health needs of individuals
Denton County MHMR Center
Provision of care aligned with Certified Community Behavioral Health Clinic (CCBHC) model
Metrocare Services
Provide appropriate behavioral services to individuals to reduce ED usage
M1-146, 319

42. Mental Health Assessment & Quality of Life Assessment
Utilization of telehealth/telemedicine in delivering behavioral services
Lakes Regional Community Center
Provision of care aligned with Certified Community Behavioral Health Clinic (CCBHC) model
Metrocare Services
Denton County MHMR
Provide appropriate behavioral services to individuals to reduce ED usage
Denton County MHMR Center
Utilization of Care Management function that integrates primary and behavioral health needs of individuals
M1- 257, 259, 262, 263, 265, 266, 385, 386, 390

43. Questions

44. Thank You!
Extended version of this presentation and RHP 9 Plan Update Template can be texasrhp9.com
Comments or questions can be submitted through the “Contact Us” function on the RHP 9 Website: RHP 9 Stakeholder Feedback (Contact Us)
An extended version of this presentation and RHP 9 Plan Update can be found on the RHP 9 website. You can also sumbit comments or questions through the “contact us” function.
Thank you for your time today.