3. ACO Mapping Group Recommendations 1. Are the subclass members being identified? 2. Are the subclass members being assessed? 3. Are the subclass members receiving services? 4. Which services are they receiving? 5. Are the services they are receiving appropriate? 6. Are the services received improving outcomes?  Safety  Permanency  Stability in the home, school and community  Wellbeing, etc. 7. Is there fidelity to the Core Practice Model? 8. Are the services improving outcomes in a timely manner (service effectiveness)? 9. Are the services cost effective?

4.  Semi-Annual Progress Reports  California Child and Family Services Review (C-CFSR)  External Quality Review Organization (EQRO)  Performance and Outcomes System (POS)  DHCS and CDSS Data Matches and Reporting

5.  Counties report every 6 months – October and April regarding: ◦ Identification of children and youth who meet subclass criteria ◦ ICC and IHBS service utilization ◦ Projections for service delivery ◦ Successes and barriers in local implementation efforts ◦ Implementation of the CPM

6.  Evaluation and monitoring of long term implementation of services and fidelity to the CPM through the C-CFSR ◦ Stakeholder process ◦ Targeted State TA ◦ System Improvement Plan (SIP) ◦ Case Reviews

7.  Review all 56 Mental Health Plans (MHPs) each year  Includes site visits, document review, focus groups, data analysis and reporting, Information System (IS) review, and review of Performance Improvement Projects (PIPs)  Produce MHP reports each year  Produce a Statewide Annual Report  Distinct from Medi-Cal Oversight and Compliance Reviews  Reports and data are available at www.caeqro.comwww.caeqro.com

8.  The External Quality Review Organization (EQRO) process will continue to monitor and evaluate progress at the practice and system levels by incorporating Katie A. focused questions and discussions consistent with Accountability, Communication and Oversight (ACO) and Performance Outcomes Structure (POS) recommendations once completed, into the on-site interview process.

9. Purpose  For the Department of Health Care Services to develop a performance and outcomes system for Medi-Cal Specialty Mental Health Services for children and youth that will: ◦ Improve outcomes at the individual and system levels ◦ Inform fiscal decision making related to the purchase of services

10.  Provide information that improves practice at the individual, program, and system levels in the following domains: ◦ Access ◦ Engagement ◦ Service Appropriateness to Need ◦ Service Effectiveness ◦ Linkages ◦ Cost-Effectiveness ◦ Satisfaction

11. DomainOutcomesExamples of indicators/measures by age, gender, ethnicity, language, area, etc Access (provision of services in a timely manner) Children served and not served (Penetration rate) A & B Relative to estimated prevalence, % of Medi-Cal beneficiaries who receive treatment - (Penetration rate) TimelinessWait time for evaluation, treatment (Provider access) Service denialsService modifications, reductions or terminations, are lessened Engagement (child and caregivers’ participation and empowerment in treatment) Children and Caregivers participate in services Children and Caregivers perceive services as necessary, collaborative and useful Services are maintainedPercent of clients served in a year with >1 mental health contact Collaborative assessment of environmental factors Evaluate family functioning, relationships, community support etc

12.  Purpose ◦ To analyze Child Welfare Services (CWS) outcomes to assess progress ◦ To analyze needs, service utilization, and the use of psychotropic medications in the subclass  Status ◦ Data Sharing Workgroup - CDSS and DHCS Staff  Supporting the development of a data sharing MOU  Identifying data elements for outcomes report(s) and methods for data matching and displaying reports

13.  Questions?  Contact us at: KatieA@dhcs.ca.govKatieA@dhcs.ca.gov KatieA@dss.ca.gov  Thank you !