1. Presentation to: The New Jersey Psychiatric Rehabilitation Annual Conference November 21, 2013, Pines Manor, Edison, NJ By Tom Pyle MBA, MS, CPRP 1

2. 2

3. 3

4. 4

5. 5 1.Mental Health Association Essex County Audit Report (Agency Financials) 2.Community Mental Health Block Grant (System and programs description) 3.NJ State Budget (State specific funding for DMHAS, others)

6. 1. Determine info sources Form 990s, Block Grant Apps, Gov’s Budget... 2. Differentiate info types Revenues, expenses, assets, liabilities 3. Inspect particular info “Line items”, funding for programs 4. Evaluate overall info 6

7. 7

8. 8

9. 9

10. “…almost complete lack of understanding of how much it costs to deliver patient care, much less how those costs compare with the outcomes achieved.” Robert Kaplan & Michael Porter 10

11.  Access?  Availability?  Equity?  Cost containment? 11

12.  Access?  Availability?  Equity?  Cost containment? VALUE for the Consumer 12

13. The regard that something is held to deserve; the importance, worth, or usefulness of something: your support is of great value  the material or monetary worth of something... ... compared to its price. 13

14. Value = 14

15. 1. Intro Balance Sheet Income Statement 2. Agency 3. Block Grant 4. Governor’s Budget 15

16.  What I Have = What I Own 16

17.  What I Have = What I Own  What I Have = What I Own + What I Owe 17

18.  What I Have = What I Own  What I Have = What I Own + What I Owe  Assets = Equity + Liabilities 18

19.  What I Have = What I Own  What I Have = What I Own + What I Owe  Assets = Liabilities + Equity 19

20.  What I Have = What I Own  What I Have = What I Own + What I Owe  Assets = Liabilities + Equity 20

21.  What I Have = What I Own  What I Have = What I Own + What I Owe  Assets = Liabilities + Equity 21

22.  Revenues – Expenses = Profit 22

23.  Revenues – Expenses = Profit (or, Surplus) 23

24.  Balance Sheet 24

25.  Balance Sheet 25

26.  Income Statement 26

27. 27

28. 28 “501(c)3”

29. 29

30. 30

31.  To states for behavioral health issues 1) Substance Abuse, 2) Mental Health http://www.samhsa.gov/grants/blockgrant/ 31

32. 32

33. http://www.state.nj.us/humanservices/dmhs/boards/planning_council.htm l 33

34. 34

35.  http://www.state.nj.us/humanservices/divisions/dmhas/Final%202012-2013%20Joint%20Block%20Grant%20Application.pdf 35

36. http://www.state.nj.us/humanservices/divisions/dmhashttp://www.state.nj.us/humanservices/divisions/dmhas/ 36

37.  http://www.state.nj.us/humanservices/divisions/dmhas/Final%202012-2013%20Joint%20Block%20Grant%20Application.pdf 37

38. 38

39. http://www.nj.gov/treasury/omb/ 39

40. http://www.nj.gov/treasury/omb/publications/14budget/index.shtml#budget 40

41. http://www.nj.gov/treasury/omb/publications/14budget/pdf/FY14BudgetBook.pdf 41

43. 43

44. 44

45.  Expenditures 45

46. 46

47. 47

48. 48

49. 49

50. 50 Also: Slides available at www.psychodyssey.net.www.psychodyssey.net