1. Administrative Overhaul Improves Access to Substance Abuse Services for Iowa Patients DeAnn Decker Iowa Department of Public Health

2.  Prairie Ridge receives Pathways to Recovery Grant  State of Iowa – submitted application and chosen as one of 4 states to work on a State/Payor Pilot initiative in 2004 1.Mecca/UCS/SATUCI/Winterset/Magellan 2.Walkthroughs  June 2006 – Iowa invited to be part of the Robert Wood Johnson Foundation “Cross Systems Financing” Project ◦ Populations: co-occurring mental health/substance abuse ◦ Services: financing, training, and development of programs ◦ Funding: Medicaid and substance abuse block grant DeAnn Decker Iowa Department of Public Health

3. Process Improvement Project for all Block Grant funded (now 24) Substance Abuse Provider agencies in Iowa. ◦ Improve State and treatment agency level organization processes ◦ Improve client access to and retention in outpatient treatment DeAnn Decker Iowa Department of Public Health

4.  Communities of Commitment ◦ System Transformation  Whole System Change ◦ Advance a recovery-oriented system of care  NIATx-SI ◦ Recovery Oriented System of Care ◦ Data ◦ Pay for Performance  Gambling  Prevention  Peer Mentoring  NIATx- Business Application ◦ Assist 65% of Iowa block grant providers to implement contracting with third parties. DeAnn Decker Iowa Department of Public Health

5.  Significant improvements: ◦ 62.4% reduction in wait times ◦ 12.5% increase in services to clients in the first 30 days ◦ One program improved fee-for-service revenue over 62%  IDPH aligned: ◦ Treatment, prevention and gambling  Goal - System Transition to a Recovery-Oriented System of Care compatible with healthcare reform by 2014 DeAnn Decker Iowa Department of Public Health