NorthCare Network · 2018-04-19 · NORTHCARE NETWORK, 200 West Spring Street, Suite 2, Marquette, MI 49855 Page 6 Website: Phone: 888-333-8030 NorthCare Network 2017 Fiscal Year

NORTHCARE NETWORK, 200 West Spring Street, Suite 2, Marquette, MI 49855 Page 1

Website: www.northcarenetwork.org Phone: 888-333-8030

NorthCare Network 2017 Fiscal Year Annual Performance Report

Nor thCare Networ k

2017 Fiscal Year

Annual Performance Report

NorthCare Network ensures that every

eligible recipient receives quality specialty

mental health and substance use disorder

services and supports through the

responsible management of

regional resources.

Mission Statement Inside This Report

Message from the CEO

NorthCare in the Community

NorthCare’s Governing Board Members

SUD Policy Board Members

Performance Report Card

Additional PIP Projects

MI Health Link and Ombudsman Program

Site Review Scoring Comparison

MI Performance Indicators 2017

Access Screening for Mental Health Services

Persons Served by Population

DHIP CAFAS and PECFAS - Outcomes

SUD Treatment Statistics

NorthCare Finances

Consumer Satisfaction

SIS Completion

Integrated Health Care

Technology Advances at NorthCare Network

Evidence-Based Practices

Coalitions: Communities That Care

Home and Community Based Services Transition

2

3

4

5

6-7

7

8

9

9

10

11

11

12

13

14-15

15

16

17

18

19

19




Dear Friends of NorthCare Network, We are once again pleased to provide you with this edition of our Annual Performance Report for fiscal year 2017. Each year

we wait until all the data is collected and validated before releasing our findings. This report provides an objective appraisal

using a set of measures by which our performance as a Prepaid Inpatient Health Plan is evaluated. We track our performance

and progress to evaluate areas in need of attention in the application of principles of ongoing quality improvement. Our

performance is monitored by a variety of organizations including the Michigan Department of Health and Human Services,

the Health Services Advisory Group, URAC (our accrediting body), our Board of Directors, our Substance Abuse Policy Board

Committee members, our providers, our consumers and their communities.

Our network of Providers, Community Mental Health Service Programs, and dedicated Board members are key to our success.

We continue to promote innovation, integration, and evidence-based

treatment programs. Our prevention programs and efforts to address the

challenges associated with the opioid crisis have raised community

awareness of the need for more effective services for persons with

Substance Use Disorders. Similarly, we recognize the importance of

recruitment, retention, and training of a qualified network of providers.

NorthCare Network’s mission is to ensures that every eligible recipient

receives quality specialty mental health and substance use disorder

services and supports through the responsible management of regional

resources. Being community based and focused, we continue to place

“people before profits”.

This edition of our annual performance report has been

organized in what we hope is a more readable and

engaging format. With less narrative and more graphics

and photos, we hope you find this presentation more

appealing. We want to recognize our dedicated and

talented Board of Directors whose support has been

crucial and ideas invaluable in our continued efforts to

meet the challenges of our mission.

As always, we welcome your comments and suggestions.

Thank you for your continued interest and support.

William Slavin, CEO

From the Chief Executive Officer

William Slavin, NorthCare Network

NorthCare’s Values

• We believe in respect, consumer empowerment, person

centered care, self-determination, full community

participation, recovery and a culture of gentleness.

• We also endorse effective, efficient community based

systems of care based on the ready availability of a

competent workforce and evidence based practices.

• We believe in services that are accessible, accountable,

value-based and trauma-informed.

• We support full compliance with state, federal and

contract requirements, and responsible stewardship.

• The right care, at the right time, for the right cost, and

with the right outcome.

Our Vision NorthCare Network envisions a full range of

accessible, efficient, effective and integrated

quality behavioral health services and

community based supports for residents of

Michigan’s Upper Peninsula.




N orthCare has been involved with the

community on many different occasions and

participated in local healthcare awareness events.

NorthCare in the Community

CEO William Slavin worked the NorthCare Network table at the annual Munising Health Fair, September 16.

For the second year, NorthCare staff participated in the Out of Darkness Suicide Prevention Walk at Al Qual on September 9.

Staff participated in the Gogebic’s sixth annual Walk A Mile in Wakefield, MI, on May 24 and Pathways’ first annual

Walk A Mile in Marquette on May 25 (left two and above).




NorthCare Network

Governing Board Members

L to R: Bill Davie, Pat Rozich, George Botbyl

EXECUTIVE OFFICERS

Chairperson: Pat Rozich, Copper Country

Vice-Chair: Bill Davie, Pathways

Secretary: George Botbyl, Pathways

Jim Moore Mari Negro Margaret Rayner Dr. John Shoberg Jim Tervo Steve Thomas

Hiawatha Northpointe Gogebic Hiawatha Copper Country Gogebic

(Apr.–Sept.)

Not Pictured:

Bob Barr, Hiawatha Alternate

Kathy Cairns, Hiawatha (Oct.–Mar.)

Katie Carlson-Lynch, Pathways Alternate (May–Sept.)

Joan Luhtanen, Northpointe (Oct.–Apr.)

John Nelson*, Northpointe (Oct.–Apr.)

Dan Siirila, Gogebic Alternate

Joe Bonovetz Pat Bureau George Ecclesine Mike Koskinen Ann Martin Gerald McCole

Gogebic Pathways Hiawatha Copper Country Northpointe Northpointe

(May–Sept.) (May–Sept.)

Governing Board Past Chairpersons

Rudy Kemppainen

Karen Raether

Dan LaFoille




Alger County Catherine Pullen

Baraga County Michael Koskinen

Chippewa County James Moore, Chairperson

Delta County David Rivard

Dickinson County John Degenaer, Jr., Vice-Chair,

(Oct.–Dec.),

Ann Martin (Jan.–Sept.)

Gogebic County LeRoy Kangas (Oct.–Dec.)

Dan Siirila (Jan.-Sept.)

Houghton County Tim Palosaari (Oct.–Dec.),

Scott Ala (Jan.–Sept.)

Iron County James Brennan III

Keweenaw County Randy Eckloff

Luce County Nancy Morrison

Mackinac County Jim Hill

Marquette County Pat Bureau

Menominee County John Nelson,

Ontonagon County John Pelkola (Oct.–Feb.),

David Nykanen (Mar.–Sept.)

Schoolcraft County Craig Reiter, Vice-Chair,

(Jan.–Oct.),

Substance Use Disorder Policy

Board Members

go to http://www.uppermichiganssource.com to read full article.

REMEMBERING

John Pelkola passed away on February 23, 2017. John served as the Ontonagon

County member of the SUD Policy Board. John was appointed by the Ontonagon

County Commissioners and served on the board since its inception in 2014. He

was a public servant for over 40 years in the U.P. and will be missed!




N orthCare Network is monitored each year for performance in a variety of ways, one of which is through an independent

review organization. The Health Service Advisory Group (HSAG) is the External Quality Review Organization (EQRO)

contracted by the Michigan Department of Health and Human Services (MDHHS) to conduct a three part survey of all Prepaid

Inpatient Health Plans (PIHPs) in Michigan. This external review is mandated by the Balanced Budget Act of 1997 (BBA) and is

conducted in accordance with the Centers for Medicare and Medicaid Services’ External Quality Review guidelines. This three-

part review consists of:

1. Compliance Monitoring which is an assessment of NorthCare’s compliance with applicable BBA and MDHHS contract

requirements. HSAG did not conduct the compliance monitoring review in fiscal year 2017. However, they are scheduled

for a full compliance review in August 2018 (FY18).

2. Performance Measure Validation (PMV) is a comprehensive review of our state mandated performance measure and

encounter and demographic data. HSAG looks at how the data is collected, calculated, and reported. They then evaluate the

accuracy, completeness and timeliness of our data. They found our data integration, data controls, and performance indicator

documentation to be acceptable. Identified strengths include utilizing one system for collecting, housing, and processing

NorthCare data. They stated, “As a result of NorthCare Network’s robust data monitoring processes, rejection files received

from the State continued to be under one percent”. One area of improvement noted was to ensure more detailed

documentation is made in the system for performance indicator tracking.

The following chart represents a 6-year comparison of indicators that measure timeliness of service delivery. We received a

"fully complaint" rating on all performance measures reviewed and show significant improvement in four of the five indicators

noted below. The following data represents performance in the first quarter of FY17 (October 2016 – December 2017.

Performance Report Card

Areas Reviewed for Compliance Monitoring Review (NA indicates standards not evaluated for that year.)

FY12 FY13 FY14 FY15 FY16 FY17

Quality Assessment & Performance Improvement Plan & Structure

NA 100% NA 100% NA NA

Performance Measures 100% NA NA 100% NA NA

Practice Guidelines 100% NA NA 100% NA NA

Staff Qualifications NA 100% NA 100% NA NA

Utilization Management NA 96% 100% 100% NA NA

Customer Services 100% NA NA 100% NA NA

Enrollee Grievance Process NA 100% NA 100% NA NA

Enrollee Rights & Protections 98% NA 100% 100% NA NA

Subcontracts & Delegation 100% NA NA 100% NA NA

Provider Network 100% NA NA 100% NA NA

Credentialing 99% NA 100% 100% NA NA

Access & Availability NA 97% NA 94% 100% NA

Coordination of Care 100% NA NA 100% NA NA

Appeals NA 100% NA 89% 100% NA

Disclosure of Ownership, Control, & Criminal Convictions NA NA NA 72% 100% NA

Overall 99% 99% 100% 98% 100% NA




Performance Report Card (cont.)

3. Performance Improvement Project (PIP) Validation is the evaluation of the PIP required by the MDHHS. HSAG's validation

review is to determine if the PIP is written and conducted in a way that can assure valid and reliable outcomes, and that the

outcomes show statistically significant improvement that is sustained over time. The topic for this study, which started in

FY2014, is to increase the percentage of adults with mental illness who indicate a medical diagnosis of obesity in the self-

reported health measures and receive a medical nutritional therapy services from a primary care provider. This project is

designed to increase proper referrals and follow-up for these individuals.

Michigan has the 10th highest prevalence of obesity in the United States. In 2009, three out of every ten adults in Michigan

were obese, while approximately 35% of adults were overweight for the general population. In 2018, Michigan is expected to

spend $12.5 billion on obesity related health care costs if rates continue to increase at their current levels.

HSAG’s Validation Reports stated, “The PIP validation evaluated the technical methods of the PIP (i.e., the study design). Based

on its technical review, HSAG determined the overall methodological validity of the PIP.” All elements reviewed were met at

100%. In Fiscal Year 2016, NorthCare Network achieved a statistically significant improvement over baseline with a total of 42

individuals, or 3.8%, receiving a medical nutritional therapy service from a primary care provider. This is 1.4 percentage points

over our goal of 2.4%. In Fiscal Year 2017, NorthCare Network sustained improvement over baseline at 2.84%.

Performance Measures 2012 2013 2014 2015 2016 2017

Percentage of new persons receiving an assessment w/in 14 days of request for non-emergency service.

99% 99% 98% 98% 97% 93.4%

Percentage of new persons starting on-going services w/in 14 days of non-emergent assessment.

99% 99% 96% 97% 99% 99.2%

Percentage of discharges from psychiatric inpatient unit who are seen for follow-up care w/in 7 days of discharge.

97% 95% 98% 89% 97% 95.2%

Percentage of adults served who are employed competitively. 8.5% 3.5% 4.4% 5.2% 12.3% 7.54%

Percentage of adults served who earn minimum wage or more from any employment activities.

52% 52% 37% 40% 64.4% 88.9%

Additional Performance Improvement Projects — 2017

NorthCare continues to work on the engage-

ment PIP. By engaging consumers into treat-

ment, it is hoped that eligible consumers will

receive necessary services, increasing their quali-

ty of life. The engagement PIP has identified in-

consistencies in practice patterns throughout the

region. Significant variances in service denial

rates at each CMHSP and how long eligible con-

sumers have been engaged into services, have

been identified. NorthCare is looking to ensure

the region is consistent in how eligibility

determinations are made at each CMHSP and

ensure each board actively engages consumers into treatment. In FY17

14.8% of consumers were discharged from the CMHSP within 90 days of

being found eligible for services.




I n January 2011 Michigan was selected by Center for Medicare & Medicaid Services (CMS) as one of 15 states to be awarded a

contract for the development of an integrated care plan for individuals who are dually eligible for Medicare and Medicaid. The

goal of the new program is to improve both the quality of and access to health care by more effectively aligning the two programs

and bridging the divide between physical, long-term health care and behavioral health care systems. The Upper Peninsula was

selected as one of four demonstration sites (or pilot regions) in Michigan. NorthCare Network holds a contract with the integrated

care organization, Upper Peninsula Health Plan, to manage the behavioral health benefit for all individuals enrolled in the MI

Health Link Demonstration Program. This program began in March 2015 and has grown from approximately 3800 individuals

enrolled in November 2015 to over 4300 enrolled in November 2017. NorthCare Network has also grown during this same period

for the number of individuals served from 849 members to over 1100. An important resource for MI Health Link beneficiaries is

the Ombudsman Program which was officially operational on December 1, 2015.

The MI Health Link Ombudsman (MHLO) serves as an advocate and problem-solver for beneficiaries enrolled in MI Health Link. All

of their services are free and they keep all beneficiary information

confidential. They can:

Answer questions about MI Health Link

Help solve problems with care, services, and benefits

Connect beneficiaries to other resources

Assist with grievances and appeals, and

Help file complaints

The Ombudsman Program also works with the Health Plans, Pre-Paid

Inpatient Health Plans (PHIP) that offer behavioral health services, the

Michigan Department of Health and Human Services (MDHHS), and the

federal government to spot issues, identify best practices, and offer

solutions that will help make the MI Health Link program work better for

beneficiaries.

MHLO is a project of the Michigan Elder Justice Initiative and our partners at the Counsel and Advocacy Law Line, two free legal

services programs for low-income Michiganders. They provide most of their assistance to beneficiaries through both a toll-free

hotline and through email responses to questions and problems.

The MHLO is funded by a grant from the Michigan Department of Health and Human Services.

Individuals can contact the MI Health Link Ombudsman at:

Toll Free at 1-888 -746-MHLO (1-888-746-6456) or TTY 711

Monday - Friday 8 a.m. to 5 p.m.

Tim Englehardt, Director for the CMS Medicare-Medicaid Coordination Office, met with NorthCare staff on July 21

to discuss the MI Health Link pilot program.

MI Health Link and the

Ombudsman Program




Site Review Scoring Comparison

MI Mission-Based Performance Indicator System 2017

89

.6%

87

.0%

82

.8% 9

4.5

%

79

.7%9

0.8

%

92

.8%

91

.0%

92

.6%

86

.4%

95

.2%

92

.1%

92

.7%

92

.9%

88

.1%9

9.3

%

94

.0%

96

.8%

97

.1%

89

.7%

94

.1%

97

.2%

96

.0%

94

.1%

94

.0%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Copper Gogebic Hiawatha Northpointe Pathways

NorthCare Network 5-Year Monitoring of CMHSPs: Site Review Scoring Comparison

FY13 FY14 FY15 FY16 FY17

O ur provider network site review scores are

below for both our CMHSPs and SUD providers.

94.1%

97.2%

96.0%

94.1% 94.0%

80%

90%

100%

Catholic Social Services Great Lakes Recovery Ctrs Keweenaw Bay indianCommunity

Phoenix House Upper Peninsula HealthSystem - MQT

NorthCare NetworkSUD Provider Site Review Scoring Comparison




Access Screenings for Mental Health Services

T here has been an overall increase in the total amount of access screenings over the last three years

(FY14 – FY16). This is represented in the graphs below. Of those total access screenings there has

been, on average, an increase in the percent of consumers referred to the Community Mental Health Service

Programs (CMHSP) for mental health services.

29

.70

%

32

.48

%

31

.39

%

34

.09

%

27

.48

%

17

.59

%

19

.17

% 25

.89

%

22

.93

%

20

.52

%

20

.18

%

12

.02

%

16

.61

%

15

.80

%

16

.14

%

10.00%

15.00%

20.00%

25.00%

30.00%

35.00%


3-Year Trend of Percent Denied by Board

FY15 FY16 FY17

67

.00

%

63

.06

%

64

.32

%

62

.05

%

68

.13

%78

.70

%

76

.68

%

72

.40

%

74

.97

%

76

.09

%

75

.84

%

84

.62

%

80

.10

%

81

.33

%

80

.92

%

0.00%

10.00%

20.00%

30.00%

40.00%

50.00%

60.00%

70.00%

80.00%


3 - Year Trend of Percent Referrred to CMHSP by Board

FY15 FY16 FY17

3—Year Trend of Percent Denied by Board 3—Year Trend of Percent Referred to CMHSP by Board

3– Year Trend of Total Access Screenings by Board

30

3 15

7

58

3

75

1

11

17

32

4 19

3 58

7

81

1

12

38

32

7

20

8

57

8

76

6

12

89

0

200

400

600

800

1000

1200

1400


3-Year Trend of Total Access Screenings by Board

FY15 FY16 FY17

3—Year Trend of Total Access Screenings by Board




Persons Served by Population: 3-Year Trend

DHIP CAFAS and PECFAS—Outcomes

T he local CMHSPs receive MDHHS Incentive Payments (DHIP) for children and youth that are served in the

Michigan Foster Care or Child Protective Services system. The average initial CAFAS and PECFAS scores of the

children and youth for which the incentive payment was received were compared to the average of the last CAFAS/

PECFAS scores during a fiscal year. The graphs below depict the comparison and 3-year trend of the average scores.

Below you will see that the last CAFAS/PECFAS scores trended lower than the initial scored, showing overall

improvement in the children/youth’s behavioral health.

96.88

86.13

12.65

111

90.68

21.43

99.13

85.74

18.11

0

20

40

60

80

100

120

Average of Initial Total Score Average of Last Total Score Average of Total Score Difference

3-Year Trend NorthCare Summary DHIP Outcomes - CAFAS

FY15 FY16 FY17

3-Year Trend NorthCare Summary DHIP Outcomes - CAFAS

96.52

83.48

13.64

101.88

86.47

18.46

91.33

71.33

27.27

0

20

40

60

80

100

120

Average of Initial Total Score Average of Last Total Score Average of Total Score Difference

3-Year Trend NorthCare Summary DHIP Outcomes - PECFAS

FY15 FY16 FY17

3-Year Trend NorthCare Summary DHIP Outcomes - PECFAS




Substance Use Disorder Treatment

Statistics

T he graph to the left breaks up the

total Substance Use Disorder (SUD)

admissions by level of care for FY17.

The charts below compare other SUD

statistics.

SUD Admissions by Age Group

Total # of Screenings for

SUD Residential

Medicaid

FY 15 632

FY 16 639

FY 17 727

Non-Medicaid

FY 15 234 FY 16 327

FY 17 242

Total

FY 15 866

FY 16 966

FY 17 969

SUD Admissions by Primary Substance at Admission




NorthCare Finances

N orthCare Network is responsible for the management of Medicaid and other Block Grant funds to provide services to

beneficiaries with mental illnesses, intellectual/developmental disabilities, and substance use disorders across the 15

counties in the Upper Peninsula of Michigan. NorthCare Network receives the Medicaid funds and then advances these

funds per MDHHS contract to the five CMHSPs as well as other providers.

NorthCare Network is allowed to carry unspent funds forward in one of two ways. First, money can be transferred into an

Internal Service Fund to protect the region if Medicaid or Healthy Michigan is overspent in a future year. Second, money can

be directed toward improvements in clinical services or creating administrative efficiencies to reduce future expenditures.

NorthCare Network’s Internal Service Fund is currently fully funded and we continue to assess areas of improvement to

streamline functions and accessibility to care. Regional savings for Fiscal Year 2017 were: $3,349,774 and $1,636,118 for

Medicaid and Healthy Michigan, respectively.




Consumer Satisfaction

T he NorthCare region scored well on the annual Consumer Satisfaction Survey.

Consumers were surveyed on the following questions:

1. Appointments are scheduled at times that work best

for me.

2. I am informed of my rights.

3. I feel better because of the service received.

4. I know what to do if I have a concern or complaint.

5. Staff are sensitive to my cultural/ethnic

background.

6. I was able to get the type of service I needed.

7. My wishes about who is and who is not given

information about my treatment are respected.

8. My wishes about who is and who is not involved in

my treatment are respected.

9. I am satisfied with the telephone crisis service when

calling the crisis line after 5 p.m. on weekdays and/or

on weekends.

10. I would recommend these services to a friend or relative.

The data in the graph (upper right) represents overall consumer satisfaction rates throughout all five CMHSPs in regards to the questions above.

Consumers are also asked to share their

opinions regarding their recovery. The questions

answered were:

1. I am hopeful about my future.

2. I am willing to ask for help.

3. I believes that I can meet my current

personal goals.

4. I have people I can count on.

5. Coping with my mental illness is no longer

the main focus of my life.

6. My symptoms interfere less and less with

my life.

7. My services and supports from CMHSP are

helping me in my recovery.

The results for the listed questions are represented in the graph to the right.

80%

82%

84%

86%

88%

90%

92%

94%

96%

98%

100%

1 2 3 4 5 6 7 8 9 10

Consumer Satisfaction Survey Data FY17


0%

20%

40%

60%

80%

100%

1 2 3 4 5 6 7

Recovery Survey Results Part B FY17


Community Mental Health Consumer Satisfaction Survey Results

Community Mental Health Recovery Satisfaction Survey Results




Consumer Satisfaction (Cont.)

Northcare Network’s Recovery-Oriented Service Evaluation — in partnership with Yale University

I n FY17 NorthCare and all participating providers,

including SUD providers, were part of a national

research project lead by Yale University’s Program for

Recovery and Community Health. Program directors,

staff, and consumers involved in providing or receiving

behavioral health services throughout the Upper

Peninsula were asked to participate by filling out a

Recovery Self-Assessment (RSA) survey. The RSA

assessed degrees of recovery-supporting policies and

practices at each agency by asking a series of 32

questions. The survey data was then broken down to

six domains which gave an overall recovery orientation

score. The graph to the right represents the

comparisons of the average RSA scores given by staff

vs. RSA scores given by consumers in our region.

NorthCare Network SIS Completion

SIS Assessments are conducted once every three years with individuals who meet the expected criteria set forth by MDHHS.

NorthCare’s first-round performance on SIS completion is shown in the first graph broken down by CMHSP. The first 3-year period

was from 6/1/2014—9/30/2017.

The second 3 - year period began on 10/01/2017 and goes until 09/30/2020. We have started off the second round of SIS

assessment strong and continue to work hard to complete all assessments that are required.

Those individuals that declined a SIS assessment or their case was closed prior to the 3-year period ending are not represented in this data.

90.45%

88.30%

94.76%

90.48%

81.60%

75.00%

80.00%

85.00%

90.00%

95.00%

100.00%


First Round SIS Assesment % Complete(Data as of 1/22/18)




S ince 2014, NorthCare Network has been the recipient of Medicaid Block Grant Funding to

support integrated health care initiatives in the Upper Peninsula. Integrated health care is

defined by the Agency for Healthcare Research and Quality as “the care that results from a

practice team of primary care and behavioral health clinicians, working together with patients

and families, using a systematic and cost-effective approach to provide patient-centered care for

a defined population. This care may address mental health, substance abuse conditions, health

behaviors (including their contribution to chronic medical illnesses), life stressors and crises,

stress-related physical symptoms, ineffective patterns of health care utilization.”

In 2016, NorthCare Network and the Upper Peninsula Health Plan (UPHP) worked together to

address complex patient needs for mutually-served individuals enrolled in a UPHP Medicaid

Plan, and receiving services through the Community Mental Health Service Programs. Each

month, the Integrated Care Team (ICT) serves between 10 and 15 individuals with complex needs. These patients are identified

through MDHHS’s Care Connect 360 tool due to having a high utilization of emergency department care. The ICT, with patient

consent, works to identify the underlying cause of frequent emergency care utilization and ensure access to primary care and

specialist practitioners while addressing social determinants of health through behavioral health care. The lessons learned from

this population subset were applied to the mutually-served population of 4,524 individuals in 2017.

Population health analysis is supported through the purchase of technological tools made possible by the Medicaid Block Grant.

Utilizing these tools, care for all individuals served by NorthCare is improved through the identification of individuals who have

unmet needs based on national health quality standards. The measures targeted by NorthCare and the five CMHSP’s are

displayed in the table below, along with NorthCare’s initial benchmarks for 2017. These benchmarks are derived from a

comparison of nine other PIHPs in Michigan, and similar mental health agencies in Missouri and North Carolina.

To support mutually-served members in the Upper Peninsula, the Medicaid Block Grant has supported the publication of

educational materials on health behaviors, which are available on the NorthCare Network website.

Integrated Health Care

NorthCare Client Base Percentiles Measured Against National Percentiles

NATIONAL AVERAGE PERCENTILES

Measure Description NorthCare

Current Percentiles

25th Percentile

50th Percentile (Average)

75th Percentile

Presence of a diabetes screening test during the measurement year for a patient diagnosed with schizophrenia or bipolar disorder who

was dispensed an anti-psychotic medication

74.6% 66.7% 75.0% 82.5%

Presence of a HbA1c and LDL-C tests during the measurement year for a patient diagnosed with schizophrenia and diabetes

39.0% 34.6% 45.5% 55.9%

Presence of a follow-up visit within 7 days after hospitalization for mental illness (21 years of age and older)

59.8% 48.3% 60.0% 70.9%

Presence of a follow-up visit within 7 days after hospitalization for mental illness (6-20 years of age)

72.3% 50.0% 66.7% 76.5%




D uring FY17 NorthCare Network launched a new website at

www.northcarenetwork.org. The design and final

publishing was completed by two NorthCare staff. The new

website uses robust tools for development, highlights NorthCare

Network’s mission and contact information, and allows providers,

consumers, and community members to easily locate pertinent

information.

NorthCare gained many efficiencies for staff through the

integration of the ELMER (Electronic Medical Record) Claims System with NorthCare’s accounts payable system, Great Plains.

An automated process runs nightly to send payment batches to Great Plains. Once a check is processed, the check number

and payment data is automatically loaded back into the ELMER claims system. This process has also increased accuracy and

timeliness of this data.

The State of Michigan and Community Mental Health Service Programs follow the Record Disposal

and Retention Schedule -- General Schedule #20, which delineates the length of time medical

records, and other record types, are retained. This schedule has always been used for paper record

retention. In 2017 the regional medical records team began using a common report from the ELMER

System to identify cases in ELMER that have been closed for 20 or more years. A common process

was developed to remove these cases from the system, thus complying with the General Schedule.

NorthCare continues to utilize a population management analytic

tool to assist with the delivery of integrated care to consumers who

trend toward high risk of increased healthcare needs and high-cost

care. During 2017 many standardized reports were developed to

focus on chronic comorbid conditions and consumers’ related

hospitalization data and service trends.

Technology Advances to Improve

Care at NorthCare Network

http://www.northcarenetwork.org




E vidence-based practice (EBP) combines the following three principles to provide the best

service(s) for individuals: 1) evidence from research, 2) clinical experience, and 3) client

input. The goal is to have better overall outcomes and limit any risky treatment methodologies.

NorthCare, with its CMHSP providers, strives to follow and implement evidence-based practices

always. The following are some EBP provided at

the CMHSP’s. More information is available at

www.improvingmipractices.org.

Family Psychoeducation Family Psychoeducation (FPE) works to address

illness through education with the consumer and

their self-defined family through group

participation. NorthCare has had a steady

decline in the number of consumers receiving family psychoeducation. This is possibly

because many consumers have already participated in the program. Typically, FPE

groups meet 12 times a month and last about 1 1/2 to 2 years. Best practice is for the

group to meet for at least 9 months.

Peer Support

In FY17, 299 consumers aged 18+ with identified mental illness had a peer support

encounter. This is a slight decrease from FY16 in which NorthCare had 304

consumers receive peer support; however, this is still above FY15 which served 275

consumers.

Employment Supported employment helps adult consumers work in a job of their choice. It assists

consumers in identifying their strengths and what jobs might be a good fit for them.

The goal of supported employment is to work toward competitive employment (a

job that anyone, regardless of ability, can apply for).

Evidence-Based Practices

FY17 Consumer Employment




N orthCare Network funds 14 youth-focused prevention coalitions covering all 15 counties of the UP. Most of the

coalitions follow the Communities That Care (CTC) model, which is an evidence-based program to reduce rates

of youth problem behaviors like substance use, violence, and depression. Each coalition has a dedicated Coordinator

who facilitates the CTC process in their county.

These Coordinators work collaboratively as UP Coalition Network (UPCN),

along with support staff from NorthCare Network, Dial Help, the

Western UP Health Department, and Child and Family Services. Their

mission is to increase membership in their coalitions, share information,

and develop/promote UP-wide messaging. So far, UPCN has engaged in

two UP-wide campaigns related to prescription drug disposal, with

materials distributed numbering in the thousands. Upcoming campaigns

around Narcan education, prescribing education, suicide prevention, and

more proactive, preventative programs are planned for 2018.

The coalitions that make up UPCN are always seeking new members to

support their efforts. This can include professionals, parents, youth, and

other community members. Becoming part of a CTC coalition is a commitment of only one to three hours per month.

Everyone in the community benefits when youth thrive, because healthier young people grow into healthier adults.

This results in an improved local workforce, stable families, and reduced strain on taxpayer-funded agencies like police

and social services.

Learn more about the youth-focused prevention efforts in

your area, and how to join in, by visiting

www.UPprevention.org.

Coalitions: Communities That Care

Communities That Care uses an evidence-based,

prevention science process that reduces levels of youth

problems including substance abuse, anxiety &

depression, teen pregnancy, school dropout,

delinquency & violence.

I n January 2014, the Centers for Medicare and Medicaid Services (CMS) announced a Final Rule on HCBS.

HCBS are Medicaid services for people with disabilities to help them live in their own homes and

communities. The rule is intended to ensure individuals who have disabilities have the same access to the

community as individuals who do not have disabilities. It will allow individuals the opportunity to make

decisions about the services they receive and who provides them. The ultimate goal of the HCBS Rule is to

make sure the services people receive are allowing them the independence to make their own decisions,

participate in their community life, and ensure that individual’s rights are respected. NorthCare Network

and CMHSPs are working hard to ensure compliance with the HCBS rules and regulations.

Coalition coordinators from around the UP working on presentation skills.

Home and Community Based Services (HCBS) Transition

http://www.UPprevention.org

Documents

NorthCare Network · 2018-04-19 · NORTHCARE NETWORK, 200 West Spring Street, Suite 2, Marquette, MI 49855 Page 6 Website: Phone: 888-333-8030 NorthCare Network 2017 Fiscal Year