Mental Health Association of Portland



Legacy Behavioral Health Project - Meeting with Advocates

Meeting Minutes

DATE: Jan 16, 2015

PRESENT: Tony Melaragno, Chris Farentinos, Brian Terrett, Rick Ralston, Sarah Radcliffe, Maggie Bennington-Davis, Justin Hopkins, Mike Hlebechuck, Chris

Bouneff, Becky Child, Daniel Ward, Kate Hill

| Subject |Discussion |Action |Owner |

|Context for Meeting |Legacy and State put this meeting together | | |

| |Legacy is close to signing Letter of Intent for our behavioral health project so wanted to meet with key community advocacy leaders to | | |

| |discuss the project and have a Q and A. | | |

|Overview of Model |Chris discussed the context and reasons for the decision to use the particular project we are focusing on. | | |

| |Described Alameda County’s model and provision of services as well as outcomes. | | |

|New Facility |Discussion of components of proposed new BH facility | | |

| |We want to provide much stronger coordinated care. We will have space in the facility for community organizations who work with patients on| | |

| |transitions, case management, etc | | |

| |Discussion of both Psychiatric Inpatient units and Psychiatric Emergency Services (PES) | | |

| |

|Questions and Answers |

|IMD Issues: |The new facility will be licensed under Emanuel and has sufficient licensed beds. | | |

|What’s the Process for Pts who |We will transport from hospital to PES. | | |

|attend outlying hospitals |Lots of work will occur with all the community EDs to develop a smooth transition/transport process. | | |

|(Adventist) |Need to develop specific agreements between community partners and hospital EDs | | |

| |Need to work with hospital EDs to better their current standards of treatment for the mentally ill | | |

|Pts Needing Detox |Will have strong relationship with detox facilities in community | | |

| |Detox that needs IV will be performed in regular EDs, not PES | | |

| |Legacy has implemented Public Safety Holds as a way to better address the drug/alcohol needs of these patients. This has resulted in 40% | | |

| |reduction of Notice of Mental Illness in our EDs. | | |

|Architecture |Will involve community members in the design of the facility | | |

|Transitions of Care/Partnerships |Legacy and Cascadia have been meeting to develop stronger collaboration. Are now also doing this with Central City Concern and LifeWorks NW| | |

|with Community |Want to develop more intentional transitions of care and also address payment issues. | | |

|Size of Facility |Concern expressed about the large size of facility and possible negative ramifications of this | | |

| |We have an opportunity to develop a better model of care. Coordination of services will be a big emphasis, both internally and externally. | | |

| |Currently, the behavioral health units at our hospitals are parts of large hospital systems. By coming together, the primary focus will be | | |

| |on serving only behavioral health patients. It will also allow stronger collaboration with the community because they will have space in | | |

| |the facility. | | |

| Crisis Services |Concern expressed that we need a crisis system where varying levels of service can be provided rather than the crisis system only providing | | |

| |high intensity services. | | |

| |Would like to see development of peer based crisis respite services. | | |

|Physical Conditions of Facilities|Need to pay attention to our physical facility and have it look nice and be patient-friendly. | | |

| |New facility will be nice and inviting to patients. Will have a large outdoor area for patients. | | |

|Home Hospitalization |Question if we looked at home hospitalization option? | | |

|Involvement of Consumers |Input to involve consumers involved in hospitalization in the planning and discussion process for our new facility and model | | |

|Culturally Sensitive Services |Want to insure our model will be culturally sensitive | | |

| |Need to have provider panels that are more culturally sensitive and larger. It is difficult for patients to get referrals into the | | |

| |community. Chris noted the large influx of BH patients into the system since Jan 2014 ACA. | | |

|Next Steps |Community members will be invited to participate in planning process when it starts | | |

| |Please feel free to dialogue with Chris Farentinos with comments, questions, concerns. | | |

| |Payment code is being worked on at State level. State is ascertaining if credentialing needs to occur of PES models. | | |

| |One of the key conversations community members will be invited to join in is regarding transportation of patients between EDs | | |

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