National Council for Behavioral Health

[Pages:8]National Council for Behavioral Health Association Executive's Orientation Packet

Dear Colleague:

The National Council for Behavioral Health was founded in 1970 by a group of behavioral health leaders in pursuit of high-quality, community-based care for persons with mental health and substance use disorders. Today, we function as a national network of more than 2,200 organizations.

One of the National Council's chief objectives is to aid our state and association executives in achieving their goals, particularly by highlighting national policy trends and providing corresponding technical assistance and training, translating the complexities of healthcare reform through training opportunities, and facilitating access to federal lawmakers and government agencies.

This orientation guide was developed to give you a better sense of the National Council's full spectrum of services available to you. We are truly invested in your success, to help you thrive in a dynamic, competitive healthcare environment marked by political and economic uncertainty. The National Council advocates for your rights and resources, supports your clinical and business best practices, and connects you with colleagues and other leaders in the field.

This document is by no means inclusive of every service we can provide to you. As you read through these materials and get to know the National Council, please do not hesitate to contact me or any of the National Council leadership with your concerns, ideas, or success stories. As a valued member of the National Council, we will do anything we can to help you and your members find continued success.

Warm regards,

Linda Rosenberg, MSW President & CEO National Council for Behavioral Health

Who We Are

The National Council for Behavioral Health is a non-profit membership association whose mission is to champion opportunities that advance the ability of our nearly 2,200 member organizations that include states, counties, not-for-profit and community-based providers, hospitals, managed care companies and Federally Qualified Health Centers to deliver effective, patient-centered, timely, and equitable healthcare. Our members offer mental health, substance use, recovery supports, primary care, housing, employment, and child welfare services; they span urban, rural, and frontier areas; and serve a large, culturally diverse population of more than eight million adults, children, and families each year. Since its founding in 1970, the National Council has earned a national reputation for excellence in training, technical assistance, policy analysis, and organizational change to strengthen behavioral healthcare in the United States.

The State/Association Executive Group

The National Council's State/Association Executive group is comprised of CEOs and Executive Directors that lead behavioral health and rehabilitation service state agencies, regional/city associations, and state associations around the country. Our associations represent adult and children providers, mental health, and substance use, primary care and development disability services. The group was created out of the recognition that State/Association Executives serve a key role in facilitating bidirectional communication between the National Council and its membership, helping to inform the National Council's policy and practice improvement agenda, and translate knowledge and opportunities to the provider members in your state.

The National Council holds biannual State/Association Executive meetings (fall and spring) to provide a forum through which State/Association Executives can achieve the following:

1. Discuss priority issues facing them in the behavioral healthcare industry in a peer-to-peer sharing environment

2. Advise National Council staff on outreach and communication efforts in states and on issues that affect National Council member organizations across states and regions.

3. Assist policy staff with outreach and coordination of state delegations for Hill Day. 4. Coordinate with Membership Committee, when appropriate. All State/Association Executives also sit on the National Council's Public Policy Committee, which convenes in conjunction with the State/Association Executive meetings biannually. The National Council relies on the Public Policy Committee to provide feedback and expertise in ensuring our policy agenda aligns with the interests of those you serve.

In addition to these meetings, there are a number of communication methods and platforms to stay engaged with other State/Association Executives and National Council staff, such as:

The State/Association Executives List-serve The State/Association Executives Private Webpage (access through this link) State/Association Executive Exclusive Webinars and Virtual Meetings 1 on 1 Check-ins with State/Association Executive leadership and National Council Staff

 The State/Association Executive's Retreat The National Council's Annual Conference The National Council's Annual Hill Day

We're Here to Help You

Conference Planning The National Council prides itself on offering the largest behavioral health conference in the country, with more than 4,800 attendees in 2014. Our Conference Team, led by Executive Vice President & COO Jeannie Campbell, is happy to share some of our secrets to success! In addition, we encourage you to reach out if you need ideas for meeting presenters, and are happy to partner with you to bring National Council trainings to your meetings and conferences, such as Middle Management Academy (MMA), Case Management to Care Management, and the Trauma-Informed Care Peer Support Training (TTIPS).

Technical Assistance and Training The National Council provides technical assistance to your members in several ways including practice improvement projects; initiatives which offer customized training on cutting edge clinical and business practices, with the overall goal of improving health outcomes for patients, reducing costs, and improving the efficiency and effectiveness of participating organizations. National Council practice improvement projects are usually 6-9 months in length, after which findings and lessons learned are shared with the broader National Council membership. Your members can participate in these initiatives by applying when they see a Call for Applications via email and on our website.

The following list details several of our practice improvement projects focused on helping your members adapt to new laws and regulations, improve client experience in care, and train their workforce to optimize organizational practices:

Substance Use Disorder Learning Community: Prepares substance use treatment providers for bi-directional integration. With the support of national experts, participants learn the foremost integration models and develop action and implementation plans which assure a solid return on investment.

Advancing Standards of Care: A program that helps Community Behavioral Health Organizations (CBHO) improve treatment for people with serious mental illness through use of evidence-based tools.

Depression Care Collaborative: This program helps CBHOs improve care effectiveness through implementation of the Patient Health Questionnaire-9 (PHQ-9) for depression screening and treatment of people of all ages.

Reducing Adolescent Substance Abuse Initiative: Supports the implementation of Screening, Brief Intervention and Referral to Treatment (SBIRT) within CBHOs for youth with a primary diagnosis and in treatment for serious emotional disturbance or psychiatric disorder and addresses how Medicaid, through its EPSDT benefit, can be utilized to pay for SBIRT services.

 Same-Day Access: A program run in partnership with MTM Services that helps behavioral health providers adjust operational practice to accommodate increased demand for services and competition as they work to serve millions of newly insured Americans.

Trauma-informed Care: The National Council's trauma-informed care initiatives have helped hundreds of organizations map out and operationalize a plan for delivering trauma-informed care, helping to address board and leadership buy-in, workforce training, practice changes and guidelines, community awareness, and outcomes measurement.

Middle Management Academy (MMA): One of the longest-standing National Council workforce initiatives, the Middle Management Academy is an intensive, practical, and interactive 3.5 day training that empowers middle managers to excel as change leaders within their organizations.

Whole Health Action Management (WHAM): Based on a curriculum developed by the SAMHSAHRSA Center for Integrated Health Solutions, WHAM is a training created by peers for peers to help improve chronic health and behavioral health conditions by promoting whole health selfmanagement and strengthening the peer workforce's role in integrated healthcare delivery.

Community Health Worker Training: This training is designed to expand the skills of existing community health workers in providing services to people with mental illness and addiction disorders, in addition to physical health challenges.

Learning to Love Groups: In partnership with New York University's McSilver Institute for Poverty Policy and Research at the Silver School of Social Work, this exciting initiative provides organizations an opportunity to strengthen group-delivered services by improving the knowledge and skills of group facilitators and their supervisors.

Case to Care Management: This one-day training helps case managers become active participants in community behavioral health's transition to holistic care by educating participants on common health problems facing individuals with serious mental illness and instructing them on basic interventions for this population.

Consultation Services

The National Council offers consulting services to help behavioral healthcare organizations and their leaders adapt to the demand for greater accountability, increased efficiency, improved quality of care, measurable outcomes, and quality customer service. These services support the development of strategy, operations, technology, and human capital. The following list represents just a few of the management and quality improvement consulting services available:

Healthcare Compliance & CPT Codes: The Affordable Care Act broadens the definition of fraud, increases financial penalties, and establishes new government audit programs. For the first time, compliance programs are mandatory conditions of enrollment in Medicare, Medicaid, and CHIP. We offer technical assistance around proper back office management of these new requirements--particularly around administrative standardization and processing.

Integrated Healthcare & Health Homes: Whether your members are new to integration or facing hurdles on their journey, our consultants help devise long-term and immediate strategies and an action plan. Over the past 12 years, our consultants have worked with hundreds of primary and behavioral healthcare organizations on their integration efforts -- from leadership buy-in and relationship-building with community partners to staff training and billing.

 Organizational Needs: The National Council and its expert consultant pool assist behavioral health organizations across the country adapt to changing healthcare delivery and payment systems. We offer a full range of consultation services around organizational needs, including performance and data-driven management; clinical best practices; Service Process Quality Management (SPQM); and board, leadership and workforce development.

Strategic Business Development: The National Council partners with MTM Services to prepare you for a dynamic new marketplace by helping you assess organizational readiness for health reform and identify areas for development; reduce treatment wait times and costs; prepare precertifications, authorizations, and re-authorizations; referral to clinicians credentialed on third party/ACO panels; collect co-pays; and more.

Further, as valued members of the American Society for Association Executives (ASAE), the National Council has access to a plethora of resources regarding association leadership, such as: salary surveys, benchmarking for associations, and structures and best practices for membership dues. Interested parties should contact Jeannie Campbell, Executive Vice President & COO of the National Council at JeannieC@.

Mental Health First Aid

The National Council pioneered Mental Health First Aid in the United States and has trained more than 100,000 individuals to connect youth and adults in need to mental health and substance use treatment in their communities. This 8-hour training teaches participants actionable steps to identify, understand, and respond to signs of someone who is developing a mental health problem or substance use disorder, or experiencing a mental health crisis.

Policy and Advocacy

The National Council promotes a behavioral health policy agenda that supports a strong mental health and substance use treatment safety-net. We understand our State/Association Executives play a critical role in our ability to identify and address the nuanced needs of our members in each state, and in supporting our efforts to disseminate policy and advocacy initiatives on the ground.

The National Council produces several written products each year to assist community behavioral health organizations prepare for the latest financing models being promoted by federal and state legislation. Recently released documents include:

A Place at the Table: Behavioral Health and CMS' Physician Quality Reporting System: Dozens of federal quality improvement initiatives monitor services for people with mental health and/or substance use disorders, many of which were created through the Affordable Care Act. This paper reviews those initiatives and identifies their applicability to behavioral health providers.

Formulas for Success: Creating Successful Affiliations ? This paper provides an overview of common affiliations pursued under the Affordable Care Act, a description of the various types of affiliations provider organizations can establish, and case studies of the affiliation relationships pursued by community behavioral health organizations around the country.

Behavioral Health/Primary Care Integration and the Person-Centered Healthcare Home: This paper proses that the national dialogue regarding the patient-centered medical home be expanded to incorporate lessons of the IMPACT model, explicitly building into the medical home

model the care manager/behavioral health consultant and consulting psychiatrist functions that have proven effective in the IMPACT model. Behavioral Health Centers of Excellence, The Future of Health: To better equip our community with a footing in the BHCOE concept and prepare for the roll-out of the Excellence in Mental Health Act, the National Council released this paper detailing our concept and future implementation plans. Creeping and Leaping from Payment for Volume to Payment for Value: An Update on Behavioral Healthcare Payment Reform ? As health reform continues to unfold with its emphasis on quality, this paper describes three likely payment models for behavioral health services in the near future: global payments, prospective payments, and case rates. Ensuring Access to Behavioral Healthcare through Managed Care: Options and Requirements ? This paper is an update to our 2011 paper on considerations for Medicaid managed care contracts for behavioral health services, and has been expanded to include information specific to dually eligible Medicare-Medicaid beneficiaries and substance use treatment services. MHFA Legislative Toolkit: This resource identifies several legislative "models" that may benefit state advocates and policymakers interested in building a MHFA presence in their state. Veterans On the Way Home: This book motivates and equips community mental health and addiction service providers to proactively reach out to Iraq and Afghanistan veterans and their families. It describes the unique characteristics of the wars in Iraq and Afghanistan and the resulting physical, mental, economic, and social effects on veterans and their families. Substance Use Disorders and the Person-Centered Healthcare Home: This paper is meant to build off of the 2009 edition, which summarized bi-directional approaches to delivering mental health and substance use services in primary care settings. The paper expands the dialogue by digging into the integration of substance use treatment into healthcare services.

Ways to get involved in the National Council's Public Policy Activities as a State/Association Executive:

Stay up-to-date on the latest behavioral health policy and breaking news by reading the Capitol Connector blog, Addictions News Now, and the BHive e-newsletters.

Share your ideas with National Council staff through email, phone conversations, and in-person meetings. We welcome and need your ideas and feedback on specific policy issues that are relevant to your members.

Forward Action Alerts to your networks as these alerts highlight breaking events affecting our field and actionable steps your members can take to influence the political landscape. You'll receive these action alerts via email.

Act as a State Captain at our annual Hill Day to motivate your state delegation in their demands on Capitol Hill for high-quality, effective behavioral health policies.

Join the National Council's Ambassador's Network, comprised of highly engaged activists who leverage relationships with national elected officials, network with their state legislators, and cultivate other key stakeholders to influence our policy agenda and goals.

Let us know if we can help recruit and establish your elected officials as champions for behavioral health.

The National Council's 2014 Public Policy Agenda:

 Increasing funding for the Substance Abuse Prevention and Treatment Block Grant and Mental Health Block Grant.

Promoting federal initiatives that support public education on mental health and substance use disorders, such as the Mental Health First Aid Act.

Ensuring behavioral health providers are eligible for health information technology incentives, as in the Behavioral Health IT Act.

Securing behavioral health's full inclusion in health reform implementation.

Protecting and expanding federal Medicaid funding for beneficiaries and providers.

Preserving and expanding funding for important behavioral health programs such as those funded by SAMHSA

4 Steps to Success

Don't know where to start? Follow the simple steps below to get involved with the State/Association Executive group.

1. Schedule a joint meeting with Vic DiGravio, Chair of the State/Association Executive Group, and Mohini Venkatesh, Vice President of Practice Improvement and staff lead for the Association Executives Group, as an opportunity for you to discuss the priorities of your association, any technical assistance needs we can fill, or any other pressing issues for your members (email Alanna Tievsky at AlannaT@). Whether you are new to the National Council or not, we'd welcome the opportunity to catch up with you and learn more about your priorities.

2. Update your calendar to include upcoming State/Association Executive meetings, Hill Day, and the Conference. Not sure when these are? Email AlannaT@ to find out.

3. Sign up for the State/Association Executive listserv and National Council newsletters (email AlannaT@).

4. Check out the State/Association Executive's private webpage where you can find notes and resources from past meetings and events, and tools and templates to assist with State and Association management.

Contact information for Key Staff

Linda Rosenberg, President/CEO Lindar@; ext. 227; (917)359-1860

Jeannie Campbell, Executive Vice President & COO Jeanniec@; ext. 226; (301) 379-6201

Chuck Ingoglia, Senior Vice President of Policy and Practice Improvement Chucki@; ext. 249; (202) 641-3242

Mohini Venkatesh, Vice President of Practice Improvement Mohiniv@; ext. 230; (240) 750-5573

Becky Vaughn, Vice President of Addictions Beckyv@; ext. 228; (706) 540-9724

Kara Guerriero, Vice President of Membership and Corporate Relations Karag@; ext. 223; (202) 406-0261

Alicia Aebersold, Senior Vice President of Communication and Strategic Development Aliciaa@; ext. 258; (202) 341-8604

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