ACHP February 2016 Behavioral Health Collaborative Meeting
The Alliance of Community Health Plans (ACHP) Behavioral Health Collaborative and Quality Leaders met concurrently on February 29 – March 1 in Miami, Florida. The Behavioral Health Collaborative provides behavioral health leaders at ACHP member plans a forum for rapid learning and an opportunity to play an integral role in informing ACHP programs. The meeting agenda addressed an array of topics including measuring quality improvements in behavioral health, enhancing collaboration within the health plan, understanding autism mandates, integrating behavioral health services for children and adolescents in pediatric and family medicine practices, managing chronic pain and exploring the political landscape in Washington, D.C. Judy Feld, M.D., Independent Health; James Schuster, M.D., Community Care Behavioral Health (CCBH), UPMC Insurance Division; and Jennifer Sulkin, ACHP, serve as leaders of the collaborative.
In preparation for our meeting, we’ve compiled a set of pre-work/pre-reading materials, all of which relates to the topics on our agenda. These materials are designed to set the foundation for our discussions and will be referenced throughout the meeting to help provide perspective and guide insights.
There are two types of materials: “Recommended Pre-work” and “Further Reading.” We ask that you read and/or complete the “Recommended” materials as part of the pre-work. The articles designated as “Further Reading” are pieces we think are valuable, but if you have limited time, we would rather you concentrate that time on the recommended materials.
We recognize this is a comprehensive set of materials to review and questions to consider. We appreciate the time you put into making these meetings the very successful collaborative learning events that they are.
- NCQA has provided questions for your response. Your feedback will help inform the discussion at the meeting, and may influence NCQA’s approach to behavioral health measure development. Please complete the survey by February 19. ACHP will share your responses with NCQA.
- ACHP is continuously measuring the usefulness and quality of its learning programs and collaboratives. We are particularly focused on ensuring members are able to practically apply what they learn in ACHP sessions. Please reflect on the last ACHP Behavioral Health Collaborative meeting held in September 2015 (see agenda and summary) and respond to a brief survey. Please complete the survey by February 19. We will highlight responses received during our meeting in Miami.
- During the joint session, the behavioral health and quality leaders will discuss how they collaborate at their respective plans. Prior to the meeting, we ask that you connect with your quality leader to identify best practices and areas of opportunity for collaboration around measure performance improvements at your plan. Please come prepared to share at the meeting. If your plan’s quality leader is not attending the ACHP Quality Focus meeting (see registered attendees list), you will have the opportunity to partner and discuss with other ACHP member plan representatives.
Further Reading (Please do not distribute this material externally.)
- ACHP HEDIS Mental Health Measure Performance: A benchmarking analysis of ACHP member’s performance on the HEDIS clinical treatment and utilization mental health measures.
- Two letters the ACHP Behavioral Health Collaborative prepared and submitted to NCQA.
- The first letter requested NCQA add telephone encounters to the criteria for three HEDIS measures; Follow-Up After Hospitalization for Mental Illness (FUH), Initiation and Engagement of Alcohol and Other Drug Dependence Treatment (IET) and Follow-Up Care for Children Prescribed ADHD Medication (ADD); all of which include a provider contact element (face-to-face).
- The second letter focused specifically on the IET measure, and asked NCQA to reconsider operational definitions and time frames to better align with evidence-based practice.
- NCQA’s HEDIS Learning Collaborative: This is a pilot project within NCQA and the information is kept up to date on the NCQA site
- The article titled, Collaborative Care Outcomes for Pediatric Behavioral Health Problems: A Cluster Randomized Trial, provides information on the efficacy of collaborative care for behavior problems, attention-deficit/hyperactivity disorder (ADHD) and anxiety in pediatric primary care.
- The ACHP Behavioral Health Collaborative Integration Survey (updated December 2015) offers a description of ACHP plans’ behavioral health program, the level of integration of behavioral health and primary care services, services provided and results.
- The Autism Speaks Model: Autism Insurance Legislation provides information for the autism mandates discussion.
- The Behavioral Analyst Certification Board’s Applied Behavioral Analysis Treatment of Autism Spectrum Disorder: Practice Guidelines for Healthcare Funders and Managers provides information for the autism mandates discussion.
- The 2015 National Standards Project Phase 2 Findings for Autism Spectrum Disorder (ASD) addresses the need for evidence-based practice guidelines for ASD. Its primary goal is to provide critical information about which interventions have been shown to be effective for individual with ASD.
- The article titled, A Review of Chronic NonCancer Pain: Epidemiology, Assessment, Treatment, and Future Needs, provides background information for the chronic pain discussion.