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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Marta Hopkinson, MD, Baltimore Mental Health Systems, Inc., 201 East Baltimore St., Baltimore, MD 21202, 410/837-2647, mhopkinson@bmhsi.org, Janet Farhie, MD, North Baltimore Center, 2225 North Charles Street, Baltimore, MD 21218, and Gerard Gallucci, MD, Department of Psychaitry and Behavioral Sciences, Johns Hopkins University, Johns Hopkins Bayview Medical Center, D2 East, 4940 Eastern Avenue, Baltimore, MD 21224.
Baltimore Mental Health Systems, Inc., Baltimore City’s mental health authority, developed a performance contract capitation program to serve “high cost” severely mentally ill patients, with the aim of providing incentives for service providers to develop novel and cost-effective solutions to service delivery problems. This paper describes the implementation of the program from the perspective of the mental health authority and the service providers. Two clinical cohorts will be described: the first consists of state hospital patients discharged to the community after an average hospital stay of more than five years, and the second consists of adults from the community with more than four psychiatric hospitalizations in two years. The implementation of the funding mechanism with its system of bonuses to reward good performance will be described and service providers will discuss the clinical and logistical challenges in implementing the program and the innovations that the capitated funding enabled.
Learning Objectives:
Keywords: Mental Health Services, Financing
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Baltimore Mental Health Systems, Inc.
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: Employee: Medical Director