142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Regional implementation of the Affordable Care Act: Influential factors in the variation of Health Home models nationwide

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Neil Pessin, PhD , Visiting Nurse Service of New York, New York, NY
Jessica Fear, MA, LMFT , Community Mental Health Services, Visiting Nurse Service of New York, New York, NY
David C. Lindy, MD , Community Mental Health, Visiting Nurse Service of New York, New York, NY
Grace O'Shaughnessy, LMSW , Visiting Nurse Service of New York, New York, NY
The Affordable Care Act has offered the opportunity for each state to uniquely transform their Medicaid system, thereby directly impacting quality of care delivered to a fragile population. To this end New York State (NYS) has amended its state plan and has developed Health Homes (HH) statewide – a model for integrated medical and behavioral health care coordination designed to impact population-wide health outcomes. The NYS HH model serves recipients with Serious Persistent Mental Illness, substance use disorders, HIV/AIDS and multiple chronic medical conditions, many co-occurring. To achieve improved health outcomes while reducing Medicaid costs, eight community-based organizations have joined together to form a HH which will, at full capacity, serve approximately 30,000 of these complex, high-cost and high-need Medicaid recipients. Called Community Care Management Partners (CCMP), this HH is a unique partnership of providers that combine their expertise in mental health, medical and primary care, substance abuse counseling and HIV/AIDs services, and includes a prominent hospital and several FQHCs. Serving the Bronx and Manhattan, the CCMP HH has conducted a comprehensive neighborhood needs assessment of the communities that the partner organizations have served for over 30 years. This assessment offered an in-depth view of the neighborhood biopsychosocial needs, ranging from the broad through the granular. Based on the results, CCMP targeted chronic medical and behavioral health issues such as mental illness, Diabetes, HIV, Asthma, Heart Disease and others, to positively impact population health outcomes. This presentation will outline the efforts to date, present preliminary outcomes and outline future directions.

Learning Areas:

Administration, management, leadership
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
List key factors for regional differences in Health Home modeling Analyze impact of unanticipated implementation challenges Discuss critical lessons learned in the referral methodology Define key steps for establishing interdisciplinary partnerships with providers and managed care plans Look at the outcomes as benefits for recipients.

Keyword(s): Community-Based Partnership & Collaboration, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Vice President of the Community Mental Health Services Division and the President of the Community Care Management Partners Health Home.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.