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- Buprenorphine Implementation ToolkitAn overview of how organizations can use NIATx practices and tools to implement or improve a buprenorphine treatment program.
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- Getting Started with Medication Assisted Treatment Implement a Medication-Assisted Treatment program at your agency.
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- The Change Leader Academy will equip you to lead change projects and teams within your organization.More information
BHbusiness: Mastering Essential Business Operations (external site)
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- Success Stories
Health Reform Readiness Index Resources: A Provider Change Guide
General
What is the timeline for implementing the Affordable Care Act (ACA)?
What is the timeline for implementing the Affordable Care Act (ACA)?
healthcare.gov/law/timeline/index.html
Kaiser Family Foundation: Health Reform Interactive Timeline
healthreform.kff.org/timeline.aspx
What opportunities will be created by Healthcare Reform?
Delivery System Redesign (PDF, Brandeis University)
ARC/Delivery_System_Redesign.pdf
Healthcare Reform Overview
niatx.net/ppt/ari/delaGueronniere_052810.ppt
Where can I keep updated on state actions and legislation on Healthcare Reform?
Healthcare Reform: State Actions and Legislation (National Conference of State Legislatures)
ncsl.org/Default.aspx?TabID=160&tabs=831,139,1146#1146
What role will SAMHSA play in Healthcare Reform implementation?
SAMHSA Healthcare Reform Implementation
samhsa.gov/healthReform
What role can state behavioral health authorities play in Healthcare Reform implementation?
State Behavioral Health Authority Self-Assessment Guide
niatx.net/pdf/HRRI/State_Behavioral_Health_Authority_Self_Assessment_Guide.pdf
How prepared are behavioral health providers for Healthcare Reform?
The readiness of addiction treatment agencies for health care reform
http://www.substanceabusepolicy.com/content/7/1/16/abstract
Patient/Family Role
Goal: Patients and family members are fully engaged in treatment. How do I make services more patient-centered and patient-friendly?
Building Services for Families: Coming to Understand the Customer (Webinar)
niatx.adobeconnect.com/p22252646/
Creating a Welcoming Environment (Case Study - Perinatal Treatment Services, WA)
niatx.net/Story/StoryDetails.aspx?id=182
Offer a Tour Guide (Promising Practice)
niatx.net/promisingpractices/Show.aspx?ID=98
Peer Mentorship: Improving Relationships, Improving Continuation
niatx.net/toolkits/provider/WRAChangeBulletin.pdf
Assign Peer Buddies (Promising Practice)
niatx.net/toolkits/provider/PP_AssignPeerBuddies.pdf
Assign Peer Buddies (Promising Practice)
niatx.net/toolkits/provider/PP_AssignPeerBuddies.pdf
Build Community Among Clients (Promising Practice)
niatx.net/toolkits/provider/PP_BuildCommunityAmongClients.pdf
How do I involve patients and their families in treatment?
Best Practice: Involve Family and Friends
niatx.net/promisingpractices/Show.aspx?ID=66
Involving Parents of Teen Clients: Daybreak of Spokane, WA
niatx.net/PDF/PIPractice/Storyboards/Storyboard_LSI_Daybreak.pdf
Increasing Retention by Valuing and Involving Clients in Treatment:
New Leaf Lodge, Fayette Companies, IL
niatx.net/toolkits/provider/FayetteChangeBulletin.pdf
niatx.net/PDF/PIPractice/Storyboards/Storyboard_LSI_Fayette.pdf
Involving Residents in Their Own Change Goals: Gosnold, Falmouth, MA
niatx.net/PDF/PIPractice/Storyboards/Storyboard_LSIII_GOSNOLD.pdf
niatx.net/toolkits/provider/GosnoldCourseofSolutions.pdf(manual)
How do I get patient input into how to improve services?
How to Perform a Walk-Through
niatx.net/PI101/Walkthrough/Index.htm
Myths of the Walk-Through (Video)
niatx.net/Networking/BlogComments.aspx?MID=16
Interview Clients
chess.wisc.edu/chess/about/in-depth_interviews.aspx
Include Clients on Change Teams
niatx.net/Content/ContentPage.aspx?NID=152
Evidence Based Treatment
Goal: MAT and clinical evidence-based What evidence-based practices should I be using?
National Voluntary Consensus Standards for the Treatment of Substance Use Conditions: Evidence-Based Treatment Practices – Abridged Report
Source: National Quality Forum
qualityforum.org/WorkArea/linkit.aspx?LinkIdentifier=id&ItemID=17737
Evidence-Based Practices: An Implementation Guide for Community-Based Substance Abuse Treatment Agencies
Source: The Iowa Practice Improvement Collaborative (PIC) Project –Iowa Consortium for Substance Abuse Research and Evaluation, University of Iowa.
uiowa.edu/~iowapic/files/EBP%20Guide%20-%20Revised%205-03.pdf
What are some proven practices for implementing clinical evidence-based practices?
Using a NIATx-based Local Learning Collaborative for Performance Improvement (PDF)
Mark Roosa, Jay Ford paper -- pending publication
Manual for Recovery Coaching and Personal Recovery Plan Development
niatx.net/toolkits/provider/FayetteManual.pdf
How do I implement medication-assisted treatment (MAT)?
Getting Started with Medication-assisted Treatment
niatx.net/Content/ContentPage.aspx?PNID=2&NID=256
Implementing MAT: A Case Study
Partnership between Missouri Department of Mental Health, Division of Alcohol and Drug Abuse (ADA) and 10 providers.
niatx.net/Story/StoryDetails.aspx?id=202
How do I implement Screening, Brief Intervention, and Referral to Treatment (SBIRT)?
SBIRT - Screening, Brief Intervention, and Referral to Treatment: New Populations, New Effectiveness Data
samhsa.gov/samhsaNewsLetter/Volume_17_Number_6/SBIRT.aspx
SBIRT: Effective Interventions for Alcohol-Related Health Problems
niatx.net/PDF/PIPublications/Fitzgerald_NCN_Summer2009.pdf
Accountability for Patient Care
Goal: Provider focused on results or outcomes and assumes responsibility for patient's health. What are Accountable Care Organizations?
Accountable Care Systems for Comprehensive Health Care Reform (PDF)
rwjf.org/files/research/accountablecaresystemsforcomprehensivehealthcarereform.pdf
A Guide to Accountable Care Organizations, and Their Role in the Senate’s Health Reform Bill
healthreformwatch.com/2010/03/11/a-guide-to-accountable-care-organizations-and-their-role-in-the-senates-health-reform-bill/
What are the possible benefits of being part of an Accountable Care Organization?
Health Cost Containment and Efficiencies: Accountable Care Organizations (PDF)
niatx.net/pdf/acceleratingreform/Accountable_Care_2010.pdf
Is my agency ready to be part of a Patient Centered Medical Home model?
Medical Home Readiness (NCQA Standards) - Randy Messier, MT, MSA
niatx.adobeconnect.com/p79128781/
Behavioral Health in the Medical Home
pcpcc.net/behavioral-health
What simple steps can we take to be more responsible for our clients’ care?
Help Eliminate Barriers to Treatment (Promising Practice)
niatx.net/promisingpractices/Show.aspx?ID=58
Offer Telephone Support (Promising Practice)
niatx.net/promisingpractices/Show.aspx?ID=100
Invite patients back after missed appointments (Case Study: Acadia Hospital)
niatx.net/PDF/PIPractice/Storyboards/Storyboard_LSIII_Acadia.pdf
Integrated Continuum of Care
Goal: Control or direct access to multiple levels of addiction, mental health and primary care What are some key areas we could focus on to improve clinical integration?
Integrating Appropriate Services for Substance Use Conditions in Health Care Settings
niatx.net/pdf/ARC/Integrating_Appropriate-Services_TRI.pdf
Reducing Wait Times by Reducing Paperwork between Agencies and Levels of Care (Webinar)
niatx.na6.acrobat.com/p41138869/
How do I bring behavioral health services and primary care together?
Building integrated primary care behavioral health delivery systems that work: A compass and a horizon
niatx.net/ari/UploadedFiles/pResourceID650.doc
Integration on Addiction and Mental Health Treatment with Primary Care and the Broader Health System (Webinar)
niatx.adobeconnect.com/p36078606/
Integration of Substance Abuse and Primary Care in FQHCs
niatx.net/Content/ContentPage.aspx?NID=250<(menu of webinars)/p>
How can we partner with FQHCs to provide integrated care?
Developing a Working Relationship with your Local FQHC (Webinar)
Lorraine Chamberlain, Director of Outpatient Operations, Aroostook Mental Health Center, Caribou, MEM
niatx.adobeconnect.com/p67642255/
How can we increase referrals to our agency?
Ten Steps to Increase Targeted Admissions
niatx.net/toolkits/provider/TenStepsTargetedAdmissions.pdf
What are some promising practices for developing an integrated continuum of care?
Improving Continuation Between Levels of Care (Case)
niatx.net/Story/StoryDetails.aspx?id=155
NIATx Aims and the Continuation of Care
niatx.net/PDF/Action/NIATxAimsContinuum.pdf
Assign each Referrer a Single Contact Person
niatx.net/promisingpractices/Show.aspx?ID=101
Overlap Levels of Care
niatx.net/promisingpractices/Show.aspx?ID=94
Blend Levels of Care
niatx.net/promisingpractices/Show.aspx?ID=95
Hold Joint Staffings
niatx.net/promisingpractices/Show.aspx?ID=97
Streamline Paperwork Between Levels of Care
niatx.net/toolkits/provider/PP_StreamlinePaperworkLevelsCare.pdf
Reducing Wait Times by Reducing Paperwork between Agencies and Levels of Care (Webinar)
Debbie Pantin, Palladia, New York City and Carl Kraeff, DAODAS, South Carolina
niatx.adobeconnect.com/p41138869/
How can we help our clients navigate the “maze†of care?
Map Out Continuing Care
niatx.net/promisingpractices/Show.aspx?ID=99
Increase Continuation between Levels of Care
niatx.net/content/contentpage.aspx?NID=67
Board of Directors
Goal: Knowledgeable, accountable, and assists in accomplishing strategic goals. What does my Board need to consider in the changing landscape of health care delivery?
Governance Implications of Health Care Reform & Board Self-Evaluation (Great Boards: Nov 2010)
greatboards.org/newsletter/2010/Governance_Implications_of_Healthcare_Reform.pdf
Market intelligence, mission focus, and agreement on performance metrics
openminds.com/market-intelligence/intelligence-updates/071911-board-on-board.htm
How can the Board lead a culture shift in the organization?
Transforming Your Organization
ccl.org/leadership/pdf/solutions/TYO.pdf
What can leaders achieve by “thinking outside the box†and networking with others?
Leadership Thinks Outside the Box (Case Study: Phoenix Houses of New England, Inc.)
niatx.net/Story/StoryDetails.aspx?id=168
How can the Board lead a culture shift in the organization?Transforming Your Organization
ccl.org/leadership/pdf/solutions/TYO.pdf
What can leaders achieve by “thinking outside the box†and networking with others?
Leadership Thinks Outside the Box (Case Study: Phoenix Houses of New England, Inc.)
niatx.net/Story/StoryDetails.aspx?id=168
Workforce
Goal: Appropriately licensed to meet standards established by accrediting, professional, and purchasing bodies. Workforce challenges are daunting. Where do I start?
SAMHSA: An Action Plan on Behavioral Health Workforce Development
samhsa.gov/matrix2/matrix_workforce.aspx
Process Improvement in Workforce Development
niatx.net/Story/StoryDetails.aspx?id=60
North Carolina Direct Support Professional Workforce Report (Section 1:4-22)
nc-ddc.org/publications/NC-DSP-Workforce-Report.pdf
Growing our own through work-based learning: SSTAR's experience with Jobs to Careers
saasniatx.net/Presentation/Nancy_Paull_Pat_Emsellem.ppt
How do I find and keep productive people?
Path Prestera, West Virginia (Case Study)
saasniatx.net/Presentation/2010/204_Tuesday_Building.ppt
How can I get staff buy-in to implement organizational change?
Getting Staff Buy-In for Change (Webinar)
Elizabeth Strauss & Betta Owens, NIATx Coaches and Bobbi Douglas, STEPS at Liberty Center, Wooster, OH
niatx.adobeconnect.com/p80316229/
How do I get staff input regarding high turnover rates?
Stanley Street Treatment and Resources (SSTAR)
niatx.net/Story/StoryDetails.aspx?id=28
Why is it important to hire licensed clinical staff?
Increase Collections from Insurance Agencies
niatx.net/toolkits/provider/PP_IncreaseCollectionsInsurance.pdf
What are national trends in the behavioral health workforce?
SAMHSA: Workforce Development
partnersforrecovery.samhsa.gov/resources.html#workforce
Electronic Medical Records
Goal: Electronic medical record with diverse data entry points. Is there a toolkit for implementing Health IT?
Health IT Adoption Toolkit - Health Resource and Services Administration (HRSA)
hrsa.gov/healthit/toolbox/HealthITAdoptiontoolbox/index.html
What are key elements to consider when implementing electronic behavioral/mental health records?
Electronic Behavioral Medical Records: Improving Your Agency’s Implementation
niatx.net/Videos/2010Plenary/EMR/EMR.htm
Keys to Implementing An Electronic Behavioral/Mental Health Record - Learning from the Experience of Others (Webinar)
niatx.adobeconnect.com/p92297313/
Lessons Learned: Wisconsin Electronic Behavioral Health Records Collaborative
niatx.net/Content/ContentPage.aspx?NID=225
How do I evaluate and select software that is right for us?
Best Practice in Software Selection: An Enhanced Approach to Software Selection for Behavioral Health & Social Services Organizations
niatx.net//PDF/AcceleratingReform/OpenMinds.pdf
What can I learn from other providers who have implemented EMR?
Keys to Implementing an Electronic Behavioral/Mental Health Record - Learning from the Experience of Others (Webinar)
niatx.adobeconnect.com/p92297313/
Making IT Happen: Strategies for Implementing the EMR/HER
himss.org/content/files/davies/Davies_WP_Implementation.pdf
What are the issues around client confidentiality and sharing electronic records?
Confidentiality of Alcohol and Drug Records in the 21st Century: Legal Action Center
niatx.net/PDF/AcceleratingReform/Confidentiality_Drug_Records.pdf
Where can I find out more about federal incentives, programs and certification for EMR?
USDHHS: Health IT Website
healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__home/1204
Holistic Care
Goal: Direct access to primary care and community-based wrap-around services. Where can I find resources for behavioral health wrap-around services?
SAMHSA's Resource Center to Promote Acceptance, Dignity and Social Inclusion Associated with Mental Health
stopstigma.samhsa.gov/
What are some successful models for providing wrap-around services?
Support Services as a Means to Decrease No-show Rates (Case Study: Axis 1 Center, SC)
niatx.net/Story/StoryDetails.aspx?id=139
Step 2, Reno: Reaching Out to Women and Children (video)
step2reno.org
5-in-5 Post-Admission Plan : Offering Five Different Services in Five Days (Case Study: Beth Israel Medical Center, NY)
niatx.net/Story/StoryDetails.aspx?id=624
Housing for the Homeless: Lessons Learned from Common Ground, NY
niatx.net/Videos/videoplayer.aspx?ID=%2E%2E%2FVideos%2F2009Plenary%2FKanis%2Eflv
Outcomes
Goal: Track and report patient functioning, e.g., readmission, employment, education, etc. Why is it important to track outcomes?
Addiction Treatment Agencies’ Use of Data: A Qualitative Assessment
niatx.net/PDF/ENews/March%202007/wisdom%20et%20al%20JBHSR%202006%20data.pdf
Benchmarking and Performance Indicators (PPT)
niatx.net/ppt/NIATxSI/NIATxSI_Benchmarking.ppt
What measures are there for quality care management?
National Quality Forum (NQF)-Endorsed Measures
qualityforum.org/Measures_List.aspx
A Path Forward to Measuring Continuing Care Management
https://www.niatx.net/PDF/AcceleratingReform/NationalQualityForum.pdf
What tools can I use to efficiently collect and share client data?
Selecting Process Measures for Quality Improvement in Mental Healthcare
cqaimh.org/toolkit.website.pdf
Tracking and Measuring Tools: Rapid Cycle Measures & Performance Measures
niatx.net/content/contentpage.aspx?NID=42
Change Project Forms and Templates
niatx.net/Content/ContentPage.aspx?PNID=2&NID=20
Where can I find national behavioral health surveys and data?
Substance Abuse and Mental Health Data Archive
icpsr.umich.edu/icpsrweb/SAMHDA/index.jsp
SAMHSA: Data, Outcomes and Quality
samhsa.gov/dataOutcomes/
Quality Management
Goal: Improvement is on-going, addresses clinical and administrative systems, and part of the organizational culture. How can I improve my clinical systems?
NIATx eLearning Course: Process Improvement 101
niatx.net/Content/ContentPage.aspx?PNID=2&NID=15
NIATx Promising Practices
niatx.net/promisingpractices/Search.aspx?SPNID=19
What measures and tools can I use to track improvements?
Tracking and Measuring Tools: Rapid Cycle Measures & Performance Measures
niatx.net/content/contentpage.aspx?NID=42
What have other agencies done to create a culture of quality management?
CAB Health and Recovery Services, Inc., Massachusetts
Improving client access and retention, increasing revenue, increasing staff satisfaction.
niatx.net/Story/StoryDetails.aspx?id=140
Discovery House, New Jersey
How a network of clinics assessed how they did business, collaborated with each other, and designed new processes
niatx.net/Story/StoryDetails.aspx?id=169
Fayette Companies, Illinois
Reducing dictation increases efficiency. Changes were written into state licensing rules.
niatx.net/PDF/PIPractice/FormsTemplates/Fayette%20Dictation%20PDF.pdf
Health Technology
Goal: Health technology as a partner in treatment. What role can health technology play in addiction treatment?
The Role of Emerging Technologies in Addiction Treatment (Webinar)
niatx.adobeconnect.com/p39658964/
How can technology improve my clinical practice?
Innovation in Treatment: How technology can improve your clinical practice (Webinar)
niatx.adobeconnect.com/p32672317/
How can clients benefit from using health technology?
Addiction CHESS
chess.wisc.edu/chess/Video/videoplayer.aspx?ID=%2E%2E%2FVideo%2FAnnualReport%2FAC%5FAR%5FFinal%2Eflv
Business Information Technology
Goal: Integrated electronic data system for human resource, clinical record, billing, finance, and management functions. What is an ideal fully-integrated health information technology system?
Business Systems and Management
niatx.adobeconnect.com/p96579210/
Finance
Goal: Have cash on hand for reserves and revenue. How do I assess and refine our agency’s business plan?
Business Planning
managementhelp.org/plan_dec/bus_plan/bus_plan.htm
The Business Case: A Collection of Resources for Building Financial Strength
niatx.net/content/contentpage.aspx?NID=171
How Do I Diversify My Revenue Stream?
NIATx Billing Guide
niatx.net/PDF/Action/NIATx_Third-party_Billing_Guide.pdf
Diversifying revenue stream, increasing revenue from 3rd party payers, and increasing collections
(Case Study: Prairie Ridge Addiction Treatment Services, Iowa)
niatx.net/Story/StoryDetails.aspx?id=285
Target marketing to secure private insurance referrals
(Case Study: St. Christopher’s Inn, New York)
niatx.net/toolkits/provider/StChristophersInnIncreasingAdmissions.pdf
Creative Ways of Maximizing Revenue in Behavioral Health
niatx.adobeconnect.com/p30782770
What is Episode-Based Payment?
How Do I Increase Collections of Client Co-Pays?
Promising Practice: Increase Collection of Client Co-pays
niatx.net/toolkits/provider/PP_IncreaseCollectionsClientCopay.pdf