STRATEGIC PLAN

Lenawee Community Mental Health Authority

FINAL REPORT 1/11/2006 1. OUTCOME AREA: CONSUMER VOICE AND CHOICE CONSUMERS WILL GAIN INCREASED COMPETENCE AND INCREASED AUTONOMY THROUGH THE SERVICES THEY RECEIVE.

AFFILIATION GOALS RESULTS  Full implementation of self determination through the use of fiscal intermediaries,  Affiliation training provided to all and fiduciaries. clinical staff and interested parties. Action Step: Increase communication especially with consumers/guardians and staff.  Several newsletter articles.

Action Step: Educate the Board regarding self-determination and independent facilitation.  To be accomplished.

 Increase the use of independent facilitators based on consumer needs.  Independent facilitators trained throughout the affiliation. Action Step: Utilize Affiliation-wide system for independent facilitation list.  Ongoing.

Action Step: Offer Independent Facilitation at all PCPs.  Now standard part of PCP process as evidenced in the PCP evaluation. LOCAL GOALS RESULTS GOAL:Assist consumers in preparation for moving into independent living.  All PCPs are focused on enhancing independence. Action Step: Institute local measures to improve consumer independence.  Local projects include: Self determination training, independent facilitation, contracts with ‘Guardian Track”, goal attainment measurements. GOAL: Ensure “follow-up” especially for consumers in independent living situations. Action Step: Track frequency of contacts for consumers in independent living situations.  Contact frequency is tracked through PCP process and Encompass.

GOAL:Increase number of primary consumers on the Board, Consumer Advisory  Recruitment efforts through each Committee, and Quality Improvement Teams. issue of the newsletter. Action Step: Broaden consumer representation beyond existing participants.  Several new consumers are now on various boards and committees. All committees are at or near full membership. Action Step: Publicize the need for consumer representation via the Grapevine and other  Accomplished/ongoing. publications. Action step: Use consumer-friendly language in all documents and communications.  Affiliation Member Services (Reduce acronyms) Committee is promoting the reduction of acronyms and is trying to insure the use of fourth grade reading level for all printed materials.

GOAL: Increase use of natural supports. Action step: Monitor PCP satisfaction scores recognizing that scores may be artificially  Most recent survey indicates 98% of inflated. consumers say they have been encouraged to use natural supports. Action step: Emphasize use of natural supports in PCP training for case managers.  Accomplished through all staff training. 2. OUTCOME AREA: EVIDENCE BASED BEST PRACTICES

CONSUMERS WILL EXPERIENCE MORE IMMEDIATE AND MORE LASTING BENEFITS THROUGH RESEARCH AND EVIDENCE BASED METHODS OF PRACTICE.

AFFILIATION GOALS

RESULTS  Full system implementation of co-occurring disorders evidenced based practice.  To be accomplished.  Ongoing training provided.

 Implementation of jail diversion programs based on MDCH guidelines.  Gap analysis completed.  Regional work plan created.

 Implementation of integrated health initiatives.  To be accomplished.  Coordination with Primary Care Project underway.

Action Step: Work with Access to Health Care workgroup of Lenawee Community  To be accomplished. Collaborative.  Progress made toward Federally Qualified Health Plan. LOCAL GOALS

GOAL: Target more services toward children and youth.  Two additional child therapists hired to meet growing need for services to children.

Action Step: Work with schools, agencies and collaborations to improve access to services  Outreach activities provided to for children. schools and colleges throughout the year.

GOAL: Evaluate prevention services and impact on community.  To be developed. A policy on prevention.  Yearly evaluation of N.Y.P.U.M almost complete.  Other support service participants to be surveyed.  Fair survey results being tabulated.  SAFE Kids survey indicates up to 94% of children in car seats are at risk.

GOAL: Enhance existing CMH services to jail population  LCMHA physicians now providing service at the jail.  Intakes provided on site at the jail.

GOAL: Promote anti-stigma projects  Monthly radio ads.  Continued speaking engagements.  Walk a Mile in My Shoes Rally. 3. OUTCOME AREA: COMMUNITY INVOLVEMENT

A STRONG CONTINUUM OF CARE WILL EXIST FOR CONSUMERS WITH COLLABORATION AND COMMUNICATION BETWEEN THE CMH SYSTEM AND COMMUNITY ENTITIES.

AFFILIATION GOALS

RESULTS  Full utilization of community collaborative bodies.  Regular participation by LCMHA staff.

 Design and implementation of affiliation public policy initiatives.  To be accomplished...  Implementation of legislative meetings through the use of MH/SA related talking  Ongoing. points.

 Codify business model along with how it is used.  To be accomplished.  Have positive links with community and county entities through identifying  Community Benefit Plan developed community benefits and educational needs. and approved.

LOCAL GOALS

GOAL: None 4. OUTCOME AREA: OPERATIONAL EFFICIENCIES AND EFFECTIVENESS

TO MAXIMIZE RESOURCES THROUGH THE EFFECTIVE AND EFFICIENT STEWARDSHIP OF PUBLIC FUNDS.

AFFILIATION GOALS RESULTS  Develop an integrated information management system. (ENCOMPASS)  Accomplished.  Implementation of a fully integrated and Affiliation performance improvement (PI)  Accomplished. Transition plan in system. progress.  Implementation of a Affiliation network management process  Ongoing. o Credentialing o Organizational RFP’s o Consolidated boilerplates  Implementation of consistent clinical standards and criteria of service provision.  To be accomplished.

LOCAL GOALS

GOAL: Create efficiencies in affiliation operating and committee procedures Action Step: Encourage local Board members to attend scheduled affiliation meetings for  Accomplished. Board members to develop networks.

Action Step: Use the word Affiliation rather than Regional in communications and  Ongoing. documents.

Action Step: Use off-site electronic resources; use Encompass electronic records and  Ongoing. Affiliation polices and procedures.

Action Step: Share personnel within affiliation, and pool resources where appropriate  Ongoing. Examples: Recipient Rights, Performance Improvement and Information Systems. GOAL: Have a more formal voice at Affiliation Board meetings Action Step: Make request to WCHO Affiliation subcommittee for LCMHA Board members  Accomplished. to have a more formal role. 5. OUTCOME AREA: SHARED GOVERNANCE

WILL DEVELOP AN INTEGRATED AND ALIGNED SYSTEM OF CARE ACROSS THE CMHPSM.

AFFILIATION GOALS

RESULTS  Development and monitoring of strategic plan.  Action step: Add agenda item to local boards to review strategic plan quarterly  To be accomplished.

 Provide leadership through the use of Learning Organization Principles.  To be accomplished.

Action step: Train Board members in theory of Learning Organization, use in  To be accomplished. meetings.

 Provide financial management of the utilization of funds.  Ongoing via local and affiliation utilization committees.

LOCAL GOALS

GOAL: None 6. OUTCOME AREA: CUSTOMER SERVICE

CUSTOMERS (DEFINED AS CONSUMERS, PROVIDERS, COMMUNITY ENTITIES, STAFF) WILL HAVE THE NECESSARY ACCESS TO PEOPLE AND INFORMATION TO NAVIGATE THROUGHOUT THE CMHPSM.

AFFILIATION GOALS RESULTS  Seamless consumer movement within the affiliation partnership.  Ongoing. Now have an intra-COFR agreement for specialized residential.  Implement consumer/family feedback from committees or focus groups.  Fair survey completed.  Provide consistent tools for the consumer to access and navigate the Affiliation CMH  Ongoing via Member Services system that identifies and responds to grievances and appeals. Committee.

 Provide consistent tools and information for staff to navigate their work environment.  Ongoing via Member Services Committee.

 Provide consistent tools and information for providers to access and navigate the  Ongoing via Member Services CMH system they contract. Committee.

LOCAL GOALS

GOAL: Increase public awareness campaigns  To be accomplished.  Budget developed. Budget for public awareness has been developed reflecting an increase. Plan developed for approval of public awareness activities.

GOAL: Further define customer services through participation in Affiliation Member  Ongoing. Services Workgroup.

GOAL: Provide consistency for the consumer to access and navigate care.  Ongoing.  Affiliation guide to services book being developed.

GOAL: Develop Community Benefit Plan.  Accomplished.