Louisiana Department of Health 09-300 — Jefferson Parish Human Services Authority Page 3 09-301 — Florida Parishes Human Services Authority Page 19 09-302 — Capital Area Human Services District Page 44 09-303 — Louisiana Developmental Disabilities Council Page 57 09-304 — Metropolitan Human Services District Page 68 09-305 & 306 — Medical Vendor Administration & Medical Vendor Payments Page 84 09-307 — Office of the Secretary Page 113 09-309 — South Central Louisiana Human Services Authority Page 127 09-310 — Northeast Delta Human Services District Page 140 09-320 — Office of Aging and Adult Services (OAAS) Page 160 09-324 — Louisiana Emergency Response Network Board (LERN) Page 173 09-325 — Acadiana Area Human Services District Page 188 09-326 — Office of Public Health (OPH) Page 199 09-330 — Office of Behavioral Health (OBH) Page 233 09-340 — Office for Citizens with Developmental Disabilities (OCDD) Page 264 09-375 — Imperial Calcasieu Human Services Authority Page 306 09-376 — Central Louisiana Human Services District Page 320 09-377 — Northwest Louisiana Human Services District Page 332 Annual Management and Program Analysis Report (ACT 160) 1 Annual Management and Program Analysis Report Fiscal Year 2016-2017 Department: Louisiana Department of Health (LDH) 09-300 Jefferson Parish Human Services Authority Department Head: Rebekah E. Gee, MD, MPH LDH Secretary Undersecretary: Jeff Reynolds Executive Director: Alicia English Rhoden I. What outstanding accomplishments did your department achieve during the previous fiscal year? For each accomplishment, please discuss and explain: A. What was achieved? B. Why is this success significant? C. Who benefits and how? D. How was the accomplishment achieved? E. Does this accomplishment contribute to the success of your strategic plan? (See Section II below.) F. Does this accomplishment or its methodology represent a Best Management Practice that should be shared with other executive branch departments or agencies? Accomplishment #1: Centralized Care Coordination A. What was achieved? Jefferson Parish Human Services Authority (JPHSA) has three service delivery areas: Developmental Disabilities Community Services (DDCS); JeffCare (a Federally Qualified Health Center providing fully integrated primary care and behavioral health services); and, Behavioral Health Community Services (BHCS). Multiple programs and service types are offered within each. Recognizing the process of managing and expediting referrals was in need of improvement and to avoid any resurgence of “silos,” JPHSA implemented Centralized Care Coordination (CCC). CCC ensures LDH AMPAR 2017 Jefferson Parish Human Services Authority Annual Management and Program Analysis Report (ACT 160) 2 referral sources are linked to the programs and services which best meet specific needs. In other words, there is “no wrong door” through which individuals may enter and receive services. Care coordination staff members are responsible for providing appropriate and timely follow-up with referral sources as well as promoting integration of services and supports. As a result of the more efficient process, Baptist Community Ministries (BCM) approached JPHSA with an idea to support the development of its Centralized Care Coordination (CCC) program into a model that can be manualized and taught to other providers, and eventually lead to the establishment of the program as a promising evidence-based practice. JPHSA subsequently submitted a proposal and was awarded a grant from BCM to support this development. B. Why is this success significant? The technical assistance and support provided through the grant allows JPHSA to ensure the CCC process truly meets its goals of improving access to all services as well as communication with referral sources. As discussed above, this process allows someone seeking services from one service delivery area within JPHSA to also be assessed for and connected with other potential services; and, the improved monitoring ensures individuals are actually linked with needed services and not just referred and then left to navigate the system on their own. It also enables JPHSA to better track referrals and communicate back to referral sources. Streamlining the process and improving follow-up assists referral sources, i.e. stakeholders with focusing on their own efforts with service recipients and strengthens relationships between JPHSA and its community partners. C. How was the accomplishment achieved? JPHSA’s Executive Management Team, under the close guidance of the Executive Director: developed procedures that crossed service areas; established a Centralized Care Coordinator Supervisor position with direct or functional supervision over all care coordinators; set new expectations for an integrated and holistic approach to service delivery; and, required joint case staffing. These actions led to better coordination of care within JPHSA and to better meeting the full scope of needs of service recipients. Additionally, the three Division Directors over the service delivery areas received technical assistance from experts retained through the support of the BCM grant to further develop CCC as well as implement training for staff to support ongoing success. D. Does this accomplishment contribute to the success of your strategic plan? (See Section II below.) Yes. This accomplishment supports both goals within JPHSA’s strategic plan. The CCC program helps JPHSA provide fully integrated services in a streamlined fashion, thereby helping to improve personal outcomes for service recipients and their families. E. Does this accomplishment or its methodology represent a Best Management Practice that should be shared with other executive branch departments or agencies? A goal of the BCM grant is to assist in the further development of this program as a promising, and then evidence-based practice. This will be supported by establishing competencies and performance indicators to monitor improvement in the care of LDH AMPAR 2017 Jefferson Parish Human Services Authority Annual Management and Program Analysis Report (ACT 160) 3 individuals served by JPHSA, and producing data to this effect. Accomplishment #2: Expansion of Social Inclusion Program A. What was achieved? Through expansion of social inclusion activities and increased outreach, the number of adults with Serious Mental Illness (SMI) participating in Jefferson Parish Human Services Authority (JPHSA) Social Inclusion Program more than doubled between FY16 and FY17. In FY16, 24 individuals were served by this program; in FY17, 51 individuals were served. B. Why is this success significant? This program provides the opportunity for adult service recipients to be exposed to new social activities, thereby participating as active members of the community. It is at the core of JPHSA’s mission to assist individuals living in Jefferson Parish to live “full, independent, and productive lives to the greatest extent possible for available resources.” By allowing these individuals opportunities to engage with their peers as well as with the public, which they may not have otherwise had, their fullness of life, independence, and productivity are fostered and supported. C. Who benefits and how? Community inclusion and participation build self-esteem, courage, and resiliency. This program also provides an opportunity for participants to create friendships, which helps to expand their networks and support systems. The community at large also benefits, as social inclusion activities promote independence, and regularly include volunteering, wellness walks, and support of local businesses. One individual who participated in the program in FY17 was able to use the volunteer experience she acquired to get a paying job, with assistance from JPHSA’s Supported Employment Program. D. How was the accomplishment achieved? Outreach activities were increased, both directly to individuals served by other JPHSA programs, as well as to JPHSA staff members in other programs and divisions to increase awareness of the program and its benefits. Social inclusion staff members regularly attended JeffCare (a Federally Qualified Health Center and program of JPHSA) staff meetings in an effort to remind providers of the program, and also provided educational information and materials to individuals in the JeffCare waiting rooms. The scope of social inclusion activities was also increased. For instance, a meet- and-greet was established once a month at each JPHSA location. Volunteering was also revived. Participants planted flowers at City Park and volunteered at the Jefferson Parish Animal Shelter, among other activities facilitated and supported by JPHSA. E. Does this accomplishment contribute to the success of your strategic plan? (See Section II below.) This accomplishment directly contributes to the success of Goal I: Provide holistic and integrated services and supports that improve the quality of life and community LDH AMPAR 2017 Jefferson Parish Human Services Authority Annual Management and Program Analysis Report (ACT 160) 4 participation for persons in crisis and/or with serious and persistent mental illness, emotional and behavioral disorders, addictive disorders, and/or developmental disabilities, while providing appropriate and best practices to individuals with less severe needs. The Social Inclusion Program is designed to have a positive impact on the quality of life of any individual who participates in it, as discussed above. Moreover, as stated above, this program is limited to individuals