Challenge
Becoming a CCBHC and maintaining compliance is a complex process. Whether your organization’s path there started with an original SAMHSA demonstration grant, a subsequent expansion grant, or a State Plan Amendment, the CCBHC services framework requires an EHR that supports data sharing with partner organizations, treatment plans aligned with evidence-based practices, new payment models, and data access that enables staff and managers to track and align with required metrics and outcomes measurements.
Solution
Qualifacts + Credible offers longstanding and specialized support for CCBHC customers across the range of CCBHC grants and funding models for supporting vulnerable individuals with complex needs. Among 400 customers in 35 states, more than 100 CCBHC provider agencies count on our solutions to help them manage services, clinical documentation, claims, and compliance reporting.
CCBHC Lessons Learned | Three-Part Webinar Series
CCBHC customers discuss clinical, financial, and executive experiences in these thought leadership recordings moderated by Mary Givens, MRA, Product Manager for Federal Programs at Qualifacts + Credible. “We are proud to support the full range of CCBHC models, and to partner with these leading-edge customers as they expand services and deliver complex, coordinated care,” Givens said.
Becoming A CCBHC, Part I: The Clinician Perspective | Customers included:
- Tony Hilkin, VP of Clinical Administration and Quality Improvement Director, Places for People, St. Louis, MO, who currently leads Places for People’s Compliance, Quality Improvement, and EMR Teams, has been with Places for People since 2008 and has worked in the behavioral health field for 21 years. Tony implements continuous improvement (CI) tools and methodologies to improve PFP’s organization, clinical, and business processes.
- Emily Lender, EMR Team Leader, Places for People, St. Louis, MO, has also held the positions of Healthcare Home Program Assistant and Data Manager for Healthcare Home and the PBHCI grant program. She currently provides supervision and assistance to agency EMR architects and support staff, and manages project planning, training and execution.
Becoming A CCBHC, Part II: The Financial Perspective | Customers included:
- Laura McCallister, CEO, has been with Places for People, St. Louis, MO, for nine years as they’ve grown from an $8 million to a $23 million organization. Previously, she was the CFO for Community Alternatives, a mental-health agency that merged with Places for People in 2011.
Becoming A CCBHC, Part III: The Executive Perspective | Customers included:
- Sarah Ackerman, MBA, Chief Executive Officer, Western Mental Health Center, Marshall, MN, has worked in the mental health field for 18 years, leading her organization through multiple changes that include becoming a Certified Community Behavioral Health Home Clinic. She was the Minnesota Association of Community Mental Health Center’s President for the past two years.
CCBHC User Group and Peer Leadership
The Community includes a national CCBHC user group led by experienced agency leaders, and supported by staff who are nationally recognized for CCBHC thought leadership. Members share information and best practices, both nationally and state by state. Our teams gather and post Federal and state updates on funding and support to the forum.
Clinical Workflows, Assessments, Outcomes, and Field Support
CCBHC providers offer specialized mental health and substance use disorder services across teams who need visibility into the continuum of care.
EHR support for CCBHCs includes:
✓ Integrated workflows, configured to the best practices across specialized teams
✓ Clinical decision support triggers that teams can self-configure, with links available to the latest research-based, evidence-based, best practices, and to clinical references and patient education materials, through DynaMed.
✓ The IMPACT outcomes management platform, with a library of more than 80 industry-standard assessments and screening tools, with data integration into clinical documentation. Patient Reported Outcomes, to support client engagement, are featured in IMPACT PRO.
✓ Mobile Solutions offers clinicians in the field disconnected documentation capabilities
CCBHC Compliance Support with Outcomes Measures, Data Analytics and Reporting
Reports built specifically to comply with CCBHC outcome tracking measures include:
✓ Caseload characteristics data that can be modified to fit your workflows and business processes
✓ Out-of-the-box drillable dashboards support data driven decision making to manage clinical, financial, and revenue cycle management reporting
✓ More than 120 standard reports for actionable insights
Interoperability for Care Coordination
More than 80 integrations completed in the past two years, supporting capabilities to:
✓ Exchange CCDAs with clients and external providers, using patient-portal messaging
✓ HIPAA compliant message exchanges
✓ Enable clients to access clinical summaries through an ONC API and third-party apps
✓ Exchange lab orders and results through e-labs
✓ Electronically prescribe medications, including controlled substances, with formulary and drug interaction checks at the point of care, with PDMP capabilities within the clinical workflow
Support for Specialized Billing, Claims, and RCM
Support for CCBHC payment models includes:
✓ Client‐specific fee structure that can be copied forward for easy edits and management.
✓ Copy Authorizations feature copies forward Authorization information.
✓ Periodic Services Report to track and manage services.
✓ Individualized rates and periodic services for PPS billing with daily or monthly frequency
✓ Visibility into client mix, by programs and services
✓ Smart claims for periodic services: Scheduled by date, timeframe, or by number of services delivered
Configurability
Intuitive navigation allows users to quickly customize workflows for different roles through a user-controlled back end — agencies can self service add and update programs, services and locations without expert IT intervention. Configurable forms provide the ability to design your own service documents, to support required CCBHC services, which can include:
- Crisis mental health services including 24-hour mobile crisis teams, emergency crisis intervention and crisis stabilization*
- Screening, assessment and diagnosis including risk management*
- Patient-centered treatment planning*
- Outpatient mental health and substance use services*
- Primary care screening and monitoring**
- Targeted case-management**
- Psychiatric rehabilitation services**
- Peer support, counseling services, and family support services**
- Services for members of the armed services and veterans**
* CCBHC must directly provide
** May be provided by CCBHC and/or designated collaborating organization (DCO)
Reports and Measures for CCBHC Support
These reports and measures are, as well as reports that are specific to individual CCBHCs:
- Caseload Characteristics
- WCC-BH/ NQF-0024
- TSC/NQF-0028
- ASC NQF-2152
- SRA-BH-C/NQF-1365
- SRA-A/NQF-0104
- CDF-BH/NQF-0418
- DEP-REM-12 NQF-0710
- I EVAL measure
- BMI-SF NQF-0421
