[NYAPRS Enews] NYAPRS Executive Seminar Highlights DSRIP, Managed Care Preparation

[Briana Gilmore]

 NYAPRS Note: This year's Executive Seminar will highlight presentations that prepare for two big policy movements capturing everyone's attention for the coming year: the BH transition in managed care and the DSRIP implementation through the 1115 waiver. The final terms and conditions of the DSRIP agreement between NYS DOH and CMS will be resolved in the coming weeks. Our panels of agency representatives and stakeholder experts will analyze the upcoming final rules and discuss their relevance for the BH community and other policy transitions. This discussion will take place in the last few weeks before project proposals will likely be due to the state for inclusion in the DSRIP funding plan. As you learn more about DSRIP and how it relates to your business, your health care, or the managed care transition, be sure to get the most up-to-date information at the Executive Seminar before finalizing project plans and partnerships. The Seminar will also offer opportunities to build relationships with potential partners to further growth and expertise in the new models or managed care and DSRIP.

Registration is now live: : https://rms.nyaprs.org/2014-executive-seminar/

The NYAPRS Collective Presents the
10th Annual Executive Seminar
Managing Care, Managing Change

April 24-25th, 2014
Hilton Albany, Albany, NY
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Thursday, April 24, 2014

8:00am     Registration

8:50am       Welcome and Opening Remarks: Harvey Rosenthal, Executive Director, NYAPRS, Albany, NY and Edye Schwartz, DSW, LCSW-R, Director of Systems Transformation, NYAPRS, Mahopac, NY

9:00am - 10:15am ~ Keynote: New Opportunities for Integrated Recovery-Oriented Services
Jeffrey Brenner, MD, Executive Director of the Camden Coalition of Healthcare Providers, Medical Director of the Urban Health Institute and MacArthur Fellow, whose groundbreaking "Hot spotters' initiative has received national acclaim, Camden, NJ
Peggy Swarbrick, PhD, OTR, CPRP, Director of the Wellness Institute, Collaborative Support Programs of New Jersey, Assistant Professor, Rutgers University (Certificate in Wellness Coaching for Physical, Mental, and Addictive Disorder Coordinator), Developer of SAMHSA's 8 Dimensions of Wellness, Freehold, NJ
Facilitator: Harvey Rosenthal, Executive Director, NYAPRS, Albany, NY

Two of the nation's most prominent healthcare innovators will share details of their state-of-the-art innovations  that integrate wellness and recovery-oriented approaches to improve health outcomes for people with medical and behavioral health conditions. Learn how to build new programs, understand data sets, lower intervention costs and seize opportunities as we shift to higher quality, lower-cost care that meets the individualized needs of those we serve.


10:15am - 11:30am ~ Plenary 1A: Emerging Models of Healthcare Integration
James Schuster, MD, MBA, Medical Director, Community Care Behavioral Health, Pittsburgh, PA
Steve Miccio, Executive Director, PEOPLe, Inc, Poughkeepsie, NY
Jeanie Tse, MD, Associate Chief Medical Officer, Institute for Community Living, New York, NY
Discussant: Jeffrey Brenner, MD, Executive Director, Camden Coalition of Healthcare Providers, Camden, NJ
Facilitator: Edye Schwartz, DSW, LCSW-R, Director of Systems Transformation, NYAPRS, Mahopac, NY

The presenters will examine and discuss new strategies to help us break out of our practice silos and form creative new integrated service models.


10:15am - 11:30am ~ Plenary IB: New Partnerships to Maximize Opportunities within the Medicaid Waiver
John Coppola, MSW, Executive Director, NY Association of Alcoholism & Substance Abuse Providers, Albany, NY Elizabeth Swain, MA, President/Chief Executive Officer, Community Health Care Association of New York, Albany, NY Paul Macielak, Esq., President and CEO, NY Health Plan Association, Albany, NY
Briana Gilmore, MSc, Director, Public Policy & Advocacy, NYAPRS, Albany, NY
Facilitator: Carolyn B. Kerr, JD, BA, Brown and Weintraub PLCC, Albany, NY

The 1115 waiver proposal includes tremendous opportunities to build regional and cross-systems partnerships. The innovative delivery system and performance goals outlined in the waiver-including DSRIP and managed care payments-advance the goals of the MRT. Achieving common goals will necessitate new relationships between behavioral health providers and hospitals, but will also extend networks to physical health providers and social service agencies in unprecedented ways. This session will assess how to build upon new responsibilities to advance financial, programmatic, and administrative goals.


11:45am - 1:15pm ~ Plenary II: Strategic Outlook for Behavioral Health and Substance Use Services in NYS
Courtney Burke, MPH, Deputy Secretary for Health, Governor's Office, Albany, NY
Jason Helgerson, MPP, Medicaid Director, Office of Health Insurance Programs, NYS Department of Health, Albany, NY
Ann Marie Sullivan, MD, Acting Commissioner, NYS Office of Mental Health, Albany, NY
Arlene González-Sánchez, MS, LMSW, Commissioner, NYS Office of Alcoholism and Substance Abuse Services, Albany, NY (invited)
Robert Myers, PhD, Senior Deputy Commissioner, Division of Adult Services, State Psychiatric Centers & Managed Care, NYS Office of Mental Health, Albany, NY
Gregory Allen, MSW, Director, Program Development & Management, Office of Health Insurance Programs, NYS Department of Health, Albany, NY
Facilitator: Harvey Rosenthal, Executive Director, NYAPRS, Albany, NY

The development of system transformation requires strong state leadership and foresight. This panel brings together state executives to assess current progress and future planning for improved integration and performance. Get

the latest information on the impact of the 2014-15 state budget, the status of New York's Medicaid Waiver, the 1915i option and updates on health homes, HARPS and OMH services redesign as we move towards an integrated managed care environment.

1:15pm - 2:15pm     Lunch

Workshops Round I ~ 2:30pm - 3:45pm


a.       Addressing the Social Determinants of Health; Advancing Employment, Economic Self-Sufficiency and Housing of Choice
Douglas Ruderman, LCSW, Director, Program Coordination and Support, NYS Office of Mental Health, Albany, NY
Ted Houghton, Executive Director, Supportive Housing Network of NY, New York, NY Edward J. Butz, Managing Director, Rehabilitation Support Services, Inc., Albany, NY
Maura Kelly, CPRP, WNY Independent Living Center, Buffalo, NY
Facilitator: Len Statham, MS, CBP, Employment and Economic Self Sufficiency Specialist, NYAPRS, Rochester, NY

New York's approach to Medicaid redesign is recognizing the crucial links between poverty, housing instability and health. Our presenters will look at how increased investments and the implementation of the 1915i option can move housing and employment to the top of the agenda.



b.      Innovative Tools to Improve Cultural and Linguistic Competence and Behavioral Health Outcomes
Oscar Jimenez-Solomon, MPH, Research Scientist, New York State Psychiatric Institute Center of Excellence for Cultural Competence, New York, NY
Wilma Alvarado-Little, MSW, Director, Community Engagement, Center for the Elimination of Minority Health Disparities, SUNY Albany, Albany, NY
Carole Siegel, PhD, Director, Statistics and Services Research Division, Center of Excellence in Culturally Competent Mental Health, Nathan Kline Institute; Research Professor, NYU Department of Psychiatry, Orangeburg, NY
Gary Haugland, MA, Research Scientist and Co-Director Center of Excellence in Culturally Competent Mental Health, Nathan Kline Institute, Orangeburg, NY
Facilitator: Teena Brooks, Cultural Competence Specialist, NYAPRS, Brooklyn, NY

This workshop will offer innovative approaches and tools to assist providers in improving access, engagement, and treatment for culturally and linguistically diverse communities. Presenters will introduce the Cultural Formulation Interview (CFI), a tool designed to improve consumer-clinician communication, soon to be offered via an online module developed in partnership between the NYSPI Center of Excellence for Cultural Competence and the Center for Practice Innovations at Columbia University. This session will also feature guidelines for providers, interpreters and individuals with limited English proficiency to work together effectively in mental health settings.

Finally, presenters will introduce innovative tools developed by NKI to assist behavioral healthcare providers serving multicultural populations to assess their organizational and program-level competency.



c.       Turning Crises into Opportunities for Positive Change
Steve Coe, Executive Director, Community Access, New York, NY
Steve Miccio, Executive Director, PEOPLe, Inc, Poughkeepsie, NY
Pablo Sadler, MD, Mental Health Medical Director, NYC Department of Health & Mental Hygiene, Queens, NY (invited)
Facilitator: Edye Schwartz, DSW, LCSW-R, Director of Systems Transformation, NYAPRS, Mahopac, NY

The presenters will describe how new models of mobile and residential support and respite are providing a 'soft landing' for people in crisis outside of traditional hospital settings. These trauma-informed innovations are demonstrating great success in advancing new recovery and relapse prevention skills.

3:45pm - 4:00pm   Break




Workshops Round II ~ 4:00pm - 5:15pm


a.   Advancing the Impact and Integrity of Peer Support
Joseph Swinford, Deputy Director of Consumer Affairs, NYS Office of Mental Health, Albany, NY
Julia M. Fesko, CPP, Director, Bureau of Talent Management, NYS Office of Alcoholism and Substance Abuse Services. Albany, NY (invited)
Laura Elliott-Engel, CACAC, Recovery Coach and Keith Stack, Recovery Coach, NYS Office of Alcohol and Substance Abuse Services, Albany, NY
Peggy Swarbrick, PhD, OTR, CPRP, Director of the Wellness Institute, Collaborative Support Programs of New Jersey, Assistant Professor, Rutgers University, Freehold, NJ
Amy Colesante, Executive Director, Mental Health Empowerment Project, Albany, NY
Tanya Stevens, Director of Peer Services, NYAPRS, Albany, NY
Facilitator: Harvey Rosenthal, Executive Director, NYAPRS, Albany, NY

Peer support services are gaining fast recognition across our state and nation as powerful strategies to advance successful engagement, person-directed wellness planning and self-management and improved community tenure. The panelists will provide up to date details of New York's peer services credentialing programs and describe peer support models that have the promise to play critical roles in our emerging integrated managed care designs



b.   Advancing Community Integration in Specialty Networks
Mark Kissinger, Long Term Care Division Director, New York State Department of Health, Albany, NY
Bruce Darling, President/CEO, Center for Disability Rights, Rochester, NY
Facilitator: Briana Gilmore, MSc, Director, Public Policy & Advocacy, NYAPRS, Albany, NY

Our presenters will provide updates on how Managed Long Term Care plans, Fully Integrated Duals Advantage demonstration for individuals who are enrolled in both Medicare and Medicaid (FIDA) and the Community First Choice (CFC) Option will improve care and community integration outcomes.

c.   Realizing the Promise of Health Homes and Care Coordination
Douglas Ruderman, LCSW, Director, Program Coordination and Support, NYS Office of Mental Health
Lana Earle, Deputy Director, Division of Program Development & Management, Office of Health Insurance Programs, NYS Department of Health, Albany, NY
Danika Mills, LMSW, LCAT, MPS, ATR-BC, Acting Executive Director/Associate Executive Director, Coordinated Behavioral Care, Inc, New York, NY
Colleen Florio, PhD, Director of Care Management Initiatives & Evaluation, Adirondack Health, Queensbury, NY
Facilitator: Edye Schwartz, DSW, LCSW-R, Director of Systems Transformation, NYAPRS, Mahopac, NY

The presenters will assess where we are in the implementation of Health Homes and look at their success in raising the integration, coordination, accountability and effectiveness of care to people with complex medical, behavioral, and long term care needs. They will share their hands-on experiences in implementing this new service delivery model and look at how it will fit into new reimbursement designs.



5:30pm - 6:30pm ~ "Meet and Greet" Reception- Join your colleagues and meet your regional Behavioral Health Organization and Health Plan representatives at an informal networking opportunity.



Friday, April 25, 2014

8:00am  Registration

8:30am - 9:30am ~ Keynote: Managing Change, Motivating Action: The Challenge of Healthcare Leadership
Linda Rosenberg, MSW, President and CEO, National Council for Behavioral Health, Washington, DC

A national leader in the development, design, and delivery of mental health and substance use policy and services, Linda will look at how CEOs and senior managers can focus on leading through the next two years while planning for the next ten!


9:30am - 11:00am ~ Panel I: Are you Ready for the Business of Managed Care?
Peggy Leonard, MS, RN-BC, FNP, Hudson Health Plan, Tarrytown, NY
Amy Kohn, DSW, President/CEO, Mental Health Association of Westchester, Tarrytown, NY
Donna Colonna, President/CEO, Services for the UnderServed, New York, NY  James Burnosky, VP Strategic Planning and Development, Fidelis Care, Rego Park, NY Scott Ebner, Executive Director, Onondaga Case Management, Syracuse, NY
Dan Vermilyea, Manager of Government Program Network Services, Excellus, New York, NY
Facilitators: Linda Rosenberg, MSW, President and CEO, National Council for Behavioral Health, Washington, DC and Bruce E. Feig, Consultant, Sachs Policy Group, New York, NY

This panel of CEO and Health Plan leaders will discuss what is required and has been accomplished in the development of new business models that seek to stay true to recovery centered missions and values. A facilitated discussion will cover a range of topics that will include marketing and contracting, forming new alliances and networks, joining with new partners, exploring new populations, and looking at alternate reimbursement options, rates and regulations.

11:00am - 11:15am   Break

11:15am - 12:45pm ~ Panel II: Innovations in Managed Care: What's Possible?
Ian Shaffer, MD, VP and Medical Director, Behavioral Health, Healthfirst, New York, NY
Suzanne Feeney, VP, OptumHealth, Behavioral Solutions, Albany, NY
Richard Sheola, President, Public Sector Division, ValueOptions, Boston MA Ann McCabe, Senior VP, Public Sector Solutions, Magellan Health, Avon, CT
Julia Ekong, MD, VP of Behavioral Health, Well Point Government Division, New York, NY
Doug Wirth, President/CEO, Amida Care, New York, NY
Facilitators: Harvey Rosenthal, Executive Director, NYAPRS, Albany, NY and
Richard Dougherty, PhD, Principal & Consultant, DMA Health Strategies, Lexington, MA

MCO and BHO leaders will discuss innovations in peer services, rehabilitation, employment, and crisis alternatives that have been created within managed systems of care. Learn about the strengths and challenges of providing these innovations and how your agency can begin implementation of new service models to thrive in the new managed care environment.


12:45pm - 1:15pm ~ Closing Remarks: Next Steps for Successful Transformation
Harvey Rosenthal, Executive Director, NYAPRS, Albany, NY
Linda Rosenberg, MSW, President and CEO, National Council for Behavioral Health, Washington, DC

Key findings raised during Seminar presentations and discussions will be summarized, and presenters and participants will begin to develop an approach for successful transformation to an integrated and managed healthcare system.

Come and be part of this very interactive, informative and inspiring 2-day program!
Registration is now live: : https://rms.nyaprs.org/2014-executive-seminar/


Vendor and Sponsor opportunities are available; check our website for more information: http://bit.ly/1bdeRKQ


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