CHCS. Session Overview 3/7/2014

Size: px
Start display at page:

Download "CHCS. Session Overview 3/7/2014"

Transcription

1 CHCS Center for Health Care Strategies, Inc. Improving the cost-effectiveness of publicly financed health care Session Overview Using Data and Clinical Expertise to Improve the Monitoring and Use of Psychotropic Medications for Children in Foster Care Children s Mental Health Research and Policy Conference Tampa, Florida March 2-5, 2014 Kamala D. Allen, Center for Health Care Strategies Sheila A. Pires, Human Service Collaborative Christopher Bellonci, MD, Tufts Medical Center Deborah Lancaster, NJ Department of Children and Families Mike Naylor, MD, University of Illinois at Chicago Context Setting for psychotropic medication use in the foster care population Key Findings from 50-state Medicaid data analysis Quality Metrics states are monitoring to provide better oversight State Spotlights on Illinois and New Jersey s statewide efforts Question and Answer 2 1

2 Improving the quality and cost-effectiveness of publicly financed health care Landmark Federal Communication Context Setting Kamala D. Allen Director of Child Health Quality, CHCS The Department of Health and Human Services (HHS) has become increasingly concerned about the safe, appropriate, and effective use of psychotropic medications among children in foster care. -- November 23,

3 CHCS Child Health Quality Team s Mantra CHCS Project Highlights Use Data to Drive Quality Faces of Medicaid: Examining Children s Behavioral Health Service Utilization and Expenditures (Children s Faces) Psychotropic Medication Quality Improvement (QI) Collaborative 6-state QI Initiative Measure development Psychotropic Medication Quality Improvement Virtual Learning Community 5 6 3

4 Faces of Medicaid: Children s Behavioral Health Illuminates patterns of use and expense Behavioral health services Physical health services Special analyses: foster care, developmental disabilities, psychotropic medication Establishes baseline for monitoring trends over time Serves as national benchmark for individual state analyses Provides context for undertaking quality improvement initiatives Improving the quality and cost-effectiveness of publicly financed health care Key Findings: Examining Children's Behavioral Health Service Utilization and Expenditures Sheila A. Pires Partner, Human Service Collaborative Senior Program Consultant, CHCS 7 4

5 Children s Faces Study Design Data source: 2005 Medicaid Analytic extract (MAX) personlevel data from all states were used for demographics and eligibility analyses Fee-for-service (FFS) claims and managed care encounters were used to capture utilization Mean expense/per child, for physical and behavioral health services, was based on FFS claims data (available on 60% of the study population) Total behavioral health expenditures represented children in FFS and children in managed care with non-ffs dollars imputed from FFS expense data Populations Identified in Children s Faces Children using any behavioral health care = 9.3% penetration 9 SOURCE: S. Pires, K. Grimes, et al. Identifying Opportunities to Improve Children s Behavioral Health Care: An Analysis of Medicaid Utilization and Expenditures. Center for Health Care Strategies, December

6 Children in Medicaid: Behavioral Health Penetration and Total Expense Children in Medicaid Using Behavioral Health Care Are an Expensive Population SOURCE: S. Pires, K. Grimes, et al. Identifying Opportunities to Improve Children s Behavioral Health Care: An Analysis of Medicaid Utilization and Expenditures. Center for Health Care Strategies, December SOURCE: S. Pires, K. Grimes, et al. Identifying Opportunities to Improve Children s Behavioral Health Care: An Analysis of Medicaid Utilization and Expenditures. Center for Health Care Strategies, December

7 Highest Expenditure Services for Children in Medicaid Using Behavioral Health Services Children in Foster Care are a High-Cost Medicaid Population Represent 3.2% of children in Medicaid, but 15% of children using behavioral health services 32% of children in foster care use behavioral health services, compared to 26% of children on SSI, and 4.9% TANF Mean behavioral health expenditure is $8,094 per child in foster care, compared to $7,264 for children on SSI Have overall (physical and behavioral health care) mean expenditure of $12,130 per child costs are driven by behavioral health care Children in foster care who use behavioral health services have costs that are 7x higher than for Medicaid children in general SOURCE: S. Pires, K. Grimes, et al. Identifying Opportunities to Improve Children s Behavioral Health Care: An Analysis of Medicaid Utilization and Expenditures. Center for Health Care Strategies, December

8 Medicaid Behavioral Health Spending Per Enrollee* Children in Foster Care Use More Restrictive, More Expensive Services in Medicaid More likely to use: Inpatient psychiatric services Residential treatment/therapeutic group care Emergency room services Psychotropic medications Children in foster care were only one-fifth the size of the TANF population, but: Represented nearly the same amount of dollars for residential and group care and emergency room visits Represented 3.5 times more of the dollars for therapeutic foster care SOURCE: S. Pires, K. Grimes, et al. Identifying Opportunities to Improve Children s Behavioral Health Care: An Analysis of Medicaid Utilization and Expenditures. Center for Health Care Strategies, December

9 Distribution of Psychiatric Diagnoses among Children in Medicaid Diagnosis % N ADHD 54.9% 654,863 Mood 26.2% 312,642 Anxiety 22.7% 270,721 COD 22.8% 272,288 DD 5.8% 69,541 Psychosis 4.3% 51,323 Other DX 1.4% 16,259 No Dx 766,325 Notes: 1) N s are not unduplicated counts (children may have more than one diagnosis); overall, only 60% of children with BH care had a diagnosis 2) Percentages are among children with at least one psychiatric diagnosis Distribution of Psychotropic Medication Type by Psychiatric Diagnosis ADHD Mood Anxiety COD DD Psychosis Other DX No DX Antipsychotics 24.6% 60.9% 41.0% 51.6% 63.5% 81.1% 53.6% 28.5% Mood Stabilizers 6.3% 23.3% 11.1% 15.6% 13.1% 21.7% 12.9% 8.0% Lithium 1.4% 8.0% 3.3% 4.1% 3.2% 8.6% 4.9% 1.3% Antidepressants 23.0% 62.9% 67.2% 42.1% 40.5% 52.1% 51.5% 49.4% ADHD/ stimulants 93.3% 48.0% 47.0% 65.3% 54.9% 42.8% 55.8% 49.4% Anxiety 1.8% 5.1% 9.1% 4.0% 9.4% 7.0% 6.5% 6.4% N = 1,686,387 (Medicaid enrolled children in 2005 with claims for psychotropic medication) SOURCE: S. Pires, K. Grimes, et al. Identifying Opportunities to Improve Children s Behavioral Health Care: An Analysis of Medicaid Utilization and Expenditures. Center for Health Care Strategies, December SOURCE: S. Pires, K. Grimes, et al. Identifying Opportunities to Improve Children s Behavioral Health Care: An Analysis of Medicaid Utilization and Expenditures. Center for Health Care Strategies, December

10 Children in Foster Care Have High Rates of Psychotropic Medication Use 23% of children in foster care are prescribed psychotropic medications vs. SSI (27%) and TANF (4%) Children in foster care are more likely to receive 2 or more concurrent psychotropic medications than any other aid category (49%) vs. SSI (46%) and TANF (26%) Among children receiving anti-psychotics, 42% are in foster care Children in foster care represent 13% of all children prescribed psychotropic medication (but only 3% of all children in Medicaid) Patterns of Psychotropic Medication Use by Age and Aid Category Patterns of Psychotropic Medication Use by Age and Aid Category among Children in Medicaid, 2005* Age Range Medication Type** Overall Age 0-5 Age 6-12 Age TANF Aid Category Foster Care SSI/Disabled Antipsychotics 26.3% 22.7% 22.5% 30.9% 18.1% 42.1% 42.4% Anticonvulsants/Mood Stabilizers 8.1% 6.2% 5.8% 10.9% 5.9% 12.1% 12.8% Lithium 1.8% 0.3% 1.0% 2.9% 1.1% 3.5% 3.2% Anti-depressants 34.7% 15.1% 22.3% 50.6% 33.1% 43.5% 34.3% ADHD Medications 69.3% 64.4% 84.0% 53.4% 70.4% 68.0% 66.6% Anxiety Medications 6.0% 16.0% 3.9% 7.3% 5.5% 3.5% 8.9% *N = 1,686,387. Convenience sample of all enrollees with psychotropic claims; continuous enrollment not required. ** Do not sum to 100% since children may take multiple medications. 19 SOURCE: S. Pires, K. Grimes, et al. Identifying Opportunities to Improve Children s Behavioral Health Care: An Analysis of Medicaid Utilization and Expenditures. Center for Health Care Strategies, December

11 Medicaid Expenditure for Children Receiving Psychotropic Medication Total Medicaid expense for child and adolescent psychotropic medication use in 2005 was $1.6 billion With 42% of expense represented by antipsychotic use Mean expense by aid category $934 per child, in foster care $916 per child, for those with SSI $475 per child, for children covered by TANF $85 million spent in 2005 on psychotropic medications for children with no psychiatric diagnosis Questions?

12 Children in Foster Care: How are states responding to their behavioral health needs? Specialized care management approaches Managed care carve-outs Specialty provider networks Special protocol for oversight and monitoring complex and high-cost services Collaboration and data sharing among Medicaid, child welfare and behavioral health agencies Psychotropic Medication Quality Improvement Collaborative (PMQIC) Six state teams (IL, NJ, NY, OR, RI, VT) Three-year system change initiative PMQIC Data Subgroup QI project planning and impact measurement Technical assistance (TA) Monthly TA calls Monthly TA e-newsletter Bi-monthly webinars SharePoint resource center 23 Project funded by the Annie E. Casey Foundation 24 12

13 Improving the quality and cost-effectiveness of publicly financed health care Data Definitions and Common Measures in Support of Psychotropic Medication Oversight and Monitoring Christopher Bellonci, MD Associate Professor, Tufts University Clinical Consultant, CHCS Best Practices Comprehensive and coordinated screening, assessment, and treatment planning mechanisms to identify children s mental health and trauma-treatment needs Informed and shared decision-making and methods for on-going communication Effective medication monitoring at both the client and agency level Availability of mental health expertise and consultation regarding both consent and monitoring issues Mechanisms for accessing and sharing accurate and up-to-date information and educational materials related to mental health and trauma-related interventions 26 13

14 PMQIC Data Subgroup PMQIC Data Definitions Comprised of representatives from each of the six participating states (IL, NJ, NY, OR, RI, VT) Goal: Identify and agree upon common definitions and measures that each state could implement to address the inappropriate use of psychotropic medications Foster youth: children placed away from their parents or guardians in 24-hour substitute care and for whom the state agency has placement and care responsibility (federal definition) Young children: all children under age 6 (5 years and 364 days old) Consent: defined by individual state laws or regulations (if they exist)

15 PMQIC Data Definitions cont. Psychotropic medications: medications being used for an emotional or behavioral condition Medications automatically assumed to be for a psychiatric indication and included in this definition: Antipsychotics Stimulants Antidepressants Benzodiazepines Anti-anxiety medications (incl. Buspar) Mood stabilizers (e.g., Lithium) PMQIC Data Definitions cont. Medications used for a psychiatric purpose, but not typically classified as psychiatric medication, require cross-referencing with their diagnosis in the Medicaid system; includes: Alpha-agonists (e.g., Clonidine and Guanfacine and their long-term analogs); use of these medications for hypertension in children is so rare that it could be assumed they are being used for a behavior indication Anti-convulsants, if absence of a seizure disorder diagnosis, then assumed for mood stabilization

16 PMQIC Data Definitions cont. Dosage Guidelines Polypharmacy: children taking more than one psychiatric medication or more than one medication within the same class (e.g., 2+ more antipsychotic medications) or co-pharmacy Child would need to be taking the medications simultaneously for 90+ days to be considered poly- or co-pharmacy FDA approval for use in a pediatric population Multiple indications in youth No FDA indication for the pediatric population Use the associated/extrapolated dose for children under 13 years and those 13 to 18 as the Physicians Desk Reference suggests Use the maximum dose for the psychiatric indication (PDR) Use the guidelines proposed by the Texas report regarding the care of children in foster care* No FDA indication or guidance from the Texas report Use dosing parameters set forth in Appendix 1 of Pediatric Psychopharmacology: Principles and Practice (Editors Andres Martin, Lawrence Scahill, Dennis S. Charney, and James F. Leckman Oxford University Press, 2003) None of the above sources set forth any guidance Use the adult PDR maximum 31 ercareparameters-december2010.pdf 32 16

17 Baseline Measures for Metabolic Monitoring Minimum Metabolic Monitoring Protocol for Second Generations Antipsychotics (SGAs) Baseline measures for monitoring second generation antipsychotics (SGAs) following the ADA/APA adult consensus guidelines Exception: lipids checked annually, rather than every five years States can set their own protocols requiring more frequent measures, but this list = minimum standard States may monitor other meds metabolic or other labs (i.e., Valproic acid, Lithium, etc.) can define themselves Personal and family history Waist circumference Weight and BMI Blood pressure Fasting plasma glucose Fasting lipid profile Baseline and annually Baseline and annually Baseline, every 4 weeks up to 12 weeks, and then quarterly Baseline, 12 weeks and annually Baseline, 12 weeks and annually Baseline, 12 weeks and annually

18

19 Common Measures Data gathered at baseline, and over the course of the 3-year initiative, will measure the percentage of children in foster care: On any psychotropic medication On specific classes of medications (e.g., antidepressants, stimulants, mood stabilizers, antianxietals) On more than 1 medication from the same class (co-pharmacy) On 2, 3, and 4+ psychotropic medications < 6 years old on any psychotropic medication < 6 years old on 2, 3, and 4+ psychotropic medications <6 years old on antipsychotics Common Measures cont. Will also measure: Implementation of evidence-based or promising interventions for sleep disorders and/or aggression Development of an informed consent process or increased adherence to the state s informed consent process

20 Improving the quality and cost-effectiveness of publicly financed health care Questions? Using Clinical Expertise to Inform the Medication Consent Process Deborah Lancaster NJ Department of Children and Families Mike Naylor, MD University of Illinois, Chicago

21 Types of Consent Agency Consent Models Terminology Informed consent: Responsibility conferred onto the provider to ensure that guardians of patients and youth themselves understand the medications prescribed Agency consent: Responsibility conferred onto the child welfare agency to act as the parent and in the best interest of the child States medication consent policies vary in how they define and operationalize consent processes for children in foster care Some states utilize medical expertise to review and inform consent decisions Centralized internal consent review Decentralized internal consent review (e.g., NJ) Centralized external consent review (e.g., IL) Decentralized consent review Centralized external consent review

22 Department of Children and Families The New Jersey Child Health Unit: Psychotropic Medication Oversight and Monitoring New Jersey Department of Children and Families Commissioner Debra Lancaster Director, Child Health Unit NJ Department of Children and Families Division of Children s System of Care (formerly DCBHS) Division of Child Protection & Permanency (formerly DYFS) Division of Family & Community Partnerships (formerly DPCP) Division on Women Office of Adolescent Services

23 Well Being: DCF Child Health Values Access Continuity Child/Family Centered Quality Integration Partnership Structure of the Child Health Units 46 Child Health Units across the state Staffed with nurses, nurse practitioner s and staff assistants 50/50 state/federal match through Medicaid administrative claiming

24 Role of the Child Health Units Access to health care Timely follow-up A healthcare plan is developed specific to the child s health needs Coordination of healthcare services Executing agencies and services to ensure effective and frequent communication between: CP&P Child Health Program Resource Families Birth Families Child/Adolescent 47 Mental Health Screening Follow Up Care Semi-Annual Dental EPSDTs: 25+ months EPSDTs: months Comprehensive Medical Exams (30 PrePlacement Assessments Child Health Indicators for Children in Out-of-Home Placement July 1, March 31, % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 85% 85% 95% 93% 93% 48 99% 99% 24

25 Mental Health Ongoing mental health screening Refer for mental health assessment if indicated Ensure receipt of mental health services if indicated Monitoring services Monitoring psychotropic medication utilization and policy compliance Policy Development Process Reviewed American Academy of Child and Adolescent Psychiatry, American Academy of Pediatrics, and Child Welfare League of America Guidelines Reviewed other states policies Convened an internal workgroup Developed policy components Convened a Psychotropic Medication Advisory Group Issued policy in January

26 Key Policy Components Psychiatric evaluation Authorized prescribers Treatment plan Informed consent Medication guidelines Safety monitoring guidelines Prescribing parameters Informed Consent Must address risks and benefits of pharmacological treatment Consultation with Child Health Unit RN Requires the informed consent of the child/youth s parent Local Office Manager consents when parents cannot

27 Monitoring and Oversight Requires written informed consent On-going health monitoring by Child Health Unit Nurse Quarterly review Case consultation at any time for any child/youth with full time clinical team Quarterly Review Review the number and percentage of: Children/youth (0-21) prescribed psychotropics Psychotropics prescribed per child/youth (1, 2, 3, 4, 5+) Children/youth by age group (0-5; 6-10, 11-17, 18+) Children/youth with uncomplicated ADHD Various types of prescribers Psychotropics with a consent (any & up to-date) Children/youth with a treatment plan (any & up to-date) Children/youth with a psychiatric evaluation (any & up to-date) Children/youth receiving non-pharmacological interventions Conduct Quality Assurance review on children ages 0-5 and children/youth prescribed 4+ meds Analyze data based on set of common measures established through the Center for Health Care Strategies PMQIC

28 Questions? Michael W. Naylor, M.D. University of Illinois at Chicago Director, Clinical Services in Psychopharmacology

29 Source US GAO CHCS Research Funding Advisor/ Consultant x Employee Speakers Bureau Books, Intellectual Property In-kind Services (Example: travel) x Stock or Equity Honorarium or expenses for presentation Honorarium or expenses for this presentation or meeting Administration of psychotropic medications to children for whom DCFS is legally responsible

30 Challenge Provide informed consent Provide safe and effective care Delivered in timely manner Protect rights of foster children Provide longitudinal oversight Two components Centralized Psychotropic Medication Consent Line DCFS Authorized Agent Clinical Services in Psychopharmacology University of Illinois at Chicago

31 Concept DCFS is the legal guardian for ~ 15,300 youth The Office of the Guardian is responsible for providing consent for medical and psychiatric treatment Objectives: Provide independent review for all psychotropic medication requests Monitor utilization of psychotropic medications Provide consultation on particularly complicated cases

32 Objectives: Notify the guardian where provider patterns warrant review Conduct training for DCFS, foster parents and childcare providers on psychotropic medications Disseminate information regarding new pharmaceutical developments and alerts Screening, evaluation and treatment planning Shared decision-making Medication monitoring Mental health expertise & consultation Information sharing

33 Screening, Evaluation and Treatment Planning Integrated Assessment Revised DCFS Rule 325 Guidelines for the Utilization of Psychotropic Medications for Children in Foster Care

34 The prescription of psychotropic medications is just one component of a comprehensive treatment plan that includes psychosocial and behavioral interventions All children must receive a diagnostic assessment prior to starting a psychotropic medication Consent

35 Prescribing Clinician DCFS Authorized Agent UIC Psychiatric Nurse Univ. of IL Chicago (UIC) Research Team UIC Psychiatric Nurse Consultant recommendations: Approved Denied Modified Reviewed (emergency medications only) UIC Psychiatric Consultant MD

36 Oversight Procedure

37 Informal oversight Feeds back through the Office of the Guardian or to the CSP program Administrative Case Reviews GAL, Office of the Public Guardian Regional nurse Formal oversight Case-specific Independent medication review Watch list high risk children Record review

38 Formal oversight System-wide CSP consent database (1998 present) Medicaid payment database ( ) Watch list high risk prescribers Emergency medication use

39 Formal oversight (cont.) System-wide Quarterly reports Timeliness» Error rates Medications without consent Denials Formal oversight System-wide Quarterly reports Children < 4 years Polypharmacy Co-pharmacy High-risk preschoolers Weekly reports Emergency medications

40

41 Consultation Consultations Clinician requested Caseworker Regional nurse Guardian Guardian ad Litem, judges CSP requested

42 Consultations MD: MD Review of consent history Chart review Face to face Information Sharing

43 Information sharing Clinical Medication history Educational Foster parents Care providers, authorized agents Caseworkers Post-adoption workers Information sharing DCFS Prescribers Listserv FDA warnings Policy changes Website Clinicians Foster parents, care providers Educational materials Clinical resources

44 % Requests Paroxetine Warning CSP Intervention Black Box Warning Paroxetine Fluoxetine Other SSRIs Projects Months

45

46 The CSP can: Assess statewide diagnostic patterns Monitor rate of utilization of psychotropic medications Identify adverse effects of medications Implement evidence-informed consent strategies Assess impact of changes in consent strategies on prescriber behaviors

47 Psychotropic Medication Quality Improvement Virtual Learning Community (PMVLC) All 44 states not included in PMQIC are represented Extension of the PMQIC work Technical assistance Monthly technical assistance e-newsletter Bi-monthly webinars SharePoint resource center Contact Information Kamala Allen Sheila Pires Christopher Bellonci Mike Naylor Deborah Lancaster - debra.lancaster@dcf.state.nj.us Visit for all resources related to the six-state quality improvement initiative to reduce inappropriate prescribing of psychotropic medications to children in foster care. Project funded with support from the Annie E. Casey Foundation

Facilitating Cross-System Data Sharing for Psychotropic Medication Oversight and Monitoring

Facilitating Cross-System Data Sharing for Psychotropic Medication Oversight and Monitoring Improving the quality and cost-effectiveness of publicly financed health care Facilitating Cross-System Data Sharing for Psychotropic Medication Oversight and Monitoring Psychotropic Medication Use Among

More information

Curbing the High Rates of Psychotropic Medication Prescriptions among Children and Youth in Foster Care

Curbing the High Rates of Psychotropic Medication Prescriptions among Children and Youth in Foster Care Curbing the High Rates of Psychotropic Medication Prescriptions among Children and Youth in Foster Care Appendices Appendix A Psych Meds Data Indicators by State The data elements being collected by the

More information

New Jersey Department of Children and Families Policy Manual. Date: Chapter: A Health Services Subchapter: 1 Health Services

New Jersey Department of Children and Families Policy Manual. Date: Chapter: A Health Services Subchapter: 1 Health Services New Jersey Department of Children and Families Policy Manual Manual: CP&P Child Protection and Permanency Effective Volume: V Health Date: Chapter: A Health Services 1-11-2017 Subchapter: 1 Health Services

More information

EXAMINING CHILDREN S BEHAVIORAL HEALTH SERVICE USE AND EXPENDITURES,

EXAMINING CHILDREN S BEHAVIORAL HEALTH SERVICE USE AND EXPENDITURES, FACES OF MEDICAID DATA SERIES EXAMINING CHILDREN S BEHAVIORAL HEALTH SERVICE USE AND EXPENDITURES, 2005-2011 - 1 - July 2018 JULY 2018 CONTENTS Contents...2 Introduction...3 Study Methods...4 Findings...6

More information

Improving the Use of Psychotropic Medication among Children and Youth in Foster Care: A View from the States

Improving the Use of Psychotropic Medication among Children and Youth in Foster Care: A View from the States Advancing innovations in health care delivery for low-income Americans Improving the Use of Psychotropic Medication among Children and Youth in Foster Care: A View from the States Please standby, the webinar

More information

Guidelines for the Utilization of Psychotropic Medications for Children in Foster Care. Illinois Department of Children and Family Services

Guidelines for the Utilization of Psychotropic Medications for Children in Foster Care. Illinois Department of Children and Family Services Guidelines for the Utilization of Psychotropic Medications for Children in Foster Care Illinois Department of Children and Family Services Introduction With few exceptions, children and adolescents in

More information

Promoting and Monitoring Evidenced-Based Antipsychotic Prescribing Practices in Children and Adolescents: Florida Medicaid Initiatives

Promoting and Monitoring Evidenced-Based Antipsychotic Prescribing Practices in Children and Adolescents: Florida Medicaid Initiatives Promoting and Monitoring Evidenced-Based Antipsychotic Prescribing Practices in Children and Adolescents: Florida Medicaid Initiatives Mary Elizabeth Jones, Pharm BSc, RPh Senior Pharmacist AHCA Pharmacy

More information

Quality Indicators in PSYCKES

Quality Indicators in PSYCKES Quality Indicators in PSYCKES Antipsychotic polypharmacy of two or more agents [2AP] Antipsychotic polypharmacy of three or more agents [3AP] Antidepressant polypharmacy of two or more agents in the same

More information

INFORMED CONSENT FOR PSYCHOTROPIC MEDICATION

INFORMED CONSENT FOR PSYCHOTROPIC MEDICATION INFORMED CONSENT FOR PSYCHOTROPIC MEDICATION Richard LaVallo Attorney at Law Disability Rights Texas October 25, 2013 Why Does Informed Consent Matter? Under the common law, a physician has a duty to make

More information

Psychotropic Medication

Psychotropic Medication FOM 802-1 1 of 10 OVERVIEW The use of psychotropic medication as part of a child s comprehensive mental health treatment plan may be beneficial and should include consideration of all alternative interventions.

More information

Monitoring Psychotropic Use Among Foster Children EMPAA

Monitoring Psychotropic Use Among Foster Children EMPAA State Plans for Monitoring Psychotropic Use Among Foster Children EMPAA October 30, 2012 Child and Family Services Improvement and Innovation Act of 2011 Required Components of Psychotropic Oversight and

More information

The Pediatric Behavioral Health Medication Initiative September 2016

The Pediatric Behavioral Health Medication Initiative September 2016 The Pediatric Behavioral Health Medication Initiative Neha Kashalikar, PharmD Clinical Consultant Pharmacist UMass Medical School Clinical Pharmacy Services Background Several studies investigated trends

More information

Child and Adolescent Psychiatry Trends. ADAMHS Board - 28 Oct 2014

Child and Adolescent Psychiatry Trends. ADAMHS Board - 28 Oct 2014 Child and Adolescent Psychiatry Trends ADAMHS Board - 28 Oct 2014 Current Need for Child and Adolescent Psychiatrists There are currently approximately 7400 Child and Adolescent Psychiatrists in Practice

More information

PSYCHOTROPIC MEDICATION UTILIZATION PARAMETERS FOR CHILDREN AND YOUTH IN FOSTER CARE

PSYCHOTROPIC MEDICATION UTILIZATION PARAMETERS FOR CHILDREN AND YOUTH IN FOSTER CARE PSYCHOTROPIC MEDICATION UTILIZATION PARAMETERS FOR CHILDREN AND YOUTH IN FOSTER CARE Introduction and General Principles April 2017 Adapted for New Mexico from with permission from the Texas Department

More information

The Louis de la Parte Florida Mental Health Institute

The Louis de la Parte Florida Mental Health Institute Data Brief December 2003 Mary Rose Murrin, M.A. Kelley Dhont, M.S. David Thornton, M.A. The Louis de la Parte Florida Mental Health Institute Children s Psychotropic Medication Use by Age and Diagnostic

More information

Pediatric Behavioral Health Medication Initiative Prior Authorization (PA) Request Form

Pediatric Behavioral Health Medication Initiative Prior Authorization (PA) Request Form Pediatric Behavioral Health Medication Initiative Prior Authorization (PA) Request Form Please fax form to 617.673.0988 or mail to Tufts Health Plan, 705 Mount Auburn Street, Watertown, MA 02472, Attn:

More information

Antidepressants for treatment of depression.

Antidepressants for treatment of depression. JR3 340 1 of 9 PSYCHOTROPIC MEDICATIONS PURPOSE The use of psychotropic medication as part of a youth's comprehensive mental health treatment plan may be beneficial. The administration of psychotropic

More information

BY-STATE MENTAL HEALTH SERVICES AND EXPENDITURES IN MEDICAID, 1999

BY-STATE MENTAL HEALTH SERVICES AND EXPENDITURES IN MEDICAID, 1999 STATE-BY BY-STATE MENTAL HEALTH SERVICES AND EXPENDITURES IN MEDICAID, 1999 James Verdier,, Ann Cherlow,, and Allison Barrett Mathematica Policy Research, Inc. Jeffrey Buck and Judith Teich Substance Abuse

More information

SBIRT Collaborative: Wednesday, May 11, PM EST Dial-in information: (800) ;

SBIRT Collaborative: Wednesday, May 11, PM EST Dial-in information: (800) ; SBIRT Collaborative: Improving Access to Prevention and Early Intervention Services for Youth Substance Use Disorders Wednesday, May 11, 2016 4 PM EST Dial-in information: (800) 326-0013; 1933125 Funded

More information

Table of Contents. 1.0 Policy Statement...1

Table of Contents. 1.0 Policy Statement...1 Division of Medical Assistance General Clinical Policy No. A-6 Table of Contents 1.0 Policy Statement...1 2.0 Policy Guidelines...1 2.1 Eligible Recipients...1 2.1.1 General Provisions...1 2.1.2 EPSDT

More information

Psychiatric Medications for Foster Youth: what we know and what we don t

Psychiatric Medications for Foster Youth: what we know and what we don t Psychiatric Medications for Foster Youth: what we know and what we don t Implications for Child Welfare Practice Christopher Bellonci, M.D. Tufts University School of Medicine cbellonci@tuftsmedicalcenter.org

More information

Evaluation of a Medicaid Psychotropic Drug Management Program in Utah

Evaluation of a Medicaid Psychotropic Drug Management Program in Utah Evaluation of a Medicaid Psychotropic Drug Management Program in Utah Dominick Esposito James M. Verdier 2008 SAMHSA/CMS Invitational Conference on Medicaid and Mental Health Service/Substance Abuse Treatment

More information

Idaho DUR Board Meeting Minutes

Idaho DUR Board Meeting Minutes Idaho DUR Board Meeting Minutes Date: July 20, 2017 Time: 9am-12:30pm Location: Holiday Inn Boise Airport 2970 West Elder Street, Boise, Idaho, 83705 Moderator: David Agler, M.D. Committee Member Present:

More information

FL Medicaid Drug Therapy Management Program for Behavioral Health Monitoring for Safety and Quality

FL Medicaid Drug Therapy Management Program for Behavioral Health Monitoring for Safety and Quality FL Medicaid Drug Therapy Management Program for Behavioral Health Monitoring for Safety and Quality April 23, 2014 Pensacola, FL Presentation Objectives To briefly describe the program and how its components

More information

Florida s 1115 Managed Medical Assistance (MMA) Prepaid Dental Health Program (PDHP) Amendment Request

Florida s 1115 Managed Medical Assistance (MMA) Prepaid Dental Health Program (PDHP) Amendment Request Florida s 1115 Managed Medical Assistance (MMA) Prepaid Dental Health Program (PDHP) Amendment Request March 20, 2018 Tallahassee Public Meeting March 28, 2018 Tampa Public Meeting Presentation Overview

More information

Behavioral Health Hospital and Emergency Department Health Services Utilization

Behavioral Health Hospital and Emergency Department Health Services Utilization Behavioral Health Hospital and Emergency Department Health Services Utilization Rhode Island Fee-For-Service Medicaid Recipients Calendar Year 2000 Prepared for: Prepared by: Medicaid Research and Evaluation

More information

Elevating the quality of care for the highest risk children in foster care. David Rubin, MD, MSCE Meredith Matone, MHS Kathleen Noonan, JD

Elevating the quality of care for the highest risk children in foster care. David Rubin, MD, MSCE Meredith Matone, MHS Kathleen Noonan, JD Elevating the quality of care for the highest risk children in foster care David Rubin, MD, MSCE Meredith Matone, MHS Kathleen Noonan, JD PolicyLab Center of Emphasis, The Children s Hospital of Philadelphia

More information

B. Executive Summary. Category: Cross Boundary Collaboration and Partnerships Page 2 of 7

B. Executive Summary. Category: Cross Boundary Collaboration and Partnerships Page 2 of 7 B. Executive Summary While New York faces some of the worst economic difficulties we have ever seen, government agencies are putting critical strategies in place to increase operational efficiency and

More information

D I A G N O S I S ADD/ADHD. Conduct Disorder. Oppositional. Oppositional Defiant Disorder. Defiant. Anxiety Disorder. Adjustment.

D I A G N O S I S ADD/ADHD. Conduct Disorder. Oppositional. Oppositional Defiant Disorder. Defiant. Anxiety Disorder. Adjustment. Dr. Crismon has no potential conflicts of interest to disclose with regard to this presentation. M. Lynn Crismon, Pharm.D., FCCP, BCPP Dean James T. Doluisio Regents Chair & Behrens Centennial Professor

More information

Children s System of Care Comprehensive Waiver Renewal Listening Session

Children s System of Care Comprehensive Waiver Renewal Listening Session Children s System of Care Comprehensive Waiver Renewal Listening Session by Elizabeth Manley Assistant Commissioner Presenter New Jersey Department of Children and Families Commissioner Children s System

More information

Children On Psychotropic Medications

Children On Psychotropic Medications Children On Psychotropic Medications Considerations for Systematic Care of Children Using Rational Psychopharmacology as Part of an Overall Treatment Strategy Presented to Gabriel Myers Workgroup by Dr.

More information

Psychiatric Care. Course Goals

Psychiatric Care. Course Goals Course Goals Goals 1. Develop skills, knowledge & attitudes necessary to perform a psychiatric assessment consistent with level of training. 2. Develop skills to help patients identify current major concern(s),

More information

Drug Use Evaluation: Low Dose Quetiapine

Drug Use Evaluation: Low Dose Quetiapine Copyright 2012 Oregon State University. All Rights Reserved Drug Use Research & Management Program Oregon State University, 500 Summer Street NE, E35 Salem, Oregon 97301-1079 Phone 503-947-5220 Fax 503-947-1119

More information

Introducing ValueOptions Clinical Care Alerts

Introducing ValueOptions Clinical Care Alerts Introducing ValueOptions Clinical Care Alerts January 2013 Agenda What are Clinical Care Alerts? How does it work? What are the benefits? Questions and Answers 2 The Issue of Poor Medication Adherence

More information

Connecticut Medicaid Emerging Adults

Connecticut Medicaid Emerging Adults Connecticut Medicaid Emerging Adults Child/Adolescent Quality, Access & Policy Committee April 18, 2018 Christopher Bory, PsyD, Beacon Health Options Agenda 1. National Context a. Gap in understanding

More information

Diagnoses and Health Care Utilization of Children Who Are in Foster Care and Covered by Medicaid

Diagnoses and Health Care Utilization of Children Who Are in Foster Care and Covered by Medicaid Behavioral Health is Essential To Health Prevention Works Treatment is Effective People Recover Diagnoses and Health Care Utilization of Children Who Are in Foster Care and Covered by Medicaid Diagnoses

More information

Pediatric Primary Care Mental Health Specialist Certification Exam. Detailed Content Outline

Pediatric Primary Care Mental Health Specialist Certification Exam. Detailed Content Outline Pediatric Primary Care Mental Health Specialist Certification Exam Detailed Content Outline Description of the Specialty The Pediatric Primary Care Mental Health Specialist (PMHS) builds upon the Advanced

More information

Multiple Chronic Conditions: A New Paradigm for Approaching Chronic Disease

Multiple Chronic Conditions: A New Paradigm for Approaching Chronic Disease Multiple Chronic Conditions: A New Paradigm for Approaching Chronic Disease American Medical Group Association October 26, 2012 Richard A. Goodman, MD Office of the Assistant Secretary for Health U.S.

More information

BIOLOGICAL PSYCHOLOGICAL SOCIOLOGICAL. Session ID: 1011 June 16, Patti Varley, ARNP, MN, CS 1. This speaker has no conflict of interest to

BIOLOGICAL PSYCHOLOGICAL SOCIOLOGICAL. Session ID: 1011 June 16, Patti Varley, ARNP, MN, CS 1. This speaker has no conflict of interest to Child and Adolescent Psychopharm Considerations Patti Varley, ARNP, MN, CS APNA 10 th Annual Clinical Psychopharmacology Institute June 14-17, 2012 Reston, VA This speaker has no conflict of interest to

More information

General Principles for the Use of Pharmacological Agents for Co- Occurring Disorders

General Principles for the Use of Pharmacological Agents for Co- Occurring Disorders General Principles for the Use of Pharmacological Agents for Co- Occurring Disorders Individuals with co-occurring mental and substance use disorders (COD) are common in behavioral and primary health settings

More information

Caring for Our Kids: Are We Overmedicating Children in Foster Care?

Caring for Our Kids: Are We Overmedicating Children in Foster Care? Caring for Our Kids: Are We Overmedicating Children in Foster Care? Written Testimony for the Subcommittee on Human Resources Committee on Ways and Means United States House of Representatives May 29,

More information

Pediatric Psychopharmacology

Pediatric Psychopharmacology Pediatric Psychopharmacology General issues to consider. Pharmacokinetic differences Availability of Clinical Data Psychiatric Disorders can be common in childhood. Early intervention may prevent disorders

More information

Curbing Prescription Drug Abuse in Medicaid

Curbing Prescription Drug Abuse in Medicaid Curbing Prescription Drug Abuse in Medicaid Joint Legislative Health Care Oversight Committee October 12, 2010 Dr. Lisa Weeks, BSPharm, PharmD Pharmacy and Ancillary Services Division of Medical Assistance

More information

CHILD ABUSE PREVENTION AND PERMANENCY PLAN

CHILD ABUSE PREVENTION AND PERMANENCY PLAN CHILD ABUSE PREVENTION AND PERMANENCY PLAN Monthly Update October 9, 2018 AGENDA Florida Children and Youth Cabinet Update Florida Faith-Based and Community-Based Advisory Council Update Florida Children

More information

Session ID: 1011 June 16, Patti Varley, ARNP, MN, CS APNA 10 th Annual Clinical Psychopharmacology aco ogy Institute June 14-17, 2012 Reston, VA

Session ID: 1011 June 16, Patti Varley, ARNP, MN, CS APNA 10 th Annual Clinical Psychopharmacology aco ogy Institute June 14-17, 2012 Reston, VA Child and Adolescent Psychopharm Considerations Patti Varley, ARNP, MN, CS APNA 10 th Annual Clinical Psychopharmacology aco ogy Institute tute June 14-17, 2012 Reston, VA This speaker has no conflict

More information

Psychotropic Medication Utilization Review (PMUR) Process for STAR Health Members

Psychotropic Medication Utilization Review (PMUR) Process for STAR Health Members Psychotropic Medication Utilization Review (PMUR) Process for STAR Health Members FAQ and Stakeholder Manual Cenpatico/SHPN Updated March 26, 2015 201205_SHP_CBH_PMURFAQ - 1 - The STAR Health Medication

More information

Performance of North Carolina's System for Monitoring Prescription Drug Abuse. Session Law , Section 12F.16.(q)

Performance of North Carolina's System for Monitoring Prescription Drug Abuse. Session Law , Section 12F.16.(q) Performance of North Carolina's System for Monitoring Prescription Drug Abuse Session Law 2015-241, Section 12F.16.(q) Report to the Joint Legislative Oversight Committee on Health and Human Services and

More information

Well-Care for Children in Placement

Well-Care for Children in Placement Chapter 3 Well-Care for Children in Placement Introduction All children in placement are entitled to adequate well-child care and timely immunizations. The Early and Periodic Screening, Diagnosis, and

More information

Suicide Prevention in New York State: Zero Suicide Initiative. Ann Sullivan, MD, OMH Commissioner NASMHPD Annual Commissioners Meeting August 7, 2016

Suicide Prevention in New York State: Zero Suicide Initiative. Ann Sullivan, MD, OMH Commissioner NASMHPD Annual Commissioners Meeting August 7, 2016 Suicide Prevention in New York State: Zero Suicide Initiative Ann Sullivan, MD, OMH Commissioner NASMHPD Annual Commissioners Meeting August 7, 2016 2 Community Based Suicide Prevention Schools: Sources

More information

Clinical Guidelines for the Pharmacologic Treatment of Schizophrenia

Clinical Guidelines for the Pharmacologic Treatment of Schizophrenia Clinical Guidelines for the Pharmacologic Treatment of Community Behavioral Health (CBH) is committed to working with our provider partners to continuously improve the quality of behavioral healthcare

More information

Medications for Anxiety & Behavior in Williams Syndrome. Disclosure of Potential Conflicts. None 9/22/2016. Evaluation

Medications for Anxiety & Behavior in Williams Syndrome. Disclosure of Potential Conflicts. None 9/22/2016. Evaluation Medications for Anxiety & Behavior in Williams Syndrome Christopher J. McDougle, M.D. Director, Lurie Center for Autism Professor of Psychiatry and Pediatrics Massachusetts General Hospital and MassGeneral

More information

Unmanaged Behavioral Health Puts Your Company At Risk. Presented by: Dr. Sam Mayhugh Integrated Behavioral Health

Unmanaged Behavioral Health Puts Your Company At Risk. Presented by: Dr. Sam Mayhugh Integrated Behavioral Health Unmanaged Behavioral Health Puts Your Company At Risk Presented by: Dr. Sam Mayhugh Integrated Behavioral Health Behavioral Health Management Webinar Overview History of BH management Prevalence of behavioral

More information

Maryland Department of Health and Mental Hygiene /Office of Systems, Operations and Pharmacy. Date Prescription will Start Denying at the

Maryland Department of Health and Mental Hygiene /Office of Systems, Operations and Pharmacy. Date Prescription will Start Denying at the Maryland Medicaid Pharmacy Program & News ViewsNovember 2013 Maryland Department of Health and Mental Hygiene /Office of Systems, Operations and Pharmacy The Antipsychotic Peer Review Program is Expanding!

More information

2/28/2012. Roles for State Title V Programs in Building Systems of Care for CYSHCN- ASD & Other DD: Lessons Learned in NJ

2/28/2012. Roles for State Title V Programs in Building Systems of Care for CYSHCN- ASD & Other DD: Lessons Learned in NJ Roles for State Title V Programs in Building Systems of Care for CYSHCN- ASD & Other DD: Lessons Learned in NJ Presented by Diana MTK Autin, Executive Co-Director, Statewide Parent Advocacy Network 35

More information

Autism Services Overview. L. Logan, Texas Council for Developmental Disabilities

Autism Services Overview. L. Logan, Texas Council for Developmental Disabilities Autism Services Overview L. Logan, Texas Council for Developmental Disabilities www.tcdd.gov TCDD Grants for Services for People with Developmental Disabilities, including ASD EXAMPLES OF CURRENT PROJECTS

More information

APNA 27th Annual Conference Session 2036: October 10, 2013

APNA 27th Annual Conference Session 2036: October 10, 2013 Leigh Powers DNP, MSN, MS, BS, APRN, PMHNP BC APNA Annual Conference October 10, 2013 *The speaker has no conflicts of interest to disclose Compare quality of care through measurement of adherence to a

More information

Adult Mental Health Services applicable to Members in the State of Connecticut subject to state law SB1160

Adult Mental Health Services applicable to Members in the State of Connecticut subject to state law SB1160 Adult Mental Health Services Comparison Create and maintain a document in an easily accessible location on such health carrier's Internet web site that (i) (ii) compares each aspect of such clinical review

More information

Improving Care for High-Need Patients Featuring Health Share of Oregon WELCOME & INTRODUCTIONS

Improving Care for High-Need Patients Featuring Health Share of Oregon WELCOME & INTRODUCTIONS Improving Care for High-Need Patients Featuring Health Share of Oregon WELCOME & INTRODUCTIONS Webinar Series April 25, 2018 2:00 3:00PM ET nam.edu/highneeds Share your thoughts! @thenamedicine #HighNeeds

More information

Libby Mullin President, Mullin Strategies June 16, Who are we?

Libby Mullin President, Mullin Strategies June 16, Who are we? Dental Health Project Libby Mullin President, Mullin Strategies June 16, 2009 Who are we? Children s Dental Health Project (CDHP) is a national non-profit organization working since 1997 to advance policies

More information

Disclosure Statement. A Rational Approach to Psychopharmacology. Goals 10/28/2013

Disclosure Statement. A Rational Approach to Psychopharmacology. Goals 10/28/2013 A Rational Approach to Psychopharmacology Disclosure Statement Full time employed physician with MaineGeneral Medical Center in Waterville and Augusta No conflicts of interest to disclose Goals Promote

More information

German Journal of Psychiatry 2000; 3

German Journal of Psychiatry 2000; 3 Reprinted from the German Journal of Psychiatry http://www.gjpsy.uni-goettingen.de ISSN 1433-1055 Assuring the Quality of the Utilization of Psychoactive Medication by People with Mental Retardation and

More information

Approved Care Model for Project 3gi: Integration of Palliative Care into the PCMH Model

Approved Care Model for Project 3gi: Integration of Palliative Care into the PCMH Model 1 Approved Care Model for Project 3gi: Integration of Palliative Care into the PCMH Model OneCity Health Webinar January 13, 2016 Overview of presentation 2 Approach to care model development Project overview

More information

CY 2017 MMA Performance Measure Scores HEDIS, Core Set, and Agency-defined measures

CY 2017 MMA Performance Measure Scores HEDIS, Core Set, and Agency-defined measures Aetna Better Health Amerigroup Better Health Children's Medical Services Adherence to Antipsychotic Medications for Individuals with Schizophrenia 50% 60% 57% N/A 45% Adolescent Well Care Visits 62% 64%

More information

Evaluation of Medicaid-Funded Out-of-Home Alternatives for FY 05-06

Evaluation of Medicaid-Funded Out-of-Home Alternatives for FY 05-06 The Louis de la Parte Florida Mental Health Institute Evaluation of Medicaid-Funded Out-of-Home Alternatives for FY 05-06 Mary I. Armstrong, Ph.D. Norín Dollard, Ph.D. Keren S. Vergon, Ph.D. Stephanie

More information

HRSA TECHNICAL ASSISTANCE (TA) OUTREACH INITIATIVE

HRSA TECHNICAL ASSISTANCE (TA) OUTREACH INITIATIVE HRSA TECHNICAL ASSISTANCE (TA) OUTREACH INITIATIVE Grants Resource Center External Funding Conference August 21, 2012 PRESENTER: Michael J. Nelson Associate Administrator U.S. Department of Health & Human

More information

GETTING PRACTICAL: DEVELOPING YOUR STATE PLAN FOR PSYCHOTROPIC MEDICATION MANAGEMENT PART 2

GETTING PRACTICAL: DEVELOPING YOUR STATE PLAN FOR PSYCHOTROPIC MEDICATION MANAGEMENT PART 2 GETTING PRACTICAL: DEVELOPING YOUR STATE PLAN FOR PSYCHOTROPIC MEDICATION MANAGEMENT PART 2 TUESDAY, APRIL 24 TH AT 3:00 PM (ET) CALL- IN NUMBER: 1-800- 832-0736 CONFERENCE ROOM: 8466339 PLEASE CALL: 202-687-

More information

2017 Year in Review The Allegheny County HealthChoices Behavioral Health Program. A report from Allegheny HealthChoices, Inc.

2017 Year in Review The Allegheny County HealthChoices Behavioral Health Program. A report from Allegheny HealthChoices, Inc. 2017 Year in Review The Allegheny County HealthChoices Behavioral Health Program A report from Allegheny HealthChoices, Inc. DECEMBER 2018 Introduction Medicaid is a publicly financed health care program

More information

Miami-Dade County Prepaid Dental Health Plan Demonstration: Less Value for State Dollars

Miami-Dade County Prepaid Dental Health Plan Demonstration: Less Value for State Dollars Miami-Dade County Prepaid Dental Health Plan Demonstration: Less Value for State Dollars Analysis commissioned by The Collins Center for Public Policy / Community Voices Miami AUGUST 2006 Author: Burton

More information

Early and Periodic Screening, Diagnostic and Treatment Program

Early and Periodic Screening, Diagnostic and Treatment Program EPSDT Provider Manual Early and Periodic Screening, Diagnostic and Treatment Program This manual serves as a guide to help practitioners and providers serve the children of New Mexico. Such services are

More information

Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State - How We Are Doing and How We Can Improve.

Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State - How We Are Doing and How We Can Improve. Webinar Series: Diabetes Epidemic & Action Report (DEAR) for Washington State - How We Are Doing and How We Can Improve April 22, 2015 Qualis Health A leading national population health management organization

More information

Exhibit I-1 Performance Measures. Numerator (general description only)

Exhibit I-1 Performance Measures. Numerator (general description only) # Priority Type Performance Measure Core Measures (implement 9/1/09) 1 C OE Hospital readmissions within 7, 30 and 90 days postdischarge 2 C OE Percent of Members prescribed redundant or duplicated antipsychotic

More information

See Important Reminder at the end of this policy for important regulatory and legal information.

See Important Reminder at the end of this policy for important regulatory and legal information. Clinical Policy: (Rexulti) Reference Number: CP.PMN.68 Effective Date: 11.05.15 Last Review Date: 02.18 Line of Business: Commercial, Health Insurance Marketplace, Medicaid Revision Log See Important Reminder

More information

Behavioral Health Assessment & Treatment in Children and Youth

Behavioral Health Assessment & Treatment in Children and Youth Behavioral Health Assessment & Treatment in Children and Youth CWHP Training October 4, 2017 Rick Immler MD Goals Increase Awareness of: National and Wisconsin Data on Behavioral Health Needs for Youth

More information

Parent Partnerships: Family-to-Family Health Information Centers: We Are All Part of the Process

Parent Partnerships: Family-to-Family Health Information Centers: We Are All Part of the Process AMCHP Conference -Leadership Education in Neurodevelopmental & Related Disabilities Parent Partnerships: Family-to-Family Health Information Centers: We Are All Part of the Process March 3, 2007 Diana

More information

The Wisconsin Prescription Drug Monitoring Program. WI PDMP Timeline. PDMP Overview. What is a PDMP? PDMPs Across the Nation. Wisconsin.

The Wisconsin Prescription Drug Monitoring Program. WI PDMP Timeline. PDMP Overview. What is a PDMP? PDMPs Across the Nation. Wisconsin. The Wisconsin Prescription Drug Monitoring Program Wisconsin Nurses Association Jail Health Care Conference May 21, 2018 WI PDMP Timeline PDMP Overview January 2013 WI PDMP operational April 2017 WI epdmp

More information

FMHI Boilerplate Descriptions for Grant Applications

FMHI Boilerplate Descriptions for Grant Applications FMHI Boilerplate Descriptions for Grant Applications Overview The Louis de la Parte Florida Mental Health Institute at the University of South Florida seeks to improve services and outcomes for individuals

More information

MODEL PSYCHOPHARMACOLOGY CURRICULUM

MODEL PSYCHOPHARMACOLOGY CURRICULUM Third Edition MODEL PSYCHOPHARMACOLOGY CURRICULUM For Psychiatric Residency Programs, Training Directors and Teachers of Psychopharmacology VOLUME I By A Committee of the American Society of Clinical Psychopharmacology

More information

Increasing Use of Psychotropics

Increasing Use of Psychotropics A Critical Curriculum on Psychotropic Medications A Critical Curriculum on Psychotropic Medications Principal Investigator: David Cohen, Ph.D. Professional Consultants: David O. Antonuccio, Ph.D. (psychology)

More information

Making Eye Health a Population Health Imperative: Vision for Tomorrow

Making Eye Health a Population Health Imperative: Vision for Tomorrow Making Eye Health a Population Health Imperative: Vision for Tomorrow A Report from the National Academies of Sciences, Engineering, and Medicine September 20, 2016 Moderated by: M. Kathleen Murphy, DNP,

More information

Response to the Language Equality and Acquisition for Deaf Kids (LEAD-K) Task Force Report

Response to the Language Equality and Acquisition for Deaf Kids (LEAD-K) Task Force Report Response to the Language Equality and Acquisition for Deaf Kids (LEAD-K) Task Force Report Louisiana Department of Health Office of Public Health March 21, 2019 Report Title Version Number Version Date

More information

See Important Reminder at the end of this policy for important regulatory and legal information.

See Important Reminder at the end of this policy for important regulatory and legal information. Clinical Policy: (Invega) Reference Number: CP. PMA.10.11.19 Effective Date: 10.06.16 Last Review Date: 04.18 Line of Business: CenpaticoMedicaid Revision Log See Important Reminder at the end of this

More information

Hearing and Vision Services for Children: Efforts to Ensure Broad Implementation Through Medicaid

Hearing and Vision Services for Children: Efforts to Ensure Broad Implementation Through Medicaid Public Health Law Series Webinar Hearing and Vision Services for Children: Efforts to Ensure Broad Implementation Through Medicaid May 14, 2015 How to Use Webex Audio: If you can hear us through your computer,

More information

Psychotropic Medication for Dependent Children

Psychotropic Medication for Dependent Children Psychotropic Medication for Dependent Children James Schuster MD, MBA Chief Medical Officer, Community Care Vice President, Behavioral Health Integration, UPMC Insurance Services Division Pennsylvania

More information

Florida s Children First, Inc. Strategic Plan

Florida s Children First, Inc. Strategic Plan Florida s Children First, Inc. Strategic Plan 2019-2022 November 2018 Florida s Children First, Inc. Vision Statement The Vision of Florida s Children First, Inc. is that Florida puts its children and

More information

TALKING TO PATIENTS AND FAMILIES ABOUT MEDICATIONS: IMPROVING QUALITY OF CARE AND REDUCING PROFESSIONAL LIABILITY RISK WHEN PRESCRIBING FOR CHILDREN

TALKING TO PATIENTS AND FAMILIES ABOUT MEDICATIONS: IMPROVING QUALITY OF CARE AND REDUCING PROFESSIONAL LIABILITY RISK WHEN PRESCRIBING FOR CHILDREN A benefit of participation in TALKING TO PATIENTS AND FAMILIES ABOUT MEDICATIONS: IMPROVING QUALITY OF CARE AND REDUCING PROFESSIONAL LIABILITY RISK WHEN PRESCRIBING FOR CHILDREN Introduction This article

More information

November Data Jam. Mastering PSYCKES: Maximizing Multiple Data Sources to Operationalize a Population Health Approach

November Data Jam. Mastering PSYCKES: Maximizing Multiple Data Sources to Operationalize a Population Health Approach November Data Jam Mastering PSYCKES: Maximizing Multiple Data Sources to Operationalize a Population Health Approach Anni Kramer, LMSW & Erica Van De Wal-Ward, MA New York Office of Mental Health Anni

More information

ADMINISTRATIVE POLICY AND PROCEDURE

ADMINISTRATIVE POLICY AND PROCEDURE Page 1 of 6 SECTION: Medical SUBJECT: Electroconvulsive Therapy (ECT) DATE OF ORIGIN: 10/1/96 REVIEW DATES: 7/1/98, 10/1/99, 7/1/02, 7/1/04, 10/1/05, 5/1/09, 1/3/13, 7/1/15, 8/1/16 EFFECTIVE DATE: 3/24/17

More information

See Important Reminder at the end of this policy for important regulatory and legal information.

See Important Reminder at the end of this policy for important regulatory and legal information. Clinical Policy: (Rexulti) Reference Number: NE.PMN.68 Effective Date: 01/01/2017 Last Review Date: Line of Business: Medicaid Coding Implications Revision Log See Important Reminder at the end of this

More information

Printing: Psychiatric Drugging of Infants and Toddlers in the US - Part I

Printing: Psychiatric Drugging of Infants and Toddlers in the US - Part I OpEdNews Page 1 of 5 Original Content at http://www.opednews.com/articles/psychiatric-drugging-of-in-by-evelyn-pringle-100419-821.html April 19, 2010 Psychiatric Drugging of Infants and Toddlers in the

More information

Improving Mental Health Care: A Case Study

Improving Mental Health Care: A Case Study Improving Mental Health Care: A Case Study Why Improve Mental Health Care? Because the prevalence and costs of mental health problems are increasing in America despite the high prescribing of psychotropic

More information

Attention Deficit Hyperactivity Disorder (ADHD): Survey Report

Attention Deficit Hyperactivity Disorder (ADHD): Survey Report citizenshealthinitiative.org Attention Deficit Hyperactivity Disorder (ADHD): Survey Report NH Pediatrician and Family Physician Practice Patterns, Comfort Level, and Support Needs Relative to Pediatric

More information

Choosing Wisely Psychiatry s Top Priorities for Appropriate Primary Care

Choosing Wisely Psychiatry s Top Priorities for Appropriate Primary Care Choosing Wisely Psychiatry s Top Priorities for Appropriate Primary Care JASON BEAMAN D.O., M.S., FAPA ASSISTANT CLINICAL PROFESSOR CHAIR, DEPARTMENT OF PSYCHIATRY AND BEHAVIORAL SCIENCES OKLAHOMA STATE

More information

What is the Objective of the DQA in Developing Performance Measures. Robert Compton, DDS Executive Director

What is the Objective of the DQA in Developing Performance Measures. Robert Compton, DDS Executive Director What is the Objective of the DQA in Developing Performance Measures Robert Compton, DDS Executive Director EBD Champions Conference May 9-10, 2014 DISCLOSURE Disclosure on DentaQuest Benefits ~ 20 million

More information

Organizational HIV Treatment Cascade Guidance for Construction. Introduction. Background

Organizational HIV Treatment Cascade Guidance for Construction. Introduction. Background Organizational HIV Treatment Cascade Guidance for Construction Introduction This guidance document provides organizations with the necessary tools and resources to construct their Organizational HIV Treatment

More information

:Connected care. Norfolk and Suffolk NHS Foundation Trust

:Connected care. Norfolk and Suffolk NHS Foundation Trust :Connected care Norfolk and Suffolk NHS Foundation Trust An off-the-shelf Therapeutic Drug Monitoring system developed by the NHS, for the NHS. Clinicians Hospital GP Nurse Practitioner Requesting Doctor

More information

State Innovations: Oral Health Integration in Statewide Delivery System and Payment Reform

State Innovations: Oral Health Integration in Statewide Delivery System and Payment Reform State Innovations: Oral Health Integration in Statewide Delivery System and Payment Reform Made possible by the Washington Dental Service Foundation Wednesday, June 22, 2016 2:00-3:00 pm ET For Audio Dial:

More information

Disclosures. Book Royalties Lippincott, Williams & Wilkins

Disclosures. Book Royalties Lippincott, Williams & Wilkins Update on OPAL-K DATE: October 20, 2016 PRESENTED BY: Keith Cheng, M.D., Clinical Associate Professor Department of Psychiatry, Oregon Health & Science University Disclosures Book Royalties Lippincott,

More information

OPTIMUM ORAL HEALTH FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS ORAL HEALTH KANSAS AND PARTNERS

OPTIMUM ORAL HEALTH FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS ORAL HEALTH KANSAS AND PARTNERS OPTIMUM ORAL HEALTH FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS ORAL HEALTH KANSAS AND PARTNERS BACKGROUND: In 2000, Kansas Head Start Association launched a long-term oral health initiative in partnership

More information

Evaluations. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services. Disclosure Statements.

Evaluations. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services. Disclosure Statements. Dementia Update: A New National Plan for Alzheimer s Disease Research, Care and Services June 21, 2012 Featured Speaker David Hoffman M.Ed. C.C.E, NYS DOH Office of Health Insurance Programs Clinical Associate

More information