Medication Assisted Treatment (MAT) Program. MCPA Presentation Monday, July 24 th, 2017
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1 Medication Assisted Treatment (MAT) Program MCPA Presentation Monday, July 24 th, 2017
2 MyCare Health Center Presenter: Karen Wood, RD CEO
3 Objectives Explain MyCare s MAT program History Statistics Contracts MyCare MAT Team Members Process Billing Challenges/Barriers Successes
4 History MyCare is a Federally Qualified Health Center since 2013 Macomb County, MI Received HRSA funding in 2016 for Substance Abuse Expansion Developed the MAT program in September of 2016
5 Statistics Macomb County had the second highest fatality rate in the state due to heroin and opioid overdose The Macomb Daily 7/13/17
6 If you build it, they will come?
7 Contracts Contracts with Sacred Heart Rehabilitation Center, Inc. for: Substance Abuse Counselor (LMSW, CAADC [Certified Advanced Alcohol and Drug Counselor], DP-S, SAP, ADS) Substance Use Disorder Assessment Ongoing Counseling Groups Physician (Board Certified in Family Practice and Addiction Medicine) Resource, Program Guidance
8 MyCare Medication Assisted Treatment Our Mission Statement: Our Mission is to provide a safe place to receive medication assisted treatment for opioid and/or alcohol substance use disorder using a combination of medication and counseling to help our patients succeed in regaining control of their lives.
9 MyCare MAT Team Members MAT offers a team consisting of: MD LMSW, CAADC Peer Recovery Coach MI Bridge trained Care Coordinator (BSW) MI Bridge trained Certified Medical Assistant
10 Process SBIRT (screening, brief intervention, referral to treatment) by the Wellness Coach (LMSW) or referral from the PCP Referred to the MAT Care Coordinator to discuss current use and program requirements Patient attends orientation run by Peer Recovery Coach and Care Coordinator Group orientation (if time allows) Individual orientation (if tight time frame to decrease chances of relapse) Patient establishes care if new patient, sees MD Lab draw for liver function tests, Hep B, Hep C and HIV Other health care needs are met (PCMH model)
11 Process (cont.) Patient sees LMSW, CAADC for SUD intake to evaluate level of care, eligibility for on-site substance abuse services (MAT) Patient returns for naltrexone (Vivitrol) injection usually in 2 days. All patients receive rapid urine drug screen and, if female, a pregnancy test prior to injection Care Coordinator facilitates health care needs Peer Recovery Coach facilitates recovery needs May transport has chauffeurs license May meet prior to discharge from inpatient rehab
12 Billing MyCare bills for MAT services Physician visits Counseling Medication MyCare receives an invoice at hourly rate for Addictionologist and LMSW
13 Challenges/Barriers Communication We can no longer operate in silos SUD treatment was new and scary Physician and staff resistance Those patients Needed to build a program from the ground up Had to frequently review and revise Staff education We are all one Mandatory Physician and Mid-level waiver training Slow Start If you build it they will come? Billing and credentialing problems
14 Successes Patients view program as a safe place Stigma is lessening Saving lives
15 Resources
16 Resources (cont.) FAN Mission: Saving lives by empowering individuals and communities to prevent and eradicate addiction. Real people sharing real stories to hundreds of groups throughout Michigan to educate, remove the stigma of addiction and provide support for people support for people who find themselves in unimaginable situations brought upon by drug abuse and addiction.. Unique presentation includes parents affected by addiction and young people in recovery.
17 How to Reach Us: Karen Wood, RD CEO MyCare MAT Care Coordinator Sarah Schaefer (586)
18 Questions?
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