(Baseline screening not available for MMC and WMHS, but will be collected going forward.) 1.3. Reduce stigma and # of Mental Health Aid Process 39 trainings held increase understanding of (MHFA) trainings held in our (FY2015) behavioral health needs service area per year through community health education 1.3. Reduce stigma and # of individuals in our service Process 440 individuals trained increase understanding of area trained on MHFA per (FY 2015) BH needs through year community health education 1.3. Reduce stigma and Rate of ED visits related to Outcome 4,800 ED visits per increase understanding of mental health disorders (per 100,000 population BH needs through 100,000 population per year) (2014) community health education 2. Complex Care # of patients in the high Outcome 1,153 Management (CCM) utilizer target population (FY 2015) annually Total inpatient/OBS charges Outcome $20,323,779 2. Complex Care for target primary diagnoses in Management (CCM) the high utilizer target population annually 2. Complex Care Total readmission charges for Outcome $6,867,767 Management (CCM) target primary diagnoses in the high utilizer target population annually 2. Complex Care # of admissions per patient Outcome 4.4 admissions per Management (CCM) per year in the high utilizer patient per year target population (all causes) (FY 2015) 2. Complex Care # of readmissions per patient Outcome 1.3 readmissions per Management (CCM) per year in the high utilizer patient per year target population (all causes) (FY 2015) 2. Complex Care inpatient and observation Outcome $52,500,880 Management (CCM) charges for the high utilizer (FY 2015) target population per year 3. Decrease PAU # of patients in the ED high Outcome 3,171 patients utilizer target population (FY 2015) group per year 3. Decrease PAU # of ED visits per patient per Outcome 5.7 ED visits per patient year in the target population per year (FY 2015)
(Baseline screening not available for MMC and WMHS, but will be collected going forward.) 1.3. Reduce stigma and increase understanding of behavioral health needs through community health education # of Mental Health Aid (MHFA) trainings held in our service area per year Process 39 trainings held (FY2015) 1.3. Reduce stigma and increase understanding of BH needs through community health education # of individuals in our service area trained on MHFA per year Process 440 individuals trained (FY 2015) 1.3. Reduce stigma and increase understanding of BH needs through community health education Rate of ED visits related to mental health disorders (per 100,000 population per year) Outcome 4,800 ED visits per 100,000 population (2014) 2. Complex Care Management (CCM) # of patients in the high utilizer target population annually Outcome 1,153 (FY 2015) 2. Complex Care Management (CCM) Total inpatient/OBS charges for target primary diagnoses in the high utilizer target population annually Outcome $20,323,779 2. Complex Care Management (CCM) Total readmission charges for target primary diagnoses in the high utilizer target population annually Outcome $6,867,767 2. Complex Care Management (CCM) # of admissions per patient per year in the high utilizer target population (all causes) Outcome 4.4 admissions per patient per year (FY 2015) 2. Complex Care Management (CCM) # of readmissions per patient per year in the high utilizer target population (all causes) Outcome 1.3 readmissions per patient per year (FY 2015) 2. Complex Care Management (CCM) inpatient and observation charges for the high utilizer target population per year Outcome $52,500,880 (FY 2015) 3. Decrease PAU # of patients in the ED high utilizer target population group per year Outcome 3,171 patients (FY 2015) 3. Decrease PAU # of ED visits per patient per year in the target population Outcome 5.7 ED visits per patient per year (FY 2015)
1.%20Trivergent%20Health%20Alliance%20Proposal.docx