NYAPRS Conference Features Strong Program on Managed Care, Health Homes

 

NYAPRS Note: Over the next year or so, services for over 120,000 New Yorkers with ongoing health and behavioral health needs will be completely overhauled with the advent of integrated, managed care and health home designs.

This fall’s NYAPRS Annual Conference will offer 14 plenary and workshop presentations on the nature and impact of how these initiatives will affect our community.

There’re only 5 weeks until NYAPRS’ information and inspiration packed Annual Conference to be held this September 10-12 at the Hudson Valley Resort in Kerhonkson, NY!

Registrations are beginning to flow and, once again, priority room arrangements at the Hudson Valley and the nearby Honors Haven will be available on a first come basis.

 

The NYAPRS conference is only 5 weeks away so please register today at

https://registration.nyaprs.org/?page=CiviCRM&q=civicrm/event/info&id=8&reset=1

NYAPRS logo 2012 

NYAPRS 31st Annual Conference:
Keeping the Focus on Recovery and Rights

September 10-12, 2013

Hudson Valley Resort and Conference Center, Kerhonson, NY

 

MANAGED CARE AND HEALTH HOME TRACK

Register Today!

https://registration.nyaprs.org/?page=CiviCRM&q=civicrm/event/info&id=8&reset=1

 

Tuesday, September 10

Round 1 ~ 1:15PM - 2:30PM

 

Change of A Lifetime: NYS Medicaid, State Mental Health Services Redesign

Harvey Rosenthal and Briana Gilmore, NYAPRS, Albany, NY
Edye Schwartz, DSW, LCSW-R, NYAPRS, Mahopac, NY

Things are changing so rapidly in behavioral health care that sometimes it might seem like you can’t keep up. But at NYAPRS, we see these changes as an opportunity because they are creating the “perfect storm” for recovery oriented service provision. Keep up with the latest changes and share your vision for assuring that the changes in our healthcare system are changes that promote recovery.

 

From Case Management to Care Coordination: What it Means to You

Kevin Wendoloski, LCSW-R, Putnam Family & Community Services, Carmel, NY
Andrea Hopkins, LMSW, Clubhouse of Suffolk, Long Island, NY

Andrew O’Grady LCSW-R, MHA Dutchess County, Poughkeepsie, NY

There is much talk about the transformation of targeted case management to care coordination and there are multiple training opportunities to help case managers understand their new roles and responsibilities. This workshop will address a lesser discussed but equally important topic, what really is care coordination and what should service participants expect from a care coordinator as a service partner?

 

Tuesday, September 10

Round 2 ~ 2:45PM – 4:00PM

 

How Managed Care Can Fund Self Directed Care

Erme Mauer, RN, MSN, CRRN, CPS, Mental Health Association of Southeastern Pennsylvania, Philadelphia, PA             

Tom Lane, Magellan Public Sector Solutions, Ft. Pierce, FL

Managed Care is upon us and with it comes a total change in our payment methods.  We have learned often, that with changes can come major innovation. This workshop will demonstrate innovative ways to use managed care to support self direction and recovery based service provision.

 

Demystifying Managed Care

  Kelly Lauletta, LCSW, Community Care Behavioral Health Organization, Yonkers, NY

Carole Taylor, Community Care Behavioral Health Organization, Pittsburgh, PA

There is so much talk about managed care mostly for the major change it means for providers. This workshop will demystify “managed care” by discussing what the change in payer systems to managed care means and how it will affect both those who provide and those who use services.

 

Wednesday, September 11

Round 3 ~ 9:00AM – 10:15AM

 

Health Homes: What They Are and How They Affect You

       Adele Gorges, New York Care Coordination Program Inc., Rochester, NY

Amy Kohn, DSW, MHA of Westchester County, Tarrytown, NY

In this workshop, two providers who are actively engaged in developing robust, responsive health homes, will share their thoughts on how health homes can actually be a positive vehicle for members to access all the services they need for their recovery through a pro-active and person centered process.

 

The Important Partnership Between Behavioral and Physical Healthcare

                                Anna Ivanova-Tatlici, LMHC and John Javis, MHA of Nassau County, Hempstead, NY

This workshop will provide an overview of programmatic advances in promoting personal healing in mental health consumers through an OMH grant funded project aimed at integrating behavioral and physical healthcare services. The presenters will also discuss how mental health consumers have been benefiting from integrated health care as it relates to their recovery and rehabilitation needs.

 

Wednesday, September 11

Round 4 ~ 11:30AM - 12:45PM

 

Advancing Recovery in the Context of an Integrated Health Plan Model

Karen Smith-Hagman, RN, MSN, EmblemHealth, New York, NY

  Richard Sheola, ValueOptions Public Sector Division, New York, NY

Presenters, representing a main stream health plan and a specialty management behavioral health organization, will discuss collaborative strategies to improve access by higher risk members to a comprehensive array of responsive services and supports in the Down State Region. These strategies reflect a commitment to physical and behavioral health integration, person centered care management and member choice and empowerment, all occurring in the context of a recovery oriented model of care.

 

Wednesday, September 11

Round 5 ~ 2:30PM – 3:45PM

Expanding Medicaid’s Definition of ‘Medically Necessary Services’: Finding Out

               What People Really Need and Want for Their Recovery

             Andrea Bilger, Temple University Collaborative on Community Inclusion, Philadelphia, PA

         Erme Mauer, RN, MSN, CRRN, CPS, MHA of Southeastern Pennsylvania, Philadelphia, PA

    Gretchen Snethen, Ph.D, CTRS, Department of Rehabilitation Services, Temple University, Philadelphia, PA

This presentation reviews the Self-Directed Care Project being implemented in Delaware County, PA where consumers had a more direct control over Medicaid expenditures for their recovery and were able to choose from non-traditional goods and services that were defined as medically necessary.  This project serves as a national model for community inclusion. 

 

Moving from a Traditional Medical Model Oriented Organization to a Peer Informed Organization

Kathy Lynch, Richard Frelock, Ulysses Harrell, Kara McCunn, Thomas Dodson, Buffalo Psychiatric Center, Buffalo, NY

Members of peer staff, medical staff and administration of a psychiatric center seeking to continue its lengthy journey of change into a truly peer-informed organization will share the Buffalo Psychiatric Center's story of inclusion of, learning from, and reliance on peers. Peer driven strategies for change, necessary paradigm shifts, administrative support, peer-operated programs, roles and opportunities for peers, and associated organizational change will be discussed.

 

Wednesday, September 11

Round 6 Mini Plenary ~ 4:00PM – 5:00PM

 

Collaborations between Addiction and Mental Health Recovery Movements

            Joe Powell, LCDC, CAS, Association of Persons Affected by Addiction, Dallas, TX

              Chacku Mathai, CPRP, NYAPRS, Rochester, NY

Healthcare reform has offered a unique opportunity for collaboration between mental health and addiction recovery communities. Across the country people with lived experience with mental health and substance use issues are coming together to accomplish a number of goals including promoting a vision for recovery for everyone, supporting holistic approaches that support the whole person and advancing the role of peer support in healthcare reform. In this mini-plenary session, participants will have the opportunity to participate in an open dialogue about the challenges and opportunities involved in bringing our communities together towards collaborative goals. We will identify potential goals and strategies for accomplishing them as well as ways for leaders to conduct similar listening and dialogue sessions in your local communities. 

 

Choice and Rights Protections in a Managed Care Environment

      Trilby de Jeung, Empire Justice Center, Rochester, NY

Valerie Bogart, Evelyn Frank Legal Resources Program at New York Legal Assistance Group, New York, NY

       Harvey Rosenthal and Briana Gilmore, NYAPRS, Albany, NY

Over the next 2 years, mental health and addiction Medicaid services for over 160,000 New Yorkers will be turned over to the coordination of managed care plans that already managed their medical  care. These changes may present great challenges to beneficiaries who require good information and support to know their rights and to make the best healthcare choices for themselves. The presenters will provide details about both the changes and the need and prospects for self and system advocacy in this rapidly changing environment.

                         

                               

Thursday, September 12

Round 7 ~ 9:00AM – 10:15AM

 

Are Health Plans Ready for Us?

Ian Shaffer, Vice President and Medical Director of Behavioral Health, HealthFirst, NYC; Other health plan representatives to be announced

 

10:30AM – 11:15AM

 

Keynote               Making Healthcare Reform Enhance Recovery and Rights!

                        Larry Davidson, SAMHSA Recovery to Practice; Yale University,

                        Maura Kelley, Western New York Independent Living, Buffalo, NY

 

Thursday, September 12

Round 8 ~ 11:30AM – 12:45PM

 

How We Can Create a Recovery Culture

Kim MacDonald-Wilson, Melissa Rufo, Community Care Behavioral Health, Exton, PA

 

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