In 2017, NYS awarded funds to 19 regional networks called Behavioral Health Care Collaboratives (BHCCs) to ensure that behavioral health providers are prepared for the payment changes. The Neighborhood Center, Inc. was $1.7 million to develop the Mohawk Valley BHCC, a network of service providers in eight counties that will come together to enhance our region’s infrastructure to ensure that services are patient-centered, recovery oriented, data-driven, evidence-based, and are delivered in a coordinated way.
A primary goal of BHCC funding is the development of infrastructure that prepares behavioral health providers for the shift in payment structures from a “fee-for-service” model to a quality and outcomes-based structure (Value Based Payment [VBP]). To this end, BHCCs have are talked with:
The Neighborhood Center, Inc. convened mental health, substance use, and home and community-based service providers in addition to non-clinic service providers in the development of collaborative work that set a truly collaborative tone for the three work areas of the BHCC grant project (Organization, Clinical Integration, Data/IT, Quality Oversight).
The network focused on identifying a legal structure under which partners would organize that would be most inclusive for all providers, including county-run clinics. The Independent Practice Association (IPA) model was determined to be the best fit.
In 2019 the network focused on building infrastructure, filing the legal paperwork needed for the development of the IPA, and engaging in discussions that ultimately led to an inclusive governance and membership structure that places importance on collaboration. The network officially formed an IPA as of December 2019, with a Board of Directors and several committees focused on moving through work of the project.
Committees used data on key performance measures to identify opportunities for improvement, which became the impetus for a Clinical Integration Project focusing on improving rates of follow up at 7 and 30 days after discharge for individuals seen in the emergency department for substance-use related challenges.