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This newsletter has been sent to all authorized representatives on each BHH services team. Please forward to other BHH services staff at your organization.
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News, programmatic updates, and useful information. |
Newly Certified BHH Services provider
The Department of Human Services (DHS) welcomes new BHH services provider Metro Behavioral Health, certified November 2021. Metro Behavioral Health has locations in Minneapolis and Moorhead. These additions bring the total number of certified BHH services provider locations to 55.
Highlights from the front lines
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Written by Lindsey Brune, MHA, MA, LMFT, director of care coordination at Fraser, located in Minneapolis, MN
Fraser’s Behavioral Health Home team serves a primarily pediatric group of patients (ages 2-26) in the Twin Cities/Metro area. Serving children, adolescents and young adults, frequently means that the team is interacting with and supporting the whole family. Often, we see children and families referred for services to support the coordination of care only after a crisis has been identified, such as once a hospitalization has occurred or once a basic need is at risk. Even for families that are enrolled in the program, notification of need doesn’t always come before an emergency has surfaced. As part of the team’s care management strategy, we wanted to see if we could utilize the tools available to us to create a risk stratification tool that would allow us to pro-actively identify individuals and families most at risk, and provide targeted support for those members.
In order to move this strategy forward, Fraser’s Behavioral Health Home team engaged in a “deep dive” of the data available to the program through the EMR registry as well as Minnesota Department of Human Service’s Partner Portal. The data revealed findings indicating that 76% of our patients had two or more diagnosed chronic conditions, 74% of our patients saw 1-4 specialists (some as many as 11), 43% of our patients are on 5 or more prescription medications, and 93% of our patients had a RUB score of a 3 or higher.
To provide a conceptualization of the data in a way that was functional for the team to use, and not get overwhelmed by the amount of information, it was determined that the data element from the Partner Portal that the team would focus on would be the RUB score. A tool was created that incorporates, not just this piece of data from DHS’ Partner Portal, but other measures that have been identified as anticipatory of higher healthcare needs, costs, and utilization. Each month, Fraser’s Integration Specialist identifies patients enrolled who have a RUB score of a 4 or above, as well as any patient whose RUB score has increased in the past 30 days. This information, combined with the other measures, provides a comprehensive risk score to the entire team who then pro-actively intervene and offer an additional layer of support to individuals and families.
The team chose to start small, with only four 4 data elements to make up the risk stratification that the team reviews on a monthly basis. A formal assessment of the impact on individual patients, families and utilization of higher cost interventions will come in the future. However, the team is utilizing the data, as well as our relationship with families, to provide an enhanced level of support and in some cases coordinate before the next crisis arises.
Information related to the use of commercial tobacco products, and how to help people address their use of them.
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Did you know that, according to the American Lung Association, tobacco use is the number one cause of death in people with mental illness? Not only that, but it affects people with mental illness at alarmingly disparate rates compared to the general population. This section will provide ongoing information related to commercial tobacco products and how to help people address their use of them.
New cohort opportunity
Lung Mind Alliance will start a new cohort in early 2022 for mental health and substance use treatment organizations that want to start integrating tobacco treatment into their existing services. Organizations will receive technical assistance, mentorship, and other resources to support their organizational readiness and process. Learn more about the new cohort here or contact reba.mathernjacobson@lung.org.
Some quotes from the current cohort:
- “They [Lung Mind Alliance] have developed a really good program with good tools to help agencies become tobacco-free and provide tobacco treatment. We did it in 10 flat months. We went from not thinking we could do it to realizing we did it today.”
- “Taking the initiative to address tobacco couldn’t have happened without this.”
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Instructions for gaining access to the
MN Partner Portal:
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Have your organization’s MN-ITS administrator create a profile for you.
Send the following information to megan.seifert@state.mn.us
- username
- email address
- work phone
- MN–ITS username
You will receive a follow-up email letting you know when access has been granted. The email will include resources to support you in using the partner portal.
Information on upcoming learning opportunities and available resources that may be helpful for BHH services providers.
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 Are you a professional working with children or youth with special health needs? Do you long to connect with others in your field? Is learning about culturally tailored care important to you? Do you find yourself seeking opportunities for self-care in this demanding industry?
Join us for a day of networking, self-care and collective learning at the Pediatric Care Coordination’s Community of Practice statewide conference! You will leave the conference feeling energized, connected and renewed. Register Now!
Caring for ourselves, our network and our kids: Laying the foundation for meaningful connection
Pediatric Care Coordination: Community of Practice
Thursday, May 12th, 2022
9:00 am - 3:00 pm
Virtual (Zoom)
$50 members / $100 non-members
Become a FREE member today! (and reduce your registration cost by 50%!) See the attached brochure regarding the benefits of becoming a member.
Conference Website
Conference Agenda
Connection Opportunities
Lindsey Samples, artist and educator with Upstream Arts, will facilitate creative opportunities to connect and network throughout the day.
Exciting News
All participants will receive a goody box sent to their workplace or residence prior to the conference! Attendees will also receive a certificate of completion via email after the conference.
Speaker Request
We are seeking presenters for 50-minute sessions in the afternoon. If you or someone you know would be interested in sharing your knowledge with our group, please visit this page for more information.
Sponsorship Opportunities
Would you like to support the Community of Practice in a financial way while advertising your service or product at the same time? Become a sponsor! Please visit this page or view the attached brochure for more information.
REGISTER HERE
Questions? Email conference@acetinc.com or call 952-922-1811.
Learning Days coming April 28, 2022!
Plan now to attend Learning Days, a daylong virtual conference on April 28, 2022. Planning is underway for this annual event where health care home clinics and partners come together to network and learn from each other. We’re excited to once again be working with Showcore, our virtual meeting partner for the 2021 event.
Learning Days 2022 will help participants:
- revisit population health and health equity,
- redesign care delivery to address social determinants of health and strengthen partnerships with community resources,
- recognize the impact of stress and trauma brought on by COVID pandemic, and
- rebuild relationships with community.
The curriculum will include a full day of breakout sessions and workshops, as well as inspiration and resources for self-care in these challenging times. Health care home clinics and community partners will be invited to submit proposals to share their knowledge, skills and experience. The request for proposals went out in December 2021, and registration will open in March 2022. Stay tuned for more information in the coming months!
Stay up to date on these and other HCH Learning opportunities by subscribing to the LEARN Bulletin.
 Motivational Interviewing Trainings
Motivational interviewing (MI) is an effective communication tool to help people living with mental health challenges, substance use challenges and other chronic conditions make positive changes to support their overall health. Want to learn more? Need a refresher? Join us in 2022 for our introductory/refresher courses (January 11 and March 8) or an intermediate course (February 8). Questions? Contact us.
Long COVID: A Post-COVID Condition
The Minnesota Department of Health (MDH) has published several webpages about Long COVID: A Post-COVID Condition. New content includes what we know (and don’t know) about symptoms, treatment, prevalence and more. There are also resources for long COVID survivors, caregivers, schools and workplaces; a summary of what we’re doing at MDH to learn more; and a separate page for health care providers. Post-COVID conditions like long COVID are not yet well understood. MDH will update this content as more information and resources become available. To learn more, visit Long COVID: A Post-COVID Condition or email us at health.longCOVID@state.mn.us.
Behavioral.Health.Home.Services@state.mn.us
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