Best Practice Model Component
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Criteria for the Best Practice Model Component
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Results To Be Expected by Meeting the Best Practice Criteria
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State and regional
components of the public
behavioral health system
are appropriately and
effectively managed
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- The mission and vision of each
component of the system is
driven by and focused on
consumers and families.
- Each component of the system is
an effective advocate for the
mission of the organization and
for the larger public behavioral
health system.
- Each component of the system is
a learning organization - one
that remains open to change,
willing to learn, anxious to
improve, and able to take risks.
- There is an emphasis on
integration, collaboration and
coordination throughout the
system.
- There is a system-wide emphasis
on outcomes and performance
versus process and regulation.
- There is a system-wide emphasis
on the content as opposed to the
structure of the system. This
includes allowing and supporting
creative and flexible use of
resources.
- Each component of the system is
accountable to its constituents
and the general public.
- Each component of the system is
efficient and effective in its use of
public resources.
- Organizational and procedural
barriers to flexible and creative
service design and delivery will
be minimized. These include
categorical funding limitations,
competing organizational
imperatives, discipline-based or
disability-based service
compartments, and excessive
monitoring of compliance with
process requirements.
- The quality, performance, and
cost-effectiveness of all
components of the system are
constantly and consistently
evaluated, and the results of
these evaluations are published
and circulated widely on a
regular basis.
- The costs for administrative and
compliance functions versus
service delivery and quality
functions will be minimized.
Each component of the system
will have effective information
technology for performance
evaluation and decision support,
and each component of the
system will sufficient and highly
qualified staff resources.
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- Every staff member in the public behavioral will be able to
articulate what role and responsibility s/he has with regard
to producing positive outcomes for consumers. Each staff
member will also be able to articulate positive
understanding of the strengths, capabilities, rights, and
dignity of consumers of public behavioral health services.
- Over time the public, the media, and policy makers and
elected officials will come to understand mental illness and
substance abuse, the rights and abilities of public
behavioral health consumers to live and work in
communities of their choice, and the need to substantial
community resources to assure that this vision for
consumers is attained.
- Each component of the public behavioral health system
will learn and adopt best practices from other jurisdictions,
and also will contribute best practice knowledge and
experience to other jurisdictions.
- Consumers and their families will be able to access
resources and services from non-behavioral health
organizations as equitably as all other groups in the
general population. Consumers of other systems will also
enjoy facilitated access to behavioral health services when
needed and chosen. Primary health care and behavioral
health care will be integrated and coordinated at the level
of delivery systems and at the level of each individual
consumer.
- Outcomes important for consumers and their families (i.e.,
independent housing, competitive employment, successful
school and family functioning, increased perception of
quality of life, etc.) will be measured and rewarded
throughout the system, which in turn will drive the system
towards ever-greater competence and success in assisting
consumers and their families to attain these outcomes.
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Best Practice Model Component
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Criteria for the Best Practice Model Component
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Results To Be Expected by Meeting the Best Practice Criteria
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Implementation of consistent and
comprehensive continuous quality
improvement (CQI) practices
grounded in consumer-based
outcomes, satisfaction, and
performance measures in each
major component of the system
CQI assures that, long after the current
crop of experts is gone, the organizations
and the system continues to learn, grow,
change, and find new and better ways to
carry out their mission in the public
behavioral health sector.
CQI becomes the organizational force to:
- assure that evidence-based best
practices are implemented as
intended;
- assure that the implementation of
such best practices has the desired
effect in terms of beneficial outcomes
for consumers and families in a cost
effective manner;
- identify and overcome organizational
barriers to quality and effectiveness
in working with primary and
secondary customers of services;
and
- assure constant learning and
consequent re-shaping and re-
vitalization of best practices within
the organization.
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- There is an equal commitment from
both top leadership and line staff to
constant improvements to the quality
and effectiveness of the organization
and its services.
- Responsibility for CQI is assigned to a
single point of accountability within the
organization with the resources and
the authority to make sure the process
is implemented and that there is
follow-through on CQI activities.
- Consumers and families are
consistently and substantively
engaged in all aspects of the CQI
process.
- CQI activities and strategies are
based on empirical data that include
information on consumer outcomes
and satisfaction.
- There is an annual evaluation of the
CQI process to document: (a) specific
improvements implemented; (b)
benefits derived by consumers and
families from the improvements; and
(c) identification of priority CQI
activities for the coming year.
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- Every participant in the public behavioral
health system will understand her/his role in
contributing to the over-all quality and
effectiveness of the organization. There
also will be no doubt about the commitment
of the public behavioral health system to
quality and effectiveness.
- Accountability for quality and effectiveness
will not be diffused throughout public
behavioral health organizations, and quality-
related activities will not be discarded when
other crises or priorities arise.
- The CQI process will be converted from one
that solely focuses on clinical practice
issues to one that focuses on the over-all
effectiveness of the organizations in
meeting consumer needs and choices in a
timely and responsive manner that is
respectful of consumer and family rights and
dignity.
- Quantitative data on consumer level of
functioning, service utilization patterns,
outcomes, and satisfaction will inform the
development and continued refinement of
best practices throughout the public
behavioral health system.
- The CQI process itself will be regularly and
consistently scrutinized to assure its true
effectiveness in producing quality and
effectiveness strategies of ultimate benefit
to consumers and families.
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Best Practice Model Component
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Criteria for the Best Practice Model Component
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Results To Be Expected by Meeting the Best Practice Criteria
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Assurance of cultural
and linguistic
competence throughout
the system
Given the cultural and
linguistic diversity of Arizona,
it is not surprising that positive
efforts have been made to
attain cultural and linguistic
competence and relevance in
the public behavioral health
system.
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- Culturally and linguistically competent
practices are incorporated as part of all best
practices. For example, clinical guidelines
for treating oppositional-defiant behaviors in
children address varying cultural
approaches to intervening with such
behaviors.
- Consumers and families from diverse
cultural and linguistic backgrounds are
engaged to assist in developing cultural and
linguistic competency strategies, and to train
program staff on relevant cultural/linguistic
factors affecting access to and utilization of
public behavioral health services.
- Policies and strategies for attaining cultural
and linguistic competence will address the
important roles of family, including extended
family, in varying cultures.
- Reference groups, including civic, religious,
and cultural institutions outside the mental
health community are included and
employed in efforts to increase cultural and
linguistic competence.
- The system assures access to clinicians,
program staff, and/or interpreters for all
languages commonly spoken in Arizona
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- Consumers and family members from all
applicable cultural and linguistic backgrounds
and traditions will enjoy easy access to
culturally and linguistically appropriate and
competent services throughout the public
behavioral health system.
- Consumers from culturally and linguistically
diverse backgrounds will attain the same levels
of positive outcomes and satisfaction as do all
other consumers and families in the system.
- The administrative and clinical/program service
staff of all components of the public behavioral
health system will reflect the cultural and
linguistic diversity of the consumer population
and the population of the wider community.
- Program content and clinical practice that
reflects and is respectful of cultural and
linguistic diversity will be as cost effective and
other program approaches and modalities.
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Best Practice Model Component
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Criteria for the Best Practice Model Component
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Results To Be Expected by Meeting the Best Practice Criteria
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Consistent
implementation of
utilization management
criteria and evidence-
based clinical protocols
and clinical pathways
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- Utilization management criteria based on
evidence-based clinical protocols are
implemented as a guide to service planning
and service resource allocation decision-
making.
- These utilization management and service
access guidelines are not established to
create a barrier to service access and
choice, but rather to assure that services
are directly linked to clinical needs, and are
predictably most appropriate in terms of
producing positive outcomes.
- Actual utilization of services is monitored to
assure minimal over- or under-utilization of
services.
- Utilization management criteria are used to
identify heavy users of service, to trigger
service planning process or new service
development to better address the needs of
heavy service users.
- Training on current and new utilization
management criteria and protocols is
provided on a routine basis, and staff
competencies in utilization criteria and
treatment planning is routinely monitored.
- The quality improvement process assures
that (a) utilization management criteria are
properly implemented and applied, and (b)
that application of the utilization
management criteria have the desired result
for consumers and their families.
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- Consumers and their families will attain the best
possible outcomes and the highest possible
satisfaction as a result of receiving the most
clinically appropriate amount, duration, and
scope of services.
- The public behavioral health system will use its
scarce resources most efficiently to produce the
best outcomes with the least clinically
appropriate amount of services.
- Utilization management criteria will assist
managers in the system to plan for the amount
and types of services needed, and the
competencies of staff in the system, based on
the predictable needs of individuals presenting
for services.
- Consumers for whom the available mix of
services is not producing positive outcomes
and reasonable utilization patterns will be
routinely identified and will have their needs
reassessed for improved service planning.
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Best Practice Model Component
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Criteria for the Best Practice Model Component
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Results To Be Expected by Meeting the Best Practice Criteria
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Meaningful inclusion of
consumers and family
members at all levels
and in all functions within
the public behavioral
health system
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- Consumers and families are actively
engaged in the overall governance and
policy development functions of public and
private behavioral health organizations in
the system.
- Consumers and families are directly
involved in program planning and
development, quality improvement, and
program evaluation functions.
- Consumers and families are hired and paid
to train managers and practitioners
throughout the system.
- Consumers and family members are hired
to be employees of the system - to function
as real employees in real jobs, not limited to
performing "consumer representative"
functions.
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- The public behavioral health system will
become capable of being truly consumer and
family driven.
- Input from consumers and family members will
provide the motivation and driving force for
continuing improvements in the system.
- All participants in the system will become better
trained and better able to listen to the voice of
consumers and family members.
- The recovery process for many consumers will
be enhanced through participation in the
system, self-advocacy, and advocacy for
others.
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