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Team-Based Care ECHO Session - Shared screen with speaker view
Daniel Essek, APSS
17:23
Daniel Essek, APSS from Barbourville, KY
Vicki Rahenkamp, Choptank Community Health
17:50
Vicki Rahenkamp Choptank Community Health Denton M
Amy Paul
18:09
Amy Paul, Crisis Preparation and Recovery, Arizona
S. Siordia, Compton, CA
18:17
Stephanie Siordia, CCAP l , VOALA, Los Angeles, CA
Brandy Harrell
18:27
Brandy Harrell, Kinston Community Behavioral Health, NC
Kelli Sax-Pahl
18:54
Kelli Sax-Pahl, Crisis Preparation and Recovery
Heather Helberg
18:58
Heather Helberg, HOPE Community Services, OKC, OK
SpencerR
19:24
Rosemarie Spencer, LMSW, MS The Mental Health Association of Westchester, NY
Sarah Neil, The National Council for Behavioral Health
25:12
Hi everyone, thanks for joining! Just a reminder, here is the link to the Team-based Care John was referring to, which is what the curriculum for this ECHO was based from: https://www.thenationalcouncil.org/wp-content/uploads/2020/11/102820_MDI_High_Functioning_Team_Based_Care_Toolkit.pdf?daf=375ateTbd56 Looking forward to our discussion today.
Spencer Crihfield-Tri-Cities Community Healthcare
25:58
Spencer Crihfield, CPNP-PC.Tri-Cities Community Health Care
Raymonda Takla, The National Council for Behavioral Health
26:23
Hi all! It would be great if you could please update (if you have not already) your name in Zoom to include your full name and organization so we can accurately count you as attending today's session. To change your name, please click the three dotted icon on your camera screen and scroll down to "Rename." Thanks and please let me know if you have questions!
Lisa Williams
29:37
Good Day.
Lisa Williams
30:09
Lisa Williams, Seraaj Family Homes, Mobile Alabama
Daniel Essek, APSS
30:34
We have Consumer Support Associates as well
Jessica Lay, ARNP, Tri-Cities Community Health
30:39
Myself, a shared RN between 4 providers, and 1.5 MAs, 2 across the house care coordinators
Vicki Rahenkamp, Choptank Community Health
30:41
sorry I didn't see other, we also have PCP's
Kaitlin Foster, Family & Children's Services
30:44
We're also looking at adding a data/Admin person to each team
Melissa Howard
31:10
We also have a Client Advocate and Grant Coordinator
Daniel Essek, APSS
31:33
Roles are assigned as per skill and consumer needs
Lisa Williams
31:51
Family Support Worker-FSW
Wendy Corriveau, Henry Ford Health System
32:03
We would like to add Care Manager and Project Manager.
Judy Chapppell
32:11
Family Partner peer
Spencer Crihfield-Tri-Cities Community Healthcare
32:18
Myself, shared RN,1.5MA with care coordinators on staff but not on site.
Daniel Essek, APSS
32:32
I have each of my clients with their own team that I interact with frequently
Kim Walter, Centura Health
32:33
We also have a financial advocate and diabetic educator that work on the teams
Wendy Corriveau, Henry Ford Health System
32:46
What is the role of the Consumer Support Associate?
Daniel Essek, APSS
33:09
Skill Building
Wendy Corriveau, Henry Ford Health System
33:17
Thank you.
Kim Walter, Centura Health
33:20
Yes! we have 2 pharmacists
John Bischof (he, him, his)
33:52
Excellent!
Summer King
34:10
125
Doug Wells - Central Counties Services
34:18
currently our teams serve 15-30
Vicki Rahenkamp, Choptank Community Health
34:19
We are still in the implementation stage, so I'm not really sure
Heather Helberg
34:23
125
Linda Johns, LCSW - Red Rock Behavioral Health - PACT Program
34:24
Two teams: 50 on one team and 110 on the second team.
Daniel Essek, APSS
34:25
I have currently 12 clients on my caseload. I have had as many as 32, and as few as 2. 10-15 seems to be a good size
nina perales (she/her) SFC Change)
34:28
100-150
Doug Wells - Central Counties Services
34:30
our big teams are 150ish
Melissa Howard
34:34
2400 individual clients
Tracey McKiernan Catholic Charities of Cleveland, OH
34:35
our staff carry about 22 cases each with productivity goal of 82 hours/month
SpencerR
34:41
75-100
Bonnie Triebig
34:42
A full team would be 400. Up to 50 per clinician caseload
Denise Forbes & Team CSBMG Dublin, GA
34:46
100 for our ICM team
Lisa Williams
34:48
I have 46 Homes with 50 children-Medically Complex
Kristina Piggott, Seraaj Family Homes
34:49
18-25
Shonda Smith
34:54
End goal - 1000 Current 250
Melissa Howard
34:54
That 2400 is over 21 clinicians
John Ayers - Family & Children's Services
34:59
3 PACT Teams - 100 each
Judy Chapppell
35:00
Trying to get down to 60 for each staff at 100 now
Daniel Essek, APSS
35:18
Direct Time goals are about 80 hours a month Full Time
Kim Walter, Centura Health
35:30
We carry about 800 but touch up to 2000
Susan Teconchuk
36:02
the core team would be 800
Doug Wells - Central Counties Services
36:11
It's hard to get all the team players together to be truly effective
Lisa Williams
36:14
We have 4 Social Worker, 3 Clinical Supervisor-Therapist, 7 Case Managers, and 4 Family Support Worker and myself as Clinical Regional Manager
iPhone
36:39
is the employment serviceberries car
Lisa Williams
37:24
For each home there is a Clinical Team which Consist of
Susan Teconchuk
37:29
It appears that the larger/more specialized the team appears to have a smaller client caseload. I'm not sure if that's accurate perception or not.
Melissa Howard
37:33
The caseloads for our clinicians has been a recommendation for CARF for many years-they would like to see caseloads nearer 50
John John
37:49
having a pharmacist would be nice as they call our nurses often with more regs in place. prior authorization and safety
Lisa Williams
37:58
Clinical Regional Manager, Clinical Supervisor-Therapist, Case Manager and FSW
Jeff Capobianco, The National Council for Behavioral Health
39:46
Another question may be what is the ratio of staff/team members to caseload. So for a team of 9.5 staff (inc. .5 rx'er, 3 CSM, 1CC, 1 nurse, 2peers, 2 BH prof.)staff how many clts are assigned to them?
iPhone
40:30
try aga9 emp. services percent loew because you use Vic.Rehab?
Daniel Essek, APSS
42:39
How well a team works is a direct relationship on how well the Leadership of the Group identifies drift and other issues
Tracey McKiernan Catholic Charities of Cleveland, OH
44:42
Clinical Supervision also varies by dependent vs. ind licensure
Bonnie Triebig
44:51
Supervision frequency is individual based - how long the staff has been with the organization, what is happening, etc
Jeff Capobianco, The National Council for Behavioral Health
45:19
Good point Tracey! Also can be higher for new staff or staff who have performance reviews going on
nina perales (she/her) SFC Change)
45:31
How do you address a “huddle” for case consultation vs supervision? A company with with which I have worked didn’t support traditional therapy supervision.
Daniel Essek, APSS
46:05
The way my teams are organized I am meeting continually regarding problems, but monthly with each team on a monthly basis
Jeff Capobianco, The National Council for Behavioral Health
47:52
Daniel when you say "continually" do you mean 1 on 1 or that you are present in the workflows supporting staff?
Judy Chapppell
59:26
How do we keep huddles/staffing from becoming verification that "forms" are completed verses patient care.
Daniel Essek, APSS
01:02:07
The hardest thing is to introduce the team to working as a team. Its hard to get used to and requires patience
Jeff Capobianco, The National Council for Behavioral Health
01:03:44
Hi Judy, we've seen teams keep "forms completed" as a metric that is tracked. So it is tracked more than discussed. If the number low/red showing a client or group of clients has a bunch of late notes or unsigned consents then the person/people responsible can get on it. The Huddle agenda has to aggressively managed to make it efficient so if a staff starts to dive into oh this client's record is a mess then that is a f/u task not a discussion in the huddle.
Doug Wells - Central Counties Services
01:03:56
if there are large number of teams such as with an outpatient clinic with caseloads of 150+. how are people getting the teams together for meetings. Using FTF, Zoom (type), email threads other?
Jeff Capobianco, The National Council for Behavioral Health
01:09:26
Please! If teams can send in your "role definitions" for different staff that would be helpful!
Pamela Donato, Berks Counseling Center
01:09:54
Our care coordinators play a key role to linking our clients to care via centralized scheduling, participating in huddles, etc
Kim Walter, Centura Health
01:09:56
Our system as labeled RN's as care coordinators
Kim Walter, Centura Health
01:10:23
so the functions you are describing I have to call care managers
Kim Walter, Centura Health
01:10:29
or care coaches
Daniel Essek, APSS
01:12:43
Thank you for the course
Spencer Crihfield-Tri-Cities Community Healthcare
01:13:12
Thank you guys so much.
Weston, Cynthia G
01:13:19
Thank you!!
Lisa Williams
01:13:40
Thank you
Pat Pulice, Fraser MN
01:13:49
THANK YOU
sjstuckert HOPE Community Services, Inc.
01:13:50
Thank you!
Kristina Piggott, Seraaj Family Homes
01:13:52
Thank you.
Julio E Sabater PhD, SabaterLAB
01:14:59
thank you!!!!!