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APPENDIX D
Pages 336-348

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From page 336...
... D Public Workshop Agendas and Participants INSTITUTE OF MEDICINE NATIONAL ACADEMY OF SCIENCES Committee on Quatity Assurance and Accreditation Guidelines for Managed Behavioral Health Care PUBLIC WORKSHOP AGENDA April 18, 1996 Cecil and Ida Green Building 2001 Wisconsin Avenue, NW, Room 104 Washington, DC 9:00 Welcome and Introductions Jerome Grossman, Committee Chair Constance Pechura, Director, IOM Division of Neuroscience and Behavioral Health Margaret Edmunds, Study Director 336
From page 337...
... APPENDIX D Invited Speakers 9:15 Building Accountability Systems for Quality in Managed Behavioral Health Care Margaret O'Kane, President, National Committee for Quality Assurance, Washington, DC 9:30 Discussion 9:40 Implementation of the ASAM Patient Placement Criteria David Mee Lee, Medical Director, Community Systems, Castle Medical Systems, Honolulu, HI, and Co'Author, Patient Placement Criteria for the Treatment of Psychoactive Substance Abuse Disorders American Society of Addiction Medicine 9:55 Discussion 10:05 Ensuring Meaningful Participation of Consumers in Program Evaluation, Quality Assurance, Service Provision, and Rights Protection Under Managed Care Daniel Fisher, Director, National Empowerment Center, and Medical Director, Eastem Middlesex Human Services, Wakefield, MA 10:20 10:30 337 Discussion Break 10:45 PERMS: The American Managed Behavioral Health Care Association (AMBHA) John Bartlett, Executive Vice President for Quality Improvement, Magellan Health Services, Atlanta, GA, and Chair, AMBHA Committee on Quality Improvement and Clinical Services 1 1:00 Discussion 1 1:10 Measurement of HMO Performance with Behavioral Health Standards Susan Goldman, Manager of Behavioral Health Services, John Hancock Mutual Life Insurance Company, Boston, MA 1 1:25 Discussion 11:35 Accreditation of Managed Behavioral Health Care Paul Schyve, Senior Vice President, Joint Commission on Accreditation of Healthcare Organizations, Chicago, IL 1 1:50 Discussion
From page 338...
... 338 MANAGING MANAGED CARE: QUALITY IMPROVEMENT IN BEHAVIO^L HEALTH 12:00 Quality Activities and the Health Care Financing Administration (HCFA) Robert Valdez, Deputy Assistant Secretary for Health and Director of Interagency Health Policy, HCFA, Washington, DC 1 2:15 Discussion 1 2:25 Lunch 1:00 Pu6tic Statement Session Time slots appear in 15 minute intervals to allow for a 10 minute presentation followed by a 5 minute discussion period 1:00 1:15 Ron Manderscheid, Substance Abuse and Mental Health Services Administration, Center for Mental Health Statistics, Rockville, MD Geoffrey Reed, American Psychological Association, Washington, DC 1:30 Mark Parrino, American Methadone Treatment Association, New York, NY Linda Kaplan, National Association of Alcoholism and Drug Abuse Counselors, Arlington, VA 2:00 2:30 3:00 3:15 3:30 Rita Vandivort, National Association of Social Workers, Washington, DC Raphael Metzger, National Coalition of Hispanic Health and Human Services Organizations, Washington, DC Sarah Stanley, American Nurses Association, Washington, DC William Dennis Derr, Mobil Corporation EAP, Princeton, NI Gwen Rubinstein, Legal Action Center, Washington, DC Break Elizabeth Edgar, National Alliance for the Mentally Ill, Arlington, VA 3:45 Donald Galamaga, Rhode Island Department of Retardation, Mental Health and Hospitals, Providence, RI 4:00 Elizabeth Hadley, National Association of Insurance Commissioners, Washington, DC 4:15 Linda Bresolin, American Medical Association, Chicago, IL
From page 339...
... APPENDIX D 4:30 Sybil Goldman, National Technical Assistance Center for Children's Mental Health, Georgetown University Child Development Center, Washington, DC 339 Golnar Simpson, National Federation of Societies for Clinical Social Work, Inc., Boston, MA 5:00 Michael Faenza, National Mental Health Association, Alexandria, VA 5:15 Ray Bridge, Northern Virginia Mental Health Consumers Association, Falls Church, VA 5:30 Closing Comments Reception INSTITUTE OF MEDICINE NATIONAL ACADEMY OF SCIENCES Committee on Quatity Assurance and Accreditation Guidelines for Managed Behaviorat Heatth Care PUBLIC WORKSHOP April 18, 1996 WORKSHOP PARTICIPANTS John Bartlett, Executive Vice President for Quality Improvement, Magellan Health Services, Atlanta, GA Linda Bresolin, Director, Department of Women's and Minority Health, American Medical Association, Chicago, IL Ray Bridge, Chair, Northern Virginia Mental Health Consumer's Association, Falls Church, VA Jackie Bryan, Director of Health Policy, Association of State and Territorial Health Officials, Washington, DC leff Buck, Acting Director, Office of Policy and Planning, Center for Mental Health Statistics, Substance Abuse and Mental Health Services Administration, Rockville, MD Mady Chalk, Director of Managed Care Initiatives, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Rockville, MD
From page 340...
... Glover, Executive Director, National Association of State Mental Health Program Directors, Alexandria, VA Nancy Goetschius, Health Insurance Specialist, Health Care Financing Administration, Baltimore, MD Susan Goldman, Manager of Behavioral Health Services, John Hancock Mutual Life Insurance Company, Boston, MA Sybil Goldman, Associate Director, National Technical Assistance Center for Children's Mental Health, Georgetown University, Washington, DC John Gustalson, Executive Director, National Association of State Alcohol and Drug Abuse Directors, Washington, DC Elizabeth Hadley, Associate Counsel for Health Policy, National Association of Insurance Commissioners, Washington, DC leff Harris, Senior Policy Analyst, Health Policy Studies Division, National Govemors' Association, Washington, DC Judith Hines, Interim Co'Director, Council on Accreditation of Services for Families and Children, New York, NY Robert HueEner, Chief, Health Services Research, National Institute on Alcohol Abuse and Alcoholism, Rockville, MD Corinne Husten, Medical Officer, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA Marcia [ones, Health Care Attorney, Division of Health Policy, American Foundation of State, County and Municipal Employees, Washington, DC Linda Kaplan, Executive Director, National Association of Alcoholism and Drug Abuse Counselors, Arlington, VA Nancy Kennedy, Managed Care Coordinator, Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration, Rockville, MD Kenneth A Kessler, President, American Psych Systems, Bethesda, MD
From page 341...
... Parrino, President, American Methadone Treatment Association, Inc., New York, NY Lee Partridge, Director of Health Policy Unit, American Public Welfare Association, Washington, DC Linda Peltz, Medicaid Analyst, Medicaid Bureau, Health Care Financing Administration, Baltimore, MD Natan Polster, Adolescent Medicine Newsletter, Washington, DC Lane Porter, DC Health Law Consultant, Washington, DC Lucille Pritchard, National Mental Health Association, Alexandria, VA Susan Probyn, Senior Manager, Quality Improvement Initiatives, American Association of Health Plans, Washington, DC Dan Quinn, Media Associate, Office of News and Public Information, National Academy of Sciences, Washington, DC Geoffrey Reed, Assistant Executive Director for Professional Development, American Psychological Association, Washington, DC Annette U Rickel, Clinical Psychiatry Professor, Department of Psychiatry, Georgetown University, Washington, DC Larry Robertson, Consultant to the Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Johnson, Bassin and Shaw, Silver Spring, MD
From page 342...
... Department of Health and Human Services, Washington, DC Rita Vandivort, Senior Staff Associate for Mental Health and Addiction, National Association of Social Workers, Washington, DC Linda R Woll [ones, Executive Director, Therapeutic Communities of America, Washington, DC Anne Young, Center for Mental Health Statistics, Substance Abuse and Mental Health Services Administration, Rockville, MD
From page 343...
... Accreditation Process and Standards in Behavioral Health Care Tim Slaven, National Director, Behavioral Health Division, Commission for the Accreditation of Rehabilitation Facilities, Tucson, AZ 9:55 Discussion 10:05 Utilization Review Accreditation Commission (URAC) Accreditation Randall Madry, President, Utilization Review Accreditation Commission, Washington, DC 10:20 Discussion
From page 344...
... Mercer, Inc., Baltimore, MD 1:15 Discussion 1:25 County Perspectives on Performance Measurement Robert Egnew, Director, Behavioral Health Division, Monterey County Health Department, Salinas, CA 1:40 1:55 2:10 Discussion Managed Care, Public Sector Style Ann Froio, Director of Quality Management, ComCare, Phoenix, AZ Discussion 2:20 Technical Challenges for Outcomes Researchers in Health Departments Don Austin, Oregon Health Division and Centers for Disease Control and Prevention, Atlanta, GA 2:35 Discussion 2:45 Closing Comments 3:00 Adjourn
From page 345...
... APPENDIX D 345 INSTITUTE OF MEDICINE NATIONAL ACADEMY OF SCIENCES Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care PUBLIC WORKSHOP May 17, 1996 WORKSHOP PARTICIPANTS Don Austin, Oregon Health Division, Portland, OR Catherine Brown, Pacific Business Group on Health, San Francisco, CA Robert Egnew, President, National Association of County Managed Behavioral Health Directors, Behavioral Health Division, Salinas, CA Ann Froio, Director of Quality Management, ComCare, Phoenix, AZ Mary Graham, Director, Office of Economic Affairs and Practice Management, American Psychiatric Association, Washington, DC Judith Hines, Executive Director, Council on Accreditation of Services for Families and Children, Inc., New York, NY Michael Jeffrey, Associate, William M Mercer, Inc., Baltimore, MD Marcia [ones, Health Care Attorney, American Federation of State, County, and Municipal Employees, Washington, DC Randall Madry, President, Utilization Review Accreditation Commission, Washington, DC loan McCrea, Corporate Manager, Hughes Aircraft Company, EAP, Corporate Human Resources, Los Angeles, CA Mary Cesare Murphy, Director, Behavioral Health Accreditation Services, Joint Commission on Accreditation of Health Care Organizations, Oakhrook Terrace, IL Peter Panzarino, Medical Director, Vista Health Plan, San Diego, CA Gail Shultz, California Society of Addiction Medicine, Oakland, CA Tim Slaven, National Director, Behavioral Health Division, Commission for the Accreditation of Rehabilitation Facilities, Tucson, AZ Tom Trabin, Vice President, Informatics and Outcomes Initiatives, CentraLink, Tiburon, CA Nancy Young, Children and Family Futures, Irvine, CA
From page 346...
... 346 MANAGING MANAGED CARE: QUALITY IMPROVEMENT IN BEHAVIO^L HEALTH INSTITUTE OF MEDICINE NATIONAL ACADEMY OF SCIENCES Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care FOURTH COMMITTEE MEETING AGENDA June 25-26, 1996 The Foundry Building 1055 Thomas JeEerson Street, NW, Room 2004 Washington, DC 8:30 Continental Breakfast 9:00 Welcome and Introductions Jerome Grossman, Committee Chair Constance Pechura, Director, IOM Division of Neuroscience and Behavioral Health Margo Edmunds, Study Director Invited Speakers 9:15 Concerns of Mental Health Consumers and Family Members in Managed Care Laura Lee Hall, Deputy Director of Policy and Research, National Alliance for the Mentally Ill, Arlington, VA 9:30 Discussion 9:40 Managed Care and Populations With Special Health Care Needs: Child and Family Mental Health Robert Cole, Director, Washington Business Group on Health, Washington, DC 9:55 Discussion 10:05 Perspectives on Quality Management and Managed Care in the Department of Defense Mark Paris, Senior Policy Analyst, Mental Health Quality, Office of the Assistant Secretary of Defense, Washington, DC 10:20 Discussion 10:30 Break
From page 347...
... APPENDIX D 10:45 Quality Issues in Managed Care for Seniors Sarah Gotbaum, Director, Managed Care Project, United Seniors Health Cooperative, Washington, DC 1 1:00 Discussion 1 1:10 Cultural Competence in Health Care 347 Julia Puebla Fortier, Director, Resources for Cross'Cultural Health Care, Silver Spring, MD 1 1:25 Discussion 1 1:35 Coordination of Services for Native Americans Reginald Cedar Face, Public Affairs Specialist, Pine Ridge Hospital, Indian Health Service, Pine Ridge, SD 1 1:50 Discussion 12:00 Culturally Appropriate Managed Care for Asians and Pacific Islanders Grace Wang, Medical Consultant, Association of Asian Pacific Community Health Organizations, Oakland, CA Discussion 12:30 Closing Remarks INSTITUTE OF MEDICINE NATIONAL ACADEMY OF SCIENCES Committee on Quality Assurance and Accreditation Guidelines for Managed Behavioral Health Care FOURTH COMMITTEE MEETING June 25, 1996 PARTICIPANTS LIST Reginald Cedar Face, Public Affairs Specialist, Pine Ridge Hospital, Indian Health Service, Pine Ridge, SD Robert Cole, PhD, Director, Washington Business Group on Health, Washington, DC Sarah Gotbaum, PhD, Director, Managed Care Project, United Seniors Health Cooperative, Washington, DC
From page 348...
... Department of Health and Human Services, Washington, DC joy Midman, Executive Director, National Association of Psychiatric Treatment Centers for Children, Washington, DC IOM Staff Margo Edmunds, PhD, Study Director Constance Pechura, PhD, Division Director Eugene Lee, Student, MIT/IOM Intern Terri Scanlan, Administrative Assistant Thomas Wetterhan, Project Assistant/Research Assistant Amelia Mathis, Project Assistant


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