Overview: The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) designed a performance outcomes payment plan, the Enhanced Tier Payment System (ETPS), with an overarching goal to proactively increase the recovery of Oklahomans from mental illness and substance abuse. Two primary objectives are 1) improve outcomes and, 2) creatively pay for outcomes with no additional state funds.
Initial Planning: ODMHSAS developed six measures that guide positive outcomes for consumer recovery. In addition, the ETPS was approved by the Center for Medicare and Medicaid Services (CMS) which then allowed Oklahoma to receive federally-matched funds for the project. For every state dollar contributed to the outcome measures, the federal government contributes $1.93, a match rate of 65.9%. With federally matched funds, we are able to turn roughly $2,000,000 into $6,000,000 and return that to communities to provide data-driven, research-based recovery outcomes to improve the lives of Oklahomans.
Current Funding: Need to complete. Talk about how providers are risking their own funds, but still is matched by Medicaid.
GROUP ONE: Measurement started on 1/1/2009
Measures:
Benchmarks: Benchmarks were established for the first five measures based on data from a previous six-month time period and knowledge of best practices. The sixth measure is determined through “secret shopper” phone calls made to the facilities. Funding is allocated based on number of clients served and agency performance on each measure. Facilities may earn zero dollars, 50% of their allotment, 100% of their allotment, or more than 100% of their allotment depending on where each lands in relation to the benchmark.
Why can't I see all the reports below? The reports which end in 'E' or 'S', have detailed customer information. The reports are viewable in our secure website, but not here. The reports which end in 'E', allows a provider to export the data to Excel. The reports which end in 'S', allows the provider to see how every clinician is performing. The report ending with 'D' actual allow providers to drill down into more detail information. This gives providers a way to account for EVERY person included in each measure, plus enough detail information to understand why or why not a person was included, excluded, positive or negative.
Reports for Measures #1 through #5 - March 2009
GROUP TWO: Measurement started on 10/1/2009
Starting 11/01/2009, measurements went from looking at one month, to looking at three months
Presentations and Posters