Network Benefits
In order to ensure participation from all, the WMBHN strives to create a “win-win” environment where every stakeholder sees concrete benefit(s). Network participation engenders diverse, and sometimes unexpected, resources and alignments that are constantly evolving. Our members continuously look for “friction” that impedes access to care and/or imbues confusion and, after exhausting all internal solutions, is unafraid to ask for help as a collective voice.
Along with Outpatient BH Provider, Inpatient/Crisis BH Provider and Social Service Organizations, there are several other categorical benefits:
Patient
- Routine and standardized mental health, substance use, medical, and SDOH screenings consistent with whole person care.
- Disease education and, where appropriate, virtual and F2F team consultation.
- Referral to a compassionate, high-quality provider of medical, BH, and/or social services in a timely fashion consistent with your level of need.
- Opportunities to participate in your care planning and selection of your care team.
- Navigation and Transitional Care support designed to help connect you to your outpatient treatment team and ensure that your care team is fully briefed on your care needs and care plan.
Short Term Acute Care Hospitals (STACH)
- Accelerated access to high-performance inpatient, outpatient, and social service networks.
- Routine and standardized mental health, substance use, medical, and SDOH screenings consistent with whole person care.
- Disease education material and training.
- Shared care coordination services including data aggregation/normalization, reporting, analytics, transitional care services and IT, patient engagement tools, quality improvement initiatives, network management, and technical assistance.
- Quantifiable dashboards and reports on reductions in avoidable bed days, involuntary commitments, readmissions, time to access, ALOS, patient activation and engagement rates, care integration, and fiscal impact.
Primary Care Providers/ACOs
- Singular Accountability: The NABH ONEcare model is a clinically integrated Behavioral Health network that can accommodate requests from PCP and ACO partners, manage network and provider performance, & participate in inter-organization task forces.
- Advanced Access: NABH referrals have consistent and standard access to care.
- e-Referral Management System: The NABH uses an e-referral system with clinical logic screening for significant history, acuity, risk, and obstacles to treatment allowing our system to match the patient to the best qualified provider(s) who have the resources to treat their specific condition.
- Inpatient Support Services: Individuals receiving care from NABH ONEcare will receive an enhanced BH triage and assessment to determine the progression of their disease, complicating medical and social issues, and risk stratification of a future sentinel health and/or BH event. Depending on acuity, individuals receive support from a comprehensive array of support beginning prior to hospital discharge. Inpatient support services provided through Transitional Care Services/Hospital Transition Team will coordinate all appointments, logistics, and follow-up as well as conduct a medication reconciliation/environmental assessment immediately upon discharge, as appropriate. Transitional Care/ Hospital Transition Team remains engaged up to 30 days or until care initiates and the individual settles with their long-term treatment team.
- Crisis Response Services: The NABH has access to non-hospital services for individuals experiencing an urgent or emergent crisis. These include:
- Walk-In Appointments
- Behavioral Health Urgent Care
- Mobile Crisis Management
- Facility Based Crisis and Detox