Leadership demands are evolving in a changed and changing health care environment. Effective leadership is about translating external pressures into current and future success. Macro-trends such as population-based health promotion, coordination of multiple chronic conditions, integration of physical/behavioral care, dual eligible populations, new delivery models, peer support and coaching, payment reform, and advances in clinical decision supports and information technology will each affect how leadership “looks” in the emerging health care arena. At the same time, our experience and expertise must inform the solutions we bring to new collaborations, innovations, payment approaches, and community/social supports to improve the health and wellness of those we serve.
The 2013 Summit focused on leadership challenges in this environment, with specific emphasis on exemplars working to achieve the Triple Aim of
- Better Care (access, quality, and outcomes of care, new delivery structures, etc.);
- Better Health ( e.g., integration of care, new collaborations, whole population health); and
- Lower Costs (e.g. multi-payer financing, health plans/exchanges, pay for performance models).
Challenges, opportunities, and lessons learned are available to inform our efforts. We invite leaders of health homes, public health, family physicians, health care, behavioral health, addiction services, and community wellness to join ACMHA members to focus on the skills and experiences required to lead and transform health. Summit conversations will focus on tools, qualities, models, and resources that encourage and sustain evolving leadership. We will learn from program leaders who are early adopters and have demonstrated successful approaches for achieving the Triple Aim and work together to develop a consensus statement on emerging leadership trends.
As Summit 2013 opened April 3, the first large group exercise and discussion was to describe what behavioral health leadership looks like now. A Wordle was created to capture that discussion, which is available from the link. During the courage of the Summit, attendees engaged in a series of conversations based on information they had gleaned from exemplar presenters about achieving the triple aim and their own experiences. Each group was asked to share their thoughts and “answers” to the following two questions:
- What description is emerging of the critical leadership skills and experiences necessary to transform health and achieve the Triple Aim ?
- What does this mean for your personal and organizational goals, performance, and operations?
Responses are available from:
As Summit came to a close, attendees were asked to answer the following question in a 5×7 exercise: What is a first step that behavioral health leaders need to take to improve progress toward achieving the Triple Aim? Responses are available from the link.
- To Your Health and Wealth: Sprinting Toward the Triple Aim: Ron Manderscheid, PhD, NACBHDD and Outgoing President, ACMHA: The College for Behavioral Health Leadership
- Your Life Matters: A Corporate Focus on Emotional Well Being in the Workplace: Martha Burger – Senior Vice President, Human & Corporate Resources, Chesapeake Energy Corporation, Oklahoma City, OK
- Creating Integrated Care in Rural Behavioral Health Agencies – Apache Junction, AZ: Maria-Elena Ochoa, Chief of Medical Operations, Mountain Health & Wellness, Apache Junction, AZ
- Emerging Technologies: Kim Johnson, MSEd, MBA, Deputy Director, CHESS, Madison, WI
- From Fee-for-Service to Value-Based Care Under the ACA: Christopher Pricco, MBA, Senior Vice President, Accountable Care Solutions, Optum, Eden, MN
- Leadership for Wicked Problems: Richard H. Beinecke, DPA, ACSW, Professor; Chair, Institute for Public Service, Suffolk University, Sawyer Business School
Background Information From Presenters
From Emerging Technologies, Kim Johnson
– An E-Health Solution for People With Alcohol Problems
– Potential Roles for New Communication Technologies in Treatment of Addiction
From Creating Integrated Care in Rural Behavioral Health Agencies, Maria-Elena Ochoa and Terry Stevens
– Mountain Health & Wellness: Integrated Healthcare for Everybody! Creating the Healthiest and Happiest Communities
– Mountain Health & Wellness/Cenpatico Behavioral Health: Integrated Health for Everybody! Description
From Parachute NYC, Pablo Sadler, Jamie Neckles, and Steve Coe
– About Parachute NYC
– Parachute NYC: A New Approach For Individuals Experiencing Psychiatric Crises
– Parachute NYC Flow Chart
From Fee-for-Service to Value-Based Care Under the ACA, Christopher Pricco
– Optum Accountable Care Solutions
– Preventing Patient Rebounds
- Is “Command and Collaborate” the New Leadership Model?
- Training the Next Generation of US and Global Mental Health Leaders: Competencies and Needed Actions,
- An ACMHA Arm Chair Reflection, Richard Beinecke, DPA, ACSW
- Text excerpts from Good to Great and the Social Sectors: Why Business Thinking Is Not the Answer, by Jim Collins
Resources on Achieving the Triple Aim
- Executive Summary – Integrating Mental Health Services into Primary Care: The Collaborative Care Model (United Hospital Fund)
- Considering a Public Health Approach
- Safety Net Challenges in Delivering Accountable Care
- Best Care at Lower Cost: The Path to Continuously Learning Health Care in America (Institute of Medicine, September 2012)
- The Affordable Care Act: Helping Providers Help Patients. A Menu of Options for Improving Care (Centers for Medicare and Medicaid Services)
- Best Practice Models Show Us the Future of American Health Care (Alliance of Community Health Plans, June 2012)
- Care Innovations Summit Summary: Transforming Health Care Delivery by Invigorating the Marketplace of Ideas (Centers for Medicare and Medicaid Services, January 2012)
- Pursuing the Triple Aim: Seven Innovators Show the Way to Better Care, Better Health, and Lower Costs, by Maureen Bisognano and Charles Kenney (San Francisco: Jossey-Bass; 2012).
– Transcript of Interview with Charles Kenney (March 29, 2012)
– Transcript of Interview with Maureen Bisognano (March 29, 2012)