Longer-Term Strategies To Prepare For Changes In Behavioral Health& Child Welfare Systems

Making It Through to the Future

Arizona Council of Human Service Providers Membership Retreat

August 12, 2010, Prescott Resort

 

Monica E. Oss, Chief Executive Officer, OPEN MIND

Planning & Management in Economic Recession Has Three Simultaneous Elements

OPEN MINDS © 2009 All rights reserved.2

Key Environmental Factors Driving Behavioral Health & Social Service Market

1. State and local budget issues dominate the current market

2. Parity goes live and health care reform is pending

3. New science reinventing best practice in service models

4. Comparative effectiveness as emerging criteria for health system management

5. Federal tech mandates

6. E-health and the virtual consumer – reinventing service delivery and consumerism

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Four Major Strategic Implications Of The Two Legislative Initiatives

1. Most behavioral health dollars will flow through health plans

2. Technology and financing will increase the ‘specialty’ behavioral health services provided via primary care – leaving complex/chronic cases to be provided through disease management models with risk-based financing

3. Health plan-based financing will draw clear lines between ‘health’ services and ‘social’ services

4. Comparative effectiveness initiatives will increase private pay market – new tech, services not ‘preferred’

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Key Environmental Factors Driving Behavioral Health & Social Service Market

1. State and local budget issues dominate the current market

2. Parity goes live and health care reform is pending

3. New science reinventing best practice in service models

4. Comparative effectiveness as emerging criteria for health system management

5. Federal tech mandates

6. E-health and the virtual consumer – reinventing service delivery and consumerism

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Drivers of Service System Evolution

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OPEN MINDS Child Welfare Delivery System Emerging Market Model

OPEN MINDS © 2007. All rights reserved.7

OPEN MINDS Model Of Emerging Roles for Specialty Health Provider Organizations

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OPEN MINDS Emerging Market Model for Support for Consumers with Disabilities

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Strategic Implications of the New Paradigm

1. Substitution of new technologies for traditional services

2. New competitive marketplace with pronounced shifts in competitive forces

3. Competition for ‘consumers’ across the health care system

4. Economies of scale critical for on-going competitive success

5. New competition drives need for capital

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Best Practice Management System Requirements

1. Improve cost management

2. Improve consumer preference

3. Support continuous innovation

4. Compete through effective marketing strategy and infrastructure

5. Assure organizational viability

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Aune D. Best practice management. Presented at the Best Management Practices Institute; January, 2009, Georgia, AL.

Attributes of Organizational Success in Emerging Mental Health Market Models

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Oss ME. Emerging market models for behavioral health & human services. Presented at Marketing & Innovation Institute: Preparing Executives for the Next Generation of Behavioral Health & Social Services; March, 2010, Orlando, FL

Executive Team Competencies for New Environment

OPEN MINDS Management Pillar

OPEN MINDS Executive Competencies

Leadership & Governance

Board composition and board performance managementBoard meeting and governance managementExecutive team composition, performance management, and succession planning

Financial Management

Budgeting and financial managementFinancial risk managementLong-term financing and capital planning

Marketing & Innovation

Government, regulatory, and legislative relationsCommunications, public relations, and media managementMarketing planning, strategic alliances, and community collaborations Service line development

Technology & Information Management

Organizational performance metrics management

Information management infrastructure

Strategic Management

Strategic planning and leadership of organizational evolutionService line management and corporate complianceTalent management

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Oss ME. Emerging market models for behavioral health & human services. Presented at Marketing & Innovation Institute: Preparing Executives for the Next Generation of Behavioral Health & Social Services; March, 2010, Orlando, FL

Role of Mergers & Acquisition in Post-Recession Market

How big is big enough? Big versus ‘virtually big’? Collaboration as an alternative — what is the

strategic purpose for collaboration? Merger/acquisition

The zebra modelThe survival modelThe strategic model

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Bringing the Managementof Behavioral Health& Social ServicesInto Focus

www.openminds.com163 York Street, Gettysburg, Pennsylvania 17325

openminds@openminds.com717-334-1329