HomeMy WebLinkAbout070218_ra01 Consent Agenda
Commissioners Office
JEFFERSON COUNTY
BOARD OF COUNTY COMMISSIONERS
AGENDA REQUEST
TO: Board of County Commissioners
Philip Morley, County Administrator
FROM: Leslie Locke,Executive Assistant
DATE: July 2,2018
SUBJECT: DISCUSSION and POTENTIAL ACTION re: RESOLUTION for Salish
Behavioral Health Organization(BHO) Request to Create an Integration Pilot to
the Washington State Legislature
STATEMENT OF ISSUE:
Commissioner Kathleen Kler will discuss a proposed Resolution submitted by the Salish BHO Board of
Directors. A representative from the Clallam County Board of Commissioners,the Jefferson County Board
of Commissioners, and the Kitsap County Board of Commissioners serve on the Salish BHO. Each County is
asked to join the Salish BHO Board of Directors in requesting the Washington State Legislature to create a
legislatively approved pilot region in a geographically isolated area that provides for the clinical integration
of Medicaid behavioral and physical health care services without full financial integration; and,that the pilot
project shall, (1) measure the effect of maintaining separate funding streams for Behavioral Health
Organizations and Managed Care Organizations on the overall clinical integration of care; (2)use standards
for measuring clinical integration that shall be negotiated between the HCA, the existing BHO, and
partnering MCOs and that are comparable to fully integrated regions; (3)provide annual detailed analysis of
its ongoing integration efforts; and(4) be terminated at the end of 2024, should the region be comparatively
unsuccessful in its service delivery and outcome levels.
FISCAL IMPACT:
None.
RECOMMENDATION:
Discuss and potentially approve Resolution re: for Salish Behavioral Health Organization(BHO) Request to
Create an Integration Pilot to the Washington State Legislature
REE IEWED BY:,
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RESOLUTION NO. -2018
Salish Behavioral Health Organization—Integration Pilot
Whereas the State of Washington's vision for full financial integration of health care is within Managed
Care Organization by January of 2020, therefore eliminating county behavioral health organizations and
ceasing the accountability and oversight of local authorities in the planning and management of
behavioral health care in the region;
Whereas it has been a long-held value of Kitsap, Jefferson and Clallam Counties that, if possible,
behavioral and physical health care should be delivered locally;
Whereas the unique geographic areas within the Salish BHO region have distinct community based
nonprofit behavioral health providers, hospitals, and health clinics working with the vast majority of the
region's Medicaid clients;
Whereas the geographically isolated Salish BHO region is connected by more ferries than roads to the
rest of the state, the provider community has long standing linkages and relationships that facilitate
strong community collaborations and the coordination of care central to improving consumer focused,
whole person care;
Whereas there are significant benefits to having local oversight and accountability of behavioral health
care services and outcomes;
Whereas the Salish BHO region has been a leader in the planning necessary to bring on new
innovative programs, including integrated care, to address behavioral health needs;
Whereas the Salish BHO maintains strong relationships between health and behavioral health
providers throughout the Region; and
WHEREAS: The Salish BHO supports continuing its long-standing practice of full clinical integration of
behavioral health services; now, therefore, be it
Resolved, that the Clallam County Board of Commissioners, Jefferson County Board of
Commissioners, and the Kitsap County Board of Commissioners join the Salish BHO Board of Directors
requesting the Washington State Legislature to create a legislatively approved pilot region in a
geographically isolated area that provides for the clinical integration of Medicaid behavioral and
physical health care services without full financial integration; and, be it, further
Resolved, that the pilot project shall, (1) measure the effect of maintaining separate funding streams for
Behavioral Health Organizations and Managed Care Organizations on the overall clinical integration of
care; (2) use standards for measuring clinical integration that shall be negotiated between the HCA, the
existing BHO, and partnering MCOs and that are comparable to fully integrated regions; (3) provide
annual detailed analysis of its ongoing integration efforts; and (4) be terminated at the end of 2024,
should the region be comparatively unsuccessful in its service delivery and outcome levels.
PASSED AND APPROVED on this day of , 2018
BOARD OF COUNTY COMMISSIONERS
JEFFERSON COUNTY, WASHINGTON
KATE DEAN, Commissioner, Dist. 1
KATHLEEN KLER, Commissioner, Dist. 2
DAVID SULLIVAN, Commissioner, Dist. 3
ATTEST:
Carolyn Gallaway, Deputy Clerk of the Board
PASSED AND APPROVED on this day of , 2018
BOARD OF COUNTY COMMISSIONERS
CLALLAM COUNTY, WASHINGTON
RANDY JOHNSON Commissioner
MARK OZIAS, Commissioner
BILL PEACH, Commissioner
ATTEST:
, Clerk of the Board
PASSED AND APPROVED on this day of , 2018
BOARD OF COUNTY COMMISSIONERS
KITSAP COUNTY, WASHINGTON
ROBERT GELDER, Chair
EDWARD E. WOLFE, Commissioner
CHARLOTTE GARRIDO, Commissioner
ATTEST:
Dana Daniels, Clerk of the Board