Pennsylvania abounds with resources for supporting your TCOM implementation. Below is a list of members who are happy to talk about their implementation, and give any helping hand you may need. Please just reach out to us here.
Allegheny County Department of Human Services
The Allegheny County Department of Human Services (DHS) is responsible for providing and administering a broad range of human services. DHS’ Vision is “to create an accessible, culturally competent, integrated and comprehensive human services system that ensures individually tailored, seamless and holistic services to Allegheny County residents, in particular, the county’s vulnerable populations.” With the ultimate goal of realizing this vision, we utilize a suite of TCOM tools across a number of different programs to facilitate meaningful communication, engagement and collaborative planning processes between individuals, families, and system professionals.
Allegheny County DHS has implemented a variety of strategies and mechanisms to sustain and continuously improve the meaningful use of TCOM tools across program areas:
Behavioral Health of Cambria County (BHoCC)
BHoCC is a Behavioral Medicaid HealthChoices oversight organization in Cambria county. We have implemented a large-scale CANS outcomes tracking initiative in Behavioral Health Rehabilitation Services/Intensive Behavioral Health Services, that includes decision support for level of care placements. This project is done in collaboration with our BH-MCO, Magellan.
Capital Area Behavioral Health Collaborative (CABHC)
Health Choices Behavioral Health Primary Contractor Capital Area Behavioral Health Collaborative (CABHC) and their subcontracted Behavioral Health Managed Care Organization, PerformCare, cover the Medicaid lives in five central Pennsylvania counties. The organizations have collaboratively established several TCOM initiatives. First, we have implemented a large CANS outcomes and decision support initiative in our children’s community-based programs (Behavioral Health Rehabilitation Services/Intensive Behavioral Health Services). This program tracks outcomes of the program at the individual, program, and system level.
Second, we have implemented an outcomes tracking CANS initiative in our Community Rehabilitation Residential – Host Home Intensive Therapeutic Program, which also includes tracking outcomes at 90 and 180 days post discharge.
Third, we have implemented a value-based purchasing initiative in our child-serving Family Based Mental Health (FBMH) services that utilizes the CANS to measure performance outcomes.
Child Guidance Resource Center (CGRC)
CGRC is a multi-level child mental health provider. We have implemented CANS in all of our levels of care, and use it to track outcomes and do various quality improvement initiatives.
Community Data Roundtable (CDR)
Community Data Roundtable is a nonprofit organization dedicated to developing a data driven social services system. We collaborate with stakeholder groups, providers, payers and government to implement outcomes and decision support systems that benefit the whole community. We maintain public dashboards on outcomes for some of our Pennsylvania based projects, as well as other information garnered from CANS (see www.communitydataroundtable.org/reports). We maintain a growing pool of norms of data for CANS, ANSA and FAST data. We also market an online application, the DataPool, which is a tool for measuring all the things that TCOM tools can measure for agencies, payers and government.
Lackawanna County Office of Youth & Family Services (LC OYFS)
Lackawanna County Office of Youth & Family Services (OYFS) is a Pennsylvania county child welfare agency. The purpose of OYFS is to provide child welfare services of safety, permanency and wellbeing.
OYFS implemented the FAST and CANS assessment tools in July, 2013 as part of the Pennsylvania Child Welfare Demonstration Project (CWDP). The tool was used to maximize communication between OYFS caseworkers, service providers and families. Scores resulting in two 2’s and/or one 3 triggered the need for a CANS to be completed on all children in the family, age 6 and above. Family Team conferences were held within the first 30 days of the intake process. The family would then participate in the evidence based practices as informed by the FAST/CANS. Data was collected, tracked and evaluated by Chapin Hall, University of Chicago and utilized for program development and quality improvement activities. The tools are embedded in OYFS practice and now encompass all cases in the agency. The CWDP ended in 2019 resulting in the passing of the Family First Prevention Services Act of 2018. The agency is moving forward to expand the use of the tools as well as collecting, monitoring and evaluating its own data. OYFS has partnered with several companies and is in the process of developing analytic tools and dashboards that will maximize the use of the data to inform practice.
Magellan of Pennsylvania
For more than two decades, Magellan has been managing behavioral health services for PA HealthChoices members in collaboration with its county customers, providers and community stakeholders. Today, we proudly manage services for thousands of members in Bucks, Cambria, Delaware, Lehigh, Montgomery and Northampton counties. Magellan's secure, web-based outcomes measurement system, known as Outcomes360, includes the Magellan CANS Core 50 and Comprehensive (2016) based on the Praed Foundation CANS Core (50)(2016). The CANS is available through our provider portal for all levels of care for CANS certified Magellan clinicians to use with members through age 20. In Bucks, Delaware, Lehigh, Montgomery, and Northampton counties we use the Magellan CANS Core 50 with Developmental Needs Module in BHRS/IBHS as part of identification of needs, treatment plan development, and outcomes by youth, provider, county, and level of care. In Cambria County we use the CANS Community Data Roundtable for all levels of youth community care with algorithms for Evidence Based Practices.
Nulton Diagnostic and Treatment Center (NDTC)
Nulton Diagnostic and Treatment Center (NDTC) is a multi-level mental health clinic for treating children and adults. Headquartered in Johnstown, Pennsylvania, it serves a large rural population. Our TCOM implementation includes CANS and ANSA implementations at each level of care. The data is used for continuous quality improvement efforts and outcomes tracking.
PeerStar Peer Support Services
PeerStar provides adult peer support services throughout the state. We have implemented the ANSA to help with treatment planning and outcomes tracking. We also use the ANSA to do various analyses of our population, and prepare for value based purchasing.
Pennsylvania Counseling Services (PCS)
PCS serves families, children and individuals through 26 mental health and addiction clinics located within 10 counties across South Central Pennsylvania. The CANS is currently being utilized within PCS’ child serving programs of IBHS and FBMHS. In these programs, the CANS serves a multitude of purposes. It is being utilized to determine level of care recommendations during child evaluations. The CANS tool is helping to guide clinicians in establishing treatment goals with families and to track the outcome of program interventions. Engagement with the CANS, as part of PCS’ yearly outcomes report and on a regular basis in supervision, supports continuous quality improvement efforts within the agency. Finally, within FBMHS, the CANS has become an integral element of Value Based Purchasing processes, helping to define the metrics by which the program is determined to be successful with children and their families.