Behavioral Health Partnerships
ED Coordination Project
The Emergency Department Coordination Project (EDCP) is a collaborative project with the Alaska State Hospital and Nursing Home Association (ASHNHA) State of Alaska and the AK Chapter of the American College of Emergency Physicians (ACEP). The project is part of Senate Bill 74 Medicaid Reform that passed in 2016. The language in SB 74 is modeled after Washington’s ER is for Emergencies project that saved Washington State $33.6 million in one year.
The legislation includes implementation of an electronic information system to be used in emergency departments. The system is a collaborative care management tool designed to increase the effectiveness of existing care management resources, reduce medically-unnecessary ED readmissions, integrate with the Prescription Drug Monitoring Program (PDMP) and improve quality of care through consistent delivery of care. The EDCP also includes patient education, establishing uniform statewide guidelines for prescribing narcotics in an ED.
On February 28 ASHNHA, the Alaska Chapter of American College of Emergency Physicians (ACEP) and Collective Medical Technologies (CMT) presented to the House HSS on the ED project. Click here to view the video and download the slides.
- Medicaid Redesign Initiative with the State of Alaska Department of Health and Social Services
- Washington State’s ER project
- Alaska Emergency Department Opioid and Controlled Substances Prescribing Guidelines
- PreManage ED Info Sheet – Collective Medical Technologies
- WA State Medicaid: Implementation and Impact of “ER is for Emergencies” Program, The Brookings Institution
- 1-08-20 Collective Medical adds sepsis notification
- 8-15-19 Southcentral Alaska Hospitals go live with EDIE care coordination
- 7-2-18 The connection between the state and Collective Medical with the prescription drug monitoring program (PDMP) goes live
ASHNHA strongly supports adding Crisis services to the behavioral health continuum of care available in Alaska. One option that is currently a focus of implementation by the Mental Health Trust is the Crisis Now model of care. This model includes three components to ensure an appropriate level of care in a timely manner for anyone in crisis.
These three components are:
- Crisis call center staffed by specialists that can support and stabilize individuals over the phone.
- 24/7 Mobile Crisis Teams meet people where they are and working to resolve crises.
- Crisis Stabilization Locations offering ‘no wrong door’ to anyone needing crisis services.
This brief 3-minute video about the Crisis Now model provides a good overview of the system of care and examples of how this model has worked to improve care delivery. We encourage everyone to watch it. The Crisis Now website contains additional resources. The consultation report for recommendations on implementing this model in Alaska was completed by RI International for the Mental Health Trust on December 27, 2019.