Jonathan's Journal 02-21-16

Jonathan's Journal
Signature Health, Inc. Newsletter
In This Issue
New Medical Director
BH Redesign
Non-Profit Conversion
Thought For The Week
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Issue: # 2

February 21st, 2016

Signature Health Names New Medical Director!

It is my privilege to announce that Libbie Stansifer, MD has been appointed as our new Medical Director! Please join me in congratulating her on this new role. Dr. Stansifer will be transitioning into the role over the next 6 weeks and will fully assume her new duties on April 1st, 2016

For those of you who don't know Dr. Stansifer, she has worked as a staff Child/Adolescent Psychiatrist in our Willoughby office for the past 5 years. Dr. Stansifer completed her Pediatric Residency at University Hospitals of Cleveland and a Post Peds Portal Fellowship also at University Hospitals.  Dr. Stansifer is Board Certified as a Child Psychiatrist and Pediatrician. 

Dr. Stansifer has already begun to work closely with Dr.Eileen McGee who will continue to serve as our associate Medical Director.  Dr. Stansifer and Dr. McGee are excited to lead the medical staff and the rest of the clinical team to clinical excellence as well as forge the path to fully integrated behavioral and primary medicine. 

I also want to take this opportunity to again thank Dr. Fikter for his dedicated service to Signature Health and his amazing patience with the extremely long process of determining his successor.  
BH Redesign Update

Six weeks ago I wrote that the BH Redesign work undertaken by the Ohio Department of Medicaid and the Ohio Department of Mental Health Services is like the switch between ICD-9 and ICD-10 because many of the current billing codes will now have more than one possible replacement code (and associated rate).

I have been honored to be one of 50 stakeholders asked to provide feedback to the State Department on their change efforts. Although at first it seemed that our advocacy had not yielded much change in the Department's approach, most recently we have seen some initial signs of progress on both the approach and the proposed reimbursement rates (particularly for physicians/APRNs). That said we still have a long way to go.

Stakeholders are advocating for expanding the possible service array with regard to PHP (partial hospitalization program) so that we have 3 distinct levels of care: PHP, Mental Health IOP, and Day Treatment.  PHP is a high intensity, medically driven model where doctors round daily and there is constant nursing involvement.  Mental Health IOP is generally 3 hours of intensive service per day for 3-5 days per week and is clinically driven by counselings/clinical social workers.  Day Treatment is for longer duration of the day 5-7 hours but is driven by counselors/social workers like MH IOP.

There are many more conversations to have regarding Intensive Home Based Treatment (IHBT), Assertive Community Treatment (ACT) and substance abuse residential services all of which are proposed to be Medicaid billable.

I return to Columbus to continue the work on Wednesday and I will continue to keep you posted.
Conversion to Non-Profit

The process of converting to a non-profit 501(c)(3) organization has been much longer and arduous than I expected in the beginning.  There have been several legal hurdles I was unaware of and didn't anticipate, so this process has taken much longer than I would have like but we remain patient and persistent.  As you know I wanted to complete the process at the end of 2015.  We pushed that off until after the new year mostly due to tax reasons.  I now expect to complete our conversion by the end of the first quarter of 2016. Thanks for your patience.
Thought For The Week

The greatest discovery of my age is that people can change their circumstances by changing the attitude of their mind. -William James

Make it a Great Week !  


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