Orange County NC Website
48 <br />Two creative options OPC has developed or will be developing include: <br />• Rapid response homes to keep children. in the community and prevent <br />hospitalization. <br />• Funding transportation of consumers discharged from State hospitals to <br />decrease our hospital utilization rates <br />Rules that inhibit the efficient and effective operations of the Quality Management <br />function: <br />• Disparate internal systems to track provider and consumer outcome <br />information. <br />Currently OPC maintains separate databases to track provider. demographic <br />information, incidents, complaints, billing` and reimbursement. In order to <br />effectively evaluate the provider community and perform .other necessary <br />functions of the LME, OPC will be improving and expanding its current system to <br />facilitate the integration of all this informatioh._ With'full~mplementation of the Pro- <br />FilerT"" system, OPC will be able to reduce ':the separate databases and <br />consolidate all pertinent information in order to effectively evaluate the provider <br />community and perform other necessary functions of,the_LME. <br />• Lack of data and timeliness in receiving data from~State sources. <br />A goal of OPC -i's lto improve and expand our collection, tracking and analysis of <br />consumer and provide~~,,outcomes (see Strategic Objectives above). We believe <br />that this p~i^ocess~~would;,k3e further enhanced if LMEs could receive data from <br />sources such as~Medicaid ~Paid._Claims,, DMH Annual Consumer Satisfaction data <br />and the DD-COI. ~~Wefeel that the addition of this data will only improve our <br />ability to monitor outcomes for our community. <br />,\ ~ <br />• Completion of service divestiture within the last .year has led to a delay in <br />enforcing the collection ofi"outcomes data. <br />Like other LMEs, OPC has struggled with provider compliance with the NC- <br />TOPPS. Many providers have experienced difficulty adding this requirement to <br />their workload. We are diligently working with programs to increase compliance <br />and demonstrate NC-TOPPS usefulness as a clinical assessment tool and <br />applicability to Person Centered Planning. <br />48 <br />