ADVANCING RECOVERY IN WEST VIRGINIA MEDICATION ASSISTED TREATMENT by VtByx1F

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									ADVANCING RECOVERY IN
WEST VIRGINIA
MEDICATION ASSISTED TREATMENT WITH
BUPRENORPHINE/SUBOXONE




            AR LEVERS OF CHANGE
                                JULY 2009
ARWV PARTNERS
• Genise Lalos, AR Project Change Leader, Prestera Center
  genise.lalos@prestera.org

• Karen Schimmel, Change Leader, Westbrook Health Serv.
  kschimmel@westbrookhealth.com

• Jon Kemper, Change Leader, Seneca Health Services,
  jkemper@shsinc.org

• Nancy Deming, Change Leader, Valley Healthcare,
  ndeming@valleyhealthcare.org

• Merritt Moore, State Change Leader, Merritt.E.Moore@wv.gov
    AIM - Improve Access to MAT
    (Suboxone)
Baseline data:                             ARWV Progress

• 2-1-08 –ARWV partnership
  had 128 individuals                300
  receiving MAT (suboxone)           250
                             # MAT 200
•   2-1-09 –ARWV partnership clients 150                   Feb-08
    had 259 individuals       seen 100
                                                           Feb-09
    receiving MAT (Suboxone)          50
                                       0
    This represents an
    increase of 131 individuals                 Month
    or 102%
Lever: Intra-Organizational
Operations Analysis
Aim: To Increase Client Assess to MAT

       Barriers:
    Staff Resistance
    Abstinence-Based Community
    No Suboxone-Prescribing Physician
   Agency policies that made access to MAT difficult

   Solutions:
      Staff Education and In-service on MAT Approach
      Community Providers Surveyed on MAT Awareness
      Hiring of Suboxone-Certified Physicians
      New look at old policies
Finding Physicians
•   Reckitt Benckiser Rep was a great help
•   Recruiting Internally
•   Working with Universities
•   Working with Primary Care Clinic Docs
Lever: Regulatory Analysis
• Aim: Facilitate client engagement by lessening
  stringent data requirements
• Solutions: OHFLAC agreed to allow up to 30 days
  for completion of required paperwork for ARWV
  participants;
• Potential benefits: Less time devoted to
  administrative tasks early in treatment process,
  thus increasing the time the clinician can spend
  on engaging the client in the treatment process;
• Outcomes: State Change Team still evaluating
  results
 Lever: Financial Analysis
Aim: To Increase Client Assess to MAT

Barriers:
    Largely Uninsured Population Unable to Afford
   Treatment or Medication
    Medicaid Redesign in WV Limited Coverage for
   Consumers and Restricted Clinician Pool

Solutions:
    Partnered with state on $75,000 indigent care
   funding plan to offset cost of care
    Clinicians Placed on Medicaid Credentialing
   Track and Given Agency Assistance in Obtaining
   Necessary Training
State Challenges: No funding to offset the cost of
care for indigent seeking MAT

• Change: The state set aside $75,000 for the
  ARWV partnership to use to offset the cost of
  care for indigent clients
• Potential Benefits: Makes MAT available for more
  people who could not otherwise afford this best
  practice treatment
• Outcome: Prior to indigent care partnership 0
  indigent clients were receiving MAT. 1st quarter
  increase of 20 indigent clients being served in
  MAT programs after indigent care fund.
CLIENT STORY
• Karen Schimmel presents one client's
  story of success made possible by the
  ARWV/State partnership indigent care
  funds
SUSTAINING :
ADVANCING RECOVERY IN WV
ARWV is dedicated to sustaining and spreading the
present momentum with MAT throughout
the state with the following activities:
• Sponsored In-State Change Leader Academy
• Presented ARWV data at National Social Work
    Conference
• ARWV Provider sent staff to Bup TOT
• Access to Recovery brochures created

								
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