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Lifewell Behavioral Wellness

2019
Annual
Report

Doris Vaught

Doris Vaught

Chief Executive Officer

photo contest
photo contest

Message from CEO:

I am delighted and honored to present this as my first CEO message for Lifewell and I look forward to many years ahead. In changing times, few things are certain but I know Lifewell will continue to evolve as an organization while remaining focused on supporting our members in their search for Hope, Healing, and Health.
For Lifewell, the fiscal year 2019 could best be described as “steady progress”.

We found the state-wide rollout of the AHCCCS Arizona Complete Care plans for our General Mental Health/Substance Use population to be a positive and seamless change.

Our continued participation in the AHCCCS Targeted Investment Program (TIP) was rewarding, both programmatically and financially. As a result, we’re able to expand integrated health services to our SMI population much faster and more efficiently than we would have been able to do without the structure provided by the TIP program.

We were also fortunate enough to be able to provide a much-needed facilities update to two of our outpatient facilities; allowing us to provide a more welcoming environment for staff and members. Keeping the budget in mind, we even got creative with artwork that was supplied thanks to a staff photo contest and by utilizing rebates earned from Costco!

A special thanks to all of the Lifewell staff and the Board of Directors. Without them and their tireless dedication to our mission, we would not be able to support our members and provide them with the care and services they need to help make their lives better.

Doris Vaught

Doris Vaugt

Chief Executive Officer

Message from CEO:

I am delighted and honored to present this as my first CEO message for Lifewell and I look forward to many years ahead. In changing times, few things are certain but I know Lifewell will continue to evolve as an organization while remaining focused on supporting our members in their search for Hope, Healing, and Health.
For Lifewell, the fiscal year 2019 could best be described as “steady progress”.

We found the state-wide rollout of the AHCCCS Arizona Complete Care plans for our General Mental Health/Substance Use population to be a positive and seamless change.

Our continued participation in the AHCCCS Targeted Investment Program (TIP) was rewarding, both programmatically and financially. As a result, we’re able to expand integrated health services to our SMI population much faster and more efficiently than we would have been able to do without the structure provided by the TIP program.

We were also fortunate enough to be able to provide a much-needed facilities update to two of our outpatient facilities; allowing us to provide a more welcoming environment for staff and members. Keeping the budget in mind, we even got creative with artwork that was supplied thanks to a staff photo contest and by utilizing rebates earned from Costco!

A special thanks to all of the Lifewell staff and the Board of Directors. Without them and their tireless dedication to our mission, we would not be able to support our members and provide them with the care and services they need to help make their lives better.

photo contest
photo contest

AHCCCS Targeted Investment Program (TIP)

The Targeted Investments (TI) Program is AHCCCS’ strategy to help providers develop and expand systems for integrated care. Lifewell has been participating in the program from its inception in 2017.
Lifewell’s Year 3 Targeted Investment Program Successes
  • Lifewell expanded its capacity for providing Integrated Care by moving 3 of our Direct Care Clinics from minimal integration to full integration.
  • All eight Lifewell outpatient clinics exceeded the TIP core measure of completing an Integrated Care Plan for at least 70% of our members and the Plan is documented in the electronic health record.
  • All eight Lifewell outpatient clinics exceeded the TIP core measure of screening 85% of our members to identify Social Determinants of Health needs such as housing, jobs, health care, etc…, and connecting them with appropriate community resources as needed.
  • Two of our clinics were able to meet the TIP core measure of warm hand-offs occurring with primary care services for at least 85% of our members.
  • All aspects of the TIP core measure related to use of Arizona’s Health Information Exchange (HIE) were met at each of the Lifewell clinics, including high-risk member care management.
  • Lifewell fully implemented TIP requirements for AHCCCS-defined member and family experience surveys and used this information to improve referral relationships.
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Reduce fragmentation between acute and BH care.
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Increase efficiencies in service delivery for members with BH needs by improving integration at the provider level.
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Improve health outcomes for members with physical health and BH needs.
Achieving these results was a total team effort by Lifewell staff and we thank everyone for their contributions. We are also grateful to AHCCCS for the opportunities created by TIP and their partnership with the program.

Lifewell
Services

Spotlight on Rehab and Supported Employment Services Highlights
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All Lifewell Rehab programs are a structured class schedule and are divided into 4 categories; Computers, Culinary Skills, Supported Education and Pre Vocational/ Employment skills groups.
  • Culinary Skills classes teach basic kitchen safety and cleanliness, and how to follow a recipe and pass the food handler test. Members plan menus, learn how to take inventory, order supplies, and cook lunch for other members.
  • Supported Education classes range from ABE level to GED classes. We offer pre GED classes in all subjects where members get small classroom instruction and one on one tutoring as needed. Members work at their own pace and once ready to test, they are offered free testing vouchers.
  • Our Pre Vocational/ Employment classes are designed to assist members with decreasing isolation, increasing socialization, and learning skills needed to integrate in the community with others. Our classes focus on teaching coping skills, stress management, communication skills, stages of change, work exploration, mental and physical health, and benefits counseling.
  • Computer classes are offered as group or individual sessions. Classes are designed to teach basic computer skills and enhance computer knowledge for educational advancement, job exploration, community integration, and self-sufficiency.
Supported Employment offers members the opportunity to work with an Employment Specialist to set an employment goal and begin searching for employment. When a member gains employment, the employment specialist continues to offer support to maintain employment.
  • Peer support training sessions are offered three times a year over a ten-week period. Members are then offered to work with an Employment Specialist to search for employment.
  • More than half of these students have reported that they have gained employment, and 2 graduates from 2019 are working at Lifewell.

Lifewell
Services

General Mental Health and Substance Use Population and Services Summary
Lifewell contracted with all seven Arizona Complete Care health plans and served 1,331 GMH/SU members in FY2019. The majority of services provided are group and individual counseling services at our outpatient clinics for members experiencing anxiety, depression, bipolar disorder, Post-Traumatic Stress Disorder (PTSD), Obsessive-Compulsive Disorder (OCD), and alcohol and other substance use disorders. Services are evidence-based, designed to meet individual needs, build upon strengths, and provide community supports.
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Lifewell also provides specialized care at our Women’s Pregnant & Parenting Residential Treatment Program for female members requiring more intensive services. This program focuses on treatment, engagement, placement, and discharge planning using a strengths-based model addressing women’s unique health concerns and connecting them with primary care providers.
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women served
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MAT Has Been Shown To…
  • Improve patient survival
  • Increase retention in treatment
  • Decrease illicit opiate use and other criminal activity among people with substance use disorders
  • Increase patients’ ability to gain and maintain employment
  • Improve birth outcomes among women who have substance use disorders and are pregnant
Approximately 119 of these members participated in MAT services – Medication Assisted Treatment – the use of medications in combination with counseling and behavioral therapies, which has been shown to be effective in the treatment of opioid use disorders (OUD).

Lifewell
Services

Seriously Mentally Ill Population and Services Highlights
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Significant Expansion of Integrated Services in 2019:

Lifewell began providing primary care services at all 4 of our SMI Direct Care Clinic locations. In November of 2019, the Lifewell Primary Care team was increased to 2 Primary Care FNP’s and 2 MA’s to meet anticipated increased demand.

Lifewell expanded our partnership with Genoa and added our second pharmacy location at our Oak SMI Direct Care clinic location. A 2016 peer-reviewed study published in the Journal of Managed Care and Specialty Pharmacy showed that integrated care models that feature onsite pharmacies produce higher medication adherence rates than community pharmacies, as well as lower rates of hospitalization and lower emergency department utilization.

Lifewell has two ACT (Assertive Community Treatment) Teams for SMI members who require frequent visits and intensive outpatient treatment options. These teams consist of a comprehensive group of behavioral health specialists who offer a variety of services ranging from psychiatric and medical services to housing and rehabilitation services.

Our ACT teams achieved impressive results this year, including:
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South Mountain:
  • 1) Homeless percentage dropped from 19% to 7%
  • 2) Emergency room visits dropped from 7% to 1%
  • 3) Hospital admissions dropped from 22% to 7%
  • 4) ACT 6 month review scored 4.36
  • 5) QAP audit scored 92%
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Royal Palms:
  • 1) Staff retention increased from 80% to 92%
  • 2) Monthly inpatient admissions decreased from 32% to 24%
  • 3) PCP visits increased from 12% to 49%
  • 4) Employment increased from 11% to 23%
  • 5) Homelessness decreased from 10% to 3%
  • 6) QAP audit scored 89%

Lifewell Housing and Property Management

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The “a” letter is given if no Health and Safety deficiencies were observed during the inspection.
Lifewell was awarded 6 more locations to our Property Management Services at the beginning of 2020.

Lifewell Financial Data

2019 financial data
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Looking Ahead:

The beginning of 2020 has brought us very unique challenges and opportunities. With the onset of Covid-19 we have had to learn to work from home and how to deliver a significant number of services by telehealth and telephone. Dare I say the theme of next year’s report could be “Unprecedented”…we have heard that term used more in the last few months than I ever recall before and for good reason.

Paycheck Protection Program – Lifewell received a loan from the SBA which has afforded us the opportunity to hold onto staffing levels during the COVID-19 pandemic. We are grateful for this assistance and believe it to be critical for us in the next several months as we experience a downturn in the economy and prepare for a potential lengthy recovery.

New Clinic, New Model – at the end of 2019, Lifewell purchased a new facility to house the Royal Palms SMI clinic and the Beryl Hub. We are in the process of renovations and plan to open a combined SMI/GMHSU clinic, complete with physical health services and a pharmacy in summer 2020.

Lifewell Behavioral Wellness

602.808.2800 | info@lifewell.us

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