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Amanda Absher @amandaabsher.bsky.social · 12h

The DWIHN program compliance meetingwas adjourned] at 2:31 p.m. For more information, check out detroit.documenters.org.

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detroit.documenters.org

Amanda Absher @amandaabsher.bsky.social · 12h

Turns out the individual did not wish to comment.

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Amanda Absher @amandaabsher.bsky.social · 12h

Public comment.

None online.

One in person.

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Amanda Absher @amandaabsher.bsky.social · 12h

Mobile crisis met with him an hour ago and "convinced" him to go to 707. She then apologizes for the word "convince" but says it's all she has right now.

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Amanda Absher @amandaabsher.bsky.social · 12h

Juvenile Restorative passes.

They are talking about a homeless individual who they've sent services to, another says it can't be "solved" but they're looking for a "long term solution." A diversion not on the agenda about a specific person in need.

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Amanda Absher @amandaabsher.bsky.social · 12h

A struggle has been low enrollment. Says number of youth on probation are decreasing due to state JJ screening. Expanded program to now include preadjucated youth which means they can get referrals from diversion.

Chair expresses concerns about very high cost per person. Requests numbers.

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Amanda Absher @amandaabsher.bsky.social · 12h

Juvenile Restorative Program action item. Contracts for Team Wellness to deliver the daytime youth program.

Provide online school, transportations, had to switch buildings for more space.

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Amanda Absher @amandaabsher.bsky.social · 12h

Donated funds agreement. 453k for Medicaid Eligibility Specialists. 6 MDHHS workers will be placed through Wayne County. Approved w one abstention.

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Amanda Absher @amandaabsher.bsky.social · 12h

Jail diversion action item to continue jail diversion services. 1.305 mil. Approved.

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Amanda Absher @amandaabsher.bsky.social · 12h

Requesting approval for the addition of *7* providers to DWIHN network. Notes that this is a typo in the packet.
Q: How did we decide that there's 7 entities?
A: No RFPs or bids, they inquire to do business with DWIHN and goes through vetting, credentialing.
Glenn abstains, passes.

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Amanda Absher @amandaabsher.bsky.social · 12h

Unfinished business: SUD treatment provider network.
Reallocation of 29.9k to offer certification prep courses for SUD providers.
Reallocation of 19.1 for new provider.

Glen abstains. (Mariners-not a direct recipient)

Passes

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Amanda Absher @amandaabsher.bsky.social · 12h

Asks about the word 86% "linked" to PCP and if that's just assigned a PCP or they actually see them. She believes it's had an appointment made.

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Amanda Absher @amandaabsher.bsky.social · 12h

Associate VP of Clinical Operations report:
Discusses higher CRSP engagement and higher connections to PCPs. 7 discharges from state hospitals into the community in September.

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Amanda Absher @amandaabsher.bsky.social · 12h

Pleased to have no corrective action plans, although some recommendations were made.

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Amanda Absher @amandaabsher.bsky.social · 12h

Excuse the disjointed board packet. Will add a link so you can review in it's entirety if/when I have it.

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Amanda Absher @amandaabsher.bsky.social · 12h

Talks about strong numbers for HSAQ and improvement over cycle.

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Amanda Absher @amandaabsher.bsky.social · 12h

Re the adult recidivism compliance: Reviewing best practice to reduce hospitalization. Working on a "Predictive Hospitalization Initiative" using historical and realtime member data to forecast likelihood of member readmission.

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Amanda Absher @amandaabsher.bsky.social · 12h

No strategic plan report.

Quality Improvement report. MMBPI - all performance measures met except for 2a IDD child and adult recidivism. 2a measure IDD children was 36.57% (standard is 57%), studying how to improve.

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Amanda Absher @amandaabsher.bsky.social · 12h

Utilization Management report. Working to move from 14 to 7 days for prior auth requests in compliance, with Jan 2026 Final Rule. Working on increasing efficiency in department.

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Amanda Absher @amandaabsher.bsky.social · 12h

Asks why CRSP notifications seem to be higher in children than adults.
A: The children's teams are used to it.

Managed care report deferred.

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Amanda Absher @amandaabsher.bsky.social · 12h

PAR dispatches are setting goals and meeting them.

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Amanda Absher @amandaabsher.bsky.social · 13h

Now discussing recidivism. Looking to increase diversions. Want to get Crisis Stabilization Unit diversions. These diversions are less likely to be hospitalized, more appropriate services. After targeting this population, diversions have increased and admissions have decreased.

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Amanda Absher @amandaabsher.bsky.social · 13h

Working on increasing CRSP notifications, and tracking whether CRSP notifications occurred and what claims occurred after. CRSP notifications lead to more outpatient claims.

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Amanda Absher @amandaabsher.bsky.social · 13h

"Think about the person in crisis as a table. Our job is to get all the chairs to the table. Not all of our members have chairs." Emphasizes importance of professional relationships.

Q: What are clinical specialist backgrounds?
A: Masters level clinicials

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Amanda Absher @amandaabsher.bsky.social · 13h

PIHIP Crisis Services report: 2 managers, 4 clinical specialists, 15 dispatchers. Oversee different crisis services. Work in emergency departments, discharge planning, psych units, PAR preadmission dispatchers.

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