One truism is that “Prevention Pays.” Reactivity and delays cost a lot more money. Nowhere is that truth more clearly demonstrated than in the world of Behavioral Health as we are experiencing now. The historical structural imbalance of Behavioral Health payments has prevented investment in creating a robust system of prevention, equitable access and/or early intervention, and the pandemic has now supercharged Behavioral Health demand. Consequently we are now (predictably) expending tremendous resources reacting to a Behavioral Health crisis as OP access is limited, driven by insurer or payment type and a workforce crisis and is most clearly seen in high ED boarding of 500+ Behavioral Health patients a day in Massachusetts ED’s alone! Two entities (Aspire in Outpatient and ESP and South Shore Health in Acute Care) have recognized their interdependence and for the past 3 years have worked creatively and courageously in building an integrated model in their region which serves a community population of 750,000. Together, and under the framework of a clinical affiliation, these two entities are sharing outcome data to drive improved performance and patient outcomes, collaborating on hiring and workforce development and working towards a (near future) model in which the primary payments sources are value and population based. “There is no true health without mental health” is the framing and foundational statement of this partnership.
Presenters: Timothy Quigley & Antony Sheehan
Timothy Quigley, DNP, MBA, RN, NEA-BC is currently the Senior Vice President of Special Projects at South Shore Health. Dr. Quigley joined South Shore Health in 2004 as the CNO and VP of Acute Care Operations, a role that he held for 17 years. Previous to that he was Vice President of Patient Care Services and Chief Nurse Executive for 7 years at Spaulding Rehabilitation Hospital, moving from Massachusetts General Hospital after working for a decade in Critical Care roles as both a bedside RN and Respiratory Therapist and then as an analyst. Dr. Quigley was part of a team at VHA Health Front in Woburn (one of the first attempts at network integration in this region) as well as Boston University’s Health Policy Unit. He was a clinical assistant professor at MGH’s Institute of Health Professions from 1997-2004 and served as President of the Organization of Nurse Leaders of Massachusetts, Rhode Island, New Hampshire and Connecticut, receiving their Mary B. Concession Leadership Award in 2013. He was an active board member of the Boston-EMS Regional Council for 10 years.
Antony Sheehan has served as President and CEO of Aspire Health Alliance (formerly South Shore Mental Health) since June 2017. Aspire provides community based behavioral health and social services to the economically and socially diverse communities of Southeastern Massachusetts. With over 25 years of experience in health care strategy, management, clinical and policy roles, Antony began his career in the United Kingdom as a clinical nurse specializing in addictive behavior and mental health. He pursued his interests in health care policy and administration, serving as a Senior Civil Servant during the Blair Administration and then as a health system CEO in England’s National Health Service.