SB2840 Enrolled LRB097
15631 KTG 62714b
Public Act 097-0689 (pdf)
(305 ILCS 5/5-5f new) Section 5–5f, (b) (vi)
Regarding Detoxification Inpatient
(vi) effective July 1, 2012, the Department(HFS) shall place limitations and require concurrent review on every inpatient detoxification stay to prevent repeat admissions to any hospital for detoxification within 60 days of a previous inpatient detoxification stay.
The Department shall convene a workgroup of hospitals, substance abuse providers, Care Coordination Entities, managed care plans, and other stakeholders to develop recommendations for quality standards, diversion to other settings, and admission criteria for patients who need inpatient detoxification.
The above legislative language served as the authorization for and the mission of the Workgroup and its committees while also providing a guide for design of the planning process in which they participated. The Workgroup was comprised of six (6) different work committees of executive and senior management representatives from eleven (11) of the most impacted hospitals, thirty-three (33) recommended DASA service provider agencies and stakeholder organizations, and four (4) HFS Chicago-based Managed Care Entities (MCEs). A total of sixty-one (61) individual experts worked over an 11 month period with twenty–five (25) DASA/DHS and HFS staff on the following six (6) areas of Detoxification Services Planning:
Quality Standards for Services Delivery
Admission Criteria for Detoxification Services
Diversion to Alternative Service Settings
Recovery Support Services
Standing Orders, Protocols and Guidelines
Innovations, Best Practices and Future Strategies
Although the legislation cited only three (3) areas for recommendation development, the group agreed to include three (3) additional areas to allow for the production of a more comprehensive plan of enhanced and coordinated services delivery. "Recovery Support Services" was added to complete the flow of appropriate services that need to be available from hospitals, to treatment facility to community and home. The topic area of "Standing Orders, Protocols and Guidelines" was included to better inform and update all participants on what was being done within hospitals and by DASA/DHS service provider agencies for their patients and clients, respectively. Most participants were not aware of each others' internal operational procedures since they had not been working in a systemic collaborative manner though their target populations included some of the same individuals. The area of "Innovations, Best Practices and Future Strategies" was added to capture the most creative thinking of experts "at the table and in the field" to assist the State in moving towards instituting policies, services and programs that are designed to address both short and longer term issues faced by those afflicted with alcohol and substance abuse addictions and related life issues.
Six (6) different groupings of participants were organized for the completion of this work and subsequent report: 1) HFS Internal Planning Team; 2) DHS/DASA and HFS Interagency Planning Group; 3)Most Impacted Hospital Administrators; 4)DASA Provider Agency and Stakeholder Managers; 5) Coordinated Care Entities (CCEs) Managers; and 6) Mixed Services Provider Committee.
From September through December 2012, over 30 different meetings were conducted culminating with the sharing of the results in the first HFS and DHS/DASA sponsored conference on Detoxification Services Planning in Illinois held February 2013. This was the first time all participants met together and reviewed what each had produced from their separate committee planning sessions. Also, DHS/DASA and HSF management presented policy, services and programmatic improvements for consideration by the Workgroup. The next sections of this document include the information submitted on each of the six topical areas by the work committees and the subsequent proposed changes in policy, programs and services recommended.
Note that another 10 meetings were held from March 2013 through June 2013 to review, refine and finalize the Workgroup's recommendations. These meetings were held with an eye towards implementation as the next logically sequential phase and outcome of the group's planning process.