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October 8, 2024 13 mins
On this episode of Keeping Ashland Healthy, Dr. Ashley and the Boss are LIVE at the Ashland County Fair. Dr. Ashley and the Boss draw attention to the Board’s Annual Luncheon, Annual Reporting, and Consumer Outcomes and Satisfaction Survey process to ensure Ashland County residents are receiving the best quality and most efficient services and programs. Register today to attend the Board’s Annual Luncheon on October 23rd, 2024, at Noon.

(Record Date: September 17, 2024)
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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:04):
Welcome. You're listening to the Keeping Ashland Healthy podcast, a
podcast production of the Mental Health and Recovery Board of
Ashland County, Ohio. Thanks for joining us.

Speaker 2 (00:16):
We wanted to report this episode why here at the
Fair because it is an exciting week at the fair.

Speaker 3 (00:22):
It shows there's a lot happening out here.

Speaker 2 (00:24):
Yep so, but we have done plenty of other podcasts
on a Fan or Doctor Ashley, So this episode we
want to talk a little bit about something to me
not at first seem very exciting, but I think it's
very important for the taxpayers in Ashley County as well
as the general audience.

Speaker 4 (00:43):
How does the board collect all the information?

Speaker 2 (00:47):
What information does it collect from its partner agencies, What
does it do with that information? Why is that important?
Why should people care? And does it get rolled up
in some kind of report and where is that accessible at?

Speaker 5 (01:00):
I think that's a lot of information people generally, if
you don't work in our agencies, maybe they don't know.

Speaker 3 (01:04):
So it's a good topic there.

Speaker 6 (01:07):
I agree. And one of the reasons I like to
talk about this issue so much is the fact that
you know, since.

Speaker 2 (01:14):
All the funds aboard and receives really come from taxpayer dollars,
whether that's at the federal, local, or state level. Uh,
it's really important that the boards accountable. They take that
really seriously.

Speaker 4 (01:26):
So I'm excited to do this episode.

Speaker 2 (01:29):
And at the end of it, we're going to talk
a little bit about the Board's annual luncheon and that's
one of the main places we release the annual report,
which you work.

Speaker 4 (01:37):
On Dot traction I do.

Speaker 3 (01:38):
It's a big report, yeah, coming up.

Speaker 2 (01:41):
So let me start by saying, you know, the Board
contracts with three partner agencies. These are all license certified
mental health or substance use agencies in the county and
that's as the new Mental Health Center a CADA, and
then Catholic Charities out of the Diocese of Cleveland. So
within the contract, the Board has a lot of expectations

(02:01):
of the agencies and a big chunk of those expectations
have to do with what are the types of reports,
what kinds of outcomes, what kinds of monitoring does the
Board expect of the agencies? They submit those things to
us on a regular basis. And then you doctor Ashley
and I we never lack.

Speaker 6 (02:19):
For reading materials, that's right. We read.

Speaker 2 (02:22):
We read a lot of reports, So we do that
all the time, and the whole idea is for us
to read the reports.

Speaker 6 (02:28):
Get a sense on are the programs and the services
that the board funded.

Speaker 2 (02:33):
Are they having the intended effect that we anticipated when
we first funded this.

Speaker 5 (02:38):
Yes, we have a lot of great programs. We just
want to make sure that they're achieving the goals that
they were created to.

Speaker 4 (02:43):
Achieve, right, absolutely.

Speaker 2 (02:44):
Yeah, So we analyze those reports, and then we've got
a twelve member board. We don't expect our board members
to do the deep dive that you and I do
with those reports. So we summarize what is in those
reports for our board members and then we report it
out at our regular board meet means on a regular basis,
so we give them a high level review of what's

(03:05):
going on.

Speaker 6 (03:06):
But even before that, we will if we have any
issues or questions about what we're reading, we just contact
the agencies.

Speaker 5 (03:14):
Yeah, and sometimes they'll actually come to our board getting
answer questions with our board members.

Speaker 2 (03:19):
Yeah.

Speaker 4 (03:19):
I think that's a nice addition that happened years ago.

Speaker 2 (03:23):
The board members really appreciate hearing directly from the people
that did the reports.

Speaker 4 (03:27):
They did the work.

Speaker 2 (03:28):
Doctor Ashley and I try to summarize that as best
we can, but the reality is we're not the.

Speaker 6 (03:33):
Ones doing it, so sometimes we miss a little bit
of the details that we will.

Speaker 5 (03:37):
Yeah, and I also so some of those reports include
narrative feedback or so success stories about people that have
been impacted by those programs.

Speaker 3 (03:47):
It's really cool.

Speaker 4 (03:49):
So that's an important distinction.

Speaker 2 (03:50):
So doctor Ashley talks about what's actually in the reports,
how those are constructed and below.

Speaker 4 (03:57):
And oftentimes what we do is ask for numbers like
how many people were served, how many people.

Speaker 2 (04:04):
Reported outcomes, But then some of the other things we
ask for is could they give us a narrative summary?
Could they actually put a face to the numbers that
we're getting and tell that story about how the services
have been.

Speaker 4 (04:17):
Helpful to the individual.

Speaker 2 (04:18):
So yeah, there's both that qualitative and quantitative, if you will,
aspect to the report.

Speaker 5 (04:23):
It's one thing to read a bunch of numbers, right
and to try to understand it that way, But when
you hear how the programs impact people, that makes a
big difference.

Speaker 2 (04:31):
Like it, we're actually recording an episode of that right now,
so by all means, please listen to the Keep an ash.

Speaker 4 (04:38):
And Healthy podcast.

Speaker 2 (04:41):
Yeah, and one of the things that helps us organize
because we've got over one hundred reports that we did.

Speaker 6 (04:50):
You know that after between a lot between the three agencies.

Speaker 2 (04:53):
We review and monitor over one hundred reports throughout the year,
and believe it or not, that number lower than it
used to be. We've tried to reduce the number to
just the essential reports that we need for our federal, state,
or local entities that require that.

Speaker 6 (05:13):
So the whole idea there, Doctor Ashley, is just the
critical reports.

Speaker 4 (05:17):
We don't want to ask for something that we don't use.

Speaker 2 (05:20):
I think the agencies appreciate that, and quite frankly, one
hundred reports are plenty for me to read.

Speaker 4 (05:25):
I'm not looking to add to my reading.

Speaker 3 (05:26):
List absolutely.

Speaker 5 (05:28):
Well.

Speaker 2 (05:29):
One of the other things that doctor Ashley and Patty
the Associate director and finance director, they do something called.

Speaker 4 (05:37):
Non medicaid reviews, So you know you're doing those right now,
doctor Ashley.

Speaker 2 (05:42):
And this actually involves you looking at the records of
the people receiving services.

Speaker 6 (05:48):
And why is that important?

Speaker 5 (05:50):
I think it's really important when we're talking about the
quality of services that we want to like with our partners.
We are partners with them because they're providing quality official
services in the county and making an impact. So we
go in and I look at the clinical side of that.
We look at the charts on what's being done and
make sure that things are appropriately documented and you know

(06:14):
that they're they're using the principles that we use the
three legs with the story out on the podcast. So
we look at those things to make sure that the
services that are being provided are three leg services and
their quality right.

Speaker 2 (06:31):
And then Patty, I know, because she has a fiscal mind,
she's really looking to make sure.

Speaker 6 (06:36):
That is a documentation there that would justify the bill up.

Speaker 2 (06:39):
So if someone did an assessment on a certain date
in time, we just need to make sure that there's
an assessment in the record on that date and time
and it's and it's performed by somebody who is qualified
to do that, or if they require supervisor, that the
supervisor is listening. So it's all those kind of detailed

(06:59):
things is which are really important for the folks that
pay for the services.

Speaker 6 (07:02):
They all require that kind of documentation and oversight.

Speaker 2 (07:07):
So so those non medicaid reviews, we do a random
sample within a fiscal year of all the clients that
we're served, and then.

Speaker 4 (07:16):
We do what we call top utilizer.

Speaker 6 (07:18):
We take just some of the highest utilizers in terms
of dollar amount. And we think that's important because you.

Speaker 4 (07:24):
Can tell a lot by those folks that are using a.

Speaker 6 (07:26):
Lot of services, trans patterns, et cetera.

Speaker 5 (07:29):
Yeah, And I think one of the things I've learned
from you is it's important to look at those people
that are still in the system. Why are they still
there ye services, Like, how are they working towards you know,
autonomy and achieving their goals and making sure they're still
working towards that and not just stuck in the system, you.

Speaker 4 (07:46):
Know, absolutely.

Speaker 2 (07:47):
Yeah, So that's an important point I think you're making, Doctor, actually,
because as listeners may know, we don't want folks to
languish for who in the community behavioral health system in
National County any longer than they need to be. Uh.

Speaker 4 (08:00):
Don't don't get me wrong.

Speaker 2 (08:02):
We want folks that need the services to get the
services as quickly as possible. But whenever they're able, we
want them to move on, Hello, move on to their
natural supports, uh, and to exit our system successfully, but
exit successfully win it all possible.

Speaker 3 (08:19):
So, because exiting a system means that they've gotten better.

Speaker 4 (08:22):
Yes, yes, they've achieved the goals that they set for themselves.

Speaker 3 (08:25):
So yeah, that's.

Speaker 2 (08:27):
Always a good sign when when you go in and
you're able to see that kind of a start and
then a stop that is successful.

Speaker 3 (08:34):
Right, absolutely, well people in treatment forever.

Speaker 2 (08:36):
That's right. Yeah.

Speaker 6 (08:37):
Now those cups just so you know, they change color
depending on what liquid you put in.

Speaker 3 (08:41):
It's pretty cool.

Speaker 4 (08:45):
Guys, do thank you, thank you, thanks for saying so.
You know, so folks might want to know.

Speaker 6 (08:52):
Okay, David, doctor Ashley, you're doing a lot of reviewing
the reports. You're you're actually looking at the actual records themselves.

Speaker 4 (08:59):
So how does that all come together?

Speaker 5 (09:03):
Yeah, so I think one of the things we compile
that information into our annual report. We talk about that
our annual luncheon. But we also bring in customer Satisfaction survey,
so we get feedback from the people.

Speaker 6 (09:18):
Themselves directly actually getting to suggest And I think.

Speaker 5 (09:21):
This is really important because it's the one way that
people directly communicate to us as the board. They can
have an opportunity to tell us whether.

Speaker 2 (09:29):
They can always call us everything email us. But I
agree with you, this is always to me, even one
of the more important things we do. So we hear
directly from the folks receiving service, all three agencies. We
give them a two week period usually to submit.

Speaker 6 (09:41):
It's not very long.

Speaker 2 (09:43):
I mean, it's like ten twelve questions something like that
that folks can easily complete. And it's anonymous, right, nobody
knows the name associated.

Speaker 4 (09:52):
We don't even ask for that.

Speaker 5 (09:54):
Yeah, yeah, I think that's really important because you know,
whether things weren't well, things didn't go well with their treatment,
we get to hear that and it's you know, it's
directly to us, the direct line of communication.

Speaker 3 (10:05):
That's great.

Speaker 2 (10:05):
Yeah, I agree, So that is another important data point.
And then all this information as we're talking to the
board throughout the year, we're summarizing the reports, we're summarizing
the non medicare, we're summarizing those satisfaction surveys and outcome
measures that we just talked about.

Speaker 6 (10:24):
So all that is kind of her buyer or process
buyer board discussed.

Speaker 4 (10:28):
With the agencies.

Speaker 2 (10:30):
And then when it comes times to next year contracts
for next year, hopefully the audience can understand that informs
that whole process. So for example, we may not want
to fund a programmer service based on all the reporting
that we analyzed over the course of year.

Speaker 4 (10:46):
On the other end, we might want to.

Speaker 2 (10:48):
Start something that we don't have because of needs have emerged,
or maybe to enhance a program that the Board has
been funding. But based on all the reports and all
the feedback we've received, it looks like we just need
to make.

Speaker 4 (10:59):
It biggest growing it's grown.

Speaker 3 (11:01):
Yeah, absolutely, year to year things really can change like that.

Speaker 2 (11:04):
So we have something called our Annual Luncheon. We do
this once a year in October. This year is October
twenty third, twenty twenty four, starting at noon over at
Ashley University's Complications Center.

Speaker 6 (11:17):
I believe even the registration for that might be live.
It is, actually, yes, is it on the board's website.

Speaker 3 (11:23):
I think that it's going to be because of this week.

Speaker 6 (11:26):
So that's Ashlan mhrb dot org. Yes, that's Ashlan mhrb
dot org.

Speaker 4 (11:31):
So at this.

Speaker 2 (11:32):
Annual luncheon, which we invite folks to the annual report
that doctor Ashley referenced, that's the first time it's really
published and put out to the general public.

Speaker 5 (11:41):
Right, Yeah, So we'll put out the full version of
the report electronically that people can access and it's always
on our website also, but also we'll do a summary
version on high level Summary one pager that we hand
out to people as they come.

Speaker 2 (11:55):
So, yeah, so all the things that doctor Ashlan have
been talking about, if you want to see that kind
of condensed down and to report either the full version
which is online or the summary version that we present
at the luncheon and I talked through a little bit.

Speaker 4 (12:09):
You know, that's just one reason to.

Speaker 2 (12:11):
Come to our lunchon on October twenty third, twenty twenty
four at noon.

Speaker 4 (12:15):
The other reason is we got a great keynote we do.

Speaker 5 (12:18):
Yeah, we have the Juvenile Court and Probate Judge to
Santola coming out for our Kenot Judge.

Speaker 4 (12:23):
The sant oklog is going to be there.

Speaker 2 (12:25):
The judge has been doing great work at the Juvenile
Court as well as probate. I think she's partnered with
us at a much higher level and that has payoffs
for the kids, the youth and the families that are
involved with her court.

Speaker 6 (12:40):
So I'm excited to hear now that she's been judged
for a couple of years now.

Speaker 4 (12:44):
I know that first year is always.

Speaker 7 (12:45):
A whirlwind, right when you get into office for that
first year. So she's done a lot of things, I think,
but now she's really starting to push things in a
direction that she always saw for the Juvenile Court.

Speaker 5 (12:56):
As well as Absolutely, i know we talked about trauma
for courts early on in her ye ten years, so
I'm excited to hear what she hasked to SA.

Speaker 2 (13:05):
Yeah, yeah, and again, I know the judge will also
talk about things where she still wants to grow because
she's not shy.

Speaker 4 (13:11):
Listening audience doesn't know that Justice Santa Fella is shy,
so if she sees rooms for improvement, she will articulate that,
I think to the audience and I think our boards to.

Speaker 1 (13:20):
Hear that is absolutely that'll be great to hear listening
to another episode of the Keeping Ashland Healthy podcast. The
podcast is a production of the Mental Health and Recovery
Board of Ashland County, Ohio. You can reach the board
by calling four one nine two eight one three one
three nine. Please remember that the board funds a local
twenty four to seven crisis line through Applese Community Mental
Health Center. It can be reached by calling four one

(13:42):
nine two eight nine six one one one. That's four
one nine two eight nine six one one one Until
next time, Please join us in keeping Ashland healthy.
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