Bureau of Community and Hospital Operations
Phil Mader, Director
P. O. Box 2675
Harrisburg, PA 17105-2675
Community and Hospital Operations: 717-783-8335
The Bureau of Community and Hospital Operations consists of three Divisions: The Eastern and Western Operations and Hospital Operations. There are four Regional Field Offices that are a part of the Eastern and Western Operations. The four regional field offices have responsibilities such as those listed below:
- Monitors and investigates major unusual incidents and complaints
- Conducts contract oversight of HealthChoices Managed Behavioral Health Services
- Works with local county officials, professional and Advocacy organizations, Legislators, Federal Government representatives and others
- Promotes consumer and family involvement in decision making about what services and supports are needed
- Reviews and approves County Mental Health Plans and budgets to ensure comprehensive services are available
- Partnership with County Mental Health and State Hospital System on Service Area Planning
- Work with counties to implement and monitor the Community Hospital Integration Project Programs (CHIPPS)
- Licensure of mental health services
The main roles of the Bureau of Community and Hospital Operations are:
- Oversight of County Mental Health Programs
- The Commonwealth of Pennsylvania has a highly decentralized system of mental health services, with county government responsible for the provision of mental health services to citizens within their subdivision. The Mental Health and Mental Retardation Act of 1966 requires county governments to provide community mental health services, including short-term inpatient treatment, partial hospitalization, outpatient care, emergency services, specialized rehabilitation training, vocational rehabilitation, and residential arrangements. There are 48 county/county joinders under the direction of County Mental Health administrators. All county administrators also function as the directors of the county Developmental Services programs and in 35 counties, as Drug and Alcohol Program Administrators.
- The Office of Mental Health and Substance Abuse Services, Bureau of Community and Hospital Operations provides oversight and partners with County Mental Health to ensure every individual served by the Mental Health and Substance Abuse Service system will have the opportunity for growth, recovery and inclusion in their community, have access to culturally competent services and supports of their choice, and enjoy a quality of life that includes family and friends.
- Contract oversight of HealthChoices managed Behavioral Health Program
- The Commonwealth of Pennsylvania's mandatory Medicaid managed care program, called HealthChoices (HC), is the largest Medicaid program administered by the Department of Human Services (DHS) and consists of three components. The Office of Medical Assistance Programs (OMAP) administers two components: the Physical Health Program and the HealthChoices Enrollment Assistance Program. The Office of Mental Health and Substance Abuse Services (OMHSAS) oversee the third component, the Behavioral Health Program that provides mental health and substance abuse treatment services.
- Under the behavioral health component of theHealthChoices program, counties are required to ensure high quality care and timely access to appropriate mental health and drug and alcohol services and facilitate effective coordination with other needed services. The HealthChoices Behavioral Health Program was implemented statewide on July 1, 2007.
- Operation and oversight for State Hospital System
- The primary purpose of the State Hospital System is to insure state-of-the art inpatient treatment to persons committed under the Mental Health Procedures Act (MHPA) to the six state mental hospitals in order to ensure that that the men and women who come to us for service develop the skills, resources and supports needed for recovery and are able to return to the community.
- The divisions oversee and direct the effective and efficient management of six state-owned and operated mental health hospitals and one restoration center, including two maximum-security forensic units for persons with serious mental illness who are charged with or convicted of criminal offenses and the Sexual Responsibility and Treatment Program.
- To insure quality patient care, the bureau reviews and analyzes management reports and clinical information related to state hospital/restoration center utilization, in order to anticipate and resolve emerging problems. It also administers systemic risk management and performance improvement initiatives and data tracking systems to identify areas needing improvement and to identify and replicate best treatment practices. The bureau uses these results to establish system-wide standards and policies for treatment and clinical functions which adhere to or exceed accepted best practice. Maintains Medicare and Medicaid certification to assure the highest standards of inpatient care.
- The division staff works collegially with consumers, family members, ombudspersons and advocates to improve the quality of life for all who receive services and supports. In order to ensure that inpatient hospital/restoration center treatment is provided in environments that foster consumer empowerment, dignity and recovery, consistent with Community Support Program (CSP) principles. Since all patients are admitted to state hospitals through the County Mental Health system, the bureau collaborates with county, local hospital and community provider staff, constituents and other stakeholders to establish effective community/hospital linkages and continuity of care for patients discharged back into the community. The bureau collaborates with other OMHSAS bureaus and divisions in planning, developing and implementing community integration initiatives as a resource for expanding community-based services in order to enhance the commonwealth’s development of a Recovery-supporting Approach to service.
Learn more about South Mountain Restoration Center