Austin Travis County Integral Care Strategic Plan FY 2017-19 | Page 2

Executive Summary Austin Travis County Integral Care (Integral Care) is a mission-driven organization, with deep roots in the community and a strong history of cooperation with the city, county, and other stakeholders in the health and social service sectors. Our top-quality staff is focused on improving the lives of those we serve through innovative practices, leading-edge approaches to behavioral health, and collaboration with other organizations. These qualities are evident in Integral Care’s organizational values: People, Integrity, Excellence, and Leadership. By continuing to focus on these principles, we can advance our goals and achieve our vision of Healthy Living for Everyone. The rapidly changing health care environment presents the need to innovate and adjust business practices and services in ways that sustain and support our ability to meet the needs of the community and the successful advancement of our mission to improve the lives of people affected by behavioral health and developmental and/or intellectual challenges. Integral Care is planning for a healthy future in order to respond to significant forces internally and externally, including: • • • • • changes in the way modern health care is governed, managed, delivered, and measured payment reforms and shifts to managed care within the health care industry population growth and other demographic shifts in the region and the state as a whole community needs and expectations rapid organizational growth, including impacts on resources and staffing The new health care environment requires organizations to manage population health through improved experiences, lower costs, and better outcomes. This necessitates creating holistic programs and innovative partnerships to address all client needs, from physical conditions, to mental health, to psychosocial risk factors. We enlisted the Meadows Mental Health Policy Institute (Meadows Institute), a nonpartisan mental health policy research and development firm, to assess organizational capacity and provide recommendations to help us strengthen alliances, innovations, and our business model to support further integration and accountable care. According to the Meadows Institute, 1 the health system across Texas appears to be moving toward increased support of local systems, driving the associated need for additional capacity to coordinate resources at the local level. Through services and strategic alliances, we seek to be a leader in population health management for Travis County residents with the most severe and complex behavioral health challenges. 2 Travis County has seen a dramatic 25% population increase in the past nine years, half of which is made up of low-income individuals. A shortage of providers and an insufficient supply of health services are challenges for the local community. This is coupled with a rapidly rising cost of living and a lack of affordable housing, displacing many of the neediest individuals to outlying areas that lack critical resources and infrastructure. As the community grows and changes, so does our knowledge of how best to serve individuals with mental illness, substance use disorder, and intellectual and developmental disabilities. New models of care backed by research and experience support the evolution of how we deliver care locally, always striving for the highest standard of care. The Meadows Mental Health Policy Institute for Texas (2014). Austin Travis County Integral Care Consultation Projects 1, 2 and 3: Development Recommendations for Integrated Care, Accountable Care, and Leadership Succession. 2 Ibid. 1