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A specialist in integrated care and quality improvement, Bren Manaugh has expertise in operations systems design, implementation, and funding strategies for serving the safety net and complex care populations. She works with stakeholders across systems to develop and drive person-centered, culturally competent care that optimizes outcomes and reduces costs.
Since joining HMA Bren’s work has included working with the Hospital Association of Southern California to conduct a comprehensive assessment of the service delivery system for individuals experiencing homelessness in Los Angeles and the surrounding six county area; with state and federal entities to inform and develop outcomes and value-based payment (VBP) approaches for the complex care population; a federal agency to evaluate and recommend treatment planning best practices and requirements for behavioral healthcare; supporting behavioral health providers with VBP readiness and practice transformation; and as a practice coach and behavioral health integration subject matter expert in Delaware’s behavioral health integration transformation project.
Prior to joining HMA Bren Manaugh was vice president of adult services at a large mental health/substance abuse authority in San Antonio. In this role, Bren helped execute agency strategic direction and had management responsibility for operations across a full continuum of mental health, addiction, and integrated services, including outpatient clinic operations, assertive community treatment, community mobile outreach, supported employment, home and community based services, and integrated primary and behavioral healthcare.
As an executive operations leader, Bren has developed and successfully implemented innovative programs integrating primary care with robust behavioral health and social services to address the needs of individuals with complex needs, including individuals experiencing homelessness. She built this best practices base through administration of multiple 1115 Waiver programs and grants. These include a SAMHSA CABHI (cooperative agreement to benefit homeless individuals) grant; CMS Health Care Innovations grant to integrate behavioral, mental, and primary healthcare for homeless adults with co-occurring mental illness and substance abuse disorders experiencing or at risk for chronic physical diseases; SAMHSA Primary and Behavioral Health Care Integration grant; and a Johnson and Johnson grant on integration of physical health data and services for improved health outcomes for adults with SMI and co-occurring substance use disorders.
In developing a robust, fully integrated model within the community mental health setting, Bren worked with clinical, information technology, and data evaluation teams to create solutions to the challenges of non-compatible behavioral health and primary care EHRs for agile access to patient-specific clinical data and data collection through acquisition and management of a clinical decision support tool and patient registry.
In addition, Bren was project lead for The Robert Wood Johnson Data Across Sectors for Health (DASH) grant that included the development of a successful model for high-utilizers of emergency departments with complex care needs incorporating technology solutions for providing real-time patient information in the health insurance exchange (HIE) to divert from unnecessary inpatient hospitalizations. Working with the regional HIE, Bren and her team established a community treatment plan to provide hospital providers with electronic real-time clinical information for super utilizers. This tool enabled hospitals to divert patients from unnecessary emergency department and inpatient services and reconnected them with the community-based treatment team. This project also partnered with local law enforcement and corrections systems to give officers electronic real time advisories about high risk consumers and maximize efficiency in disposition of emergency detentions.
As a Certified Professional in Healthcare Quality (CPHQ), Bren is adept at applying metrics and data analytics, and Lean and change management methodology to develop, implement, and evaluate clinical systems to drive targeted outcomes and reduce costs. She has experience conducting change management and organizational development, working with clinic leadership and staff to support operational and cultural change, and with developing and evaluating outcomes frameworks measures tied to pay-for-performance and other elements of APM. Bren has also administered quality improvement and assurance departments, overseeing CARF accreditation as well as multiple clinical contract and certification standards and requirements.
Bren received her Master of Social Work from the University of Kansas and her bachelor’s degree from the University of Minnesota. She is a licensed clinical social worker.
Bren and her spouse share their home with three rescues – two dogs and a cat. She enjoys traveling, especially to other countries, and has made it her goal to visit as many UNESCO World Heritage sites as possible.