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 |
 Summit Reports
| INDICATOR
|
MEASURE
|
SOURCE
|
NUMERATOR
|
DENOMINATOR
|
DATA
SOURCE
|
| 1. Active consumer and
family participation in decisions concerning treatments.
|
The percentage of consumers
who actively participate in decisions concerning their
treatment; as defined by the consumers response to survey
questions regarding treatment: -I not staff, decided my
treatment goals.-I felt comfortable asking questions
about my treatments and medication.
Note: This is based
on a five point scale ranging from very satisfied to not
satisfied.
|
MHSIP Report Card
|
The number of consumers who
respond positively to those questions.
|
The total number of
consumers who are surveyed.
|
MHSIP Consumer Survey
|
| INDICATOR
|
MEASURE
|
SOURCE
|
NUMERATOR
|
DENOMINATOR
|
DATA
SOURCE
|
| 2. Percent of persons
discharged from impatient care who receive services in
seven days.
|
The total number of
discharges from psychiatric inpatient care during the
past year that were followed by at least one outpatient
(non-emergency) care visit within 7 days, divided by the
number of all discharges from psychiatric inpatient care
during the past year.
|
MHSIP Report Card
|
The total number of
discharges from psychiatric care during the past year
that were followed by at least one outpatient
(non-emergency) care visit within 7 days.
|
The number of all discharges
from psychiatric inpatient care during the past year.
|
Enrollment/encounter data
|
| INDICATOR
|
MEASURE
|
SOURCE
|
NUMERATOR
|
DENOMINATOR
|
DATA
SOURCE
|
| 3. Receipt of information
to make informed choices.
|
The percent of consumers who
receive adequate information to make informed choices; as
defined by the consumer response to survey questions
regarding adequate information: -I felt comfortable
asking about my treatment and medication -I was given
information about my rights-Staff told me what side
effect to watch for.
Note: This is based on a five
point scale ranging from very satisfied to not satisfied.
|
MHSIP Report Card
|
The percentage of consumer
who respond positively to those questions.
|
The total number of
consumers surveyed.
|
MHSIP Consumer survey
|
| INDICATOR
|
MEASURE
|
SOURCE
|
NUMERATOR
|
DENOMINATOR
|
DATA
SOURCE
|
| 4. Treatment (including
prevention, assessment, intervention, rehabilitation, and
habitation) follows best practice guidelines.
|
The total number of adults
with a diagnosis of depression who received medication a
the range specified by the American Psychiatric
Association (APA) guidelines, divided by the total number
of adults with the diagnosis who were prescribed
medication.
|
MHSIP Report Card
|
The total number of adults
with a diagnosis of depression who received medication at
the range specified by the American Psychiatric
Association (APA) guidelines.
|
The total number of adults
with the same diagnosis who were prescribed medication
|
Enrollment/encounter data:
patient records
|
| INDICATOR
|
MEASURE
|
SOURCE
|
NUMERATOR
|
DENOMINATOR
|
DATA
SOURCE
|
| 5. Appropriate use of
psychotherapeutic medications.
|
This measure tries to assess
to what extent the plan uses psychotherapeutic
medications appropriately by determining what percentage
of enrollees given psychotherapeutic drugs were diagnosed
with a condition that warrants such a prescription
(including senile or presenile psychosis, alcoholic
psychosis, drug psychosis, transient organic psychosis,
chronic psychosis, schizophrenic psychosis, affective
psychosis, paranoid states or other non-organic
psychosis).
|
HEDIS 3.0
|
The number of enrollees who
were prescribed a psychotherapeutic drug who had one of
the following diagnosis:
(senile or presenile psychosis, alcoholic psychosis, drug
psychosis, transient organic psychosis, chronic
psychosis, schizophrenic psychosis, affective psychosis,
paranoid states or other non-organic psychosis).
|
The number of enrollees who
were prescribed a psychotherapeutic drug.
|
Clinical Records Data
|
| INDICATOR
|
MEASURE
|
SOURCE
|
NUMERATOR
|
DENOMINATOR
|
DATA
SOURCE
|
| 6. Family visits for
children 12 years of age or younger.
|
Given any ambulatory
treatment activity (claims, authorization, or encounter)
for a child aged 12 years and younger, then also an
activity (claims, authorization, or encounter) for a
family visit. {The percentage of children for whom this
is the case}
|
AMBHA PERMS
|
The number of children at
least 12 years of age or younger who have received at
least on ambulatory treatment or activity (claims,
authorization, or encounter) in the first 11 months in a
calendar year for whom there is at least 1 family visit
in a calendar year.
|
The total number of children
aged 12 years and younger treated during the first 11
months of a calendar year.
|
Paid Claim Data
Authorization
Data
Encounter Data
|
| INDICATOR
|
MEASURE
|
SOURCE
|
NUMERATOR
|
DENOMINATOR
|
DATA SOURCE
|
| 7.
Consumer satisfaction with services. (Outcome)
|
(a) AMBHA
PERMS
Access: Satisfaction with time interval to first
appointment.
Intake: Degree of satisfaction with intake worker.
Clinical Care: (a) Degree of satisfaction with therapist.
(b) Willingness to recommend therapist/program.
Outcome: Consumer assessment of outcome. Global
Satisfaction: Rating of overall satisfaction.
(b) MHSIP Consumer Survey
To be determined.
(c) CAHPS
To be determined.
|
Consumer
Satisfaction Survey Data
(see attachments)
(b) MHSIP Consumer Survey
(see attachments)
(c) CAHPS Behavioral Health Module
(see attachments)
|
|
.
|
Mail
Phone
To be determined.
To be determined.
|
| INDICATOR
|
MEASURE
|
SOURCE
|
NUMERATOR
|
DENOMINATOR
|
DATA
SOURCE
|
| 8.
Benchmarked and risk adjusted percentage of consumers who
receive only one treatment visit. (Access)
|
(a) For each
of the following age, sex, and ethnic grouping: the total
number of enrollees receiving one mental health services
in the past year, divided by the total number of
enrollees.
Age: 0-21, 22-64,65+
Sex: Male, female
Ethnicity: (1) White, African American, Asian, Other
(2) Hispanic, non-Hispanic
(b) For the same age, sex, and
the ethnic grouping: the total number of enrollees
receiving one and only one mental health service in the
past year, divided by the total number of enrollees
receiving one or more mental health services in the same
year.
|
MHSIP Report
Card
MHSIP Report Card
|
The total
number of enrollees receiving one mental health services
in the past year.
The total number of enrollees receiving
one and only one mental health service in the past year.
|
The total
number of enrollees.
The total number of enrollees receiving one or more
mental health services in the same year.
|
Enrollment/encounter
data
Enrollment/encounter data
|
|
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