Onsite Quarterly MeetingPMHP Collaborative PIP

Follow-up Within Seven Days After Acute Care Discharge for a Mental Health Diagnosis

January 11, 2012

Presenter:

Christy Hormann, LMSW, CPHQProject Leader-PIP Team

Overview

History of PMHP Collaborative PIP

Remeasurement 3 results

Next Steps

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History of PMHP Collaborative PIP

The PIP was initiated in 2007 Started with three study indicators

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History of PMHP Collaborative PIP cont.

Starting in FY 10-11, the two case-manager related study indicators were discontinued

The remaining study indicator measured outpatient follow-up with a mental health practitioner within seven days of discharge

In FY 10-11, the second remeasurement was reported

Based on the results, it was determined that the PIP would continue

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Results

Remeasurement 3 results were reported for FY 11-12

HSAG will assess for improvement between Remeasurement 2 and Remeasurement 3

HSAG will also assess for overall sustained improvement from baseline to Remeasurement 3

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Interventions

The PMHPs implemented plan-specific interventions

There was discussion of a possible collaborative intervention in 2008 and the issue was revisited in 2010

In April 2011, a collaborative intervention was agreed upon by the PMHP group

The collaborative intervention is follow-up telephone contact with members after an inpatient discharge

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PMHP Results for Study Indicator 1—Percentage of members who have an outpatient follow-up encounter with a mental health practitioner within seven days of discharge.

Plan NameBaselineCY 2007

Remeasurement 1 CY 2008

Remeasurement 2 CY 2009

Remeasurement 3CY 2010

Rate Rate Rate Rate

A 13.5% 47.1% 34.5% 43.4%

B 15.8% 34.4% 36.7% 36.0%

C 13.8% 39.7% 41.0% 40.1%

D 13.8% 44.6% 37.2% 33.1%

E 13.5% 47.1% 34.5% 43.4%

F 25.1% 33.4% 44.1% 40.6%

G 20.8% 28.5% 29.6% 27.2%

H 28.8% 31.3% 39.3% 33.5%

I 20.2% 34.7% 25.8% 25.6%

J 21.7% 22.3% 29.2% 24.5%

K 16.4% 26.2% 29.2% 35.7%

L 49.3% 67.8% 71.2% 39.8%

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Study Indicator 1—Percentage of members who have an outpatient follow-up encounter with a mental health practitioner within seven days of discharge.

All except one of the PMHP PIPs reported third remeasurement rates that demonstrated improvement from baseline

Eleven of the PMHP PIPs achieved statistically significant improvement from baseline to the third remeasurement

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Key Improvement Concepts

Know the rates for applicable demographic subgroups

Prioritize barriers; all barriers do not have to be addressed

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Key Improvement Concepts cont.

Strategize interventions and intervention types based on barrier analysis

Identify an evaluation plan for each intervention

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What’s Next? PMHPs were asked to complete subgroup

analysis Interventions might need to be modified

based on the results

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What’s Next? PMHPs should evaluate the effectiveness of

their plan-specific interventions Strategies-surveys, interim measurements Successful interventions should become a

standard part of the process

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