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BEHAVIORAL HEALTH METRICS

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Title: BEHAVIORAL HEALTH METRICS Author: Lynn Duby Last modified by: Patti Ross Created Date: 3/20/2014 6:38:19 PM Document presentation format: On-screen Show (4:3) – PowerPoint PPT presentation

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Learn more at: http://www.maine.gov
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Title: BEHAVIORAL HEALTH METRICS


1
BEHAVIORAL HEALTH METRICS
  • MACRO AND MICRO LEVELS
  • PROCESS AND OUTCOME MEASURES

2
LAYERS OF ACCOUNTABILITY
  • BROAD OVERARCHING MEASURES
  • Definition Behavioral health is used to refer
    to both mental health services and substance
    abuse (or substance use disorder) services. The
    population we serve includes individuals and
    families with substance use disorders, severe and
    persistent mental illness and serious emotional
    disturbance.
  •  
  • multiple layers of both process and outcome
    measures in the behavioral health arena which
    build on each other.
  • Process measures are defined as activities which
    lead indirectly to an outcome. Examples are
    measuring the time in which a client can access a
    service (24 hours, 5 days, etc).
  • An outcome measure is defined as a change in a
    clients behavior or experience such as
    reduction in number of psychiatric
    hospitalizations).
  •  

3
  • Some measures are fairly universally applied to
    all services, such as time to access to care.
  • Some measures apply to broad groups of clients,
    such as Consent Decree requirements.

.
4
  • DHHS licensing standards
  • Credentialing requirements by each payer source
    .
  • MaineCare rules, both general and service
    specific. Most relevant are under Chapter 101,
    Sections 13,17,23,65,46 and 92 (the newest which
    is still a proposed rule).

5
MEASURES REFLECTING REQUIRED APPROACHES
  •  
  • These four documents form the context for the
    delivery of behavioral health services in Maine.
    They include general expectations as well as
    specific process and outcome measures
  • 1) the Consent Decree ( also known as the AMHI
    consent decree)
  • 2) the Co-occurring Capable document
  • 3) the Recovery Oriented Systems of Care
    document
  • 4) the Trauma Informed Systems of Care
  • All documents can be found online.

6
SPECIFIC CONTRACT MEASURES
  •  
  • Found in each contract an organization has with
    DHHS
  • Specific by service such as Outpatient Substance
    Abuse, Outpatient Mental Health, Crisis, etc.
  • Both process and outcome measures.
  •  

7
BEHAVIORAL HEALTH HOME
  • BEHAVIORAL HEALTH HOME QUALITY MEASURES (measured
    against baselines)
  •  
  • 1). Clients will have same day access to
    providers
  •  
  • 2) BHHO will show improvement on one or more
    specific integration goals based on the BHHOs
    baseline assessment.
  •  
  • 3) Family input will be gathered at least once
    per year.
  •  
  • 4) Avoidable hospitalizations will be reduced
  •  
  • 5) Avoidable Emergency Department visits will be
    reduced.
  •  
  •  
  •  

8
CRISIS CONTRACT MEASURES
  •  The first measure is subject to financial reward
    or punishment
  • Fewer than 80 of face to face assessments will
    occur in either the Emergency Department or the
    Crisis agency office.
  • All crisis services standards shall be met (this
    is yet another document which identifies a
    lengthy list of additional requirements)
  • Evidence Based Practices (EBPs) shall be used
    whenever possible (there are many of these is
    some services areas and none in others, SAMHSA
    has an official list)

9
SUBSTANCE ABUSE MEASURES
  • SUBSTANCE ABUSE SERVICES MEASURES (OUTPATIENT)
    Note SA measures are subject to financial
    rewards and punishments.
  •  
  • Agencies will deliver 90 of their contracted
    units
  • Access to services will be within 5 days.
  • 50 of clients will stay in treatment for 4 or
    more sessions
  • 30 of clients will stay in treatment for 90
    days.
  • There are also 8 additional measures that are
    tracked but not subject to financial reward or
    punishment.
  •  

10
NATIONAL OUTCOME MEASURES
  • 1. Abstinence from drug and/or alcohol use for
    specified period of time
  • 2. Getting and keeping a job or enrolling/staying
    in school
  • 3. Decreased involvement w/criminal justice
    system
  • 4. Decreased inpatient hospitalizations
  • 5. Securing safe, decent and stable place to live

11
SUMMARY
  • Behavioral health services operate within a
    context of articulated values and expectations
    which are codified in rules and legal agreements.
  • Behavioral health services are accountable to
    funders through the use of specific outcome and
    process measures tailored to each type of
    service.
  • Due to earlier emphasis and higher allocation of
    resources, substance use disorder services are
    more outcome oriented than mental health.
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