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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