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Performance Outcomes Measurement Manual
Contents Core requirements for all measures ......................................................................................................... 3
Employment Overview .............................................................................................................................. 3
Target Population ..................................................................................................................................... 3
Adult Mental Health...................................................................................................................................... 3
M0003 Average annual days worked for pay for adults with severe and persistent mental illness ........ 3
M0703 Percent of adults with serious mental illness who are competitively employed ......................... 5
M0016 Number of adults with a serious and persistent mental illness in the community served .......... 6
M0017 Number of adults in mental health crisis served .......................................................................... 7
M0018 Number of adults with forensic involvement served ............................................................... 7
M0742 Percent of adults with severe and persistent mental illnesses who live in stable housing
environment. ............................................................................................................................................ 7
M0743 Percent of adults in forensic involvement who live in stable housing environment. .................. 9
M0744 Percent of adults in mental health crisis who live in stable housing environment. ................... 10
Children’s Mental Health ............................................................................................................................ 11
M0031 Number of SED children to be served ........................................................................................ 11
M0032 Number of ED children to be served .......................................................................................... 12
M0033 Number of at‐risk children to be served .................................................................................... 12
M0378 Percent of children with serious emotional disturbances who improve their level of
functioning .............................................................................................................................................. 13
M0778 Percent of children with emotional disturbance (ED) who live in stable housing environment 14
M0779 Percent of children with serious emotional disturbance (SED) who live in stable housing
environment ........................................................................................................................................... 15
M0780 Percent of children at risk of emotional disturbance who live in stable housing environment 17
M0012 Percent of school days seriously emotionally disturbed (SED) children attended. .................... 18
Adult Substance Abuse ............................................................................................................................... 19
M0755 Percent of adults who successfully complete substance abuse treatment services. ................ 19
M0063 Number of adults that receive substance related services ........................................................ 20
M0756 Percent of adults with substance abuse who live in a stable housing environment at the time
of discharge. ............................................................................................................................................ 20
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M0753 Percentage change in clients who are employed from admission to discharge. ....................... 21
M0754 Percent change in the number of adults arrested 30 days prior to admission versus 30 days
prior to discharge. ................................................................................................................................... 23
Children’s Substance Abuse ........................................................................................................................ 24
M0052 Number of children that receive substance related services. .................................................... 24
M0725 Percent of children who successfully complete substance abuse treatment services. ............. 24
M0751 Percent change in the number of children arrested 30 days prior to admission versus 30 days
prior to discharge. ................................................................................................................................... 25
M0752 Percent of children with substance abuse who live in a stable housing environment at the time
of discharge. ............................................................................................................................................ 26
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Corerequirementsforallmeasures Valid DCF contract
Valid target population at start of the episode of care
Valid fund source
o TANF only for services funded through the TANF Other Cost Accumulators (OCA)
o SAMH, Title XXI, PTS, Local Match when appropriate
Report capabilities must be based on the following hierarchies
o Subcontractor to ME
EmploymentOverviewThe Department tracks employment across several measures. Employment measures are focused on
the consumer’s employment status following admission. Employment data is required for all
consumers between the ages of 18 and 62 who are receiving services in non‐institutional setting.
Definitions from the Florida Department of Economic Opportunity1 are used as the basis for determining
employment in Florida. DEO defines employment as including persons who: did any work as paid
employees, worked in their own business or farm, or worked 15 hours or more as unpaid workers in a
family business during the reference week (normally the week including the 12th of the month). It also
includes those who had a job but did not work due to a temporary absence. Each employed person is
counted only once, even if they had more than one job.
Unemployment is defined as those who did not have a job during the reference week, were available for
work, and made specific efforts to find a job sometime during the 4 weeks prior to the reference week.
TargetPopulationTo ensure that outcome measures accurately represent an episode of care, an individual’s target
population is established at admission. The Department recognizes that an episode of care may extend
well beyond a particular fiscal year. As such, it is important that service providers accurately record all
admissions and discharges.
Adult Mental Health
M0003 Average annual days worked for pay for adults with severe and persistent mental
illness
This output is reported as a whole number.
Target population is persons with a severe and persistent mental illness;
Received mental health treatment services;
o Eligible services limited to:
06 ‐ Day / Night
1 http://www.floridajobs.org/frequently‐asked‐questions‐directory/frequently‐asked‐questions/category/c86500ec‐ef5f‐45dc‐aecd‐47963129c215/x
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08 ‐ In‐Home and On‐Site Services Overlay 12 ‐ Medical Services 14 ‐ Outpatient‐Individual 20 ‐ Residential Level 3 21 ‐ Residential Level 4 34 ‐ FACT Teams 35 ‐ Outpatient‐Group.
o Exclude persons that received assessment only services;
Ages 18 to 62;
Exclude persons that were served at a state mental health treatment facility any time during the
review period.
Employment status is one of the following at any time during the review period:
o 10 ‐ Active military, overseas o 20 ‐ Active military, USA o 30 ‐ Full Time o 31 ‐ Unpaid Family Workers (minimum of 15 hours worked for family business) o 40 ‐ Part Time o 50 ‐ Leave of Absence
For leave of absence, the provider should inquire how many days worked prior to the leave of absence.
o 70 ‐ Unemployed
For each person
o Count the number of post‐admission outcome records (e.g., periodic or discharge) per
person per provider.
o Sum the number of days worked per person per provider.
o Divide the number of days worked by the count of post‐admission outcome records
(e.g., periodic or discharge) per person per provider.
o Multiply result by 12.1667 to arrive at an ‘annual’ estimate.
o Round the result to the nearest whole number.
For example, John Doe has the following three performance outcome records:
PROVID SPROVID EVALDATE DAYSWORK
59‐1234567 59‐7654321 07/19/2013 12
59‐1234567 59‐7654321 10/12/2013 15
59‐1234567 59‐2222222 09/09/2013 18
At the ME (PROVID) level, days worked is:
1) Number of records = 3
2) Sum of days worked = (12+15+18) = 45
3) 45 / 3 = 15
4) 15*12.1667 = 182.5
5) Round to 183
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At the SPROVID level, days worked for SPROVID 59‐7654321 is:
1) Number of records = 2
2) Sum of days worked = (12+15) = 27
3) 27 / 2 = 13.5
4) 13.5*12.1667 = 164.3
5) Round to 164
M0703 Percent of adults with serious mental illness who are competitively employed
This outcome is reported as a percent.
Target population includes persons with serious mental illness;
Most recent evaluation is periodic or discharge;
Received mental health treatment services;
o Eligible services limited to: 06 ‐ Day / Night 08 ‐ In‐Home and On‐Site Services Overlay 12 ‐ Medical Services 14 ‐ Outpatient‐Individual 20 ‐ Residential Level 3 21 ‐ Residential Level 4 34 ‐ FACT Teams 35 ‐ Outpatient‐Group
o Exclude persons that received assessment only services;
Ages 18 to 62;
Numerator = distinct count of persons where employment status includes any of the following:
o 10 ‐ Active military, overseas o 20 ‐ Active military, USA o 30 ‐ Full Time o 31 ‐ Unpaid Family Workers (minimum of 15 hours worked for family business) o 40 ‐ Part Time o 50 ‐ Leave of Absence
For leave of absence, the provider should inquire how many days worked prior to the leave of absence.
Denominator = distinct count of persons where employment status includes any of the
following:
o 10 ‐ Active military, overseas o 20 ‐ Active military, USA o 30 ‐ Full Time o 31 ‐ Unpaid Family Workers o 40 ‐ Part Time o 50 ‐ Leave of Absence o 70 ‐ Terminated/Unemployed
Divide to obtain the percent of adults with serious mental illness who are competitively employed;
Round result to the nearest whole number.
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For example, ME1 and ME2 have the following performance outcome records:
PROVID SPROVID SSN EMPLOYMENT STATUS
59‐1234567 59‐7654321 123456789 30 ‐ Full Time
59‐1234567 59‐7654321 987654321 50 – Leave of Absence
59‐1234567 59‐2222222 121212121 70 – Terminated/Unemployed
59‐3333333 59‐5555555 954673027 70 – Terminated/Unemployed
At the ME level, the percent of adults with serious mental illness who are competitively employed for
ME1 (59‐1234567) is:
1) Numerator = 2
2) Denominator = 3
3) Percent = 66.66%
4) Round = 67%
At the ME level, the percent of adults with serious mental illness who are competitively employed for
ME2 (59‐333333333) is:
1) Numerator = 0
2) Denominator = 1
3) Percent = 0%
4) Round = 0%
At the SPROVID level, days worked for SPROVID 59‐7654321 is:
1) Numerator = 2
2) Denominator = 2
3) Percent = 100%
4) Round = 100%
M0016 Number of adults with a serious and persistent mental illness in the community
served
This output is reported as a whole number.
Persons identified with a severe and persistent mental illness at the start of the episode of care
Received any mental health services;
18 years of age or older;
Distinct count at:
o ME level;
o Subcontractor level.
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M0017 Number of adults in mental health crisis served
This output is reported as a whole number.
Persons that do not meet criteria for having a severe and persistent mental illness or forensic
involvement that received at least one CSU or Crisis Support service during the review period;
18 years of age or older;
Distinct count at:
o ME level;
o Subcontractor level.
M0018 Number of adults with forensic involvement served
This output is reported as a whole number.
Persons whose legal status at the start of the episode of care indicates forensic involvement;
Received mental health services
o Exclude persons that received assessment only services unless the assessment was part
of a competency to proceed to trial determination;
18 years of age or older;
Distinct count at:
o ME level;
o Subcontractor level.
M0742 Percent of adults with severe and persistent mental illnesses who live in stable
housing environment.
This outcome is reported as a percent.
Persons identified with a severe and persistent mental illness at the start of the episode of care;
Received mental health treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12 ‐ Medical Services
14 ‐ Outpatient‐Individual
20 ‐ Residential Level 3
21 ‐ Residential Level 4
34 ‐ FACT Teams
35 ‐ Outpatient‐Group
o Exclude persons that received assessment only services, and persons that are
incarcerated or residing in any non‐community based institutional settings
18 years of age or older;
Most recent evaluation is periodic or discharge;
Numerator = distinct count of persons where residential status includes any of the following:
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o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
Denominator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 – Adult Residential Treatment Facility
o 09 ‐ Homeless
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 13 – Correctional Facilities
o 15 ‐ Crisis Residence
o 17 ‐ Limited Mental Health Assisted Living Facility (LM‐ALF)
o 99 ‐ Not Available or Unknown
For example, ME1 and ME2 have the following performance outcome records:
PROVID SPROVID SSN RESIDENTIAL STATUS
59‐1234567 59‐7654321 123456789 01 ‐ Independent Living‐alone
59‐1234567 59‐7654321 987654321 05 ‐ Dependent Living‐with Non‐Relatives
59‐1234567 59‐2222222 121212121 13 ‐ Correctional Facility (NOT INCLUDED)
59‐3333333 59‐5555555 954673027 15 ‐ Crisis Residence
At the ME level, the percent of adults with serious mental illness who are living in stable housing for
ME1 (59‐1234567) is:
1) Numerator = 2
2) Denominator = 2
3) Percent = 100.00%
4) Round = 100.00%
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At the ME level, the percent of adults with serious mental illness who are living in stable housing for
ME2 (59‐333333333) is:
1) Numerator = 0
2) Denominator = 1
3) Percent = 0.00%
4) Round = 0.00%
At the SPROVID level, stable housing for SPROVID 59‐7654321 is:
1) Numerator = 2
2) Denominator = 2
3) Percent = 100.00%
4) Round = 100.00%
M0743 Percent of adults in forensic involvement who live in stable housing environment.
This outcome is reported as a percent. Persons whose legal status at the start of the episode of
care indicates forensic involvement;
o Release pending hearing‐competent
o Release pending hearing‐ITP
o Conditionally released‐ITP
o Released pending hearing – NGI
o Conditionally released – NGI
o Incompetent to Proceed – Age 21+
Received mental health treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12 ‐ Medical Services
14 ‐ Outpatient‐Individual
20 ‐ Residential Level 3
21 ‐ Residential Level 4
34 ‐ FACT Teams
35 ‐ Outpatient‐Group
o Exclude persons that received assessment only services unless the assessment was part
of a competency to proceed to trial determination;
18 years of age or older;
Most recent evaluation is periodic or discharge;
Numerator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
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o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
Denominator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 – Adult Residential Treatment Facility
o 09 ‐ Homeless
o 10 ‐ Hospital
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 13 – Correctional Facility
o 15 ‐ Crisis Residence
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
o 99 ‐ Not Available or Unknown
M0744 Percent of adults in mental health crisis who live in stable housing environment.
This outcome is reported as a percent.
Persons that do not meet criteria for having a severe and persistent mental illness or forensic
involvement that received at least one CSU or Crisis Support service during the review period;
Received mental health treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12‐ Medical Services
14 ‐ Outpatient‐Individual
20 ‐ Residential Level 3
21 ‐ Residential Level 4
34‐ FACT Teams
35 ‐ Outpatient‐Group
o Exclude persons that received assessment only services unless the assessment was part
of a competency to proceed to trial determination;
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18 years of age or older;
Most recent evaluation is periodic or discharge;
Numerator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
Denominator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 09 ‐ Homeless
o 10 ‐ Hospital
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 13 ‐ Correctional Facility
o 15 ‐ Crisis Residence
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
o 99 ‐ Not Available or Unknown
Children’s Mental Health
M0031 Number of SED children to be served
This output is reported as a whole number.
Children identified with severe emotional disturbance at the start of the episode of care;
Received mental health services;
Under 18 years of age at the time of admission;
Distinct count at:
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o ME level;
o Subcontractor level.
M0032 Number of ED children to be served
Children identified with emotional disturbance at the start of the episode of care;
Received mental health services;
18 years of age or younger;
Distinct count at:
o ME level;
o Subcontractor level.
M0033 Number of at‐risk children to be served
Children who do not meet criteria for emotional disturbance or severe emotional disturbance at
the start of the episode of care; Received mental health services;
Under 18 years of age at the time of admission;
Distinct count at:
o ME level;
o Subcontractor level.
M0377 Percent of children with emotional disturbances who improve their level of
functioning.
Children identified with emotional disturbance at the start of the episode of care;
Received mental health services;
Under 18 years of age at the time of admission;
The Department’s tool for measuring functional level is the Children’s Functional Assessment
Ratings Scale (CFARS);
Must have two CFARS for comparison purposes;
o Current CFARS cannot be an admission CFARS.
o Prior CFARS cannot be a discharge CFARS.
For each child per provider with a pair of CFARS
o Sum together the scores on the 16 domains to arrive at a total CFARS scores for the
current and for the prior CFARS.
o Subtract the current CFARS total score from the prior CFARS total score
Assign a score of +1 to improved for each child if:
Current score minus prior score is negative or
Current total score less than 48 and danger to self and danger to others
are both less than or equal to three;
Else assign a score of 0 to improved for each child.
Numerator = Count of all children where improved = 1;
Denominator = Count of all children where improved =0 or 1;
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Round to nearest whole number.
For example, ME1 has the following CFARS records:
RECORD PROVID SPROVID SSN EVALUATION DATE PURPOSE TOTAL SCORE
1 59‐1234567 59‐7654321 123456789 07/22/2013 1 – ADMISSION 120
2 59‐1234567 59‐7654321 123456789 02/01/2014 2 – PERIODIC 90
3 59‐1234567 59‐2222222 010101010 09/18/2013 1 – ADMISSION 115
4 59‐1234567 59‐5555555 954673027 06/20/2013 3 – DISCHARGE 80
5 59‐1234567 59‐5555555 954673027 08/10/2013 1 ‐ ADMISSION 95
In the example above, only records 1 and 2 are valid pair of CFARS for comparison. Records 4 and 5
would not be valid as the current CFARS is an admission and the prior was a discharge.
At the ME level, the percent of children with emotional disturbances who improve their level of
functioning would be calculated as:
1) Current Total Score (90) minus prior Total Score (120) = ‐30;
2) Assign a score of +1 to improved for SSN 123456789;
3) Numerator = count of records where improved = 1 (1);
4) Denominator = count of records where improved = 1 or 0 (1);
5) Percent = 100%
6) Round = 100%
M0378 Percent of children with serious emotional disturbances who improve their level of
functioning
Children identified with serious emotional disturbance at the start of the episode of care; Received
mental health services;
Under 18 years of age at the time of admission;
Must have two CFARS for comparison purposes;
o Current CFARS cannot be an admission CFARS.
o Prior CFARS cannot be a discharge CFARS.
For each child per provider with a pair of CFARS
o Sum together the scores on the 16 domains to arrive at a total CFARS scores for the
current and for the prior CFARS.
o Subtract the current CFARS total score from the prior CFARS total score
Assign a score of +1 to improved for each child if:
Current score minus prior score is negative or
Current total score less than 48 and danger to self and danger to others
are both less than or equal to three;
Else assign a score of 0 to improved for each child.
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Numerator = Count of all children where improved = 1;
Denominator = Count of all children where improved =0 or 1;
Round to nearest whole number.
For example, ME1 has the following CFARS records:
RECORD PROVID SPROVID SSN EVALUATION DATE PURPOSE TOTAL SCORE
1 59‐1234567 59‐7654321 123456789 07/22/2013 1 – ADMISSION 120
2 59‐1234567 59‐7654321 123456789 02/01/2014 2 – PERIODIC 90
3 59‐1234567 59‐2222222 010101010 09/18/2013 1 – ADMISSION 115
4 59‐1234567 59‐5555555 954673027 06/20/2013 1 – ADMISSION 80
5 59‐1234567 59‐5555555 954673027 08/10/2013 3 – DISCHARGE 95
In the example above, records 1 and 2 and 4 and 5 are valid pairs of CFARS for comparison.
At the ME level, the percent of children with serious emotional disturbances who improve their level
of functioning would be calculated as:
1) For SSN 123456789, current Total Score (90) minus prior Total Score (120) = ‐30;
2) For SSN 954673027, current Total Score (95) minus prior Total Score (80) = 15;
3) Assign a score of +1 to improved for SSN 123456789;
4) Assign a score of 0 to improved for SSN 954673027;
5) Numerator = count of records where improved = 1 (1);
6) Denominator = count of records where improved = 1 or 0 (2);
7) Percent = 50%
8) Round = 50%
M0778 Percent of children with emotional disturbance (ED) who live in stable housing
environment
This outcome is reported as a percent.
Children identified with an emotional disturbance at the start of the episode of care;
Received mental health treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
34‐ FACT Teams
35 ‐ Outpatient‐Group
o Exclude persons that received assessment only services;
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Under 18 years of age at the time of admission;
Most recent evaluation is periodic or discharge;
Numerator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
Denominator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 09 ‐ Homeless
o 10 ‐ State Mental Health Treatment Facility
o 12 ‐ Supported Housing
o 14 ‐ DJJ Facility
o 15 ‐ Crisis Residence
o 16 ‐ Children Residential Treatment Facility
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
o 99 ‐ Not Available or Unknown
M0779 Percent of children with serious emotional disturbance (SED) who live in stable
housing environment
This outcome is reported as a percent.
Children identified with a serious emotional disturbance at the start of the episode of care;
Received mental health treatment services;
o Eligible services limited to:
06 ‐ Day / Night
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08 ‐ In‐Home and On‐Site Services Overlay
12 ‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
o Exclude persons that received assessment only services;
Under 18 years of age at the time of admission;
Most recent evaluation is periodic or discharge;
Numerator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
Denominator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 09 ‐ Homeless
o 10 ‐ State Mental Health Treatment Facility
o 12 ‐ Supported Housing
o 14 ‐ DJJ Facility
o 15 ‐ Crisis Residence
o 16 ‐ Children Residential Treatment Facility
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
o 99 ‐ Not Available or Unknown
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M0780 Percent of children at risk of emotional disturbance who live in stable housing
environment
This outcome is reported as a percent.
Children that do not meet criteria for emotional disturbance or serious emotional disturbance at
the start of the episode of care;
Received mental health treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12 ‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
Under 18 years of age at the time of admission;
Most recent evaluation is periodic or discharge;
Numerator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
Denominator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
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o 08 ‐ Group Home
o 09 ‐ Homeless
o 10 ‐ State Mental Health Treatment Facility
o 12 ‐ Supported Housing
o 14 ‐ DJJ Facility
o 15 ‐ Crisis Residence
o 16 ‐ Children Residential Treatment Facility
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
o 99 ‐ Not Available or Unknown
M0012 Percent of school days seriously emotionally disturbed (SED) children attended.
This outcome is reported as a percent.
Children identified with a serious emotional disturbance at the start of the episode of care;
Received mental health treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12 ‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
o Exclude persons that received assessment only services;
Under 18 years of age at the time of admission;
Numerator = sum of school days attended for all children per provider;
Denominator = sum of school days available for all children per provider;
Round to nearest whole number.
For example, ME1 has the following performance outcome records:
PROVID SPROVID DAYS ATTENDED DAYS AVAILABLE
59‐1234567 59‐7654321 90 120
59‐1234567 59‐9999999 60 60
59‐1234567 59‐2222222 60 90
At the ME level, the percent of school days seriously emotionally disturbed (SED) children attended is:
Numerator = (90 + 60 + 60) = 210
Denominator = (120 + 60 + 90) = 270
Percent = 77.77%
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Round to 78%.
Adult Substance Abuse
M0755 Percent of adults who successfully complete substance abuse treatment services.
This outcome is reported as a percent.
Target population is persons with a diagnosed substance related disorder at the time of
admission;
Ages 18 and over;
Must be discharged from an episode of care
o Eligible discharge reasons limited to:
01 ‐ Completed Episode of Care ‐ no substance abuse
13 ‐ Referred outside of agency ‐ episode of care completed
Received substance abuse treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12 ‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
Frequency of primary, secondary and tertiary substance use is no use within prior 30 days.
Numerator = all persons that received eligible substance abuse treatment services that were
discharged with no substance use in the prior 30 days who were deemed to have completed
their episode of care. Denominator = all persons that received eligible substance abuse treatment services that were
discharged with any of the following codes; o 1 ‐ Completed Episode of Care – no substance abuse
o 2 ‐ Completed Episode of Care – some substance use (some impairment)
o 6 ‐ Non‐compliant with agency’s rules
o 7 ‐ Left before completing treatment (involuntary)
o 8 ‐ Incarcerated
o 9 – Died
o 13 ‐ Referred outside of agency – episode of care completed
o 14 ‐ Referred outside of agency – episode of care not completed
o 15 ‐ Left before completing treatment (voluntary)
o 16 – Administrative Discharge (Agency initiated)
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o 17 – Agency Closed with no Referral
For example, ME1 has the following performance outcome records:
PROVID SPROVID SSN DISCHARGE REASON SERVICES
USE IN PRIOR 30 DAYS?
59‐1234567 59‐7654321 123456789 01 ‐ Completed Episode of Care 18 ‐ RESIDENTIAL LEVEL 1 NO
59‐1234567 59‐7654321 987654321 06 ‐ Non‐compliant with agency's rules 35 ‐ OUTPATIENT GROUP YES
59‐1234567 59‐2222222 010203040 10 ‐ Completed non‐treatment service 24 ‐ DETOXIFICATION NO
At the ME level, the percent of adults who successfully complete substance abuse treatment services
is:
Numerator = 1 (SSN 123456789)
Denominator = 2 (do not count detoxification)
Percent = 50.00%
Round to 50.00%
M0063 Number of adults that receive substance related services
This output is reported as a percent.
Target population is persons with a diagnosed substance related disorder;
18 years of age or older;
Distinct count at:
o ME level;
o Subcontractor level.
M0756 Percent of adults with substance abuse who live in a stable housing environment at
the time of discharge.
This outcome is reported as a percent.
Target population is persons with a diagnosed substance related disorder;
18 years of age or older;
Must be discharged from the episode of care;
Received substance abuse treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12 ‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
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21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
Numerator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
Denominator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 09 ‐ Homeless
o 10 ‐ Hospital
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 13 ‐ Correctional Facility
o 15 ‐ Crisis Residence
o 17 ‐ Limited Mental Health Assisted Living Facility (LM‐ALF)
o 99 ‐ Not Available or Unknown
M0753 Percentage change in clients who are employed from admission to discharge.
This outcome is reported as a percent.
Target population is persons with a diagnosed substance related disorder;
18 years of age or older;
Must be discharged from the episode of care;
Ages 18 to 62;
Received substance abuse treatment services;
o Eligible services limited to:
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06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
For each person that received substance abuse treatment services:
o Compare discharge employment status to admission employment status.
Assign a value of +1 to employed for each person where the discharge
employment status includes any of the following:
10 ‐ Active military, overseas
20 ‐ Active military, USA
30 ‐ Full Time
31 ‐ Unpaid Family Workers (minimum of 15 hours worked for family business)
40 ‐ Part Time
50 ‐ Leave of Absence
ELSE assign a value of 0. Assign a value of +1 to employed for each person where the admission
employment status includes any of the following:
10 ‐ Active military, overseas
20 ‐ Active military, USA
30 ‐ Full Time
31 ‐ Unpaid Family Workers (minimum of 15 hours worked for family business)
40 ‐ Part Time
50 ‐ Leave of Absence
ELSE assign a value of 0. o For each person, calculate a change value. If the discharge employed value is greater
than or equal to the admission value, assign a score of +1. If the discharge is less than the admission value, assign a score of else assign a score of 0.
Round to nearest whole number.
At the ME level, percentage change in clients who are employed from admission to discharge is
calculated as:
1) Employed at admission = 2
2) Employed at discharge = 1
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3) (Employed at discharge minus employed at admission) divided by employed at admission =
(1‐2) / 2 = ‐50%
4) Round = ‐50%
M0754 Percent change in the number of adults arrested 30 days prior to admission versus 30
days prior to discharge.
This outcome is reported as a percent. A negative percent is good as it indicates that fewer people were
arrested at time 2 relative to time 1.
Target population is persons with a diagnosed substance related disorder;
18 years of age or older;
Received substance abuse treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
Must be discharged from the episode of care;
For each person that received substance abuse treatment services:
o Compare discharge arrest status to admission arrest status.
Assign a value of 0 to arrest for each person not arrested 30 days prior to
discharge.
ELSE assign a value of +1. Assign a value of 0 to arrest for each person not arrested 30 days prior to
admission
ELSE assign a value of +1. o Determine percent of persons arrested at admission
Count number of persons arrested at admission Divide count of persons arrested at admission by count of all admissions;
o Determine percent of persons arrested at discharge; Count number of persons arrested at discharge Divide count of persons arrested at admission by count of all discharges;
Calculate the percent change as:
o (Percent of Persons Arrested at Discharge minus Percent of Persons Arrested at
Admission) divided by Percent of Persons Arrested at Admission
Round to nearest whole number.
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For example, ME1 has the following substance abuse outcome records:
PROVID SPROVID SSN EVALUATION DATE PURPOSE ARRESTED 30 DAYS PRIOR?
59‐1234567 59‐7654321 123456789 07/22/2013 1 – ADMISSION NO
59‐1234567 59‐7654321 123456789 02/01/2014 3 – DISCHARGE NO
59‐1234567 59‐2222222 010101010 09/18/2013 1 – ADMISSION NO
59‐1234567 59‐2222222 010101010 10/20/2013 3 – DISCHARGE NO
59‐1234567 59‐7654321 909090909 8/20/2013 1 – ADMISSION YES
59‐1234567 59‐7654321 909090909 9/18/2013 3 – DISCHARGE NO
At the ME level, percentage change in the number of adults arrested 30 days prior to admission versus
30 days prior to discharge is calculated as:
1) Number arrested at admission = 1 (SSN 909090909)
2) Number arrested at discharge = 0
3) (Number arrested at discharge minus number arrested at admission) divided by number
arrested at admission = (0‐1) / 1 = ‐100%
4) Round = ‐100%
Children’s Substance Abuse
M0052 Number of children that receive substance related services.
This output is reported as a number.
Target population is children with a diagnosed substance related disorder;
17 years of age or younger at time of admission;
Distinct count at:
o ME level;
o Subcontractor level.
M0725 Percent of children who successfully complete substance abuse treatment services.
This outcome is reported as a percent.
Target population is children with a diagnosed substance related disorder;
Must be discharged from an episode of care;
o Eligible discharge reasons limited to:
01 ‐ Completed Episode of Care ‐ no substance abuse
13 ‐ Referred outside of agency‐episode of care completed
Received substance abuse treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12 ‐ Medical Services
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14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
Frequency of primary, secondary and tertiary substance use is no use within prior 30 days.
Numerator = all persons that received eligible substance abuse treatment services that were
discharged with no substance use in the prior 30 days who were deemed to have completed
their episode of care.
Denominator = all persons that received eligible substance abuse treatment services that were
discharged with any of the following codes; o 1 ‐ Completed Episode of Care – no substance abuse
o 2 ‐ Completed Episode of Care – some substance use (some impairment)
o 6 ‐ Non‐compliant with agency’s rules
o 7 ‐ Left before completing treatment (involuntary)
o 8 ‐ Incarcerated
o 9 – Died
o 13 ‐ Referred outside of agency – episode of care completed
o 14 ‐ Referred outside of agency – episode of care not completed
o 15 ‐ Left before completing treatment (voluntary)
o 16 – Administrative Discharge (Agency initiated)
o 17 – Agency Closed with no Referral
M0751 Percent change in the number of children arrested 30 days prior to admission versus
30 days prior to discharge.
This outcome is reported as a percent.
Target population is persons with a diagnosed substance related disorder;
17 years of age or younger at time of admission;
Received substance abuse treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
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Must be discharged from the episode of care;
For each person that received substance abuse treatment services:
o Compare discharge arrest status to admission arrest status.
Count each person arrested 30 days prior to discharge as CURRENT_ARRESTS
Count each person arrested 30 days prior to admission as PRIOR_ARRESTS
Count all persons as TOTAL
Calculate the percent change as:
o (CURRENT_ARRESTS – PRIOR‐ARRESTS) / PRIOR_ARRESTS
Round to nearest whole number.
M0752 Percent of children with substance abuse who live in a stable housing environment at
the time of discharge.
This outcome is reported as a percent.
Target population is children with a diagnosed substance related disorder;
17 years of age or younger at time of admission;
Received substance abuse treatment services;
o Eligible services limited to:
06 ‐ Day / Night
08 ‐ In‐Home and On‐Site Services Overlay
12‐ Medical Services
14 ‐ Outpatient‐Individual
18 ‐ Residential Level 1
19 ‐ Residential Level 2
20 ‐ Residential Level 3
21 ‐ Residential Level 4
35 ‐ Outpatient‐Group
Must be discharged from the episode of care;
Numerator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 16 ‐ Children Residential Treatment Facility
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
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Denominator = distinct count of persons where residential status includes any of the following:
o 01 ‐ Independent Living‐alone
o 02 ‐ Independent Living‐with Relatives
o 03 ‐ Independent Living‐with Non‐Relatives
o 04 ‐ Dependent Living‐with Relatives
o 05 ‐ Dependent Living‐with Non‐Relatives
o 06 ‐ Assisted Living Facility (ALF)
o 07 ‐ Foster Care/Home
o 08 ‐ Group Home
o 09 ‐ Homeless
o 10 ‐ Hospital
o 11 ‐ Nursing Home
o 12 ‐ Supported Housing
o 15 ‐ Crisis Residence
o 16 ‐ Children Residential Treatment Facility
o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)
o 99 ‐ Not Available or Unknown