LOUISIANA Community Mental Health Services Block Grant ...

ADULT – GOALS TARGETS AND ACTION PLANS
Name of Performance Indicator: Continuity of Care (Percentage)
(1) (2) (3) (4) (5)
Fiscal Year FY 2008 Actual FY 2009 Actual FY 2010 Actual FY 2011 Target
Performance
Indicator
8.3 8.5 8.7 8.7
Numerator 631 598 575
Denominator 76 70 66
Table Descriptors:
Goal: Adults served by the Office of Mental Health will be provided with appropriate recovery/
resiliency-oriented mental health services.
Target: The average number of days between a consumer's discharge from a psychiatric hospital and a
follow-up visit to a community mental health clinic (CMHC) will be at the lowest level possible
in order to maintain continuity of care
Population: Adults diagnosed with a Serious Mental Illness
Criterion: 2: Mental Health System Data Epidemiology
Indicator: Average number of days between a state psychiatric hospital discharge and a CMHC aftercare
appointment
Measure: Days reported
Average = Number of days until follow-up divided by number of discharges
Numerator = sum of days from discharge to CMHC admit
Denominator = Discharges with aftercare visit within 45 days
Time period (Lag fiscal year) - April 1 - March 31
Sources of OMHIIS, JPHSA, PIP
Information:
Special Issues: This data now excludes data from all acute units. The numbers reported for 2008 have been
adjusted to provide for accurate comparisons. In previous years reporting, the data included acute
units within hospitals, because these numbers had not been separated out. At discharge, patients
are routinely given 3 weeks supply of medications, so 21 days is the absolute limit for clients to
be seen in the outpatient setting. Although this target was not technically met, the difference is
very minor, and not particularly meaningful when comparisons are made between 8.5 days
and 8.7 days. This target was set very conservatively at a maintenance level due to budgetary
and workforce constraints, including layoffs of personnel and a hiring freeze. FY 2010 Actual
= 575 / 66 = 8.7 (average)
Significance: One of the strongest predictors of community success after discharge from a state hospital is
continuity of care
Action Plan: Efforts to decrease the number of days between discharge and follow-up aftercare will continue
to be made, and should improve with the availability of more outpatient services. The Block
Grant indicators are monitored through the Committee on Programs and Services of the
Louisiana Mental Health Planning Council. The Planning Council Committee on Programs and
Services is responsible for monitoring and evaluation of the mental health system and for
recommending service system improvements to the Council.
PART C LOUISIANA FY 2010 PAGE 188
SECTION III: ADULT PLAN
ADULT PERFORMANCE INDICATORS, GOALS, TARGETS, & ACTION PLANS