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LOUISIANA Community Mental Health Services Block Grant ...

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CHILD – GOALS TARGETS AND ACTION PLANS<br />

Name of Performance Indicator: Reduced Utilization of Psychiatric Inpatient Beds - 30 days<br />

(1) (2) (3) (4) (5)<br />

Fiscal Year FY 2008 Actual FY 2009 Actual FY 2010 Actual FY 2011 Target<br />

Performance<br />

Indicator<br />

3.5% 4.7% 4.8% 4.8%<br />

Numerator 7 8 8 --<br />

Denominator 198 171 165 --<br />

Table Descriptors:<br />

Goal: The Office of <strong>Mental</strong> <strong>Health</strong> will improve the quality of care that is provided.<br />

Target: The number of children and youth who are discharged from a state hospital and then re-admitted will<br />

either decrease or be maintained (30 days).<br />

Population: Children and youth diagnosed with an emotional or behavioral disorder<br />

Criterion: 1: Comprehensive <strong>Community</strong>-Based <strong>Mental</strong> <strong>Health</strong> Service Systems; 3: Children's <strong>Services</strong><br />

Indicator: The percentage of children and youth consumers discharged from state psychiatric hospitals and readmitted<br />

to an Office of mental health inpatient program within thirty days (30) days of discharge<br />

NOMS Indicator #2<br />

Measure: Thirty Day Rate of Discharge and Re-admission.<br />

Numerator = # Readmits to PIP inpatient program within 30 days<br />

Denominator = # Patients Discharged from PIP State Hospital (not-unduplicated)<br />

Calendar year (Jan 1 - Dec 31)<br />

Sources of CMHC-OMHIIS (FY 2011), Patient Information Program (PIP)<br />

Information:<br />

Special Issues: Comparisons from year to year are difficult given changes in data collection that seem to re-occur even<br />

when data collection is standardized and consistent. An increase in outpatient programs is underway,<br />

as is the increased use of EBPs to reduce the rate of hospitalization/ re-hospitalization. While the<br />

number of readmissions has remained the same, the reduction in the denominator has resulted in the<br />

difference in overall percentage rate not being significant. This target is again being set conservatively.<br />

FY 2010 Actual: 8 / 165 X 100 = 4.8%<br />

Significance: Recidivism is one measure of treatment effectiveness.<br />

Action Plan: This target will improve with the increased emphasis on the provision of EBPs in the community. The<br />

increase in the number of outpatient supports and services, statewide should positively impact this<br />

indicator. The <strong>Block</strong> <strong>Grant</strong> indicators will be monitored through the Committee on Programs and<br />

<strong>Services</strong> of the Louisiana <strong>Mental</strong> <strong>Health</strong> Planning Council. The Planning Council Committee on<br />

Programs and <strong>Services</strong> is responsible for monitoring and evaluation of the mental health system and<br />

for recommending service system improvements to the Council. Attempts to provide improved<br />

services are a priority for Louisiana.<br />

PART C <strong>LOUISIANA</strong> FY 2011 PAGE 278<br />

SECTION III: CHILD/YOUTH PLAN<br />

PERFORMANCE INDICATORS, GOALS, TARGETS & ACTION PLANS

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