Georgia Department of Behavioral Health & Developmental ...

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ContentsIntroduction ..................................................................................................................................... 3Activities of the Quality Councils................................................................................................... 3Executive Quality Council .......................................................................................................... 3Hospital System Program Quality Council ................................................................................. 4Community Behavioral Health Program Quality Council .......................................................... 4Developmental Disabilities Program Quality Council ............................................................... 5Status of Quality Management Work Plan Goals ........................................................................... 6DBHDD QM Work Plan ............................................................................................................. 6Hospital System QM Work Plan................................................................................................. 6CBH QM Work Plan ................................................................................................................... 7DD QM Work Plan ..................................................................................................................... 7Key Performance Indicators and Outcomes ................................................................................... 7Data Collection Plan/Data Definition Document ....................................................................... 7Dashboards .................................................................................................................................. 7Hospital System Key Performance Indicators ............................................................................ 8Community Behavioral Health Program Key Performance Indicators ...................................... 8Developmental Disability Programs Key Performance Indicators ........................................... 11Person Centered Supports ..................................................................................................... 11Quality Monitoring Activities ....................................................................................................... 15Complaints and Grievances .................................................................................................. 15Hospital and Community Incident Data December 2012 – May 2013 ................................. 16Hospital Peer Review and Credentialing .............................................................................. 18Hospital Utilization Review .................................................................................................. 18Adult Mental Health Fidelity Reviews ................................................................................. 18QM Audits: Quality Service Reviews of Adult Behavioral Health Community Providers . 19Child and Adolescent Community Mental Health Programs (CAMH) ................................ 21Mental Health Coalition Meetings ........................................................................................ 21Behavioral Health Contracted External Review Organization (ERO) ................................. 22Implementation and Results of Best Practice Guidelines: .................................................... 24DD Reviews of Individuals Served....................................................................................... 28DD QM Reviews of Providers .............................................................................................. 30DD Transition Quality Reviews............................................................................................ 31DBHDD Quality Management Training Program ........................................................................ 321
Data Reliability Process ................................................................................................................ 32Hospital System KPI Data Integrity ......................................................................................... 32Community BH Key Performance Indicator Data Integrity ..................................................... 33DD KPI Data Integrity .............................................................................................................. 33Summary ....................................................................................................................................... 33Appendix A Community Behavioral Health Outcomes Framework ............................................ 34Appendix B DBHDD Quality Management Work Plan ............................................................... 35Appendix C Hospital System Quality Management Work Plan ................................................... 38Appendix D Community Behavioral Health Quality Management Work Plan ........................... 41Appendix E Developmental Disabilties Quality Management Work Plan ................................... 43Appendix F Hospital System KPI Dashboards ............................................................................. 48Appendix G CBH System KPI Dashboards.................................................................................. 52Appendix H Developmental Disabilities KPI Dashboards ........................................................... 72Appendix I Cognitive Therapy – Dr. Aaron T Beck ................................................................... 80Appendix J Suicide Prevention ..................................................................................................... 822
Page 1: Georgia Department of BehavioralHea
Page 5 and 6: Discussed the feasibility of settin
Page 7 and 8: The Statewide Quality Improvement C
Page 9 and 10: Hospital System Key Performance Ind
Page 11 and 12: 10. Average number of jail/prison d
Page 13 and 14: 2. Good but Paid Life: The ISP supp
Page 15 and 16: 96% of respondents from Georgia and
Page 17: The Office of Public Relations goal
Page 21 and 22: In an effort to further align the a
Page 23 and 24: communication, promoting provider c
Page 25 and 26: individuals with complex needs. DBH
Page 27 and 28: To help expand the use of QPR in Ge
Page 29 and 30: Program Quality Council, the Develo
Page 31 and 32: DD QM Reviews of ProvidersQuality E
Page 33 and 34: The average percent of positive out
Page 35 and 36: Appendix A Community Behavioral Hea
Page 37 and 38: Goal: 3 Assess and improve the effe
Page 39 and 40: Appendix C Hospital System Quality
Page 41 and 42: communicate priorities to OIT, asap
Page 43 and 44: Develop a QM training plan forprovi
Page 45 and 46: QM system withparticipation from DD
Page 47 and 48: Finalize the audit toolIdentify the
Page 49: Appendix F Hospital System KPI Dash
Page 73:
Appendix H Developmental Disabiliti
Page 82 and 83:
Systems to expand and maintain CT-R
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