Georgia Department of Behavioral Health & Developmental ...

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Develop Division DDinformation managementcommitteeAssessment currentinformation managementsystems methods forcollection and utilizationSet priorities for IM needsand work with OIT toaddress those needs asappropriate.Include development ofnew DD case managementsystem in the Department’sRFP for an AdministrativeService Organization(ASO)Work with ASO to developand test new systemTrain end users on newsystemTransition data from oldcase management system tonew systemDirector of DDQualityManagementDirector of DDQualityManagement andDivision DataManagerDirector of DDQualityManagement andDivision DataManagerDirector of DDQualityManagementDate08/01/1308/01/1310/01/1310/01/13Director of DDQualityManagement andVendor 08/01/14Director of DDQualityManagement andVendor 10/01/14Director of DDQualityManagement andVendor 12/31/1447
Appendix F Hospital System KPI Dashboards100%Continuing Care Plan Created (Overall)95%90%85%Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13Jul-12 Aug-12 Sep-12 Oct-12 Nov-12 Dec-12 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13Numerator 515 567 513 553 449 497 502 497 526 0 0 0Denominator 529 580 523 584 468 531 530 522 544 0 0 0Rate 97% 98% 98% 95% 96% 94% 95% 95% 97% #N/A #N/A #N/AQuarterly Average98% 95% 96%MEASURE DEFINITION AND EXPLANATIONMeasure definition: Patients discharged from a hospital-based inpatient psychiatric setting with a continuing care plan that contains all of the following: reason forhospitalization, principal discharge diagnosis, discharge medications and next level of care recommendations.Measure explanation: This measure is a nationally standardized performance measure for behavioral health organizations, reported to The Joint Commissionthrough our partner, NRI, on a quarterly basis. The data are for people who were treated in adult mental health inpatient programs only. The colored bandsrepresent zones that indicate level of acceptibility of scores and are based The Joint Comission "Target Rates" published quarterly, 4 to 5 months after the quarterends. The most recent rates published are used as guides for current data. The red area of the graph indicates the area that is below The Joint Commission'sTarget Range. The Joint Commission changed the targe range in October 2012 from 93.4% to 94.4%.COMPONENTS OF NUMERATOR AND DENOMINATORNumerator: Psychiatric inpatients for whom the post discharge continuing Denominator: Psychiatric inpatient discharges. Included Populations: Patientscare plan is created and contains all of the following: reason forreferred for next level of care with ICD-9-CM Principal or Other Diagnosis Codes forhospitalization, principal discharge diagnosis, discharge medications and next Mental Disorders. Excluded Populations: The following cases are excluded: •level of care recommendations.Patients who expired • Patients with an unplanned departure resulting in dischargeIncluded Populations: NAdue to elopement or failing to return from leave • Patients or guardians who refusedExcluded Populations: Noneaftercare • Patients or guardians who refused to sign authorization to releaseinformation • Patients discharged to another unit within the same hospitalCOMMENTS AND/OR ANALYSIS PER QUARTERApril-June 2013 AnalysisAt the time of the creation of this report, several hospitals had not yet submitted all the data for this measure for this quarter. Since these data are a compilation of allhospital data, it would be inappropriate to report partial information at this time.January-March 2013 AnalysisIssues that led to the decline reflected in December 2012's 94% (which was just below the lower target of 94.4%) were identified and corrected in January 2013.The result is represented in this quarter's reporting of compliance steadily increasing for all three months.48
Page 1 and 2: Georgia Department of BehavioralHea
Page 3 and 4: Data Reliability Process ..........
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: Finalize the audit toolIdentify the
Page 73: Appendix H Developmental Disabiliti
Page 82 and 83: Systems to expand and maintain CT-R

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