Data Reporting for CCBHC

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Presentation transcript:

Data Reporting for CCBHC Steve Sisolak Governor State of Nevada Richard Whitley, MS Director Department of Health and Human Services Lisa Sherych, MBA Administrator Division of Public and Behavioral Health Ihsan Azzam, PhD, MD Chief Medical Officer

Outline Introduction Overview Measure Summary Timeline Summary

Introduction James Kuzhippala CCBHC Epidemiologist Consultant jkuzhippala@tmcc.edu Jodie Tonkin Management Analyst III jtonkin@dhcfp.nv.gov

Overview Purpose This training and manual provides the specifications for and general information related to quality measures and other metrics developed to be used at the provider level by Certified Community Behavioral Health Clinics (CCBHCs).

Overview What we need? Electronic Health Records Medicaid Claims Eligibility Pharmacy Data

Measure Summary Measure Description I-EVAL-A Time to Initial Evaluation (% getting evaluation with 10 days) I-EVAL-B Time to Initial Evaluation (average days until evaluation) BMI-SF Preventive Care and Screening: Body Mass Index Screening and Follow-Up WCC-BH Body Mass Index Assessment for Children/Adolescents TSC Tobacco Use: Screening & Cessation Intervention ASC Unhealthy Alcohol Use: Screening & Brief Counseling SRA-BH-C Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment SRA-A Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CDF-BH Screening for Clinical Depression and Follow-Up Plan DEP-REM-12 Depression Remission at Twelve Months HOU Housing Status PEC Patient Experience of Care Survey Measure Description Y/FEC Youth/Family Experience Care Survey FUM Follow-up After Emergency Department Visit for Mental Illness FUA Follow-up After Emergency Department Visit for Alcohol and Other Drug Dependence PCR-BH Plan All-Cause Readmissions Rate SSD Diabetes Screening for People with Schizophrenia or Bipolar Disorder who are using Antipsychotic Medications SAA-BH Adherence to Antipsychotic Medications for Individuals with Schizophrenia FUH-BH Follow-Up After Hospitalization for Mental Illness ADD-BH Follow-Up Care for Children Prescribed Attention-Deficit Hyperactivity Disorder Medication AMM-BH Antidepressant Medication Management IET-BH Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

Measure Summary Measure Description I-EVAL-A Time to Initial Evaluation (% getting evaluation with 10 days) I-EVAL-B Time to Initial Evaluation (average days until evaluation) BMI-SF Preventive Care and Screening: Body Mass Index Screening and Follow-Up WCC-BH Body Mass Index Assessment for Children/Adolescents TSC Tobacco Use: Screening & Cessation Intervention ASC Unhealthy Alcohol Use: Screening & Brief Counseling SRA-BH-C Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment SRA-A Adult Major Depressive Disorder (MDD): Suicide Risk Assessment CDF-BH Screening for Clinical Depression and Follow-Up Plan DEP-REM-12 Depression Remission at Twelve Months HOU Housing Status PEC Patient Experience of Care Survey Measure Description Y/FEC Youth/Family Experience Care Survey FUM Follow-up After Emergency Department Visit for Mental Illness FUA Follow-up After Emergency Department Visit for Alcohol and Other Drug Dependence PCR-BH Plan All-Cause Readmissions Rate SSD Diabetes Screening for People with Schizophrenia or Bipolar Disorder who are using Antipsychotic Medications SAA-BH Adherence to Antipsychotic Medications for Individuals with Schizophrenia FUH-BH Follow-Up After Hospitalization for Mental Illness ADD-BH Follow-Up Care for Children Prescribed Attention-Deficit Hyperactivity Disorder Medication AMM-BH Antidepressant Medication Management IET-BH Initiation and Engagement of Alcohol and Other Drug Dependence Treatment

Manual Walkthrough Dataset Definitions Allowable Services Grid Measure Technical Specifications Electronic Health Record Variables

Dataset Definitions

Allowable Services Grid

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Electronic Health Record Variables

Electronic Health Record Variables

Electronic Health Record Variables

Formats: Fixed Width or CSV Fixed Width: 0123456789003/15/202001/01/198012/31/201901/15/2020 6815011 4N3YN 5201 CSV: 01234567890,03/15/2020,01/01/1980,12/31/2019,01/15/2020,68,150,1,1,,4,N,3,Y,N,,,,5,2,01,,,,,

SRA-BH-C Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment The percentage of patient visits for those patients aged 6 through 17 years with a diagnosis of major depressive disorder with an assessment for suicide risk.

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

SRA-A Adult Major Depressive Disorder (MDD): Suicide Risk Assessment The percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified.

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

PCR-BH Plan All-Cause Readmissions Rate For patients aged 18 and older the number of acute inpatient stays during the measurement year that were followed by an unplanned acute readmission for any diagnosis within 30 days.

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

SAA-BH Adherence to Antipsychotic Medications for Individuals with Schizophrenia The percentage of patients ages 19 to 64 during the measurement year with schizophrenia who were dispensed and remained on an antipsychotic medication for at least 80 percent of their treatment period.

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

FUH-BH Follow-Up After Hospitalization for Mental Illness The percentage of discharges for patients age 6 and older who were hospitalized for treatment of selected mental illness diagnoses and who had an outpatient visit, an intensive outpatient encounter, or partial hospitalization with a mental health practitioner. This includes: (1) the percentage of discharges for which the patient received follow-up within 30 days of discharge and (2) the percentage of discharges for which the patient received follow-up within 7 days of discharge.

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

IET-BH Initiation and Engagement of Alcohol and Other Drug Dependence Treatment The percentage of patients age 13 and older with a new episode of alcohol or other drug (AOD) dependence who received the following: Initiated treatment through an inpatient AOD admission, outpatient visit, intensive outpatient encounter, or partial hospitalization within 14 days of the diagnosis. Initiated treatment and who had two or more additional services with a diagnosis of AOD within 30 days of the initiation visit.

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Measure Technical Specifications

Timeline Data Testing Data Meetings Data Submissions Bi-Weekly Quarterly Data meetings (immediately) Data testing ( Data submissions (Oct-Nov) if fine then until January

Contact Information James Kuzhippala CCBHC Epidemiologist Consultant jkuzhippala@tmcc.edu Jodie Tonkin Management Analyst III jtonkin@dhcfp.nv.gov