1. Hospital Based Inpatient Psych Care
HIBPS (Hospital Based Inpatient Psych Care)
The following slides indicate the 2015 Core Measure Summary for our hospital based inpatient psych unit
Please review the slides and take the quiz
This presentation is for the 6th floor staff

2. OBMC Core Measures January 2015
Immunization (IMM) and Substance Use (SUB)
MEASURE
RATIONALE
Immunization- (Oct 1st-March 31st) Complete influenza vaccine assessment on all patients 6 months and older and administer vaccine prior to discharge to all eligible patients
Influenza vaccine is recommended by the CDC for patients 6 months and older unless contraindicated
Document Refusal if patient does not want vaccine prior to discharge
Do not give vaccine if:
Hypersensitivity to eggs or other components of vaccine
Bone Marrow Transplant within past 6 months
History of Guillain-Barre Syndrome within 6 weeks after a previous flu vaccination
Anaphylactic latex allergy
Already immunized during the current flu season
Substance Use- Hospitalized patients who are screened within the first three days of admission using a validated screening questionnaire for unhealthy alcohol use. (OakBend Uses a validated screening tool called the AUDIT)
Excessive use of alcohol and drugs has a substantial harmful impact on health and society in the United States.
Must have screening documented by 3rd day of admission unless it is documented that patient is cognitively impaired 1st 3 days of admission.
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3. Hospital Based Inpatient Psych (HBIPS)
MEASURE
RATIONALE
Complete admission screening within the first three days of admission for all of the following: risk of violence to self and others, substance use, psychological trauma history and 2 patient strengths.
Professional literature suggests that these factors are under-identified yet integral to current psychiatric status and should be assessed in order to develop appropriate treatment
Document appropriate justification for prescribing more than 1 antipsychotic medication at discharge (PRN medications are excluded)
Practice guidelines recommend
the use of a second antipsychotic only after multiple trials of a single antipsychotic have proven inadequate
Document name, dosage and indication for each medication ordered (or continued) at discharge
Reduction of medication errors
Document follow-up care providers/referrals (or patient’s refusal of next level of care)
Continuity of care
HBIPS cont and Tobacco Use (TOB)
MEASURE
RATIONALE
Document proof of transmission of D/C summary to follow-up care provider or that follow-up provider has access to EMR (or patient’s refusal of aftercare or signing release)
For optimum care, next level of care providers need to know details of precipitating events preceding hospital admission, the patient’s treatment course, discharge medications and next level of care recommendations
Screen all patients for tobacco use. Patients identified as tobacco product users within the past 30 days must receive or refuse practical counseling to quit AND receive or refuse FDA-approved cessation medications during the first three days after admission. 
Documentation of reasons for not administering cessation medications must be documented w/in 3 days.
These are acceptable reasons for not administering cessation medication:
-Allergy to all of the FDA-approved tobacco cessation medications.
-Drug interaction (for all of the FDA-approved medications) with other drugs the patient is currently taking.
-Other reasons documented by physician, advanced practice nurse (APN), physician assistant (PA), or pharmacist
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