2. Presentation to the SAMHSA Advisory Councils
National Behavioral Health Quality Framework: Improving Health Outcomes
Presentation to the SAMHSA Advisory Councils
August 16, 2011
Peter Delany, PhD, LCSW
Director, Center for Behavioral Health Statistics and Quality
Richard Frank, PhD, Special Advisor

3. The Need for Improvement3
2001 IOM Report highlighted the need to make real changes to the structure of the health care system to address quality, cost, and the application of health information technology to improve administrative and clinical processes.

4. National Quality Strategy: Three Aims4
Improve the overall quality, by making health care more patient-centered, reliable, accessible, and safe.
Better Care
Improve population health through proven interventions to address behavioral, social, and environmental determinants of health in addition to delivering higher-quality care.
Healthy People/ Healthy Commu-nities
Reduce the cost of quality health care for individuals, families, employers, and government.
Affordable Care

5. National Quality Strategy Priorities5
Making care safer by reducing harm caused in the delivery of care.
To help achieve its aims, the strategy also establishes six priorities, to help focus efforts by public and private partners.
Ensuring that each person and family are engaged as partners in their care.
Promoting effective communication and coordination of care
Promoting the most effective prevention and treatment practices for the leading causes of mortality, starting with cardiovascular disease.
Working with communities to promote wide use of best practices to enable healthy living
Making quality care more affordable by developing and spreading new health care delivery models.

6. National Behavioral Health Quality Strategy Priorities6
Promote the most effective prevention, treatment and recovery practices for BH disorders
To help achieve its aims, the strategy also establishes six priorities, to help focus efforts by public and private partners.
Assure that Behavioral Health care is consumer and family-centered
Encourage effective coordination within BH care systems and between the BH care system and primary care and social service systems
Assist communities in the utilization of best practices to support health living
Make Behavioral Health care safer by reducing harm caused in the delivery of services
Foster affordable, quality BH care for individuals, families, employers, and governments by developing and advancing new delivery models

7. National Behavioral Health Quality Framework

8. National Behavioral Health Quality Framework

9. National Behavioral Health Quality Framework

10. National Behavioral Health Quality Framework

11. National Behavioral Health Quality Framework

12. National Behavioral Health Quality Framework

13. Stakeholders Clinicians, Health Professionals13
Individuals, Families, Communities
Clinicians, Health Professionals
Provider Organizations
Government
Employers, Purchasers

14. Stakeholders ONC AHRQ HRSA ASPE NCQA CMS Government Partners NGF14
Government Partners
ONC
CMS
ASPE
NCQA
SAMHSA
NGF
HRSA
AHRQ

15. National Behavioral Health Quality Framework Priorities, Goals and Illustrative Measures15
Designed to begin a dialogue with stakeholders to create specific quantitative goals and measures
SAMHSA and HHS will promote effective measurement while minimizing the burden of data collection by:
aligning measures across programs
coordinating measurement with the private sector; and
developing a plan to integrate reporting on quality measures with the reporting requirements for meaningful use of electronic health records

16. Initial thoughts on Acton Steps
Policy Instruments and Tools
Measurement process
Technical assistance Programs
Contract specifications
Terms and provisions on grants
Assessment and dissemination of best practices
Organizational design (SAMHSA’s role in health homes)
Payment systems (collaborations with CMS, State programs)

17. Next Steps
Public comments on SAMHSA’s National Behavioral Health Quality Framework can be submitted through Thursday September 1st
Send comments by to SAMHSA at
Put “Quality” in subject line