ࡱ> ?A> D!bjbj 86eeUjj84D$hh"eee $7"2ee2G<<< < <<<<[}r.<]0<"Z"<"<er<w\eee22Beee"eeeeeeeeej : Performance Indicators and Quality Improvement Standards Appendix: Adult Mental Health Data Sources Adult Health and Well- Survey (Data Infrastructure Grant): Data Type/Method: Handout Survey Target Population: All people who receive a Community Integration or Behavioral Health Home service. Approximate Sample Size Responses: 1200 The fb88 DHHS/SAMHS consumer survey is an adapted version of the National Mental Health Statistics Improvement (MHSIP) Consumer Survey that was specifically designed for use by adult recipients of mental health services. The survey was administered in the fall. The survey was designed to assess consumer experiences and satisfaction with their services and support in four primary domains, including: 1) Access to Services; 2) Quality and Appropriateness; 3) General Satisfaction; and 4) Outcomes. Additional questions were added regarding employment. There were also additional questions added from a new model Perception of Care developed by the New York Office of Alcoholism and Substance Abuse that will replace the National Mental Health Statistics Improvement in the future. Community Hospital Utilization Review Summary: Data Type/Method: Service Review/Document Review Target Population: Individuals admitted to community inpatient psychiatric hospitals on an emergency involuntary basis. Approximate Sample Size: 110 per quarter. The Regional Utilization Review Nurses perform clinical reviews of all individuals who were involuntarily admitted who have fb88Care or do not have a payer source. Utilization Review Nurses review all community discharges for appropriateness of the admission, including: compliance with active treatment guidelines; whether medical necessity was established; Blue Paper process completed; and patients rights were maintained, etc. The data collected as part of the clinical review is entered into EIS. Community Support Enrollment Data: Data Type/Method: Demographic, clinical and diagnostic data for all consumers in Adult Mental Health Community Support Services (community integration, ACT, Community Rehabilitation Services and Behavioral Health Homes) maintained and reported from the Departments EIS (Enterprise Information System). Data is collected by APS Healthcare as part of its prior authorization process and fed into EIS twice a month. Target Population: Adult Mental Health Consumers receiving Community Support approximately 18,900 with approximately 1200 are class members.. Community Support Services Census/Staffing Data: Data Type/Method: Provider Completed Survey; Completed by supervisors of Assertive Community Treatment (ACT), Community Integration (CI), Community Rehabilitation Services (CRS) and Behavioral Health Homes (BHH). Target Population: Consumers receiving CI/ACT/CRS/BHH from DHHS/SAMHS contracted agencies. Approximate Sample Size: Collected from all providers of these services on a quarterly basis. SAMHS data specialists collect census/staffing data quarterly from contracted agencies that provide ACT, CI, CRS and BHH services. This data source provides a snapshot of case management staff vacancies as well as consumer to worker ratios. Grievance Tracking Data: Data Type/Method: Information pertaining to Level II and Level III Grievances. Target Population: Consumers receiving any community based mental health service licensed, contracted or funded by DHHS and consumers who are patients at Riverview Psychiatric Center or Dorothea Dix Psychiatric Center. The Data Tracking System contains grievances and rights violations for consumers in Adult Mental Health Services. The data system tracks the type of grievance, remedies, resolution and timeliness. Class Member Treatment Planning Review: Data Type/Method: Service Review/Document Review Target Population: Class Members receiving Community Support Services (ACT, CI, CRS and BHH) Approximate Sample Size: As of the 3rd quarter FY11, sample size has been decreased to 50 per quarter, utilizing the random sampling methodology as previously developed. This allows the new SAMHS Division of Quality Management the time to assess and develop a new system of document reviews, not solely focused on treatment planning, that can be implemented across program areas and provide data for a wider group of individuals utilizing mental health services. Two Quality Management Specialists now carry responsibility for this review of class members receiving Community Support Services. Data collected as part of the review is captured regionally and entered into a database within EIS. The Treatment Planning Review focuses on: education and the use of authorizations, assessment of domains, incorporation of strengths and barriers, crisis planning, needed resources including the identification of unmet needs and service agreements. Individualized Support Plan (ISP) Resource Data Summary (ISP RDS) tracking System: Data Type/Method: ISP RDS submitted by Community Support providers and collected by APS Healthcare as a component of their authorization process. Data is then fed into EIS twice a month. Target Population: Adult Mental Health Consumers who receive Community Support Services (ACT, CI, CRS and BHH). The data is collected in APS Healthcare, sent to SAMHS and reported through the DHHS Enterprise Information System (EIS). The ISP RDS captures ISP completion dates. The ISP RDS also captures data on the current housing/living situation of the person receiving services as well as the current vocational/employment statuses. Needed resources are tracked and include the following categories; Mental Health Services, Peer, Recovery and Support Services, Substance Abuse Services, Housing Resources, Health Care Resources, Legal Resources, Financial Resources, Educational Resources, Vocational Resources, Living Skills Resources, Transportation Resources, Personal Growth Resources and Other. The ISP RDS calculates unmet needs data by comparing current 90 day reviews to previous 90 days reviews. Quarterly Contract Performance Measures Data: Data Type/Method: Performance Measures Target Population: All consumers receiving DHHS/SAMHS contracted services. Approximate Sample Size: All consumers receiving DHHS/SAMHS contracted services. Performance measures are in 14 mental health contracts and will be in all direct service contracts starting FY16.     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