AHCA Conference Call

Onsite Quarterly MeetingPMHP Collaborative PIPFollow-up Within Seven Days After Acute CareDischarge for a Mental Health Diagnosis

January 11, 2012

Presenter:

Christy Hormann, LMSW, CPHQ

Project Leader-PIP Team

Overview

History of PMHP Collaborative PIP

Remeasurement 3 results

Next Steps

History of PMHPCollaborative PIP

The PIP was initiated in 2007

Started with three study indicators

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History of PMHPCollaborative PIP cont.

Starting in FY 10-11, the two case-managerrelated study indicators were discontinued

The remaining study indicator measuredoutpatient follow-up with a mental healthpractitioner within seven days of discharge

In FY 10-11, the second remeasurement wasreported

Based on the results, it was determined that thePIP would continue

Results

Remeasurement 3 results were reported forFY 11-12

HSAG will assess for improvement betweenRemeasurement 2 and Remeasurement 3

HSAG will also assess for overall sustainedimprovement from baseline toRemeasurement 3

Interventions

The PMHPs implemented plan-specificinterventions

There was discussion of a possible collaborativeintervention in 2008 and the issue was revisited in2010

In April 2011, a collaborative intervention wasagreed upon by the PMHP group

The collaborative intervention is follow-uptelephone contact with members after an inpatientdischarge

PMHP Results for Study Indicator 1—Percentage of members who have an outpatient follow-upencounter with a mental health practitioner within seven days of discharge.

Plan Name

Baseline

CY 2007

Remeasurement 1

CY 2008

Remeasurement 2

CY 2009

Remeasurement 3

CY 2010

Rate

13.5%

47.1%

34.5%

43.4%

15.8%

34.4%

36.7%

36.0%

13.8%

39.7%

41.0%

40.1%

13.8%

44.6%

37.2%

33.1%

13.5%

47.1%

34.5%

43.4%

25.1%

33.4%

44.1%

40.6%

20.8%

28.5%

29.6%

27.2%

28.8%

31.3%

39.3%

33.5%

20.2%

34.7%

25.8%

25.6%

21.7%

22.3%

29.2%

24.5%

16.4%

26.2%

29.2%

35.7%

49.3%

67.8%

71.2%

39.8%

Study Indicator 1—Percentage of members who have anoutpatient follow-up encounter with a mental healthpractitioner within seven days of discharge.

All except one of the PMHP PIPs reported thirdremeasurement rates that demonstratedimprovement from baseline

Eleven of the PMHP PIPs achieved statisticallysignificant improvement from baseline to the thirdremeasurement

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Key Improvement Concepts

Know the rates for applicable demographicsubgroups

Prioritize barriers; all barriers do not haveto be addressed

Key Improvement Concepts cont.

Strategize interventions and interventiontypes based on barrier analysis

Identify an evaluation plan for eachintervention

What’s Next?

PMHPs were asked to complete subgroupanalysis

Interventions might need to be modifiedbased on the results

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What’s Next?

PMHPs should evaluate the effectiveness oftheir plan-specific interventions

Strategies-surveys, interim measurements

Successful interventions should become astandard part of the process

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