DSHS-McKeon, Stacii DSHS-McKeon, Stacii

created Aug 21, 2013

updated May 05, 2016

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Goal 4: Healthy and Safe Communities
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dshs, healthy people, healthy youth, healthy adults, behavioral health, mental health, discharge, inpatient
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Data Source
Mental Health Consumer Information System (CIS), via the System for Communicating Outcomes, Performance & Evaluation (SCOPE-WA), provided by Looking Glass Analytics.
Data Definition
The percentage of Medicaid mental health consumers receiving the first non-crisis routine outpatient service within 7 days of discharge from inpatient mental health services. The individual RSN contracts establish a performance target of 75 percent, a baseline for each RSN and quarterly improvement targets that are specific to the RSN’s baseline. If an RSN does not meet its quarterly improvement target, the RSN must develop and initiate a corrective action plan, approved by DSHS, to address the deficiency. If an RSN fails to complete corrective action, DSHS may take additional remedial action that can include financial penalties of up to 5 percent of payment. This measure corresponds to RPM measures 002215 and 002218, and Results Washington Measure 1.2.A.a. (Increase the percentage of mental health consumers receiving a service within 7 days after discharge from an inpatient setting from 59% to 65% by 6/30/15. The target is based on a rolled-up statewide improvement target for all RSNs. It is based on the legislative budget assumptions for 2013-15 related to Medicaid expansion and community mental health funding. DSHS, the Health Care Authority and the Washington Health Benefits Exchange have embarked on a comprehensive information campaign to reach persons who have previously not been eligible for services. Each RSN actually has its own target, based on its historic performance. We will revisit this target in future RSN contracts to eventually push this target to 75%.). Between January 1, 2008 and June 30, 2009, services in the Pierce region were provided in Fee-For-Service (FFS) settings. Pierce RSN has been excluded from this analysis if they occurred more than 60 days before the RSN closed. If a person has less than 7 days between a hospital discharge and admission to the same or another inpatient facility, it is considered one episode. Routine Services are any outpatient services except Crisis, Community Psychoeducation, Psychological Assessment, Integrated Substance Abuse MH Assessment, Engagement and Outreach, Integrated Substance Abuse MH Screening, Request for Services, Interpreter Services, Involuntary Treatment Investigation, Respite Care Services, Rehabilitation Case Management, or Hearing for Involuntary Treatment. Includes discharges from community hospitals and evaluation and treatment (E&T) facilities. The year/quarter is based on the date of the inpatient discharge. All age groups are included. Includes Medicare/Medicaid crossovers. Discharges of unknown RSN have been excluded from this analysis. The consumer's Medicaid eligibility status is determined using the month of discharge.
Data Frequency
Quarterly
Target Rationale
The target is based on a rolled-up statewide improvement target for all RSNs. Each RSN actually has its own target, based on its historic performance.
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