Performance Indicator Trending Report

Transcription

1 MICHIGAN MISSION-BASED PERFORMANCE INDICATOR SYSTEM CMHSP Performance Indicator Trending Report FY 15 FY 17 updated August 217

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3 Indicator 1: ACCESS-TIMELINESS/INPATIENT SCREENING: The percentage of persons during the quarter receiving a pre-admission screening for psychiatric inpatient care for whom the disposition was completed within 3 hours. Standard = 95% Rationale for Use: People who are experiencing symptoms serious enough to warrant evaluation for inpatient care are potentially at risk of danger to themselves or others. Thus, time is of the essence. This indicator assesses whether CMHSPs and PIHPs are meeting the Department s standard that 95% of the inpatient screenings have a final disposition within 3 hours. This indicator is a standard measure of access to care. Indicator 1.1: Children # screened # screened within 3 hours # not screened within 3 hours % screened within 3 hours 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% State Average 98.88% 99.34% 99.39% 98.85% 99.64% 99.51% 98.66% 99.6% 96.95% Indicator 1.1: Children (#) Indicator 1.1: Children (%) 2 1% 15 9% 1 5 8% 7% # screened # screened within 3 hours % screened within 3 hours State Average Standard Indicator 1.2: Adults # screened , , # screened within 3 hours , , # not screened within 3 hours 1 1 % screened within 3 hours 1.% 1.% 99.81% 1.% 99.95% 1.% 1.% 1.% 1.% 1.% 1.% 1.% State Average 99.12% 98.83% 99.52% 98.63% 99.29% 99.37% 98.69% 98.96% 97.1% Indicator 1.2: Adults (#) Indicator 1.2: Adults (%) 75 1% % 3 8% 15 7% # screened # screened within 3 hours % screened within 3 hours State Average Standard Page 1

4 Indicator 2: ACCESS-TIMELINESS/FIRST REQUEST The percentage of new persons during the quarter receiving a face-to-face assessment with a professional within 14 calendar days of a non-emergency request for service. Standard = 95% Rationale for Use: Quick, convenient entry into the public mental health system is a critical aspect of accessibility of services. Delays in clinical and psychological assessment may lead to exacerbation of symptoms and distress and poorer role functioning. The amount of time between a request for service and clinical assessment with a professional is one measure of access to care. Indicator 2.1: Children with Serious Emotional Disturbances (SED) # receiving assessment # receiving assessment within 14 days # not receiving assessment within 14 days % receiving assessment within 14 days 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% 1.% State Average 98.26% 98.94% 98.29% 98.4% 98.43% 98.93% 99.3% 98.91% 97.77% Indicator 2.1: Children with SED (#) Indicator 2.1: Children with SED (%) 3 1% % % 5 7% # receiving assessment # receiving assessment within 14 days % receiving assessment within 14 days State Average Standard Indicator 2.2: Adults with Mental Illness (MI) # receiving assessment # receiving assessment within 14 days # not receiving assessment within 14 days % receiving assessment within 14 days 1.% 96.9% 1.% 1.% 99.25% 99.25% 1.% 1.% 1.% 99.84% 1.% 1.% State Average 99.23% 99.22% 99.12% 99.12% 98.94% 99.36% 98.83% 99.17% 96.6% Indicator 2.2: Adults with Mental Illness (#) Indicator 2.2: Adults with Mental Illness (%) 3 1% % % 5 7% # receiving assessment # receiving assessment within 14 days % receiving assessment within 14 days State Average Standard Page 2

5 Indicator 2.3: Children with Intellectual and Developmental Disabilities (IDD) # receiving assessment # receiving assessment within 14 days # not receiving assessment within 14 days 3 3 % receiving assessment within 14 days 1.% 72.73% 1.% 1.% 96.43% 1.% 1.% 1.% 1.% 1.% 1.% 1.% State Average 98.99% 96.31% 98.39% 99.66% 97.34% 98.5% 1.% 97.94% 96.2% Indicator 2.3: Children with IDD (#) Indicator 2.3: Children with IDD (%) 3 1% % % 5 7% # receiving assessment # receiving assessment within 14 days % receiving assessment within 14 days State Average Standard Indicator 2.4: Adults with Intellectual and Developmental Disabilities (IDD) # receiving assessment # receiving assessment within 14 days # not receiving assessment within 14 days % receiving assessment within 14 days 1.% 91.67% 95.% 1.% 95.31% 1.% 1.% 1.% 1.% 1.% 1.% 1.% State Average 98.42% 96.78% 99.49% 98.44% 99.25% 99.% 97.41% 99.69% 99.5% Standard 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% 95% Indicator 2.4: Adults with IDD (#) Indicator 2.4: Adults with IDD (%) 3 1% % % 5 7% # receiving assessment # receiving assessment within 14 days % receiving assessment within 14 days State Average Standard Page 3

6 Indicator 2: Total # receiving assessment , # receiving assessment within 14 days , # not receiving assessment within 14 days % receiving assessment within 14 days 1.% 96.22% 99.65% 1.% 98.98% 99.6% 1.% 1.% 1.% 99.91% 1.% 1.% State Average 98.91% 99.2% 11.6% 98.86% 98.78% 99.18% 98.87% 99.19% 98.4% Indicator 2: Total (#) Indicator 2: Total (%) 5 1% 4 3 9% 2 8% 1 7% # receiving assessment # receiving assessment within 14 days % receiving assessment within 14 days State Average Standard Page 4

7 Indicator 3: ACCESS-TIMELINESS/FIRST SERVICE Percentage of new persons during the quarter starting any needed on-going service within 14 days of a non-emergent face-to-face assessment with a professional. Standard = 95% within 14 days Rationale for Use: The amount of time between professional assessment and the delivery of needed treatments and supports addresses a different aspect of access to care than Indicator #2. Delay in the delivery of needed services and supports may lead to exacerbation of symptoms and distress and poorer role functioning. Indicator 3.1: Children with Serious Emotional Disturbances (SED) # starting service # starting service within 14 days # not starting service within 14 days % starting service within 14 days 97.96% 93.94% 1.% 97.44% 97.78% 1.% 9.57% 97.92% 1.% 96.7% 1.% 96.43% State Average 96.17% 95.43% 98.17% 96.88% 97.7% 97.23% 96.76% 96.94% 97.8% Indicator 3.1: Children with SED (#) Indicator 3.1: Children with SED (%) 2 1% 15 9% 1 5 8% 7% # starting service # starting service within 14 days % starting service within 14 days State Average Standard Indicator 3.2: Adults with Mental Illness (MI) # starting service # starting service within 14 days # not starting service within 14 days % starting service within 14 days 94.51% 98.44% 96.39% 1.% 97.21% 96.43% 1.% 99.3% 98.37% 98.5% 99.27% 97.95% State Average 97.59% 97.5% 97.72% 98.28% 98.29% 97.96% 97.65% 96.65% 97.3% Indicator 3.2: Adults with Mental Illness (#) Indicator 3.2: Adults with Mental Illness (%) 2 1% 15 9% 1 5 8% 7% # starting service # starting service within 14 days % starting service within 14 days State Average Standard Page 5

8 Indicator 3.3: Children with Intellectual and Developmental Disabilities (IDD) # starting service # starting service within 14 days # not starting service within 14 days % starting service within 14 days 1.% 1.% 1.% 1.% 1.% 1.% 93.1% 1.% 1.% 97.18% 1.% 96.3% State Average 98.9% 95.64% 95.74% 96.92% 95.55% 97.91% 98.27% 97.48% 96.93% Indicator 3.3: Children with IDD (#) Indicator 3.3: Children with IDD (%) 2 1% 15 9% 1 8% 5 7% # starting service # starting service within 14 days % starting service within 14 days State Average Standard Indicator 3.4: Adults with Intellectual and Developmental Disabilities (IDD) # starting service # starting service within 14 days # not starting service within 14 days 1 1 % starting service within 14 days 1.% 93.33% 1.% 1.% 97.67% 1.% 1.% 1.% 1.% 1.% 1.% 1.% State Average 98.17% 98.19% 94.97% 96.3% 96.14% 96.8% 93.31% 95.83% 94.67% Indicator 3.4: Adults with IDD (#) Indicator 3.4: Adults with IDD (%) 2 1% 15 9% 1 8% 5 7% # starting service # starting service within 14 days % starting service within 14 days State Average Standard Page 6

9 Indicator 3: Total # starting service # starting service within 14 days # not starting service within 14 days % starting service within 14 days 96.36% 96.69% 98.2% 99.31% 97.66% 98.1% 96.7% 98.88% 98.95% 98.% 99.54% 97.56% State Average 97.27% 96.73% 97.54% 97.82% 97.65% 97.54% 97.28% 96.51% 96.91% Indicator 3: Total (#) Indicator 3: Total (%) 4 1% 3 9% 2 8% 1 7% # starting service # starting service within 14 days % starting service within 14 days State Average Standard Page 7

10 Indicator 4a: ACCESS-CONTINUITY OF CARE The percentage of discharges from a psychiatric inpatient unit during the quarter that were seen for follow-up care within 7 days. Standard = 95% Rationale for Use: When responsibility for the care of an individual shifts from one organization to another, it is important that services remain relatively uninterrupted and continuous. Otherwise, the quality of care and consumer outcomes may suffer. This is an indicator required by the federal Substance Abuse and Mental Health Services Administration. Indicator 4a1: Children # discharged from psychiatric unit # seen for follow-up care within 7 days # not seen for follow-up care within 7 days % seen for follow-up care within 7 days 88.% 95.83% 1.% 1.% 95.96% 96.3% 95.65% 94.74% 1.% 96.55% 1.% 1.% State Average 97.26% 98.81% 97.8% 99.93% 99.7% 99.7% 99.17% 98.16% 97.85% Indicator 4a1: Children (#) Indicator 4a1: Children (%) 125 1% % 5 8% 25 7% # discharged from psychiatric unit # seen for follow-up care within 7 days % seen for follow-up care within 7 days State Average Standard Indicator 4a2: Adults # discharged from psychiatric unit # seen for follow-up care within 7 days # not seen for follow-up care within 7 days % seen for follow-up care within 7 days 98.41% 96.67% 95.38% 98.59% 97.3% 98.44% 1.% 97.37% 97.53% 98.26% 95.7% 98.75% State Average 96.18% 98.36% 97.85% 97.71% 96.7% 98.55% 97.77% 98.41% 95.38% Indicator 4a2: Adults (#) Indicator 4a2: Adults (%) 125 1% % 5 8% 25 7% # discharged from psychiatric unit # seen for follow-up care within 7 days % seen for follow-up care within 7 days State Average Standard Page 8

11 Indicator 5: ACCESS-DENIALS Percentage of face-to-face assessments with professionals during the quarter that result in denials. Rationale for Use: As managed care organizations, CMHSPs are responsible for exercising appropriate control of entry into the public mental health system. The professional assessment represents one of the first opportunities for a CMHSP to control access to its non-emergent services and supports. Indicator 5 # received assessment , # denied % denied 2.56% 5.67% 4.41% 4.5% 4.21% 4.23% 2.22%.35%.64% 1.77% 1.26%.67% State Average 1.84% 1.77% 12.25% 11.75% 11.8% 11.59% 1.47% 1.81% 1.3% Indicator 5: Denials (#) Indicator 5: Denials (%) 5 4% 4 3% 3 2% 2 1 1% % # received assessment # denied % denied State Average Indicator 6: ACCESS-DENIALS: Second Opinions Percentage of Section 75 second opinions that result in services. Indicator 6 # requests for second opinion # receiving services after second opinion State Average 33.48% 13.27% 19.7% 24.84% 35.71% 39.17% 48.11% 36.56% 41.4% 1 Indicator 6: Second Opinions (#) # requests for second opinion # receiving services after second opinion Page 9

12 Indicator 1: OUTCOME: INPATIENT RECIDIVISM The percentage of readmissions of children and adults during the quarter to an inpatient psychiatric unit within 3 days of discharge. Standard = 15% or less Rationale for Use: For some people with mental illness, the occasional use of psychiatric inpatient care is essential. However, rapid readmission following discharge may suggest that people were prematurely discharged or that the post discharge follow-up was not timely or sufficient. This indicator assessed whether CMHSPs are meeting the Department s standard of no more than 15 percent of people discharged from inpatient units are being readmitted within 3 days. Indicator 1.1: Children # discharged from care # readmitted within 3 days % readmitted within 3 days 5.56% 7.69% 1.% 23.33% 11.48% 12.82% 12.5% 7.14%.% 9.9% 12.82% 6.6% State Average 7.63% 9.65% 4.22% 6.84% 4.69% 9.57% 7.7% 9.43% 5.89% Standard 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% Indicator 1.1: Children (#) Indicator 1.1: Children (%) 125 4% 1 3% % 25 1% % # discharged from care # readmitted within 3 days % readmitted within 3 days State Average Standard Indicator 1.2: Adults # discharged from care # readmitted within 3 days % readmitted within 3 days 6.1% 6.67% 8.33% 1.78% 8.16% 8.51% 7.95% 8.77% 8.93% 8.58% 8.26% 7.48% State Average 12.23% 8.28% 9.31% 12.17% 1.9% 1.49% 9.44% 14.2% 9.67% Standard 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% Indicator 1.2: Adults (#) Indicator 1.2: Adults (%) 125 4% 1 3% % 25 1% % # discharged from care # readmitted within 3 days % readmitted within 3 days State Average Standard Page 1