National Behavioral Health Quality Framework: Improving Health Outcomes

2. 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 Improvement 3 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 Aims 4 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 Priorities 5 Making care safer by reducing harm caused in the delivery of care. 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. To help achieve its aims, the strategy also establishes six priorities, to help focus efforts by public and private partners.

6. National Behavioral Health Quality Strategy Priorities 6 Promote the most effective prevention, treatment and recovery practices for BH disorders 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 To help achieve its aims, the strategy also establishes six priorities, to help focus efforts by public and private partners.

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 13

14. Stakeholders 14

15. National Behavioral Health Quality Framework Priorities, Goals and Illustrative Measures 15 • 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 email to SAMHSA at SAMHSAinfo@samhsa.hhs.gov • Put “Quality” in email subject line