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MOQA – 2 A County-Informed Statewide Approach to Outcome Data Collection and Reporting

MOQA – 2 A County-Informed Statewide Approach to Outcome Data Collection and Reporting. Adrienne Shilton Debbie Innes-Gomberg. From MOQA - 1. From Adult FSP Programs: Reduction in days spent homeless since partnership Reduction in clients homeless since partnership

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MOQA – 2 A County-Informed Statewide Approach to Outcome Data Collection and Reporting

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  1. MOQA – 2A County-Informed Statewide Approach to Outcome Data Collection and Reporting Adrienne Shilton Debbie Innes-Gomberg

  2. From MOQA - 1 • From Adult FSP Programs: • Reduction in days spent homeless since partnership • Reduction in clients homeless since partnership • Reduction in days psychiatrically hospitalized since partnership • Reduction in clients psychiatrically hospitalized since partnership • Reduction in days incarcerated since partnership • Reduction in clients incarcerated since partnership

  3. From MOQA - 1 • FSP Costs and Costs Offset (one-time analysis) • From County EQRO Self-Assessment: • Average number of days to receive an outpatient appointment after a psychiatric hospitalization (adult and child) • Percent of clients re-hospitalized within 30 days (adult and child) • Time to first appointment (adult and child) • Pre and post treatment symptom reductions after receiving Trauma Focused Cognitive Behavioral Therapy • Consumer Satisfaction Survey results

  4. Transitioning to MOQA - 2 • Outcomes should have local as well as statewide relevance • Outcomes should follow from program goals • Program goal • Objectives in support of program goal • Program strategies (approach, interventions, practices) • Outcomes • Measurement method and frequency of measurement • Support county measurement choices that map to overarching domains

  5. Mental Health Planning Council Performance Indicators • Individual client outcomes – FSP service level • County mental health system performance • Access to services • Cultural appropriateness • Participation in treatment • Client satisfaction • FSP performance • Demographic profile • Percent of clients with a primary care provider • Summary of reasons for discontinuation • Access, measured through penetration rates, new clients by age, gender, race/ethnicity • Rates of conservatorship • Number of seclusions and restraints

  6. Mental Health Planning Council Performance Indicators • 24-Hour Care (IMD, MHRC/SNF, State Hospitals) • Utilization • Length of stay • Census by race/ethnicity • Utilization of community inpatient facilities • Readmissions for acute care within 30 days, 180 days • Expenditures on 24-Hour care and community inpatient facilities • MHSA implementation status • Number of clients served • Expenditures • Race/ethnicity of workforce vs. clients served • Status of consumer and family member employment

  7. Mental Health Planning Council Performance Indicators • Community Indicators • Suicide rate by age, gender, race/ethnicity • Out of home placement by age, gender, race/ethnicity • High school graduation rates • Truancy, suspension and expulsion rates • Frequency of sad and hopeless feeling last 12 months (middle school and high school)

  8. Demonstrating the Impact of Behavioral Health Services Across Counties

  9. The Domains • Are they the right domains? • Process for operationalizing each domain • Aligning outcome domains with DHCS • Supporting counties in identifying outcome domains for MHSA programs and in selecting measures • Role of MHSA Committee • Data collection and entry • Supporting counties in using outcome data and reports • CMHDA reports to the legislature and media on the impact of MHSA

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