Performance Measures for SFY 2013

1. Performance Measures for SFY 2013 DMHA Spring Provider Meeting May 2, 2012 Sue Lummus sue.lummus@fssa.in.gov Spring Provider Meeting May 2012

2. Performance Measures Spring Provider Meeting May 2012

3. When Payments are Estimated to Occur Remember, all payments are based on year-to-date calculations. Spring Provider Meeting May 2012

4. SFY 2013 Measures • Residential and Community Stability measure is being deleted for SFY 2013 • Three new measures are included in a new section for Gatekeeper Measures • Individual provider targets for Average Monthly Number Served will be distributed prior to July 1, 2012 Spring Provider Meeting May 2012

5. SFY 2013 SMI Measures Spring Provider Meeting May 2012

6. SFY 2013 CA Measures Spring Provider Meeting May 2012

7. SFY 2013 Youth Measures Spring Provider Meeting May 2012

8. SFY 2014 New Youth Measures These three measures are included in the Performance Measures Definitions for SFY 2013 document. Each will replace existing measures in SFY 2014. They are being shared now as DMHA will be monitoring performance on the measures quarterly during SFY 2013. Spring Provider Meeting May 2012

9. Low Performance May be Due to: Spring Provider Meeting May 2012

10. Closing an Episode Spring Provider Meeting May 2012

11. Pay for Performance Targets Spring Provider Meeting May 2012

12. Requesting Change in Target Spring Provider Meeting May 2012

13. When Request is Received, DMHA will Spring Provider Meeting May 2012

14. Requesting Performance Report Data Review Spring Provider Meeting May 2012

15. Spring Provider Meeting May 2012

16. Gatekeeper Performance Measures DMHA Spring Provider Meeting May 2, 2012 R. Bergen, Asst. Deputy Director, OPCR rhonda.bergen@fssa.in.gov Spring Provider Meeting May 2012

17. Gatekeeper Measures ■ Compliance with Face-to-Face Visits ■ Timely Discharge ■ Bed Utilization Spring Provider Meeting May 2012

18. Face-to-Face Compliance Implementing 7/1/12 ■ Focus on responsibilities defined in 440 IAC 5-1-3.5 □ monitoring compliance of 30/90 day visits ■ Applies to all client’s enrolled by the gatekeeper □ no exclusions □ Gatekeeper SOF CRA and Recovery Summary ■ SOF Gatekeeper Visit Detail Compliance Report □ within 30 days of admission – required face-to-face □ every 90 days thereafter – face-to-face or approved alternative ■ Target – 90% quarterly compliance Spring Provider Meeting May 2012

19. Timely Discharge Implementing 7/1/12 ■Focus on the transition of client’s identified as ready for discharge □ discharge within 90 days of meeting SOF readiness criteria ○ stabilization of symptoms ○ minimal risk towards self or others ○ maximum benefit ■Applies to all client’s enrolled by the gatekeeper □ excludes non-allocated forensic and research □ gatekeeper/treatment team readiness agreement ○ CCR 440 IAC 5-1-4 → DMHA practice ■Gatekeeper Discharge Ready Status Report & Monthly Discharge Report ■Target – 80% discharged within 90 calendar days Spring Provider Meeting May 2012

20. Bed Utilization Implementing 1/1/13 ■ Focus on reducing the use of allocated beds □ relates to recent goals of SOF Alternative RFP ■ Applies to all client’s enrolled by the gatekeeper □ excludes SED, non-allocated forensic, and research ■ SOF Client Enrollment Report by Gatekeeper □ averages monitored monthly, quarterly, and annual □ bed borrowing continued ■ Target – minimum 10% reduction in bed use in 1 year □ performance tiers Spring Provider Meeting May 2012

21. Reports for Providers ■ Compliance with Face-to-Face Visits □ SOF Gatekeeper Visit Detail Compliance Report - Quarterly ■ Timely Discharge □ Gatekeeper Discharge Ready Report - Monthly ■ Bed Utilization □ SOF Client Enrollment Report by Gatekeeper - Monthly □ Summary of Quarterly Utilization Averages - Biannual/Annual Spring Provider Meeting May 2012

22. Summary ■ Compliance with Face-to-Face Visits → 7/1/12 ■ Timely Discharge → 7/1/12 ■ Bed Utilization → 1/1/13 ■ Questions Spring Provider Meeting May 2012