January 11, 2012

1. Onsite Quarterly MeetingPMHP Collaborative PIPFollow-up Within Seven Days After Acute Care Discharge for a Mental Health Diagnosis Presenter: Christy Hormann, LMSW, CPHQ Project Leader-PIP Team January 11, 2012

2. Overview • History of PMHP Collaborative PIP • Remeasurement 3 results • Next Steps 2

3. History of PMHP Collaborative PIP • The PIP was initiated in 2007 • Started with three study indicators 3

4. History of PMHP Collaborative PIP cont. • Starting in FY 10-11, the two case-manager related study indicators were discontinued • The remaining study indicator measured outpatient follow-up with a mental health practitioner within seven days of discharge • In FY 10-11, the second remeasurement was reported • Based on the results, it was determined that the PIP would continue 4

5. Results • Remeasurement 3 results were reported for FY 11-12 • HSAG will assess for improvement between Remeasurement 2 and Remeasurement 3 • HSAG will also assess for overall sustained improvement from baseline to Remeasurement 3 5

6. Interventions • The PMHPs implemented plan-specific interventions • There was discussion of a possible collaborative intervention in 2008 and the issue was revisited in 2010 • In April 2011, a collaborative intervention was agreed upon by the PMHP group • The collaborative intervention is follow-up telephone contact with members after an inpatient discharge 6

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8. Study Indicator 1—Percentage of members who have an outpatient follow-up encounter with a mental health practitioner within seven days of discharge. • All except one of the PMHP PIPs reported third remeasurement rates that demonstrated improvement from baseline • Eleven of the PMHP PIPs achieved statistically significant improvement from baseline to the third remeasurement 8

9. Key Improvement Concepts • Know the rates for applicable demographic subgroups • Prioritize barriers; all barriers do not have to be addressed 9

10. Key Improvement Concepts cont. • Strategize interventions and intervention types based on barrier analysis • Identify an evaluation plan for each intervention 10

11. What’s Next? • PMHPs were asked to complete subgroup analysis • Interventions might need to be modified based on the results 11

12. What’s Next? • PMHPs should evaluate the effectiveness of their plan-specific interventions • Strategies-surveys, interim measurements • Successful interventions should become a standard part of the process 12