1 / 31

Transforming the Mental Health System Through Evidence-Based Practices and Performance Measures

This presentation discusses the need for transforming the mental health system to be recovery-oriented, consumer and family directed, and highlights the goals and strategies for achieving this transformation. It also explores the importance of using evidence-based practices and performance measures to improve the quality of mental health care.

sidneyk
Download Presentation

Transforming the Mental Health System Through Evidence-Based Practices and Performance Measures

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Transforming the Mental Health System Through Evidence-Based Practices and Performance Measures Ronald Manderscheid, Ph.D. Chief of the Survey and Analysis Branch of the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration Presented at: Implementing Evidence-Based Practices and Performance Measures for Massachusetts Mental Health Services: An Educational Forum Brandeis University, September 28, 2005

  2. Transformation and Quality Improvement:A Necessary Partnership for Success Ronald W. Manderscheid, Ph.D. U.S. Department of Health and Human Services

  3. TRANSFORMATION

  4. Transformation is: • Changing Yourself • Changing Your Program • Changing Your Program’s Environment

  5. President’s New Freedom Commission “The mental health system in the U.S. is in shambles.” “We need to create a mental health system that is recovery-oriented and consumer and family directed.”

  6. President’s New Freedom Commission Goals • Americans understand that mental health is essential to overall health. • Mental health is consumer and family driven. • Disparities in mental health services are eliminated.

  7. President’s New Freedom Commission Goals • Early Mental Health Screening, Assessment, and Referral to Services are Common Practice. • Excellent Mental Health Care is Delivered and Research is Accelerated. • Technology is used to access mental health care and information.

  8. Institute of Medicine,National Academy of Sciences

  9. IOM “We have a large and growing chasm between actual healthcare delivery and the quality of the healthcare we need.”

  10. IOM Crossing the Quality Chasm Goals • SAFE • PERSON-CENTERED • EFFECTIVE • EFFICIENT • EQUITABLE • TIMELY

  11. FOUR IOM STRATEGIES 1. Transforming Financing 2. Transforming Human Resources 3. Adopting EBPs 4. Using IT & Performance Measures

  12. LinkagePresident’s Commission: Define Goals+IOM Project: Define Strategies=Transformation

  13. Major 2005 U.S Mental Health Initiatives • State Transformation Grants • Acute Care Work Group • Transformation of Human Resources • Transformational Leadership • Information and IT Initiatives

  14. Quality Improvement Community Collaborations Quality Circle Quality Management Quality Service Measurement Informative Technology Consumer and Family Direction Transformational Leadership

  15. MHSIP Consumer – Oriented Report Card (Access, Quality, Outcome) • NASMHPD (28 indicators) • 5 State Pilot Project (32 indicators) • 16 State Demonstration Project (32 indicators) • State DIG, Phase 1 (2002-2004) (21 indicators) • (Uniform Reporting System) • State DIG, Phase II (2005-2007) (23 indicators) • (URS & National Outcome Measurement System) A Short History of Performance Measurement

  16. IT and Performance Initiatives • National Strategic IT Plan. • New Project: Electronic Health Records/Personal Health Records/Local Health Information Infrastructure

  17. IT and Performance Initiatives • Forum on Common Performance Measures • JCAHO/NAPHS/NRI Performance Measures Project • MHSIP Quality Report • State Data Infrastructure Grants and Uniform Reporting System

  18. State Data Infrastructure Grants Phase II • Reporting of all URS/NOMS measures • Working with local providers-common definitions and common data collection procedures • Building an electronic bridge to local providers

  19. Uniform Reporting System Data • Individuals served—age, race/ethnicity, gender • Services provided—mental health and related community-based services according to the five criteria in the current Center for Mental Health Services (CMHS) statute • Community-based service system • Mental health data and epidemiology • Children’s services • Services for rural and homeless persons • Management systems

  20. Uniform Reporting System Data • Services for special needs populations, including homeless persons and persons with co-occurring disorders • Financial and staffing resources to support the service system

  21. National Outcome Measures • Decreased mental illness symptomatology/ improved functioning1 • Increased/retained employment (adults); return to/retention in school (children)1 • Decreased criminal justice involvement1 1. Developmental

  22. National Outcome Measures 4. Increased stability in family and living conditions 5. Increased access to services (number of persons served by age, gender, race, and ethnicity)2 6. Reduced utilization of psychiatric inpatient beds (rates of admission for 30 and 180 days)1, 2 • Developmental • Required by the Office of Management and Budget Performance Assessment Rating Tool (PART) review

  23. National Outcome Measures 7. Increased social supports/social connectedness3 8. Client perception of care outcome2 9. Use of evidence-based practices (EBP) (Cost effectiveness) (number of persons receiving EBPs and number of EBPs provided by State)2 2. Required by the Office of Management and Budget Performance Assessment Rating Tool (PART) review 3. For Access To Recovery, “social support of recovery” is measured by client participation in voluntary recovery or self-help groups as well as interaction

  24. Desired Linkages State Mental Health Agency STATE SYSTEM Electronic Bridge Local Provider LOCAL SYSTEM Personal Recovery Plan CONSUMER LIFE COMMUNITY

  25. DS2000+ Online • www.ds2kplus.org • Web-Based System • Receives • Analyzes • Provides • DS2000+ Promotion of Allied Field Collaboration • Common Vision • Enhanced Communication • Data Sharing • Resource Conservation Substance abuse Housing Criminal Justice Education Healthcare Vocational Social Welfare Training What is DS2000+ ? • DS2000+ HIPAA Transactions • www.mhsip.org/DS2K+.htm • User-friendly master data sets and handbooks • Shared transactional data • Added-value for behavioral health data • DS2000+ Core and • Stakeholder Data Sets • Population • Person/enrollment • Encounter • Financial • Human Resources • Organizational • Clinical/System Guidelines • Outcomes • Report Cards • Performance Measures • DS2000+ Advancing the • Public Health Model • Common Data Standards for • Recording/Reporting • Decision Support for all • Stakeholders • Quality Improvement & • Accountability I N F O R M A T I O N • DS2000+ • Stakeholder Input • Focus Groups • Expert Panels • Web Site Feedback

  26. DS2000+ Onlinewww.ds2kplus.org • The DS2K+ Initiative • About DS2K+ • Updates • Document Library • Data Standards for MH • Feedback and Input • Links • Databases • HIPAA 834 and 837 Transactions (OK, Alliance) • MHSIP Consumer Survey Data from 16 State Pilot • (11 States) • Quality Indicators (Alliance) • HIPAA Mapper • For all HIPAA • Transactions • (OK, Wash Pub Co) • Medicare/Medicaid/Private Insurance Tables • Several Hundred Structured • Tables (Medstat/RTI/Brandeis) • Analytical Tools • OLAP Cubes to Construct • Queries • Standard Reports • Custom and Ad Hoc Analyses • On-Line Surveys • Version I MHSIP Consumer Survey (ID, WY) • Provider Satisfaction Survey (Alliance) • Privacy and Security • Owner Controls Access to • Information • Encryption, Firewalls, • Passwords

  27. Decision Support 2000+ Outcomes Module

  28. PROJECT GOALS • Develop data standards for outcome measurement • - follow consensus-based development model • - core and stakeholder specific components • Develop a web-based mental health outcome • reporting and feedback system • - a plug-in module to DS2000+ Online • - test functionality in key areas of care system • - develop an implementation plan

  29. STAKEHOLDER WORKGROUPS • Stakeholders • -Consumers • - Families • - Providers • - State Mental Health Agencies • - MBHCOs • Multi-stakeholder Group • Special groups • - children, adults, elderly • Allied Fields • - Substance Abuse

  30. TECHNICAL EXPERT WORKGROUP • Content Development • Technical Development • Field Feedback and Acceptance • Building and Internal Testing of Module • Field Testing and Revision • National Implementation Plan

  31. Looking into the Future • Transformation and Quality Improvement are Necessary Partners • Quality Improvement will Occur Through Community Collaborations • A National Strategy is Essential to Promote Collaborations and to Provide the Service, Measurement and IT Foundation Necessary for their Success

More Related