Getting Started with HBIPS from an ORYX Vendor Perspective

1. Getting Started with HBIPS from an ORYX Vendor Perspective Hospital-Based Inpatient Psychiatric Services (HBIPS) Core Measures NAPHS Conference � September 2010

2. 2 Panel Gayle Olano Hurt, MPA, Maryland Hospital Association, Quality Indicator Project 6816 Deerpath Road, Elkridge, MD 21075 Phone: 410-379-6200 or 800-899-9642 Web: www.qiproject.org, E-mail: ghurt@qiproject.org Lucille M Schacht, PhD, NRI Behavioral Healthcare Performance Measurement System 209 Madison St., Suite 401, Alexandria, VA 22314 Phone: (703) 682-9475 Web: www.nri-inc.org, E-mail: lschacht@nri-inc.org

3. 3 Performance Measurement Performance Measurement Systems Facilitate performance improvement Generate internal and external comparisons Transmit performance measure data Ensure Data integrity Data quality Abstraction processes Data reporting Education

4. 4 Working With Performance Measurement Systems Don�t Delay! The collection and use of patient level data can be complicated and overwhelming Core Measures collection may require additional resources or resource reallocation Start early Vendors can help you prepare

5. 5 Working With Performance Measurement Systems Selecting Vendors All vendors will meet basic Joint Commission requirements. Vendors may collect additional information to provide �added value�. Vendors may have additional reports or data �views� available. Vendors may provide user groups or other support to assist with data collection, outcomes comprehension or communication.

6. 6 Working With Performance Measurement Systems Experience Does your vendor have experience with the HBIPS Core Measures processes? Does your vendor have experience with behavioral health measure collection and reporting? Does your vendor know of other potential initiatives involving collection of data and reporting of data?

7. 7 Working With Performance Measurement Systems Reporting Are the reports they provide useful for internal and external comparative analysis on a timely basis? Are reports real-time and flexible for drill through and in-depth analytics? Is there availability of graphing to display facility and national data?

8. 8 Working With Performance Measurement Systems Services Do they have personalized and dedicated support with continuing education? Do they offer User Groups? Are there other networking opportunities and education forums?

9. Challenges & Successful Strategies in Health Care Organizations During Implementation

10. 10 Documentation Challenges Clarity and ease of data abstraction Compliance (if you build it will they come?) Challenges with e-documentation Successful Strategies Documentation redesign. New data capture methods that eased the data collection burden Providing triggers or key phrases

11. 11 Data Element Definitions Challenges Related to documentation Figuring out how to interpret the specifics of the definitions Clinical knowledge Successful Strategies: Definitions need to be applied to the clinical process Using both narrative and �check boxes� to keep the contextual information readily available

12. 12 Availability of Resources Challenges: Time allocation for abstraction and verification Training clinicians and care workers on required terminology Successful Strategies: Incorporate into established workflows

13. 13 Technical Problems / Abstraction Processes Challenges: Data collection Coding Data submission / mapping Successful Strategies: Formulating techniques to capitalize on efficiency opportunities Existing audit abstraction processes / Electronic Medical Record

14. 14 After Implementation Public Reporting Data Reporting and Moving Targets Planning Improvements

15. 15 Vendor Recommended �Best Practices� Revise documentation to increase accuracy  Review documentation with your vendor  Communicate with your vendor early and often Collect more than the Core Measures minimum

16. 16 Vendor Recommended �Best Practices� (continued) Share your data across all levels of staff  Create communication tools for staff to use during surveys  Submit data in a timely fashion Respond to Vendor inquiries � we�re trying to help you look good!