Regional Performance Management Reports

1
Regional Performance Management Reports

• Tools for Continuous Performance Improvement
• Oklahoma Department of Mental Health and
  Substance Abuse Services

John Hudgens, Director of Community Based Services
2
Purpose - To provide up-to-date information in
the form of indicators which stimulate and guide
performance improvement efforts

• Background
• SAMHSA support for technical assistance
• Howard Dichter, M.D. (expertise in rapid
  monitoring of health system indicators)
• Began in 2002
• Reported each quarter

• Additional assistance from MEDSTAT
• Linda Graver
• Kay Miller
• Dan Whalen

3
Indicators (mental health)

• Adult Inpatient Follow-up in Outpatient Care
  within 7 Days after discharge
• Adults with MMI Receiving Case Management or
  Individual Rehabilitation Services
• Adults Receiving Any DMHSAS-funded Mental Health
  Service
• Adult Inpatient Services
• Adult Inpatient Re-admissions within 30 Days
• Adult Mental Health Face-to-Face Crisis Events
• Adult Crisis Follow-up in Outpatient Care within
  7 Days

• Adults with MMI Core Outpatient Mental Health
  Services
• Adults with MMI Inpatient Services
• Adult Select Priority Group Medication Visits
• Illness Self-Management Training
• Family-To-Family Training
• Program of Assertive Community Treatment (PACT)
• Children Served in Systems of Care (SOC)
  Communities

4
Work Flow Timeline
Provider-specific details available at secure
website
Cover letters focus on specific issues
performance improvement activities
Available on agency website
5
RPM Performance Improvement Cycle

• Plan selection and refinement of indicators
• Do compile data, identify trends, prepare draft
  report
• Check providers analyze findings and propose
  explanations
• Act - state level follow up and technical
  assistance provider performance improvement
  report to governing Board PI Committee

6
Sample Focus Indicator
7
Responses Check Act

• Strategic Improvement Actions Taken by Providers
• CMHCs staffs met with hospital staff to
  discuss low level of follow-up after discharge
  from inpatient in the Region.
• One problem identified was lack of consistency in
  obtaining consent from the consumer to
  communicate between hospital the local CMHC
  regarding admission and discharge.
• Follow up meeting set to continue performance
  improvement discussions, including identifying
  specific strategies for implementation.
  Suggestions (as result of first meeting) include
• Hospital to provide daily census of consumers
  admitted from each CMHC Area, pending consumer
  approval
• Representatives from each CMHC to make
  face-to-face contact with the hospitalized
  consumers to focus on discharge planning and
  facilitate engagement in continuous care. .

8
To view the reports

http//www.odmhsas.org/statisticsother

• Some next steps
• Integrate with Medicaid Data
• Further develop Children's mental health measures
• Support expansion of EBPs

• Contact Info
• Steve Davis
• Tracy Leeper
• Mark Reynolds

• John Hudgens
• Jennifer Glover
• Jan Savage