WRBHO BEST Meeting

1

• WRBHO BEST Meeting
• Quarter Three Performance Report Presentation
• Monroe, Wyoming, Livingston Genesee Counties
• December 13, 2012

2
WRBHO BEST Meeting Agenda

• I. Introductions and Key Findings
• II. Q3 Regional Overview
• Regional Overview of all domains
• Role of the BHO in supporting Health Homes
• III. Q3 Sub-Regional Review (compared to the
  region)
• Review of key metrics tied to the Effective
  Linkages domain for the sub-region
• Discuss the information to determine what it
  means to those in attendance (Are there
  opportunities for improvement?)
• IV. Effective practices presentations
• Scheduling /Linking with Physical Health
  Providers RGH, Jennifer Isaac, BSN, Care Manager
  of Inpatient Psychiatric Population
• Intro to Consumer Centered Family Consultation
  and opportunity for technical assistance
• IV. Identify areas of focus for improving
  sub-region BH system of care
• VI. Next Steps
• Would a Learning Collaborative be helpful?

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Presenters

• Adele Gorges, Executive Director, NYCCP
• John Lee, WRBHO Program Director, Beacon
• Christine Mangione, WRBHO Manager of Clinical
  Operations, Beacon
• Elisabeth Hager, MD, Physician Advisor, Beacon

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• INTRODUCTION KEY FINDINGS

5
Introduction

• Q3 Performance Report Organization
• Domains
• Metrics within each domain (Data Sources BHO
  data collection and OMH BHO Portal)

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The 5 Performance Metric Domains

• Performance Domain 1 Coordination with the BHO
  
• Performance Domain 2 Person-Centered Care
  Coordination during the Inpatient Stay
• Performance Domain 3 Linkages to After Care
  Services
• Performance Domain 4 Continuity of Care
• Performance Domain 5 Engagement in Care

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Highlights of WRBHO Findings

• Observed changes that support transformation
• Improved provider performance within the WRBHOs
  19 county region
• 6 out of 8 metrics within the Performance Domain
  Linkage to After Care Services, reflect
  improvement Q2 to Q3.
• A number of OMH BHO Portal metrics reflect
  performance in WNY that exceeds the Statewide
  rates outpatient visits, readmission rates.
• County MH Directors convening meetings to engage
  providers about the changes that need to take
  place to prepare for BH Managed Care.
• Facility COO expressing appreciation that the
  State is monitoring data to assess the ability of
  providers to work as a system of care.
• MH inpatient providers expressing interest in
  learning how to be more effective in linking
  patients with PH providers.
• Facility discharge planners requesting help from
  the WRBHO in securing housing for a patient,
  recognizing impact on avoidance of readmissions.
• Providers devoting a full day to listen to
  feedback from those with a inpatient psychiatric
  experience (The WRBHO forums)

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• REGIONAL PROVIDER PROFILE PERFORMANCE REPORTS

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Performance Domain 1 Coordination with the RBHO

• Domain includes measures helpful in ensuring
  complete and timely data report and review
  practices
• Metrics
• The number of Notices of Admission submitted by
  providers is consistent with established targets
• Notices of Admission are received within 24 hours
  of admission
• Initial Reviews are completed within 72 hours of
  admission

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Performance Domain 1 Coordination with the WRBHO
Performance Metric 1(a) The number of Notices of Admission (NOAs) received is consistent with established targets
Data Source Data on NOAs provided through the eServices Portal / data gathered by WRBHO staff via telephone. Data on 2011 fee-for-service admissions provided by the NYS Office of Mental Health
Metric Calculation Total Admissions Noticed for Period / Total FFS Medicaid Admission Reported for Period
Inpatient Admission Type of Admissions Noticed to WRBHO Q1 of Admissions Noticed to WRBHO Q2 of Admissions Noticed to WRBHO Q3 Total of Admissions Noticed through Q3 Total Admissions through Quarter 3 2011 of Target (2011)
Mental Health Adult 816 828 849 2493
Mental Health Youth 192 164 157 513
Mental Health Total 1008 992 1006 3006 4268 70.40
Substance Use Detox Adult 128 72 64 264 987 26.70
Substance Use Inpatient Rehab Adult 383 264 267 914 2443 37.40
Substance Use Total 511 336 331 1178 3430 34.30
TOTAL 1519 1328 1337 4184 7698 54.35
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Performance Domain 1 Coordination with the WRBHO
Performance Metric 1(b) Notices of Admission are Received within 24 Hours of Admission
Data Source Data gathered via phone by WRBHO clinician or e-portal entry
Metric Calculation of NOAs received within 24 hours of admission/Total admissions noticed in reporting period
Inpatient Admission Type Total admissions for current quarter NOAs within 24 hours for current quarter NOAs within 24 hours/admissions for current quarter Provider range for current quarter NOAs within 24 hours for previous quarter Variance Current vs. Previous Quarter
Mental Health Adult 849 829 97 78 - 100 95 2
Mental Health Youth 157 156 99 93 - 100 98 1
Substance Use Detox Adult 64 58 90 81 - 100 98 -8
Substance Use Inpatient Rehab Adult 267 253 94 87 - 100 89 5
Total 1337 1296 96 78 - 100 94 2
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Performance Domain 1 Coordination with the WRBHO
Performance Metric 1(c) Initial Reviews are Completed within 72 Hours of Admission
Data Source Gathered via phone by WRBHO clinician
Metric Calculation Initial Reviews within 72 Hours of admission/Total admissions in reporting period
Inpatient Admission Type Total Admissions Current Quarter of Initial Reviews w/in 72 hours Current Quarter Initial Reviews w/in 72 hours / Total Admissions Current Quarter Provider Range Current quarter Initial Reviews w/in 72 hours / Total Admissions Previous Quarter Variance Current vs. Previous Quarter
Mental Health Adult 849 805 94 52 - 100 83 11
Mental Health Youth 157 146 92 77 - 100 85 7
Substance Use Detox Adult 64 55 85 53 - 96 94 -9
Substance Use Inpatient Rehab Adult 267 209 78 38 - 100 67 11
Total 1337 1215 90 38 - 100 80 10
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Performance Domain 2 Person-Centered Care
Coordination During the Stay

• Domain includes metrics that describes the extent
  to which effective, person-centered care
  coordination practices during the inpatient stay
  are evident.
• Particular interest in efforts to ensure that the
  individuals needs have been identified so that
  an effective discharge plan can be developed.
• Additional metrics will be added under this
  domain over time.
• Metric
• Treatment history is shared with the inpatient
  provider during the Initial Review

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Performance Domain 2 Person-Centered Care
Coordination During the Stay
Performance Metric 2(a) Treatment History is Shared with the Inpatient Provider during the Initial Review
Data Source Data recorded in FlexCare by WRBHO Clinician
Metric Calculation Discharges w/Treatment History Shared/Total Discharges in Reporting Period
Inpatient Admission Type Total Discharges Current Quarter of Discharges w/Treatment History Shared Current Quarter of Discharges w/Treatment History Shared Current Quarter Provider Range Current Quarter of Discharges w/Treatment History Shared Previous Quarter Variance Current vs. Previous Quarter Regional Year-To-Date
Mental Health Adult 842 720 85 55 - 100 80 5 83
Mental Health Youth 152 136 89 70 - 100 80 9 86
Substance Use Detox Adult 66 54 81 80 - 100 84 -3 82
Substance Use Inpatient Rehab Adult 267 242 90 81 - 100 74 16 85
Total 1327 1152 86 55 - 100 79 7 84
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Performance Domain 3 Linkages to After-Care
Services

• Domain includes metrics that measures the extent
  to which steps were taken during the inpatient
  stay to establish linkages to needed outpatient
  services.
• Metrics
• The current or prior mental health outpatient
  provider was contacted during stay
• An appointment for mental health outpatient
  treatment was scheduled as part of the discharge
  plan
• The case summary was sent to the outpatient
  mental health or substance use disorder (SUD)
  outpatient Provider
• A physical health appointment scheduled
  post-discharge if a physical health care need was
  identified during the stay
• A SPOA application was submitted for case
  management, housing and other services
• For youth with multi-system needs, the discharge
  plan includes referrals /linkages for the
  provision of basic needs
• For youth with multi-system needs, the discharge
  plan documents post discharge educational needs
• There is improvement in housing status for
  individuals who are homeless at admission

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Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summaries

• Provide a drill down on the metrics presented
  at the regional level to look more closely at
  provider-level performance
• Available for the Linkages to After Care Services
  domain metrics
• Identification of higher performance providers
• Strategies being deployed to achieve higher
  levels of performance.
• Higher performing providers
• Fall in the top 25 for the performance metric
• 8 or more discharges during the quarter
• Data collection process for Q3 was viewed as an
  accurate reflection of the providers work by the
  WRBHO Utilization Review Clinician.
• Efforts have focused on identifying barriers to
  performance.

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Performance Domain 3 Linkages to After-Care
Services
Regional Report
Performance Metric 3(a) The current or prior mental health outpatient provider was contacted during stay
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period
Inpatient Admission Type Total Discharges Current Quarter Where Outpatient Provider was Contacted During the Stay Current Quarter Where Outpatient Provider was Contacted During the Stay Current Quarter Provider Range Current Quarter Where Outpatient Provider was Contacted During the Stay Previous Quarter Variance
Mental Health Adult 842 662 78 49 - 100 64 14
Mental Health Youth 152 140 92 71 - 100 84 8
Total 994 802 81 49 - 100 68 13
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Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3(a) The current or prior mental health outpatient provider was contacted during stay
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period
Inpatient Admission Type Adult Mental Health Youth Mental Health
Provider Average 78 92
Provider range 49 - 100 71 - 100
Higher Performing Providers D D
Higher Performing Providers L L
Higher Performing Providers P P
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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3(a) The current or prior mental health outpatient provider was contacted during stay

• Best Practices
• Gathers collateral information from outpatient
  provider and is linked closely with other
  outpatient agencies.
• Attempts to keep MH clients within their system
  of care, which appears to help with continuity of
  care.
• Is protocol that the Discharge Planner notifies
  outpatient provider of individuals admitted (once
  identified) and shares appropriate collateral
  information.
• Has a no wrong door philosophy and offers
  co-existing treatment with mental and physical
  health providers in close proximity of each
  other. Encourages effective communication.

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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3(a) The current or prior mental health outpatient provider was contacted during stay

• Barriers
• Gaps in communication between UR clinicians and
  discharge planners.
• The practice is not built in to standard facility
  procedures.
• The treatment team does not reach out to current
  or active providers to collaborate and work
  together towards the recovery of patients.

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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3(a) The current or prior mental health outpatient provider was contacted during stay

• WRBHO Actions
• Clarified meaning of the indicator during
  one-on-one provider meetings through issuing a
  new review template and holding provider calls.
• WRBHO System of Care Transition Coordinators
  role redefined to include contacting outpatient
  providers when an active client has been admitted
  and encouraging follow-up. This outreach
  continues to encourage contact between inpatient
  and outpatient providers.
• Focused on the importance of the transition to
  outpatient treatment during the February and June
  BEST Meetings.
• Effective linkage to after care services was the
  theme during the September 27 BEST Meeting.

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Performance Domain 3 Linkages to After-Care
Services
VIGNETTE Linking with Past Supports to Avoid Future Readmissions
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Performance Domain 3 Linkages to After-Care
Services
Regional Report
Performance Metric 3(b) An appointment for mental health outpatient treatment was scheduled as part of the discharge plan
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period
Inpatient Admission Type Total Mental Health Discharges Current Quarter An Appointment for MH Treatment was Part of the Discharge Plan Current Quarter () An Appointment for MH Treatment was Part of the Discharge Plan Current Quarter () Provider Range Current Quarter An Appointment for MH Treatment was Part of the Discharge Plan Previous Quarter Variance Current vs. Previous Quarter
Mental Health Adult 842 641 76 0 - 100 81 -5
Mental Health Youth 152 108 71 0 - 100 70 1
Total 994 749 75 0 - 100 79 -4
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Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3(b) An appointment for mental health outpatient treatment was made as part of the discharge plan
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period
Inpatient Admission Type Adult Mental Health Youth Mental Health
Provider Average 76 71
Provider range 0 - 100 0 - 100
Higher Performing Providers AF AF
Higher Performing Providers D D
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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3(b) An appointment for mental health outpatient treatment was made as part of the discharge plan

• Best Practices
• Strong ties to the systems array of outpatient
  services facilitate effective communication and
  efficient scheduling.
• Follow a person-centered, thorough and
  comprehensive discharge planning process.
• Connecting with outpatient treatment is a
  standard practice for those individuals not
  transferring to another facility for inpatient
  rehabilitation (SUD).
• Standard operating practice to ensure linkage
  with a community- based provider prior to
  discharge.
• Intake coordinator assigned to client and follows
  him or her from inpatient to discharge.
• Outreach is performed if the aftercare
  appointment is missed.

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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3(b) An appointment for mental health outpatient treatment was made as part of the discharge plan

• Barriers
• In instances where the individuals do not have an
  outpatient provider at the time of admission,
  this process is more difficult to accomplish
  during the inpatient stay.
• Lack of outpatient capacity is a barrier in some
  areas.
•  

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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3(b) An appointment for mental health outpatient treatment was scheduled as part of the discharge plan

• WRBHO Actions
• During September 27 BEST Meeting, providers shown
  to be successful in scheduling outpatient
  appointments spoke about their practices.
• December BEST meeting will focus on sharing
  practices in place at providers having success
  with individuals leaving inpatient care with a
  outpatient mental health appointment scheduled.
• WRBHO staff will follow-up directly with
  providers with lower performance in this area to
  further define barriers and identify solutions.

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Performance Domain 3 Linkages to After-Care
Services
Regional Report
Performance Metric 3 (c) The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period
Inpatient Admission Type Total Discharges Current Quarter Case Summary was Sent to the Outpatient Provider Current Quarter () Case Summary was Sent to the Outpatient Provider Current Quarter () Provider Range Current Quarter Case Summary was Sent to the Outpatient Provider Previous Quarter () Variance Current vs. Previous Quarter
Mental Health Adult 842 555 65 0 - 100 65 0
Mental Health Youth 152 92 60 40 - 100 52 8
Substance Use Detox Adult 66 28 42 22 - 61 44 -2
Substance Use Inpatient Rehab Adult 267 116 43 9 - 83 35 8
Total 1327 791 59 0 - 100 56 3
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Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3 (c) The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period
Inpatient Admission Type Adult Mental Health Youth Mental Health Adult Substance Use Detox Adult Substance Use Inpatient Rehab
Provider Average 65 60 42 43
Provider range 0 - 100 40 - 100 22 - 61 9 - 83
Higher Performing Providers A A AC AC
Higher Performing Providers R R C C
Higher Performing Providers Q Q K K
Higher Performing Providers X X O O
Higher Performing Providers V V
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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3 (c) The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider

• Best Practices
• Standardized practice has been implemented to
  submit the discharge summary so the outpatient
  provider is aware of the discharge diagnosis,
  GAF, and medications/instructions.
• It is a standard operating practice that when a
  patient signs a release, case summaries are sent
  to the outpatient provider. If patient initially
  declines, staff will discuss with the patient the
  need to send the summary for good continuity of
  care.
• Provider has effective linkages to outpatient
  programs in their organizations system of care.

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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3 (c) The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider

• WRBHO Actions
• Confusion existed as to what constituted a case
  summary. WRBHO clarified definition Discharge
  instructions which include dates of admission,
  discharge diagnosis, and medication list.
• Definition shared with providers and the WRBHO UR
  Clinicians are using this definition in their
  reviews.
• We anticipate that we will continue to see
  improvement on this important dimension.

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Performance Domain 3 Linkages to After-Care
Services
Regional Report
Performance Metric 3 (d) A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay
Data Source Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO
Metric Calculation Discharges w/physical health appointment scheduled with an outpatient provider/discharges w/physical health need identified during inpatient stay for reporting period
Inpatient Admission Type Total Discharges w/Physical Health Needs Identified Current Quarter w/Physical Health Appointment Scheduled w/ Outpatient Provider for those w/ Needs Identified Current Quarter w/ Physical Health Appointment Scheduled w/ Outpatient Provider for those w/ Needs Identified Current Quarter Provider Range Current Quarter w/ Physical Health Appointment Scheduled w/ Outpatient Provider for those w/ Needs Identified Prior Quarter Variance Current vs. Previous Quarter
Mental Health Adult 279 110 39 0 - 100 21 18
Mental Health Youth 12 6 50 0 - 100 25 25
Substance Use Detox Adult 25 5 35 0 - 100 8 27
Substance Use Inpatient Rehab Adult 49 27 55 0 - 100 14 41
Total 365 148 40 0 - 100 19 21
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Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3 (d) A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay
Data Source Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX d to the WRBHO
Metric Calculation Discharges w/physical health appointment scheduled with an outpatient provider/discharges w/physical health need identified during inpatient stay for reporting period
Inpatient Admission Type Adult Mental Health Youth Mental Health Adult Substance Use Detox Adult Substance Use Inpatient Rehab
Provider Average 39 50 35 55
Provider range 0 100 0 - 100 0 - 100 0 - 100
Higher Performing Providers J J AA AA
Higher Performing Providers N N AC AC
Higher Performing Providers S S
Higher Performing Providers Z Z
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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3 (d) A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay

• Best Practices
• Facility goal is to ensure that all patients are
  well connected to all areas of health care - both
  mental and physical.
• Provider has a protocol requiring the case
  manager to link the patient with a Primary Care
  provider if the patient is admitted without one.
  The provider has developed relationships with two
  PCP practices to help expedite creating this very
  important link.
• Provider strives to connect clients to previous
  primary care providers, if none have been
  established, they refer clients to the county
  system. The County provides a list of accepting
  physicians.

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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3 (d) A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay

• Barriers
• The responsibility is placed on the individual to
  follow up with their primary care physician after
  discharge.
• Some facilities have procedures that focus on SUD
  and mental health outpatient appointments only
  (not physical health).
• Many individuals admitted do not have a primary
  care provider and inpatient staff says that it is
  too hard to link the individuals with a PCP
  during the inpatient stay.

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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3 (d) A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay

• WRBHO Actions
• Developed a template for inpatient providers that
  details the rationale and offers a definition of
  this (and other) metric(s). Template reviewed
  with inpatient providers via webinar.
• WRBHO Utilization Review Clinicians engaged in a
  thorough review of all questions contained in the
  review cycle to be better prepared to extract
  more accurate information from the providers
  during these reviews.
• WRBHO will continue to work to identify effective
  practices for integrating physical health
  engagement into the behavioral health admissions
  through surveying providers for effective
  practices and sharing strategies via BEST
  Meetings and other provider forums.

37
Performance Domain 3 Linkages to After-Care
Services
Regional Report
Performance Metric 3(e) A SPOA Application was Submitted During the Inpatient Stay
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool Faxed to the WRBHO
Metric Calculation of SPOA Applications Submitted/ of Discharges in Reporting Period
Inpatient Admission Type Total Discharges Current Quarter of Discharges w/SPOA Application Submitted Current Quarter of Discharges w/SPOA Application Submitted Current Quarter Provider range for current quarter of Discharges w/SPOA Application Submitted Previous Quarter Variance Current vs. Previous Quarter
Mental Health Adult 842 104 12 0 - 66 9 3
Mental Health Youth 152 30 19 0 - 100 19 0
Substance Use Detox Adult 66 1 4 0 - 33 2 2
Substance Use Inpatient Rehab Adult 267 5 1 0 - 9 1 0
Total 1327 140 10 0 - 100 8 2
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Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3(e) A SPOA Application was Submitted during the Inpatient Stay
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool Faxed to the WRBHO
Metric Calculation of SPOA Applications Submitted/ of Discharges in Reporting Period
Inpatient Admission Type Adult Mental Health Youth Mental Health Adult Substance Use Detox Adult Substance Use Inpatient Rehab
Provider Average 12 19 4 1
Provider range 0 - 66 0 - 100 0- 33 0 - 9
Higher Performing Providers Q Q F F
Higher Performing Providers S S
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Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3(e) A SPOA Application was Submitted during the Inpatient Stay

• Best Practices
• Overall, SPOA referrals are made for 12 of
  adults discharged from inpatient care and 19 of
  youth. However, the range varies considerably,
  with several providers reporting much higher
  referral rates. Based on interactions with
  providers, we have identified a few practices
  that appear to be proving successful
• SPOA consultant from the county is placed on
  each unit to help identify and assist discharge
  planners with application process.
• Provider uses a team approach in working with the
  patient. That is, the discharge planner, the
  social worker/therapist and the MD/NPP all meet
  together with the patient to assist in
  determining needs for a successful transition.

40
Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3(e) A SPOA Application was Submitted during the Inpatient Stay

• Barriers
• Lack of SPOA services (care management) to
  support the needs of those with SU diagnosis. 
• SPOA review processes occur on a monthly basis
  only in some counties. 
• Inpatient facilities will start process if needed
  but rely on outpatient services to finish the
  referral.
• WRBHO Actions
• The WRBHO has begun to work with county directors
  to assess the interest in developing greater
  consistency in SPOA processes.
• WRBHO UR Clinicians have been oriented to county
  specific SPOA processes so that they are in a
  better position to support the providers needs
  in each county.
• WRBHO UR Clinicians have been encouraged to
  support specific SPOA requests by helping with
  the application or even attending SPOA meetings
  to represent the needs of the individual and the
  provider.

41
Performance Domain 3 Linkages to After-Care
Services
Regional Report
Performance Metric 3(f) For youth with multi-systems needs, the discharge plan includes referrals / linkages for basic needs
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges with Indication that Basic Needs Were Addressed/ of Discharges w/Multi-System Needs Identified for Reporting period
Inpatient Admission Type of Youth w/Multi-Systems Needs Identified Current Quarter of Youth w/Indication that Basic Needs were Addressed Current Quarter of Youth w/Indication that Basic Needs were Addressed Current Quarter Provider Range Current Quarter of Youth w/Indication that Basic Needs were Addressed Previous Quarter Variance Current vs. Previous Quarter
Mental Health Youth 95 94 98 87 - 100 98 0
42
Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3(f) For youth with multi-systems needs, the discharge plan includes referrals / linkages for basic needs
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges with Indication that Basic Needs Were Addressed/ of Discharges w/Multi-System Needs Identified for Reporting period
Inpatient Admission Type Youth Mental Health
Provider Average 98
Provider range 87 - 100
Higher Performing Providers A
Higher Performing Providers U
43
Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3(f) For youth with multi-systems needs, the discharge plan includes referrals / linkages for basic needs

• Best Practices
• Discharge planning is comprehensive and involved
  all outside agencies.
• Weekly team meetings are held for the
  interdisciplinary team and UR team.
• On-site team member meetings.
• Provider gathers collateral information from
  outpatient providers and is very knowledgeable
  about resources that are available in the
  community.

44
Performance Domain 3 Linkages to After-Care
Services
Regional Report
Performance Metric 3 (g) For youth with multi-systems needs, the discharge plan documents post-discharge educational needs
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges with Indication that Educational Needs Were Addressed/ of Discharges w/Multi-System Needs Identified for Reporting period
Inpatient Admission Type of Youth w/Multi-Systems Needs Identified Current Quarter of Youth w/Indication that Educational Needs were Addressed Current Quarter of Youth w/Indication that Educational Needs were Addressed Current Quarter Provider Range Current Quarter of Youth w/Indication that Educational Needs were Addressed Previous Quarter Variance Current vs. Previous Quarter
Mental Health Youth 95 84 88 0 - 100 93 -5
45
Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3 (g) For youth with multi-systems needs, the discharge plan documents post-discharge educational needs
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges with Indication that Educational Needs Were Addressed/ of Discharges w/Multi-System Needs Identified for Reporting period
Inpatient Admission Type Youth Mental Health
Provider Average 88
Provider range 0 - 100
Higher Performing Providers A
Higher Performing Providers Z
46
Performance Domain 3 Linkages to After-Care
Services
Provider Profile Summary
Performance Metric 3 (g) For youth with multi-systems needs, the discharge plan documents post-discharge educational needs
Best Practices Supporting the multi-system
needs of children requires very comprehensive
planning, involving a number of outside agencies
in regular interdisciplinary team meetings.
Higher performing providers have made school
programming mandatory for children and youth.
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Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3(f) and (g) For youth with multi-systems needs, the discharge plan includes referrals / linkages for basic and educational needs

• WRBHO Actions
• WRBHO staff will review these measures with
  providers following the release of the Q3 data to
  ensure that data collection and reporting
  accurately reflect current practice.
• A Clinical Grand Rounds scheduled for 2013 will
  focus on childrens services and will be
  presented by the WRBHO Child Psychiatrist, Mario
  Testani.   Dr. Testani will spend a portion of
  his presentation discussing the importance of
  addressing educational needs.

48
Performance Domain 3 Linkages to After-Care
Services
Regional Report
Performance Metric 3(h) Improvement in housing status for individuals who are homeless at admission
Data Source Gathered by WRBHO clinician during review
Metric Calculation of Discharges w/Improved Housing Status/ of Discharges that were Homeless at Admission for Reporting Period
Inpatient Admission Type Total Homeless at Admission Current Quarter Improvement in Housing Status for Individuals Homeless at Admission Current Quarter () Improvement in Housing Status for Individuals Homeless at Admission Current Quarter () Provider Range Current Quarter Improvement in Housing Status for Individuals Homeless at Admission Previous Quarter () Variance
Mental Health Adult 63 20 31 0 - 100 20 11
Mental Health Youth No Data No Data No Data No Data 100 No Data
Substance Use Detox Adult 7 1 33 0 - 50 No Data No Data
Substance Use Inpatient Rehab Adult 24 16 66 0 - 100 68 -2
Total 94 37 39 20 - 100 30 9
49
Performance Domain 3 Linkages to After-Care
Services
Performance Metric 3(h) Improvement in housing status for individuals who are homeless at admission

• WRBHO Actions
• As access to stable housing is critical to
  achieving recovery this measure has been an area
  of focus in our review and discussion of both
  system and provider performance.
• WRBHO UR clinicians have been asked to encourage
  providers to work diligently to address this need
  for cases we review.
• WRBHO staff has also worked with county SPOAs to
  support an expedited review for inpatients,
  especially those in need of housing.
• Providers have been encouraged to begin the
  housing planning process for individuals admitted
  as homeless as soon as they are admitted.

50
Performance Domain 4 Continuity of Care

• Domain includes metrics that look at the extent
  to which individuals are connected to outpatient
  mental health services following discharge from
  inpatient as well the timeliness of that
  connection.
• Utilize data collected by WRBHO and data
  available through BHO Portal.
• Metrics
• The percentage of scheduled Mental Health clinic
  outpatient appointments attended (WRBHO
  collected)
• The percentage of Mental Health Discharges
  followed by an outpatient visit for Mental Health
  treatment within 7 days (BHO Portal)
• The percentage of SUD Detox discharges with lower
  level SUD services with 14 days (BHO Portal)
• The percentage of SUD rehabilitation discharges
  with lower level SUD services within 14 days (BHO
  Portal)

51
Performance Domain 4 Continuity of Care
Performance Metric 4(a) Percentage of scheduled Mental Health clinic outpatient appointments attended
Data Source Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Outpatient Licensed Mental Health Clinic Appointments Attended Post-Discharge / of Outpatient Mental Health Appointments Attended / Total of Outpatient Mental Health Appointments Scheduled
Inpatient Admission Type of Outpatient Mental Health Appointments Scheduled Current Quarter of Outpatient Mental Health Appointments Attended Current Quarter of Outpatient Mental Health Appointments Attended Current Quarter Provider Range Current Quarter of Outpatient Mental Health Appointments Attended Previous Quarter Variance Current vs. Previous Quarter Regional Year-To-Date
Mental Health Adult 286 232 81 52-100 79 2 80
Mental Health Youth 37 30 81 0 - 100 85 -4 84
Total 320 262 81 52 - 100 80 1 80
52
Performance Domain 4 Continuity of Care
Performance Metric 4(a) Percentage of scheduled Mental Health clinic outpatient appointments attended

• WRBHO Actions
• WRBHO clinicians gather these data through
  follow-up w/identified the outpatient mental
  health providers.
• WRBHO follow-up takes place for up to 60-days
  post discharge (or until there can be
  confirmation of either attendance or a no
  show.)
• Complements data available from the BHO Portal by
  providing a more timely way for staff to monitor
  the rate at which individuals are attending their
  outpatient mental health appointments.
• WRBHO focus will be on identifying barriers to
  after care attendance and strategies providers
  are finding effective in increasing attendance.

53
Performance Domain 4 Continuity of Care
Performance Metric 4 (b) Percentage of MH Discharges Followed by an Outpatient Visit for MH Treatment within 7 Days
Data Source NYS OMH BHO Portal
Metric Definition Frequency with which individuals receive outpatient mental health treatment within 7 days of discharge from a mental health inpatient hospitalization.
Inpatient Admission Type Western Region Q1 2012 Western Region Q4 2011 Variance Current vs. Previous Quarter Statewide Q1 2012 Variance Western Region vs. Statewide
Mental Health Adult 44.8 45.9 1 34.7 10.1
Mental Health Youth 44.3 48.1 -4 38.6 56
54
Performance Domain 4 Continuity of Care
Performance Metric 4 (c) Percentage of SUD Discharges Followed by a Lower Level SUD Service within 14 Days
Data Source NYS OMH BHO Portal
Metric Definition Frequency with which individuals receive a lower level, less intensive, substance use disorder service within 14 days following a discharge from an inpatient substance use treatment.
Inpatient Admission Type Western Region Q1 2012 Western Region Q4 2011 Variance Current vs. Previous Quarter Statewide Q1 2012 Variance Western Region vs. Statewide
Substance Use Detox Adult 58.1 50.5 7.5 33.1 25
Substance Use Inpatient Rehab Adult 47.7 47.7 0 39.5 8.2
55
Performance Domain 5 Engagement in Care

• Metrics
• of Mental Health discharges followed by 2 or
  more MH outpatient visits within 30 days (BHO
  Portal)
• of SUD Detox or Rehabilitation services
  followed by 2 or more SUD services within 14 days
  of discharge (BHO Portal)

56
Performance Domain 5 Engagement in Care
Performance Metric 5(a) Percentage of MH Discharges Followed by Two or More MH Outpatient Visits within 30 Days
Data Source NYS OMH BHO Portal
Metric Definition Received two or more outpatient mental health visits within thirty days of discharge.
Inpatient Admission Type Western Region Q1 2012 Western Region Q4 2011 Variance Current vs. Previous Quarter Statewide Q1 2012 Variance Western Region vs. Statewide
Mental Health Adult 42.6 40.9 1.7 31.9 10.7
Mental Health Youth 48.9 49.6 -.7 43.3 5.6
57
Performance Domain 5 Engagement in Care
Performance Metric 5 (b) Percentage of SUD Detox or Rehabilitation Discharges Followed by Two or More Lower Level SUD Services within 14 Days of Discharge
Data Source NYS OMH BHO Portal
Metric Definition Frequency with which individuals discharged from inpatient detoxification or chemical dependence inpatient rehabilitation engage in 2 or more lower level substance use disorder treatment services within fourteen days of discharge.
Inpatient Admission Type Western Region Q1 2012 Western Region Q4 2011 Variance Current vs. Previous Quarter Statewide Q1 2012 Variance Western Region vs. Statewide
Substance Use Adult 32.2 32.5 -.3 21.4 10.8
58

• WRBHO ROLE IN HEALTH HOMES

59

• Role of the WRBHO in Supporting Health Homes
•  
• Notify inpatient providers when an admitted
  individual being reviewed by the WRBHO is
  enrolled in a Health Home or eligible for Health
  Home outreach
• Ensure the provider has contact information for
  the Health Home care coordinator.
• Contact Health Home care coordinators to review
  and assist with post-discharge follow-up as
  needed.
• Share past treatment history as found in PSYCKES
  and FlexCare
• Alert Health Home when Health Home member is
  admitted.
• Support community referrals to Health Homes

60

• SPECIAL /COMPLEX NEEDS POPULATION

61
Admissions for Individuals with Complex Needs Q3
62
Complex Needs Population
Special Study

• Detox Clients who Leave Against Medical Advice
• NYS has identified an area of interest and
  concern related to improving care coordination
  for individuals admitted to SUD detox who leave
  against medical advice (AMA).
• These individuals do not complete treatment and
  often leave before discharge plans are in place,
  including coordinating the next level of care.
• In addition to receiving incomplete care, these
  individuals are at risk for rapid readmission to
  detox.
• Understanding the needs of these individuals as
  well as the barriers to their treatment may help
  us provide better, patient-centered care, and
  improve overall outcomes.
• WRBHO is in a unique position to lead a process
  to better understand the characteristics of these
  individuals, system characteristics that may
  contribute to these discharges, to identify best
  practices that improve engagement / retention for
  this group.

63
Complex Needs Population

• Detox Clients who Leave Against Medical Advice
  (contd)
• Project will engage consumers and providers.
• Learning Community will be established with the
  ultimate plan to pilot best practices in at least
  two sites.
• Special emphasis is made to integrate knowledge
  and sensitivity of cultural issues that may
  impact an individuals experience of detox
  services and the decision to leave AMA.

64
Complex Needs Population

• Detox Clients who Leave Against Medical Advice
  (contd)
• Claims data from Q 1-3, 2012 were evaluated. An
  evaluation of detox AMA discharges for the 19
  county region shows the following
• 16 of all detox discharges were AMA
• 84 male 16 female
• 50 white 32 black 18 Hispanic
• Opioids were the drug of choice (DOC) for white
  individuals leaving AMA (39)
• Alcohol was the DOC for black individuals
  leaving AMA (71)
• Next steps include
• Developing background materials,
• Establishing the Learning Community
• Identifying pilot sites to develop and test
  models to improve care coordination of
  individuals leaving detox AMA.

65

• WRBHO
• Q3 SUB-REGIONAL PERFORMANCE REVIEW Linkages to
  Aftercare
• Services

66
Sub-Regional View - Discharges
Inpatient Admission Type County of Residence - Current Quarter County of Residence - Current Quarter County of Residence - Current Quarter County of Residence - Current Quarter Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional
Inpatient Admission Type Genesee Livingston Monroe Wyoming Sub-Regional Current Qtr Regional Current Qtr Sub-Regional vs. Regional
Mental Health Adult 13 4 138 9 164 842 19
Mental Health Youth 3 2 23 1 29 152 19
Substance Use Detox 0 0 22 0  22 66 33
Substance Use Inpatient Rehab Adult 9 2 25 6 42 267 5
TOTALS 25 8 208 16 257 1327 19
67
Sub-Regional View
Performance Metric 3 (a) The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay The Current or Prior Mental Health Outpatient Provider was Contacted During the Stay
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period of Discharges where Mental Health Outpatient Provider was Contacted During the Stay/Total of Discharges in Reporting Period
               
Inpatient Admission Type By County of Residence - Current Quarter By County of Residence - Current Quarter By County of Residence - Current Quarter By County of Residence - Current Quarter Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional
Inpatient Admission Type Genesee Livingston Monroe Wyoming Sub-Regional Current Qtr Regional Current Qtr Regional Current Qtr Sub-Regional vs. Regional Sub-Regional vs. Regional
Mental Health Adult 84 66 81 55 79 78 78 1 1
Mental Health Youth 100 50 73 100 75 92 92 -17 -17
TOTALS 87 61 80 60 79 80 80 -1 -1
68
Sub-Regional View
Performance Metric 3 (b) An appointment for mental health outpatient treatment was made as part of the discharge plan An appointment for mental health outpatient treatment was made as part of the discharge plan An appointment for mental health outpatient treatment was made as part of the discharge plan An appointment for mental health outpatient treatment was made as part of the discharge plan An appointment for mental health outpatient treatment was made as part of the discharge plan An appointment for mental health outpatient treatment was made as part of the discharge plan An appointment for mental health outpatient treatment was made as part of the discharge plan An appointment for mental health outpatient treatment was made as part of the discharge plan An appointment for mental health outpatient treatment was made as part of the discharge plan
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period of Discharges w/Appointments Scheduled for a Mental Health Outpatient Provider/ Total Mental Health Discharges in Reporting Period
               
Inpatient Admission Type By County of Residence - Current Quarter By County of Residence - Current Quarter By County of Residence - Current Quarter By County of Residence - Current Quarter Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional
Inpatient Admission Type Genesee Livingston Monroe Wyoming Sub-Regional Current Qtr Regional Current Qtr Regional Current Qtr Sub-Regional vs. Regional Sub-Regional vs. Regional
Mental Health Adult 84 66 81 55 79 76 76 3 3
Mental Health Youth 100 50 73 100 75 53 53 22 22
TOTALS 87 61 80 60 79 72 72 7 7
69
Sub-Regional View
Performance Metric 3 (c) The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider The case summary was sent to the outpatient mental health or substance use disorder (SUD) outpatient Provider
Data Source Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO Gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool faxed to the WRBHO
Metric Calculation of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period of Discharges where Case Summary was Sent to Outpatient Provider / Total of Discharges During Period
               
Inpatient Admission Type By County of Residence - Current Quarter By County of Residence - Current Quarter By County of Residence - Current Quarter By County of Residence - Current Quarter Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional
Inpatient Admission Type Genesee Livingston Monroe Wyoming Sub-Regional Current Qtr Regional Current Qtr Regional Current Qtr Sub-Regional vs. Regional Sub-Regional vs. Regional
Mental Health Adult 76 75 65 66 66 65 65 1 1
Mental Health Youth 100 50 78 100 79 60 60 19 19
Substance Use Detox 0 0 59  0 59 43 43 16 16
Substance Use Inpatient Rehab 77 0 52 66 57 43 43 14 14
TOTALS 79 50 64 68 65 59 59 6 6
70
Sub-Regional View
Performance Metric 3 (d) A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay A physical health appointment scheduled post-discharge if a physical health care need was identified during the stay
Data Source Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO Data gathered by WRBHO clinician during review, provided via the e-services portal, or Discharge Review tool FAX'd to the WRBHO
Metric Calculation Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period Discharges w/physical health appointment scheduled with an outpatient provider/Discharges w/physical health need identified during inpatient stay for reporting period
               
Inpatient Admission Type By County of Residence - Current Quarter By County of Residence - Current Quarter By County of Residence - Current Quarter By County of Residence - Current Quarter Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional Sub-Regional vs. Regional
Inpatient Admission Type Genesee Livingston Monroe Wyoming Sub-Regional Current Qtr Regional Current Qtr Regional Current Qtr Sub-Regional vs. Regional Sub-Regional vs. Regional
M