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Behavioral Health Quality Measurement Work Session Discussion Summary November 8, 2016
Session Participants Connie Emerson, Concord Counseling Dustin Mets, CompDrug Jennifer Sheets, Concord Counseling Julie Erwin Rinaldi, Syntero Alex Meyer, CompDrug Krista Stock, HCGC Leslie Fritz, Syntero Michelle Missler, HCGC Simon Sweet, CompDrug Shared Learning What are organizations experiencing with collecting data for 9/1/2016-12/31/2016? What quality improvement opportunities are emerging? How can we continue to support one another? ü Organizations continue to work on customizing reports to query data for depression measures. Utilization/process measure is further along than outcomes (remission and response) measures. ü Seeing success with standardizing use of PHQ-9 in workflow with other clinical processes. Success can be attributed to good preparation and lots of education and awareness with staff on why the changes. ü Timing is good for this work because it aligns with Ohio’s Behavioral Health redesign. Also seeing alignment with ADAMH efforts. (i.e., standard use of BAM tool) ü There is still initiative fatigue. ü Having trouble with exclusions, so need to get better at coding events like death. Use the opportunity to improve record keeping to code to highest specificity aligned with ICD-10. ü Projects like this and others are driving need for more robust EMRs. Project Planning What regional targets should be considered to measure progress? How can BH providers support QILG and primary care providers in measuring and improving depression screening and outcomes? What QI discussions could we convene in 2017? ü Learning from participation in 11/3 QILG discussion: o There is push back and a strong sense of fear by primary care providers to measure and set targets; o PCP/BH Integration is important to reaching a lot more people through measurement and screening o BH providers need insight with measuring medical/clinical/primary care data. (i.e. diabetes, heart) o Information flow is good within the health systems, but there is still much opportunity for improving information flow among multiple organizations.
Coordinated by:
Behavioral Health Quality Measurement Work Session Discussion Summary November 8, 2016
o Great opportunity for BH providers to demonstrate to primary care providers how they can support primary care through value-based transition. What value can BH bring to the table? How can BH providers help and treat more patients by partnering with primary care organizations? o Good measure targets will be clearer once baseline data is available. ß Discussion about potential measurement of tobacco screening/cessation. Challenge due to the population of patients BH providers treat – smoking is prevalent among BH patients for coping with other issues. Opportunity is to share learning to improve regional performance utilizing resources from the BH community. Renewed interest in this measure based on conversation with primary care. Next work session: TBD