Measure Information Form

Measure Set: Hospital Based Inpatient Psychiatric Services (HBIPS)

Set Measure ID: HBIPS-6

Set Measure ID	Performance Measure Name
HBIPS-6a	Post Discharge Continuing Care Plan- Overall Rate
HBIPS-6b	Post Discharge Continuing Care Plan- Children (1 through 12 years)
HBIPS-6c	Post Discharge Continuing Care Plan- Adolescent (13 through 17 years)
HBIPS-6d	Post Discharge Continuing Care Plan- Adult (18 through 64 years)
HBIPS-6e	Post Discharge Continuing Care Plan- Older Adult (≥ 65 years)

Performance Measure Name: Post discharge continuing care plan created

Description: Patients discharged from a hospital-based inpatient psychiatric setting with a continuing care plan created

Rationale: Patients may not be able to fully report to their next level of care health-care provider their course of hospitalization or discharge treatment recommendations. The aftercare instructions given the patient may not be available to the next level of care provider at the patient’s initial intake or follow-up appointment. In order to provide optimum care, next level of care providers need to know details of precipitating events immediately preceding hospital admission, the patient’s treatment course during hospitalization, discharge medications and next level of care recommendations (American Association of Community Psychiatrists [AACP], 2001).

Type of Measure: Process

Improvement Noted As: Increase in the rate

Numerator Statement: Psychiatric inpatients for whom the post discharge continuing care plan is created and contains all of the following: reason for hospitalization, principal discharge diagnosis, discharge medications and next level of care recommendations.

Included Populations: Not applicable

Excluded Populations: None

Data Elements:

Continuing Care Plan-Discharge Medications

Continuing Care Plan-Next Level of Care

Continuing Care Plan-Principal Discharge Diagnosis

Continuing Care Plan-Reason for Hospitalization

Denominator Statement: Psychiatric inpatient discharges

Included Populations:

Patients referred for next level of care with ICD-9-CM Principal or Other Diagnosis Codes for Mental Disorders as defined in Appendix A, Table 10.1

Excluded Populations:

Patients who expired

Patients with an unplanned departure resulting in discharge due to elopement

Patients or their guardians who refused aftercare

Patients or guardians who refused to sign authorization to release information

Patients with an unplanned departure resulting in discharge due to failing to return from leave

Data Elements:

Birthdate

Discharge Date

Discharge Status

ICD-9-CM Other Diagnosis Codes

ICD-9-CM Principal Diagnosis Code

Patient Referral to Next Level of Care Provider

Psychiatric Care Setting

Risk Adjustment: No.

Data Collection Approach: Retrospective data sources for required data elements include administrative/billing data and medical records.

Data Accuracy: Hospitals may wish to implement periodic audits to monitor and ensure data accuracy.

Measure Analysis Suggestions: The data elements for each of the four discharge elements provide an opportunity to assess each component individually. However, completion of all four discharge categories is required for this measure.

Sampling: Yes. For additional information see the Sampling Section.

Data Reported As: Aggregate rate generated from count data reported as a proportion.

Selected References:

Adair, C.E., McDougall, G.M., Mitton, C.R. et al (2005). Continuity of care and health outcomes among persons with severe mental illness. Psychiatric Services, 56(9), 1061-1069.
American Psychiatric Association (APA). (1995). Practice guideline for psychiatric evaluation of adults. Washington (DC): American Psychiatric Press, Inc; 1995. 28 p. [58 references]
American Association of Community Psychiatrists Continuity of Care Guidelines (2001) http://psychservices.psychiatryonline.org/cgi/content/full/55/11/1271

Measure Algorithm:

Related Topics
a. Table of Contents

| z. Appendix A - ICD-9-CM Code Tables |

Measure Information Form HBIPS-6

Specifications Manual for Joint Commission National Quality Measures (v2012B)
Discharges 07-01-12 (3Q12) through 12-31-12 (4Q12)