 |
 Summit Reports
NCQA/BMAP, ACMHA, NASMHPD/NASADAD/APWA
Draft:January 21, 1998
ACCESS
| Performance Indicator |
NCQA/bmp |
ACMHA |
3 ASSNS |
| Penetration/utilization rates
(by age, sex, race, setting |
X |
X |
X |
| Consumer perception of access |
|
X |
X |
| Full range of services
available: Weekend
detox
New medications
In-home services for
children
|
X |
X |
|
| Cultural accessibility |
X |
X |
Dvpmnt set |
| Percent of members admitted to
MH services that have inpatient services as their first
encounter |
X |
|
|
| Percent of elderly plan members
screened for depression and substance abuse |
X |
|
|
| Percent of alcohol/drug-related
diagnoses that trigger alcohol or drug screening and
percentage of positive screens that resulted in referral |
X |
|
|
| Percent of enrolled population
that lives within specified driving time of providers |
X |
|
|
| Service denials, terminations or
refusals |
|
X |
Dvpmnt set |
QUALITY/APPROPRIATENESS
| Performance Indicator |
NCQA/bmp |
ACMHA |
3 ASSNS |
| Consumer participation in
treatment planning (adults) |
|
X |
X |
| Consumers linked to primary
health services |
|
|
X |
| Contact within 7 days following
hospital discharge |
X |
X |
X |
| Adults with SMI receiving
services that promote recovery |
|
|
X |
| Children receiving "best
practice" e.g., in-home services |
|
|
X |
| Family involvement in treatment
for children/adolescents |
X |
X |
X |
| Readmissions within 30 days |
X |
|
X |
| Consumer perceptions of
quality/appropriateness (or family proxy for children) |
XX |
XX |
X |
| Seclusion and restraint |
|
|
X |
| Medication used appropriately |
X |
X |
X |
| Incidence of diagnosis of
depression, substance abuse |
X |
|
|
| Use of standardized assessments
and diagnostic procedures in guiding behavioral
treatments |
X |
|
|
| Engagement in treatment |
X |
X |
|
| Rates of involuntary inpatient
treatment in covered population |
X |
X |
|
| Single point of responsibility
for coordinating care across systems for children |
|
X |
|
OUTCOMES
| Performance Indicator |
NCQA/bmp |
ACMHA |
3 ASSNS |
| Employment (adults)/school
improvement (children) |
X |
X |
X |
| Level of Functioning |
X |
X |
X |
| Symptom (substance use)
reduction |
X |
|
X |
| Adverse outcomes Patient injuries
Abnormal involuntary
movements
Elopement
Out of home placements
|
|
|
X |
| Consumer perception of outcomes |
XX |
X |
X |
| Health status: mortality |
X |
|
X |
| Recovery/hope/personhood |
X |
|
X |
| Reduced substance abuse
impairment |
X |
|
X |
| Living situation |
|
X |
X |
| Criminal justice |
|
X |
X |
| Quality of life |
X |
XXX |
|
STRUCTURE/PLAN
MANAGEMENT
| Performance Indicator |
NCQ/BMAP |
ACMHA |
3 ASSNS |
| Consumer/family involvement in
policy development, quality assurance and planning |
|
|
X |
| Proportion of expenditures on
administration |
|
|
X |
| Average per member per month
expenditures for MH/SA |
|
|
X |
| Capacity of information system |
X |
X |
|
| Organizational structure is
consistent with MH/SA service delivery |
|
X |
|
| Consumer rights are defined and
procedures for resolving complaints in place & used |
|
X |
|
| Staffing levels are appropriate |
|
X |
|
| Appropriate linkages to other
service systems |
|
X |
|
| Continuity of care within the
organization |
|
X |
|
| Single, fixed point of
responsibility |
|
X |
|
| Quality assurance system in
place |
|
X |
|
| Consumers and families educated
about their rights, services available, and probable
outcomes |
|
X |
|
|
