Have you looked at the FY 2010 CMH Annual Report? It was issued several months ago, but now that I have the opportunity in Quality Matters, I want to take one more opportunity to be sure all of our staff and providers have a chance to see it. You can find a copy by going to GenCMH.org. Click on News, Notes and Publications at the left, and then on Annual Reports. Or follow this link: http://www.gencmh.org/LinkClick.aspx?fileticket=k9wS6ClE5QU%3d&tabid=140&mid=580.
One part of the report is the annual provider report card. You will find it starting on page 5. Below is some information about what is reported, for your reference. Note that where there are blanks, there were not enough cases for a reliable value to be reported:
- CMH primary and clinical programs have a number of indicators available. These include the following:
- Average days from inpatient discharge to first contact at the program.
- Average days from initial request to first assessment. In FY 2010, this applies primarily to children's providers, since for adults first assessment was typically at the Access Center. And, the times are long because for most of the year, our system interposed a phone screening between request and assessment. (That issue is corrected now, but the data reflect last year's system.)
- Average days from assessment to the start of services. This reflects either days from a face-to-face Access screen until the consumer was seen in the program, or, where there was no Access screen, days from intake to the next non-assessment service.
- % of consumers discharged who decreased inpatient utilization. This counts consumers who either decreased the quarterly number of days of inpatient care, from start to end, or maintained 0 days from start to end.
- % of consumers who improved employment status. This is self-explanatory.
- Satisfaction rating. This is the average of all items on the annual consumer survey. Note that the DCH-required survey has different scoring for children and adults, but the scores have been transformed so that all are on a 1-5 scale, with 5 representing the most positive evaluation.
- For providers of Substance Use Disorder (SUD) services, the transition into the CHIP EMR, as well as some other changes during the year, made it hard to gather complete and accurate data. So we report a single indicator for FY2010: the average satisfaction score.
- For day/work program providers, most of the measures we use for primary and clniical programs don't apply, so we report the provider's conformance score on QM's quality audit.
- For residential providers, the same is true. We also report corporations' overall scores, composed of the median for all their homes.
Note that these indicators do NOT exclude cancellations, no-shows, etc., which is how we report to the state. The reason is that we serve a population who have difficulty staying engaged. Part of our job is to help them access services. There are real differences between providers in how well we get people in, and these reflect actual differences in quality of care.
Well, that is a lot of information to take in. Yet we know it only captures a part of the complex nature of quality. Over time, the report card will continue to develop as our priorities and data capabilities do. Do you have suggestions for what we might include? Questions? Feel free to contact me at jnigrine@GenCMH.org.
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