Focus on Quality Depression Screening and QI Tools - PowerPoint Presentation

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Focus on QualityDepression Screening and QI Tools

June 12, 2019Indiana Primary Health Care Association

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Welcome!

Please keep phones muted while not speaking to eliminate background noise. If you are using your computer for audio, click the microphone button next to your name to mute. Do not place calls on hold, so we don’t hear hold music.Use the chat box features if you have any questions that come up during the presentation.Please complete the evaluation poll by the end of the meeting.Note, this meeting will be

recorded

and shared with peers.

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AgendaData Benchmarks- Depression Screening Depression Screening Workflows & SBIRT

INSPECT integration & Workflows Peer Sharing on INSPECT UseQuality Improvement Tools- A3 ModelPCMH & Behavioral HealthAnnouncements and Events

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Meet the IPHCA Team

Angela Boyer, IQIN DirectorPia Meyers, Training Program DirectorCarla Chance, CHC Programs ManagerFunke Oladele, Quality Improvement Coordinator – had her baby! She’ll return after May 30th

.

Jasmine Page, Quality and Data Coordinator

Laura Totten, IQIN Administrative Specialist

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Introductions

If you only called in please state your name and health centerIf there are multiple people in the room, enter their names and email into the Chat Box.

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Welcome,

Lolade

Gabriella Oladele!!!

Born 03/21/2019

Weight-7lbs 1oz

Length- 20.25in

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Measures of Focus

Clinical Quality Metrics

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Today’s Objectives

After this session I will be able to:Identify at least two workflows for depression screening and SBIRTDescribe how to integrate INSPECT into workflows at the health centerUse the A3 model as a quality improvement tool

Indicate promising practices and describe lessons learned from peers

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IPHCA’s 2019 Annual Conference: STOP Addictions

Resources Available on IPHCA WebsiteSome topics covered:Social determinants of healthHarm reduction in needle exchangeOral health treatment

Community partners

SBIRT and Motivational interviewing concepts

Care team’s role in SUD

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Depression Screening & Follow- up (NQF 0418)

Percentage of patients aged 12 years and older screened for depression using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen.

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How Do You Follow-up if Positive Screen??

Follow-up within 1 day must include one or more of the following:

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Focus on Quality Data Review- Indiana

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Depression Screening & Follow up Indiana

Indiana outperforms National average 2017!!

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Depression Screening & Follow Up Improvers

Health Center Name

2018 UDS Rate

Percent Increase from 2017

Shalom Health Center

87%

6%

Purdue- NCNC

84%

1%

Family Health Center of Clark County

77%

12%

NorthShore Health Centers

75%

10%

Maple City Health Care Center

74%

10%

Neighborhood Health Clinics

71%

3%

Jane Pauley CHC

71%

12%

Southlake Communty Mental Health

69%

7%

Aspire Health Center

69%

11%

Riggs CHC

67%

8%

Windrose Health Network

60%

38%

Meridian Health Services

58%

18%

Greene County Health

55%

24%

Valley Professionals CHC

49%

3%

Indiana Health Centers

46%

6%

Open Door Health Services

36%

2%

Madison County CHC

18%

7%

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Screening Rate Improvements

17 CHCs saw improvements on depression screening and follow up in 201815 CHCs surpassed the National Average of 60% from 2017Several QI tools can be used to improve on this measure and other clinical measures

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Today’s Guest Presenters

Donna Vaughan, LMHCDirector of Integrated Primary Care WindRose Health NetworksStephanie

Jeffery & Nicole Hall

Director of Quality & Risk Management

Valley Professionals CHC

Elkin Salinas

HCCN Project Coordinator

Community Clinic Association of LA County

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Depression ScreeningPHQ-2 and SBIRT

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Peer Sharing on Collecting Depression Screening and INSPECT

How are you using INSPECT in your EHR workflowCurrent challenges and promising practices

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Quality improvement toolA3 for PDSA Display- Elkin Salinas

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QI ToolkitLink to Website

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Behavioral Health and Patient Centered Medical Home

Behavioral health is big component in a patient centered medical home. There is even an opportunity for health centers to strive for a distinction in behavioral health integration through the National Committee for Quality Assurance (NCQA).Concept: Team-Based Care and Practice OrganizationTC 08 (2 Credits) Behavioral Health Care Manager: has at least one care manager qualified to identify and coordinate behavioral health needs.

Concept: Knowing and Managing Your Patients(KM)

KM 01 (Core) Problem Lists: Documents an up-to-date problem list for each patient with current and active diagnoses.

The patient’s active problem list or diagnoses should include acute

nd

chronic conditions, behavioral health diagnoses and oral health issues, as well as past diagnoses that are relevant to the patient’s current care.

KM 02 (Core)

Comprehensive Health Assessment

: Comprehensive health assessment includes 9 items, including mental health/substance use history of patient and family and behaviors affecting health.

KM 03 (Core) Behavioral Health Screening:

Conducts behavioral health screenings and/or assessments using a standardized tool. (Implement 2 or more – Anxiety; Alcohol use disorder; Substance use disorder; Pediatric behavioral health screening; Post-traumatic stress disorder; Attention deficit/hyperactivity disorder; Postpartum depression.)

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BH and PCMH (Cont.)

KM O4 (1 Credit) Behavioral Health Screenings: Conducts behavioral health screenings and/or assessments using a standardized tool. (Implement two or more)KM 20 (Core) Clinical Decision Support: Implements clinical decision support following evidence-based guidelines for care of - practice must demonstrate at least four criteria and mental health condition (depression is one example) can be one of the four.

Concept: Care Management and Support (CM)

CM 01 (Core) Identifying Patients for Care Management

: Considers the following when establishing a systematic process and criteria for identifying patients who may benefit from care management – practice must include at least three in its criteria and behavioral health conditions is listed.

CM 02 (core) Monitoring Patients for Care Management

: Monitors the percentage of the total patient population identified through its process and criteria. If behavioral health conditions is selected from CM 01, then it must be included here.

CM 04 (core) Person-Centered Care Plans

: Establishes a person-centered care plan for patients identified for care management. Dependent on behavioral selection from CM 01.

CM 05 (Core) Written Care Plans

: Provides a written care plan to the patient/family/caregiver for patients identified for care management. Dependent on behavioral selection from CM 01.

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BH and PCMH (Cont.)

CM 06, 07, 08. (1 credit each) all relate to the individual care plans and are dependent on the selection from CM 01.Concept: Care Coordination and Care Transitions (CC) CC 09 (2 credits) Behavioral Health Referral Expectations: Works with behavioral healthcare providers to whom the practice frequently refers to set expectations for information sharing and patient care.

CC 10 (2 Credits) Behavioral Health

Integration: Integrates behavioral healthcare providers into the care delivery system of the practice site

Concept: Performance Measurement and Quality Improvement (QI)

QI 01 (Core) Clinical Quality Measures

: Monitors at least five clinical quality measures across the four categories (must monitor at least one measure of each type – behavioral health is one category.

QI08 (Core) Goals and Actions to Improve Clinical Quality Measures

: Sets goals and acts to improve upon at least three measures across at least three of the four categories (behavioral health is one category).

Contact Carla Chance,

Cchance@indianapca.org

. for questions and more info

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Evaluation Poll

Please complete the brief evaluation before signing off.

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Announcements & Events

SBIRT Trainings$20 for Members, $40 non-membersJune 14th in MuncieJune 17th in IndianapolisJune 18

th

in Jeffersonville

Project ECHO- Opioid Use Disorder for Prescribers and Dispensers

Free Registration Open, began May 29

th

and continues for year

More details in May CHC Digest

Visit indianapca.org “Events” for more IPHCA events