Government Contract | Massachusetts
Behavioral Health Dashboard Reporting Plan

Bid Information


Bid Alert No: 00000420361

Bid Title: Behavioral Health Dashboard Reporting Plan

Agency Bid No. Title: 2016-007

Received Date: 11/23/2015

Close Date: 12/17/2015

Purchase Type: Not Stated

Delivery Point: Boston, Massachusetts

Delivery Date: Not Stated

Special Notices: Bidder Preregistration

Specifications

Specifications include, but are not limited to:Behavioral Health Dashboard Reporting PlanMeasure Recommended by Task ForcePotential Data Source(s)Frequency Recommended by Task ForceStratification Recommended by Task ForceReporting PlanExpected State Resource Usage(Low, Medium, High)Estimated Reporting Timeframe(Short, Medium, Long)Domain: Person CenteredHow much improvement they perceived in themselves as a result of care provided.Potential Data Source(s):SurveyEvery other yearAgeThis measure would need to be collected through a survey of a representative sample of individuals across the Commonwealth. It is part of the Experience of Care and Health Outcomes (ECHO) survey, produced by AHRQ.[footnoteRef:3] Similar measures are reported in other standardized surveys. In the Task Forces review of payer policies, most plans were surveying their members using standardized surveys, but not all plans were using the same surveys. Options for reporting include (1) CHIA allocating the budget and staffing resources necessary to implement and conduct the survey; or (2) utilizing data collected by health plans. [3: The ECHO survey is currently being updated and the new version is expected to be released early in 2016. ]Option 1:HighOption 2:MediumOption 1:MediumOption 2:MediumDomain: Person CenteredPercent of patients that agree they had a team of providers working to meet the patients needs.Potential Data Source(s):SurveyEvery other yearAgeSee discussion in Measure 1As reported for measure 1.As reported for measure 1.Domain: Person CenteredAbility to access comprehensive assessment and treatment when needed and desired, in the right setting and geographic area sought.Potential Data Source(s):SurveyEvery other yearAgeThis measure would need to be collected through a survey of a representative sample of individuals across the Commonwealth. The measure as stated by the Task Force does not currently exist as a standardized measure. Options for reporting include: (1) approximate the information desired in this measure through existing standardized measures, such as:patient scheduled appointment for urgent care (or non-urgent care) as soon as needed,patient received answer to medical question the same day he/she phone providers office.Option 1 will still require health plans to use a consistent standardized survey and sampling method that addresses these approximate measures; or(2) should the state administer a patient experience survey, include this measure (and in coordination with Option 1 of measures 1, 2 and 4).Option 1.LowOption 2.HighOption 1.MediumOption 2.MediumDomain: Person CenteredConsumer and family participate in treatment planning, as desired, and in agreement with plan of care and duration of treatment.Potential Data Source(s):SurveyEvery other yearAgeSee discussion in Measure 1As reported for measure 1.As reported for measure 1.Domain: Workforce and InfrastructureNumber of providers in specialty, including:Hours workedWork settingTypes of insurance accepted, or notSpecialty trainingEthnicityLanguages spokenTypes of services providedPractice affiliation, if anyRate of patient acceptanceType of financial arrangementCaseloadPotential Data Source(s):SurveyEvery other yearBy professionThis measure requires a specification and would need to be collected through a representative sample of providers and reported on a timely basis. Data collected from DPHs Division of Health Professions Licensure do not provide the detail requested by the Task Force, some elements of the data are only collected every other year, and some behavioral health providers are not licensed by DPH.CHIA will investigate whether there is an opportunity for this data to be collected or reported on by the Health Planning Council, which was given statutory authority through Chapter 224 of the Acts of 2012 to generate a State Health Plan that identifies the location, distribution and nature of all health care resources and to make recommendations for the appropriate supply and distribution of resources, programs, capacities, technologies and services.HighLongDomain: AccessNumber of patients in the emergency department that are ready to be discharged or admitted but unable to leave ED because they are waiting for available care in either the community or hospital.Potential Data Source(s):Hospitals or PayersCollected daily, but reported quarterly and stratified by month.Geography; Primary Diagnosis; Co-morbidity Age; Payer type; Arrival Day/Time at ED; LOS in ED; Reason for BoardingThis measure requires specification and would need to be collected through hospital data submissions. Currently, DMH collects and reports some of this information, but only on its clients, not on the entire ED population awaiting continuing care facilities (from any setting). DPH collects information from hospitals with respect to emergency department boarding, including: total number of ED visits, number of BH boarders per month, number of total boarders per month, the median number of minutes spent in the ED for an individual admitted to the hospital, and the median number of minutes spent in the ED for an individual who is discharged from the hospital.CHIA will work with DMH and DPH to improve ongoing collection for elements of this measure.LowShortNote: Low/short designations for resource usage/timeframe assume reporting only on the information currently collected by DPH and not the proposed stratifications.Domain: AccessNumber of patients in inpatient psychiatric care that are ready to be discharged to step-down care but unable to leave inpatient care because they are waiting for available step-down care.Potential Data Source(s):Hospitals or PayersCollected daily, but reported annually by month.Age; Payer type; Geography; and Reason why cannot be placed.This measure is currently collected by DMH, but only on DMH clients and is collected for internal purposes only; further, not all elements the Task Force has listed for stratification are included in the report.For the IP psych population this data would have to be collected through either the hospitals or from payers.HighLongDomain: AccessNumber of patients in DMH Continuing Care Facilities that are ready to be discharged to community but are unable to leave because they are waiting for community-based supports.Potential Data Source(s):DMHCollected daily, but reported annually by month.Age; Payer type; Geography; and Reason why cannot be placed.This measure requires specification and would need to be collected by DMH continuing care facilities. Currently, elements of this measure that are collect are available for internal purposes only.MediumMediumDomain: AccessUnduplicated count of individuals receiving behavioral health services in the state as compared to those expected to need behavioral health services (based on prevalence data).Potential Data Source(s):MA APCD/ SAMHSA Prevalence dataAnnuallyAge, Payer type, Geography, and Service typeThis measure requires specification. CHIA will work with other state agencies to define behavioral health services in order to develop a measure specification. For the denominator, CHIA will use published prevalence data, such as SAMHSAs as a proxy for those in need of behavioral health services.MediumMediumNote: Initial reporting of this measure may only be possible on select stratifications.Domain: AccessAverage time to appointment for outpatient behavioral health care, by service type.Potential Data Source(s):SurveyQuarterlyAge, Payer type, and Geography, New vs. Current PatientThis measure would need specification and would need to be collected through a survey of behavioral health providers or a representative sample survey of patients.Options for reporting include (1) Should the state administer a patient experience survey, include (and in coordination with Option 1 of measures 1, 2, 3, and 4); or (2) conduct a large randomized secret shopper telephone survey of providers.[footnoteRef:4] [4: This method may allow for collecting information quickly, but is not considered a sophisticated way of collecting information. ]HighMediumDomain: Care delivery; Health and Well-being OutcomesProvider performance against evidence-based standards of care.Potential Data Source(s):Clinical recordsAnnuallySpecialtyThis measure would need specification and would need to be collected through medical records of providers.Options for reporting include (1) create a new measure and collect the data; or (2) leverage data submitted to Medicare under the Physician Quality Reporting System (PQRS) which contains 22 separate measures related to effective clinical care including ADHD care, major depressive disorder, bipolar, dementia, substance use disorder and psychological assessments for Parkinsons disease. Option 2 would only apply to performance relative to Medicare FFS patients.Option 1HighOption 2LowOption 1LongOption 2ShortDomain: Care delivery; Health and Well-being OutcomesRe-admissions to any care setting within 30 days of discharge from inpatient psychiatric care.Potential Data Source(s):Hospital Discharge DatabaseAnnuallyAge Geography Diagnosis Race and EthnicityCHIA expects to publish a brief on this subject area in 2016 using data from the Hospital Discharge Database (HDD). The HDD does not presently include freestanding inpatient psychiatric hospital data, only data from acute hospitals, and therefore will not include all inpatient psychiatric discharges.LowShortDomain: Care delivery; Health and Well-being OutcomesFollow-up after hospitalization for mental illness or substance use disorder within 7 days and within 30 days.Potential Data Source(s):Health Plans via NCQAAnnuallyAge Geography Diagnosis Race and EthnicityThis is a HEDIS measure and is reported through NCQAs Quality Compass Reporting Program for public reporting, but it does not include substance use disorder data. SUD related data is not available through the MA APCD either, so reporting on this measure would only include mental health follow-up. The data set would also be limited to individuals within health plans, however, 12 commercial plans and 6 Medicaid managed care plans report into Quality Compass.LowShortNote: Initial reporting of this measure may only be possible on select stratifications.Domain: Care delivery; Health and Well-being OutcomesReason for death if death occurred within 30 days of discharge from inpatient psychiatric carePotential Data Source(s):MA APCD linked with DPH dataAnnuallyAge Geography Diagnosis Race and EthnicityThe data needed to construct this measure are available, but held in separate agencies. CHIA will work with DPH to better understand the fields included in the death records data, as well as the quality of the data and when the data are finalized. A protocol for protecting patient privacy must be developed before MA APCD and death records are linked.

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Amendments

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Product Code: 94876

Agency Information


Issuing Agency: Commonwealth of Massachusetts - Center for Health Information and Analysis

State: Massachusetts

Agency Type: State and Local

Contact: Center for Health Information and Analysis, Two Boylston Street, Boston, Massachusetts, 02116

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