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Getting Started with HBIPS from an ORYX Vendor Perspective. Hospital-Based Inpatient Psychiatric Services (HBIPS) Core Measures NAPHS Conference – September 2010. Panel. Gayle Olano Hurt, MPA, Maryland Hospital Association, Quality Indicator Project

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Getting Started with HBIPS from an ORYX Vendor Perspective

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Getting Started with HBIPS from an ORYX Vendor Perspective

Hospital-Based

Inpatient Psychiatric Services

(HBIPS) Core Measures

NAPHS Conference – September 2010


Panel

  • Gayle Olano Hurt, MPA, Maryland Hospital Association, Quality Indicator Project

    • 6816 Deerpath Road, Elkridge, MD 21075

    • Phone: 410-379-6200 or 800-899-9642

    • Web: www.qiproject.org, E-mail: ghurt@qiproject.org

  • Lucille M Schacht, PhD, NRI Behavioral Healthcare Performance Measurement System

    • 209 Madison St., Suite 401, Alexandria, VA 22314

    • Phone: (703) 682-9475

    • Web: www.nri-inc.org, E-mail: lschacht@nri-inc.org


Performance Measurement

  • Performance Measurement Systems

    • Facilitate performance improvement

    • Generate internal and external comparisons

    • Transmit performance measure data

    • Ensure

      • Data integrity

      • Data quality

      • Abstraction processes

      • Data reporting

      • Education

From The Joint Commission Website


Working With Performance Measurement Systems

  • Don’t Delay!

    • The collection and use of patient level data can be complicated and overwhelming

    • Core Measures collection may require additional resources or resource reallocation

    • Start early

    • Vendors can help you prepare


Working With Performance Measurement Systems

  • Selecting Vendors

    • All vendors will meet basic Joint Commission requirements. Vendors may collect additional information to provide “added value”.

    • Vendors may have additional reports or data “views” available.

    • Vendors may provide user groups or other support to assist with data collection, outcomes comprehension or communication.


Working With Performance Measurement Systems

  • Experience

    • Does your vendor have experience with the HBIPS Core Measures processes?

    • Does your vendor have experience with behavioral health measure collection and reporting?

    • Does your vendor know of other potential initiatives involving collection of data and reporting of data?


Working With Performance Measurement Systems

  • Reporting

    • Are the reports they provide useful for internal and external comparative analysis on a timely basis?

    • Are reports real-time and flexible for drill through and in-depth analytics?

    • Is there availability of graphing to display facility and national data?


Working With Performance Measurement Systems

  • Services

    • Do they have personalized and dedicated support with continuing education?

    • Do they offer User Groups?

    • Are there other networking opportunities and education forums?


Challenges & Successful Strategies in Health Care Organizations During Implementation


Documentation

  • Challenges

    • Clarity and ease of data abstraction

    • Compliance (if you build it will they come?)

    • Challenges with e-documentation

  • Successful Strategies

    • Documentation redesign. New data capture methods that eased the data collection burden

    • Providing triggers or key phrases


Data Element Definitions

  • Challenges

    • Related to documentation

    • Figuring out how to interpret the specifics of the definitions

    • Clinical knowledge

  • Successful Strategies:

    • Definitions need to be applied to the clinical process

    • Using both narrative and “check boxes” to keep the contextual information readily available


Availability of Resources

  • Challenges:

    • Time allocation for abstraction and verification

    • Training clinicians and care workers on required terminology

  • Successful Strategies:

    • Incorporate into established workflows


Technical Problems / Abstraction Processes

  • Challenges:

    • Data collection

    • Coding

    • Data submission / mapping

  • Successful Strategies:

    • Formulating techniques to capitalize on efficiency opportunities

    • Existing audit abstraction processes / Electronic Medical Record


After Implementation

  • Public Reporting

  • Data Reporting and Moving Targets

  • Planning Improvements


Vendor Recommended “Best Practices”

  • Revise documentation to increase accuracy

  • Review documentation with your vendor

  • Communicate with your vendor early and often

  • Collect more than the Core Measures minimum


Vendor Recommended “Best Practices” (continued)

  • Share your data across all levels of staff

  • Create communication tools for staff to use during surveys

  • Submit data in a timely fashion

  • Respond to Vendor inquiries – we’re trying to help you look good!


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