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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

Getting Started with HBIPS from an ORYX Vendor Perspective

Hospital-Based

Inpatient Psychiatric Services

(HBIPS) Core Measures

NAPHS Conference – September 2010

panel
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: [email protected]
  • 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: [email protected]
performance measurement
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
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 systems5
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 systems6
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 systems7
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 systems8
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

Challenges & Successful Strategies in Health Care Organizations During Implementation

documentation
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
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
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
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
After Implementation
  • Public Reporting
  • Data Reporting and Moving Targets
  • Planning Improvements
vendor recommended best practices
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
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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