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Performance Measurement and Quality Improvement

Inpatient performance measures focus on persons receiving services from hospitals, institutions, and residential programs. NRI collaborated with the National Association of Psychiatric Health Systems (NAPHS), the American Psychiatric Association (APA), and the National Association of State Mental Health Program Directors (NASMHPD) to engage The Joint Commission in beginning the development of a core quality improvement measurement set for psychiatric hospitals.

The result of this effort was the Hospital Based Inpatient Psychiatric Services (HBIPS) core measure set. The HBIPS is administered by The Joint Commission and it the first measure set required from all free-standing psychiatric facilities that meet The Joint Commission’s hospital accreditation program. NRI supports the HBIPS measures through its Behavioral Healthcare Performance Measurement System (BHPMS).

In addition, three of the 7 HBIPS measures are required inpatient performance measures for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program of the Centers for Medicare and Medicaid Services (CMS). The CMS’ IPFQR affects more than 1,500 psychiatric hospitals and psychiatric units. The IPFQR has added measures to its program list of quality metrics. These include an alcohol use screening measure, a tobacco screening and treatment measures (administered by The Joint Commission),as well as a follow-up after hospitalization and a patients’ influenza vaccination measure that was adapted from the National Committee for Quality Assurance. CMS will continue to evaluate and add measures each year.

In addition to measures required by accreditors and funders, NRI has several other standardized performance measures that are utilized by inpatient psychiatric facilities. Read more about the Behavioral Healthcare Performance Measurement System (BHPMS).

Individual-level inpatient measures developed and tested include, but are not limited to, improved functioning and patient experience of care. Organizational-level inpatient measures developed and tested include, but are not limited to, patient injury rates, medication error rates, and readmission rates.

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