Inpatient Psychiatric Facility Quality Reporting Measures

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The Centers for Medicare & Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA) have released for public comment six measures that will assess the quality of care provided to Medicare beneficiaries in inpatient psychiatric facilities (IPFs). The measures under consideration are based on literature reviews of the evidence and reviews by a technical expert panel that includes clinicians, quality experts, and other stakeholders.
These measures are:
1. HBIPS-2: Hours of physical restraint use (patient safety)
2. HBIPS-3: Hours of seclusion use (patient safety)
3. HBIPS-4: Patients discharged on multiple antipsychotic medications (pharmacotherapy)
4. HBIPS-5: Patients discharged on multiple antipsychotic medications with appropriate justification (pharmacotherapy)
5. HBIPS-6: Post discharge continuing care plan created (care coordination)
6. HBIPS-7: Post discharge continuing care plan transmitted to next level of care provider upon discharge (care coordination)
More information may be found here: http://manual.jointcommission.org/releases/TJC2011A/HospitalBasedInpatientPsychiatricServices.html
CMS is requesting that stakeholders review and provide feedback on these proposed measures. All comments are welcome, but they are particularly interested in feedback in the following areas:
• Relevance of the measures to the mission of public reporting under ACA 3401, Subsection 10322
• Usefulness of the measures to improve quality of care for Medicare patients
• Feasibility of data collection for the purpose of public reporting under ACA 3401, Subsection 10322
We encourage you to submit your individual comments directly on NCQA’s Public Comments website at http://publiccomments.ncqa.org

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