Medication Continuation Following Inpatient Psychiatric Discharge
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of psychiatric patients admitted to an inpatient psychiatric facility for major depressive disorder, schizophrenia, or bipolar disorder who filled a prescription for evidence-based medication within 2 days prior to discharge and 30 days post-discharge.
Numerator
Discharges with a principal diagnosis of major depressive disorder, schizophrenia, or bipolar disorder in the denominator population for which patients were dispensed at least one evidence-based outpatient medication within 2 days prior to discharge through 30 days post discharge.
Denominator
Patients discharged from an inpatient psychiatric facility with a principal diagnosis of major depressive disorder, schizophrenia, or bipolar disorder, 18 years of age or older at admission, alive at discharge and alive during the follow-up period, with a discharge status code indicating that they were discharged to home or home health care.
Exclusions
Discharged patients who received Electroconvulsive Therapy (ECT) during the inpatient stay or follow-up period, received Transcranial Magnetic Stimulation (TMS) during the inpatient stay or follow-up period, were pregnant at discharge, had a secondary diagnosis of delirium at discharge, or had a principal diagnosis of schizophrenia with a secondary diagnosis of dementia at discharge.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Claims Data.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Inpatient Psychiatric Facility Quality Reporting Program (CMS and Providers) CMS Care Compare - Hospitals and Provider Compare (Publicly reported) The performance period for the measure is two years.