Follow-Up After Hospitalisation for Mental Illness (7-Day and 30-Day Follow-Up )
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The percentage of discharges for members who were hospitalised for treatment of selected mental illness or intentional self-harm diagnoses and who had a follow-up visit with a mental health provider within 7 days and 30 days after discharge. Age stratification :65 years and older.
Numerator
A follow-up visit with a mental health provider within 7 days and 30 days after discharge. Do not include visits that occur on the date of discharge. any of the following meet criteria for a follow-up visit: • An outpatient visit with a mental health provider. • An outpatient visit with a mental health provider. • An intensive outpatient encounter or partial hospitalisation • An intensive outpatient encounter or partial hospitalisation • A community mental health centre visit • Electroconvulsive therapy • A telehealth visit with a mental health provider. • An observation visit with a mental health provider. • Transitional care management services with a mental health provider. • A visit in a behavioural healthcare setting • A telephone visit with a mental health provider. • Psychiatric collaborative care management.
Denominator
Patients 6 years of age and older who were discharged from an acute inpatient setting (including acute care psychiatric facilities) with a principal diagnosis of mental illness or intentional self-harm on or between January 1 and December 1 of the measurement period.
Exclusions
Patients who use hospice services any time during the measurement period, Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non-compliant for visit follow-up).
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Report three age stratifications and a total rate: • 6–17 years. • 18–64 years. • 65 years and older. • Total.
Data Attributes
Type of Data Collection
Data Collection Methods
Claims Data.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reported on National Committee for Quality Assurance website (not publicly available) www.ncqa.org/hedis/health-plan-ratings/
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Reported on www.ncqa.org/hedis/health-plan-ratings/
Technical Specifications
www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/qualityinitiativesgeninfo/aca-mqi/quality-rating-system/about-the-qrs 2023 Quality Rating System Measure Technical Specifications page 137 www.cms.gov/files/document/2023-qrs-measure-technical-specifications.pdf cmit.cms.gov/cmit/#/MeasureView?variantId=568§ionNumber=1