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					            NASMHPD SUMMIT
              April,2005


                 Mary Cesare-Murphy, Ph.D.
      Executive Director Behavioral Health Accreditation
Joint Commission on Accreditation of Healthcare Organizations
              Project Update:
        Identifying Hospital Based
       Inpatient Psy. Services Core
                 Measures




2005- JCAHO
JCAHO Activities To Date
 Collaboration with National Association of
  Psychiatric Health Systems (NAPHS),
  National Association of State Mental health
  Program Directors (NASMHPD) and The
  NASMHPD Research Institute, Inc. (NRI)
    Initial stakeholder meeting early 2004 to identify
     potential domains for measure set
    Appointment of HBIPS Expert Panel in March
     2005
    First Panel meeting May 2005 to establish a
     measurement framework and potential candidate
     evidence- based measures
                                                          3
  2005 - JCAHO
Core Measures
(Definition)

        Standardized sets of performance measures (usually
         disease, condition-specific or setting)

        Precisely defined specifications

        Can be uniformly embedded/adopted in extant systems

        Standardized data collection protocols

        Meet established evaluation criteria




                                                               4
   2005 - JCAHO
Core Measure Set
Definition


   A unique grouping of
    performance measures carefully
    selected to provide, when
    viewed together, a robust
    picture of the care provided in
    HBIPS care.

                                      5
 2005- JCAHO
Measure Identification
Process
         • Advisory panels establish
           measurement framework and
           potential candidate evidence-
           based measures
         • Identify/ Call for measures
         • Stakeholder engagement/ Public
           comment period
         • Advisory panels select measures
           that meet established evaluation
           criteria

                                              6
 2005 - JCAHO
         Hospital- Based, Inpatient
        Psychiatric Services (HBIPS)
          Core Measure Activities
                                                  July 2006
          May 2005          August 2005         Implementation
         First HBIPS          Second               Test Set
           Meeting         HBIPS Meeting




March 2004
Stakeholder        May 2005            Sept/Oct 2005
  Meeting          Call for               Public
                   Measures              Comment
    2005 - JCAHO                                                       7
                    = Completed Activities    = In Process / Planned
      HBIPS Core Measure Vision
 Identification and specification of an
  initial set of standardized HBIPS core
  measures from existing evidence based
  measures
 Overtime identify future measurement
  needs and core measures that meet those
  needs
    Add to existing set
    Additional measure sets


                                        8
 2005 - JCAHO
Your help is needed on the
HBIPS measurement journey
 Aware of existing
  measures in draft
  framework
   E-mail:
    cmilton@jcaho.org
   Call:
      Celeste Milton
      (630) 792-5925




                             9
    2005 - JCAHO
 Services that Support Recovery and
              Resilience
 CAMBHC 2006-2007
  Care Coordination
  Employment Services
  Community Integration
  Peer Supports
  Vocational Rehabilitation
  Family Supports


                                 10
Joint Commission International
Center for Patient Safety
Future Casting

Trends and debates that may
shape the relationship between
Joint Commission and state
psychiatric hospitals




                                 12
Trends and Debates


   Recovery
   Cultural Competency
   Disease Specific Certification
   Pay for Performance



                                     13
Trends and Debates


 National Patient Safety Goals

 Corrections patients in mental health
  settings



                                          14
 Joint Commission on
Accreditation of Health
    Organizations

    Mary Cesare-Murphy, Ph.D.
Executive Director Behavioral Health
             Accreditation
    mcesaremurphy@jcaho.org
           630/792-5790
    mcesaremurphy@jcaho.org

                                       15

				
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posted:11/11/2011
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