Quality Improvement Using the Ohio Scales by z1C9YZ

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									Using the Ohio Scales to
  Improve Outcomes
    Karon G. Price, MBA - Agency Executive Director
  Ginny Deakin-York, BA - Mental Health Administrator




                                                        1
      Meeting Administration
           Compliance
• Access Database developed and linked
  to ODMH Database in order to track
  required administrations against
  patients scheduled.
• Weekly lists given to registration
  personnel in order to distribute Ohio
  Scales as appropriate.
• Follow up checks and balances to
  ensure all measures completed.

                                          2
               Reports
• Data entered daily into ODMH
  Database and reports generated.
• Red Flag and Strength Reports are
  generated and then forwarded to
  providers within one working day in
  order to ensure availability when
  developing the ISP.


                                        3
       Quarterly Reviews
• Routine chart reviews are completed
  to ensure details from Red Flag Report
  are incorporated into the treatment
  plan (ISP).
• Any non-compliant providers are
  emailed regarding findings and
  suggestions for compliance are made.
  Deadline to amend treatment plan are
  given.

                                           4
           PMAAR
Performance Improvement Cycle



               w
             ie
                      ü Did actions produce desired     ü Define opportunities
           ev




                                                                                              P
                                                                                              la
          R             results?                        ü Determine what is to be




                                                                                                n
                      ü Why or why not?                   accomplished
                      ü Are additional actions          ü Identify performance indicators,
                        necessary?                        how they will be obtained, how
                      ü Is the “right” thing being        frequently they will be measured,
                        measured?                         what comparison values will be
                      ü What has been learned?            used
                      ü Continue the cycle; modify      ü Identify responsible parties
                        based on findings


      ü Determine an action that will                               ü Collect measurement data
        impact the trend in the desired                             ü Display data over time on a “run
        direction                                                        chart”
      ü Plan for actions to be executed                             ü Comparative data displayed
        appropriately                                                    simultaneously
      ü Communicate, initiate
Act




                                      ü Conduct quantitative analysis




                                                                                                         Me
                                        v  How much – which direction?




                                                                                                           as
                                        v  How does this compare to
                                           benchmark?




                                                                                                             ure
                                        v  Is the process in control or is
                                           variation excessive?
                                      ü Conduct qualitative analysis
                                        v  Why is this happening?
                                        v  What are contributing factors?
                                        v  What does this mean?


                                                                                                  3/8/2006 tm

                                                                                                                   5
                                                 Analyze
   Performance Improvement
• Measure Problem Severity per parent report
  – Looking for a decrease over time in
  treatment.
• Measure progress or lack thereof at
  admission, three months, six months, one
  year.
• Trend over time indicates an improvement
  over time.
• Aggregate information includes all child and
  adolescent patients completing the form
  during this period.

                                                 6
Aggregate Results: Problem Severity Per Parent
     Report (FY ’07 Qtr 4 to FY ’08 Qtr 3)


           20




           15

                                                14.2%
 Percent




           10
                    8.3%




            5




                                                        0.0%           0.0%
            0
                Admission n=12   3 months n=7           6 months n=8   1 Year n=8




                                                                                    7
       Treatment Implications
• Utilization of OH Scales data helps to maintain
  the integrity of treatment plans
• Allows the ability to track progress in treatment
• Data is consistently provided to treatment
  providers




                                                      8
  Compliance with Accreditation Standards
   (ODMH and The Joint Commission)
• ODMH – Continue to maintain 80% or above
  benchmark for completion of forms.
• Ohio Scale results are incorporated into
  individual treatment plans.
• Aggregate data utilized in ongoing Performance
  Improvement.
• Incorporating Ohio Scales measures ensures
  compliance with individualized treatment plans
  and ongoing recovery and resilience.

                                                   9
  QUESTIONS??
      Karon G. Price, MBA
        419-383-5419
    karon.price@utoledo.edu

      Ginny Deakin-York, BA
          419-383-3861
virginia.deakin-york@utoledo.edu


                                   10

								
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