Howard Brown Health Mental Health Quality Improvement Presentation - - PowerPoint PPT Presentation

Kelly Ducheny – Senior Director Behavioral Health Services (BHS) Sandra C. Candelaria Cortés- Quality Improvement Coordinator

Howard Brown Health

Mental Health Quality Improvement Presentation

Service Plan/ Treatment Plan Revision

Howard Brown Health

Mental Health Quality Improvement Presentation

Service Plan/ Treatment Plan Revision

• Project Rationale: Review clients served by the RW

Part A for Mental Health services to assure compliance on the following:

• Standard 3: Measurement & HRSA Service Plan Requirements

Measure, H1 Initial Mental Health Service Plan

• Standard 7 & 8: Measurement: Progress in Treatment and

Outcome of Treatment, Item H8, Progress towards one goal.

• The data analyze reflect the audit period: March 1st,

2016 to February 28th, 2017

• Baseline Data: 42 Individuals, 39 Not Englewood, 3

Englewood

• Individuals with a developed or updated treatment plan = 19

(45%), Not Englewood = 18 (46%), Englewood = 1 (33%)

• 10 Individuals were Phone Screened and Refer Out

Howard Brown Health

Mental Health Quality Improvement Presentation

Service Plan/ Treatment Plan Revision

• Standard 3 (6 Exclusions): 36 Individuals, Not

Englewood = 33, Englewood = 3

• Individuals Initial Mental Health Plan (H1) = 15 (42%)
• Not Englewood = 12 (36%)
• Englewood = 2 (67%)
• Standard 7 & 8 (5 Exclusions): 37 Individuals,

Not Englewood = 34, Englewood = 3

• Individuals Initial Mental Health Plan (H1) = 15 (41%)
• Not Englewood = 14 (41%)
• Englewood = 1 (33%)

Howard Brown Health

Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision

• Findings & Conclusions:
• Found documentation issues on the team

 Create documentation expectations, what should be included and what shouldn’t. Define the standards on how information should be documented.

• Found that some charts without treatment plan were

clients assigned to group therapy.

 Take a look into this and decide how could be solved.

• Sustained Improvement: Continue completing chart

audits to assure that proper documentation is complete and to identify issues that need to be resolve.

Questions & Comments

Contact Information

Kelly Ducheny: KellyD@howardbrown.org Sandra Candelaria: SandraC@howardbrown.org