The Joint Commission News Releases
June 09, 2008

New Hospital-Based Inpatient Psychiatric Services Measure Set Available to Meet Joint Commission’s ORYX Requirements

Media Contact:    
Ken Powers
Media Relations Manager
630-792-5175
kpowers@jointcommission.org

(OAKBROOK TERRACE, Ill. – June 9, 2008)  Effective with October 1, 2008 discharges, accredited hospitals that provide acute inpatient psychiatric services will be able to use The Joint Commission’s Hospital-Based Inpatient Psychiatric Services (HBIPS) measure set to meet current Joint Commission ORYX performance measurement requirements.

In conjunction with the HBIPS measures, The Joint Commission also will implement an important modification to existing ORYX performance measurement requirements by offering free-standing psychiatric hospitals the option of collecting and submitting data on either the seven measures included in the final HBIPS measure set or nine non-core measures, in order to meet ORYX requirements. Additionally, general medical/surgical hospitals that provide acute inpatient psychiatric services will be able to select the Hospital- Based Inpatient Psychiatric Services measure set as one of their four sets of core measures needed to meet ORYX requirements for 2008. Detailed specifications for the seven HBIPS measures are available on The Joint Commission’s website.

“We were pleased to receive such strong field support for the HBIPS measure set,” says Jerod M. Loeb, Ph.D., executive vice president, Quality Measurement and Research, The Joint Commission. “The measure set is the result of strong collaborative work and addresses important components of care in the psychiatric setting.”

The development of the final measure set follows extensive field review and public comment, and pilot testing of the candidate measure set. The final measure set includes:

  • Admission screening for violence risk, substance use, psychological trauma history and patient strengths completed;
  • Hours of physical restraint use;
  • Hours of seclusion use;
  • Patients discharged on multiple antipsychotic medications;
  • Patients discharged on multiple antipsychotic medications with appropriate justification;
  • Post discharge continuing care plan created; and
  • Post discharge continuing care plan transmitted to next level of care provider upon discharge.

The Joint Commission will publicly report hospital performance on the measure set through Quality Check once the measure set has received National Quality Forum (NQF) endorsement and Hospital Quality Alliance (HQA) approval. The data will not be included in The Joint Commission’s Priority Focus Process or its Strategic Surveillance System until that time.

For information on the measure set or to take advantage of this opportunity to use HBIPS to meet ORYX requirements, please contact Frank Zibrat, associate director, ORYX Implementation, Division of Accreditation Operations, at 630-792-5992 or fzibrat@jointcommission.org.