Performance Measurement Initiatives

Hospital- Based, Inpatient Psychiatric Services (HBIPS) Candidate Core Measure Set - Last Updated 2/15/08

 

What's New?

UPDATE February 2008: The Joint Commission and the National Association of Psychiatric Health Systems (NAPHS), the National Association of State Mental Health Program Directors (NASMHPD) and the NASMHPD Research Institute, Inc. (NRI) are continuing to work together to identify and implement a test set of core performance measures for Hospital-Based Inpatient Psychiatric Services (HBIPS).
 
 Work on specifications for the following test measures has been completed:

  • Assessment of violence risk, substance use disorder, trauma and patient strengths completed
  • Hours of restraint use
  • Hours of seclusion use
  • Patients discharged on multiple antipsychotic medications
  • Discharge assessment and aftercare recommendations are sent to next level of care providers upon discharge

Specification Manual for National Quality Measures- Hospital-Based Inpatient Psychiatric Services Version 1.0 (Valid starting with January 1, 2007 discharges)

         Release Notes 1.0a - January 2007

Specification Manual for National Quality Measures-Hospital-Based Inpatient Psychiatric Services Test Set Version 1.0a (Valid starting with January 1, 2007 discharges)

        Release Notes 1.0b - February 2007

Specification Manual for National Quality Measures-Hospital-Based Inpatient Psychiatric Services Test Set Version 1.0b (Valid starting with January 1, 2007 discharges)

Release Notes 1.0c - June 2007

Specification Manual for National Quality Measures-Hospital-Based Inpatient Psychiatric Services Test Set Version 1.0c (Valid starting with January 1, 2007 discharges)

Release Notes 1.0d - June 2007

Specification Manual for National Quality Measures-Hospital-Based Inpatient Psychiatric Services Test Set Version 1.0d (Valid starting with January 1, 2007 discharges)

Release Notes 1.0e - September 2007

Specification Manual for National Quality Measures-Hospital-Based Inpatient Psychiatric Services Test Set Version 1.0e (September 2007)

Specification Manual for National Quality Measures-Hospital-Based Inpatient Psychiatric Services Test Set Version 1.0f (February 2008)

             Release Notes 1.0f - February 2008 

Data collection for the test set began with January 2007 discharges and continued throughout 2007. An update will be posted on the final pilot test results in the near future. The final measure set will be submitted to the National Quality Forum (NQF) for consideration and endorsement.  It is anticipated that the finalized set of measures will become available to psychiatric hospitals in the fall of 2008 to meet Joint Commission performance measurement requirements. 

Updates may be posted from time to time, including specific timelines as they become available.  If you have any questions about this project, please contact, Celeste Milton, Associate Project Director, at: 630-792-5925 or via email at: cmilton@jointcommission.org.

Reference Materials:

Hospital- Based, Inpatient Psychiatric Services (HBIPS) Advisory Panel*

* All information was current at the time the individual served on the Advisory Panel.  This information has not been updated.

Frank Ghinassi, PhD (Chair)
Vice President Quality & Performance Measurement
Western Psychiatric Institute & Clinic
University of Pittsburgh School of Medicine
Pittsburgh, PA

Richard Bosworth, RN
Director of Data Systems Management & Evaluation
Colorado Mental health Institute at Fort Logan
Denver, CO

Jean Campbell, PhD
Research Associate Professor in Psychiatry
University of Missouri- Columbia School of Medicine
Missouri Institute of Mental Health
St. Louis, MO

Ann Doucette, PhD
Senior Research Scientist
Center for Health Sciences Research & Policy
George Washington University Medical Center
Washington, DC

Sue Eisen, PhD
Health Research Scientist
Associate Professor of Health Services
Edith Nourse Rogers Memorial Veterans Hospital
Center for Health Quality, Outcomes & Economics Research
Bedford, MA

Pam Galbraith, RN, MBA
Chief Executive Officer
ValueOptions NM
Santa Fe, NM

Douglas Hancock, MA
Director of Hospital Management Data Services for State Mental Health Facilities
Texas Department of State Health Services
Austin, TX

Richard Hermann, MD, MS
Director, Center for Quality Assessment & Improvement in Mental Health
Associate Professor of Medicine & Psychiatry
Tufts- New England Medical Center
Boston, MA

Pablo Hernandez, MD
Superintendent
Wyoming State Hospital
Evanston, WY

Karen Johnson, MSW
Assistant Vice President, Clinical Operations
Universal Health Services
Chicago, IL

Kathy Jordan- Sedgeman, MS, APRN
Clinical Nurse Manager Psychiatry
University of Michigan Health Systems
Ann Arbor, MI

Michael Lambert, PhD
Professor

Brigham Young University
Provo, UT

John Oldham, MD
Chairman, Dept. Psychiatry & Behavioral Sciences
Medical University of South Carolina
Charleston, SC

Steven Onken, PhD
Assistant Professor
Columbia University School of Social Work
New York, NY

Joseph Parks, MD
Medical Director
State of Missouri Dept. of Mental Health
Jefferson City, MO

Johan Smith, MBA
Vice President, Operations & Development
Horizon Health Corporation- Mental Health Outcomes
Lewisville, TX

 

Liaison Members:

 

 

Elizabeth Stallings, BSN
American Hospital Association
Chief Operating Officer
Mt. Diablo Medical Pavilion
Concord, CA

Dianne Feeney, BSN, MSc
National Quality Forum
Vice President
National Quality Forum
Washington, DC

Gregory B. Teague, PhD
SAMHSA
Associate Professor
FMHI / University of South Florida
Tampa, FL