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New Study: Hospitals Reporting Inpatient Psychiatric Services Measures to The Joint Commission Improve Performance Over Time

Hospitals that began reporting early had comparative advantage over hospitals that delayed

May 3, 2018
By: Katie Looze Bronk, Corporate Communications

(OAKBROOK TERRACE, Illinois, May 2, 2018) – A new study in the July 2018 issue of Psychiatric Services shows that hospitals reporting inpatient psychiatric services measures to The Joint Commission demonstrated improved performance on measures related to admission screening, multiple antipsychotic medication justification, discharge planning, and restraint and seclusion use.

The study, “Trends in Results of HBIPS National Performance Measures and Association With Year of Adoption,” examines performance by hospitals reporting on seven measures collectively known as the Hospital-Based Inpatient Psychiatric Services (HBIPS) measure set. Conducted by researchers with The Joint Commission’s Health Services Research and Quality Measurement departments, the study evaluated cohorts of hospitals that began reporting inpatient psychiatric care data to The Joint Commission in 2009, 2011, 2014 and 2015.

After adjusting for covariates, findings showed all cohorts significantly improved across quarters for admission screening, multiple antipsychotic medication justification and discharge planning. Restraint hours significantly dropped over the initial reporting periods for the 2009 and 2015 cohorts. Seclusion hours also significantly dropped over reporting periods for all except the 2011 cohort. 

Hospitals in the earlier reporting cohorts outperformed hospitals in later reporting cohorts by the time each new cohort began reporting, suggesting that hospitals in the early adopter group had the most time to utilize the feedback from reporting to improve performance. Given a consistent pattern of steady improvement associated with measurement and reporting—hospitals that begin reporting early have a comparative advantage over hospitals that delay, conclude the authors. 

“Perhaps the most interesting finding is that previously observed associations between measure reporting and improvement appear to be quite robust,” says lead study author Kenneth A. Rasinski, PhD, project director, Department of Health Services Research, The Joint Commission. “Despite the fact that some hospital cohorts had different initial starting points and improved at different rates, and that different types of hospitals may have been motivated to report at different times and for different reasons, the trend across nearly all measures and cohorts was improvement.” 

The Joint Commission, 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) collaborated on the development of the HBIPS measure set. Pilot testing for the HBIPS measures was conducted in 2007, and a Technical Advisory Panel for the HBIPS project convened in February 2008 to recommend the seven measures which now comprise the final measure set. Hospitals started collecting data for the HBIPS measures beginning with October 1, 2008 discharges. 

To access the study, please visit the Psychiatric Services website

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About The Joint Commission
Founded in 1951, The Joint Commission seeks to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The Joint Commission accredits and certifies more than 21,000 health care organizations and programs in the United States. An independent, nonprofit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care. Learn more about The Joint Commission at www.jointcommission.org.

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