Serious Mental Illness: Data Use to Improve Health Outcomes
4:30pm - 5:30pmTuesday, March 6
Las Vegas - Venetian Convention Center
This session outlines the technology and techniques used by the Care Transitions Network for People with Serious Mental Illness in New York State. The program four-year initiative, funded by the Centers for Medicare and Medicaid Services, is working with providers across New York State to build their capacity to participate in value-based payment arrangements and reduce all cause re-hospitalization rates by 50% for people with SMI. Enrolled organizations have access to training, technical assistance, and targeted coaching to implement evidence-based practices and improve clinical outcomes. The Care Transitions Network employs a robust data infrastructure that provides enrolled organizations the ability to track and benchmark performance on key clinical quality measures as well as utilization rates and total cost of care for their patient population through a web-based platform. Two+ years into the four-year duration, the program is showing very encouraging results.
Examine the infrastructure, governance and technology required to employ an organization-wide quality improvement approach that drives clinical decision making
Describe strategies for supporting short-term care transitions, including outpatient practices and health homes, for patients with serious mental illness after discharge from hospitalization, with the ultimate goal of preventing visits to the emergency department and/or re-hospitalization
Identify best practices in technology and training to help implement evidence-based practices and transition to value-based payments