What is good performance for organizations providing mental health services for children? Benchmarks are hard to find and performance measures few and far between.
To try to answer this question, our team pulled the recently released data from the Medicaid Behavioral Health Core Set for children. This is a set of measures that state Medicaid agencies voluntarily report now – though they will be mandatory in 2024. As its name suggests, the child core measure set consists of 26 measures specifically designed for children in the domains of primary care access and preventive care, maternal and perinatal health, behavioral health, care of acute and chronic conditions, and dental and oral health care. There are four measures specific to behavioral health:
- Follow-up care for children prescribed attention-deficit/hyperactivity disorder (ADHD) medication (ADD-CH)
- Follow-up after hospitalization for mental illness: Ages 6–20 (FUH- CH)
- Use of first-line psychosocial care for children and adolescents on antipsychotics (APP-CH)
- Use of multiple concurrent antipsychotics in children and adolescents (APC-CH) – note lower rates are better
So if your organization is providing mental health services for children, how do you compare? Well it is easier to be ahead of the pack in terms of follow-up after hospitalization for mental illness in West Virginia and Alaska. West Virginia had 7-day follow-up after discharge of 9.7% and Oregon had 30-follow up after discharge 31.2% of the time. The state with the best performance on 7-day follow-up was Oregon (81.4%) and New York (85.1%) for 30-day follow-up.
If you look at use of first-line psychosocial care for children on antipsychotics, Connecticut is the high performing state with 81.5% of children receiving psychosocial care. Alternatively, in the District of Columbia only 34.5% of children receive psychosocial care. Across all measures in the Behavioral Health Core Set for children, the states with the best and worst performance varied.
So how does your organization compare? To find out, check out State Performance On Child Medicaid Core Health Care Measures, a report with a state-by-state look at performance on the Behavioral Health Child Core Set, the national median score, and bottom and top quartile scores.
And how can your executive team use this data? As you are putting together information for health plans and referral sources about your performance, you can (hopefully) refer to the ‘average’ in your state and show how your performance is better.
Curious about state performance on the adult behavioral health core set? Compare your performance with our report: State Performance On Adult Medicaid Core Measures: An OPEN MINDS Reference Guide.
For more guidance on using data in actionable ways join us February 13 for the “Population Health Management For The Complex Consumer Market: How To Utilize Data To Coordinate Services Across The Care Continuum” with Cathy Lipton, M.D., CMD, regional medical director, East and Northeast Complex Care Management, Optum, during the 2020 OPEN MINDS Performance Management Institute in Clearwater, Florida.