USDOJ ADA Oregon Investigation Matrix

8/2/2019 USDOJ ADA Oregon Investigation Matrix

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Oregon Behavioral Health System Development and Program Outcome Measures

Targeted Areas System Development Measures Program Outcome Measures

Short-term crisis stabilization days/visits Agreed-upon alternatives to above crisis services in frontier area ___# of service units per month per adult with SPMI who

receive each of the following behavioral health crisisservices: crisis hotline, mobile crisis, walk-in/drop-off crisis

center visit, crisis apartments/respite, short-term crisisstabilization, and frontier alternatives.

___% of adults with SPMI (and or their family) that reportpositively about the system response to a behavioral health

crisis event

3. ___% of adults with SPMI who have had a behavioral healthcrisis and who experienced an improved level of functioning XX

months after the crisis event.

4. For those adults with SPMI who have a behavioral health

crisis event:

___% of adults who had a crisis intervention plan ___% of crisis intervention plans that were followed during

the crisis

___% of crisis intervention plans that were effective inpreventing an inpatient admission and/or emergency room

visit and/or jail admission.

D.

1. ___# of service units per adult with SPMI per month for each ofthe following behavioral health crisis services:

Crisis hotline calls Mobile crisis team Walk-in/drop-off crisis center visits Crisis apartment/respite visits Short-term crisis stabilization days/visits Agreed-upon alternatives to above crisis services in frontier area2. ___# of adults with SPMI who received each of the following

types of behavioral health crisis services: Crisis hotline calls Mobile crisis team Walk-in/drop-off crisis center visits Crisis apartment/respite visits Short-term crisis stabilization days/visits Agreed-upon alternatives to above crisis services in frontier areaE.___% of the care plans for adults with SPMI that include a current

crisis intervention plan.


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State Hospital Each of the four types of residential care settings ___% of adults with SPMI who are homeless.

5.

___% of adults with SPMI reporting positively about:

Their living environment Availability of independent supported housing and housing

support services (e.g., rental subsidy, move-in costs)Note: OHA to measure, not CCOs.

E. ___# of services units per adult with SPMI per month for each of

the following:

Non-Title XIX supported housing services (e.g., rental subsidy,move-in costs)

Community-based behavioral health services (e.g., ACT teams,peer support, supported employment)

Services provided in each of the four types of residential caresettings

Services provided in the State Hospital

III.Community-Based Behavioral

Health Services

A. Identification of statewide and regional barriers to development ofcomprehensive community-based behavioral health services for

adults with SPMI and strategies that will be implemented to achieve

identified program outcome goals/benchmarks

1. ___% of adults with SPMI who: Are employed Have abstained from drug/alcohol use Had a criminal justice event (jail, arrest, other interaction

with law enforcement, etc.)

Had a homeless eventNote: OHA to survey, not CCOs.

2. ___% of adults with SPMI who report that their se functional

level improved.

3. ___% of adults with SPMI reporting positively about each ofthe following:

Outcomes (i.e., perception of care) Improved level of functioning

B. ___# of providers offering each of the following community-

based behavioral health services:

Assertive community treatment Crisis apartment/respite care Intensive case management (out of office) Peer support Supported employment Psycho-education and living skills training Crisis hotline callsNote: Above will be measured ifcovered by Medicaid.


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Intensive case management (out of office) Peer support Supported employment Psycho-education and living skills training Non-Title XIX supported housing services Crisis hotline calls Mobile crisis team Walk-in/drop-off crisis center visits Short-term crisis stabilization days/visits Agreed-upon alternatives to above crisis services in frontier area2. ___# of adults with SPMI who received each of the following

community-based behavioral health services:

Assertive community treatment Crisis apartment/respite care Intensive case management (out of office) Peer support Supported employment Psycho-education and living skills training Non-Title XIX supported housing services Crisis hotline calls Mobile crisis team Walk-in/drop-off crisis center visits Short-term crisis stabilization days/visits Agreed-upon alternatives to above crisis services in frontier areaNote: For those receiving Medicaid servicescies

___% of those with SPMI who receive routine health carevisists after enrollment?

6. ___# of adults with SPM residing in each of the following

settings:

Own home/supported housing A State Hospital Adult foster home Residential treatment home Residential treatment facility Secure residential treatment facility7. The average length of stay, admission and readmission ratefor adults with SPMI in each of the following settings:

An inpatient hospital setting

A State Hospital Adult foster home Residential treatment home Residential treatment facility Secure residential treatment facility

8. Coordination of care between physical health and behavioral

health providers is demonstrated by:

___% of behavioral health providers that communicate theoutcomes of a referral and/or service plan to the adult withSPMIs primary care provider (PCP)

___% of behavioral health providers that have ongoingcommunicate with the PCP for the adult with SPMI

___% of adults with SPMI who have had a PCP visit withinthe past 12 months

E. ___% of adults with SPMI that have a current care plan (e.g., has

been reviewed and updated with the past XX months).


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D. ___% of service dollars for adults with SPMI that are used for

each of the following early intervention services:

Assessment (initial and review) EASA program Intensive in-home services/Assertive Community Treatment Intensive case management

receive each of the assessment and early interventionservices.

For those with SPMI, the length of time from enrollmentuntil first visit with provider of health services?

___% of those with SPMI who receive routine health carevisists after enrollment?

3. ___% of adults with SPMI whose report that their functional

level improved.

4. ___% of adults with SPMI reporting positively about each of

the following:

Satisfaction with the screening and assessment process(including participation in the service planning process)

Note: Above bullet is longer term issue. Outcomes (i.e., perception of care) Improved level of functioning Service quality and appropriateness

E.1. ___# of service units per adult with SPMI per month for each of

the following early intervention services:

Assessment (initial and review) EASA program Intensive in-home services/Assertive Community Treatment Intensive case management

2. ___# of adults with SPMI who received each of the followingassessment and early intervention services:

Assessment (initial and review) EASA program Intensive in-home services/Assertive Community Treatment Intensive case management3. ___% of adults with SPMI who had a follow-up afterhospitalization within 7 days and within 23 days.

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VI.Maximization ofTitle XIX

Funds

A. Identification of statewide and regional barriers tomaximizing use of Title XIX funds and strategies that will be

implemented to achieve identified program outcome performance

standards/goals. This includes examining:

The Supplemental Security Income (SSI) and Title XIXeligibility process for adults with SPMI

The types of funding (e.g., Title XIX, non-Title XIX) that areused to pay for specific types of behavioral health services

The Title XIX status and qualifications of providers offeringbehavioral health services to adults with SPMI

1. ___% of adults with SPMI in the Oregon behavioral health

system who:

Have been determined Title XIX eligible and are enrolled inthe States Medicaid program

Have been determined SSI eligible Are eligible for Title XIX but are not enrolled in the States

Medicaid program

Have been denied Title XIX eligibility due to non-completion of the application

2. ___% of Title XIX behavioral health services that are

provided to Title XIX adults with SPMI that that are paid forwith:

Title XIX funds Non-Title XIX funds3. ___% of behavioral health service dollars for Title XIX adults

with SPMI that are paid for with Title XIX funds.

4.___% of behavioral health providers/practitioners who arequalified Title XIX providers and are able to receive Title XIX

dollars for the services they provide.

Notes:

1. Except if indicated the system development and program outcome measures will be calculated: For the adult population with SPMI as a whole as well as for the Title XIX and non-Title XIX adult population with SPMI

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On a statewide basis and for each individual CCO (or the state-contracted entity responsible for delivering the behavioral healthservices to adults with SPMI).

Using a comprehensive behavioral health data set that includes data from the mental health and substance abuse systems.2. For each of the system development measures, a baseline along with two years of annual interim benchmarks will need to be

established.

3. For each of the program outcome measures, a baseline along with a program outcome goal and an annual minimum performancestandard will need to be established.

USDOJ ADA Oregon Investigation Matrix

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