Reich Leonard H, Jaramillo Beatriz M, Kaplan Lisa J, Arciniega Jacqueline, Kolbasovsky Andrew D
Mental Health Services, HIP Health Plan of New York, New York, NY, USA.
J Healthc Qual. 2003 Nov-Dec;25(6):4-8; quiz 8-9. doi: 10.1111/j.1945-1474.2003.tb01094.x.
This article documents the quality improvement process implemented by HIP Health Plan of New York (HIP) for the behavioral health continuity-of-care measure, Follow-Up After Hospitalization for Mental Illness. This Health Plan Employer Data and Information Set (HEDIS) measure identifies the percentage of members who receive psychiatric follow-up care after their hospital discharge. Studies indicate that post-hospitalization psychiatric follow-up care is an effective method for reducing hospital readmissions. HIP's mental health services department pursued a number of improvement initiatives with this HEDIS measure. The development of a case management unit proved the most effective intervention as compliance rates for post-hospitalization after-care visits improved and hospital readmittance rates declined. These findings provide valuable resource information for behavioral health providers throughout the United States.
本文记录了纽约HIP健康计划（HIP）针对行为健康连续护理措施“精神疾病住院后随访”所实施的质量改进过程。这项健康计划雇主数据与信息集（HEDIS）措施确定了出院后接受精神科后续护理的成员比例。研究表明，住院后精神科后续护理是降低医院再入院率的有效方法。HIP的心理健康服务部门针对这项HEDIS措施开展了多项改进举措。事实证明，设立病例管理部门是最有效的干预措施，因为住院后后续护理就诊的合规率提高了，医院再入院率也下降了。这些发现为美国各地的行为健康提供者提供了宝贵的资源信息。
