Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision Kelly Ducheny – Senior Director Behavioral Health Services (BHS) Sandra C. Candelaria Cortés- Quality Improvement Coordinator
Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision • Project Rationale: Review clients served by the RW Part A for Mental Health services to assure compliance on the following: • Standard 3: Measurement & HRSA Service Plan Requirements Measure, H1 Initial Mental Health Service Plan • Standard 7 & 8: Measurement: Progress in Treatment and Outcome of Treatment, Item H8, Progress towards one goal. • The data analyze reflect the audit period: March 1st, 2016 to February 28th, 2017 • Baseline Data: 42 Individuals, 39 Not Englewood, 3 Englewood Individuals with a developed or updated treatment plan = 19 • (45%), Not Englewood = 18 (46%), Englewood = 1 (33%) • 10 Individuals were Phone Screened and Refer Out
Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision • Standard 3 (6 Exclusions): 36 Individuals, Not Englewood = 33, Englewood = 3 Individuals Initial Mental Health Plan (H1) = 15 (42%) • • Not Englewood = 12 (36%) • Englewood = 2 (67%) • Standard 7 & 8 (5 Exclusions): 37 Individuals, Not Englewood = 34, Englewood = 3 Individuals Initial Mental Health Plan (H1) = 15 (41%) • • Not Englewood = 14 (41%) • Englewood = 1 (33%)
Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision Findings & Conclusions: • Found documentation issues on the team Create documentation expectations, what should be included and what shouldn’t. Define the standards on how information should be documented. Found that some charts without treatment plan were • clients assigned to group therapy. Take a look into this and decide how could be solved. Sustained Improvement: Continue completing chart audits to assure that proper documentation is complete and to identify issues that need to be resolve.
Questions & Comments Contact Information Kelly Ducheny: KellyD@howardbrown.org Sandra Candelaria: SandraC@howardbrown.org
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