Quality Improvement Initiatives
Each year MHN develops initiatives as part of an ongoing commitment to quality improvement. This commitment is reflected in our work plan which includes the following activities for improvement:
Quality Improvement Initiatives for 2017 - 2018
1. Follow-up after discharge from a behavioral health hospitalization (FUH)
HEDIS Measures: Follow Up After Hospitalization; 7 day and 30 day measures
Goal: Increase the percent of members who attend a 7-day/30-day follow-up appointment.
- An Outreach Team was developed to call all discharged members within 1-2 days after discharge to ensure they have an aftercare appointment and to encourage attendance.
- Enhanced the search function on MHN.Com for behavioral health providers with a specialty for appointment availability within seven days of a patient discharge to help hospital and MHN staff schedule follow-up appointments.
- Faxing letters to hospitalized members to provide information about the importance of aftercare appointments. The letter also requests that members let MHN know of their preferred method of contact following discharge.
- Posters are being sent to inpatient behavioral health facilities to remind facilities: to schedule follow-up appointments before a patient leaves the hospital, use the provider search to find available appointments and to call MHN for assistance, if needed.
2. Initiation of Treatment after a diagnosis of substance use disorder (IET-AOD)
HEDIS Measure: Initiation and Engagement of Treatment for Alcohol and Other Drugs
Goal: Increase the percent of members who attend a follow-up appointment or begin treatment within 14 days of a substance use disorder (SUD) diagnosis.
- A Power Point Presentation was developed for PCPs and PPGs to encourage scheduling follow-up appointments for members within 14 days of an SUD diagnosis. The content was based on the SBIRT (screening, brief intervention and referral to treatment) model and included easy step-by-step suggestions, as recommended by SAMHSA, for follow-up SUD counseling, treatment and evaluation.
- MHN QI presented a webinar for PCPs in April 2015. The information covered effective SUD follow-up assessment and brief interventions, and information about referring members to MHN for specialized treatment.
- Letters sent to Health Net PCPs that provided information about the IET-AOD HEDIS measure and also included their individual rates for patient initiation and engagement following an SUD diagnosis.
3. Metabolic Monitoring for children and adolescents prescribed antipsychotics (APM)
HEDIS Measure: Metabolic Monitoring for Children and Adolescents Prescribed Antipsychotics
Goal: Increase the percent of members ages 6-17 who are prescribed antipsychotics that have completed metabolic testing.
- Write and distribute articles about APM measure in provider newsletters.
- Send letters to prescribing providers reminding them about the importance of consistent annual metabolic testing for youth prescribed antipsychotics.
- Send provider toolkits to prescribing providers highlighting importance of monitoring metabolic risk factors in young patients.
- Educate providers about new measure in Health Net sponsored teleconference for medical professionals.
MHN QI Ongoing Activities
1. MHN Practitioner Website
Keep website up to date with QI information:
- Post updated QI materials to provider website
- Member survey results
- Practitioner satisfaction survey results
- QI work plan and evaluation
- Quality improvement projects and initiatives
2. Practitioner Newsletter
Publish the newsletter three times a year to include:
- Results from the member and provider surveys
- Tips to improve member satisfaction
- Clinical Practice Guidelines
- Other news items from various MHN departments