52 | Adventist Behavioral Health
Selected Quality Measures for Adventist Behavioral Health The Hospital-Based Inpatient Psychiatric Service’s (HBIPS) Core Measure Set consists of seven measures to assess quality of care for patients discharged from free-standing psychiatric hospitals and acute-care hospitals with psychiatric units. The following five measures are reported, by race only, in Table 25. (HBIPS 2 and HBIPS 3, which apply to hours in physical restraint and hours in seclusion, were not included.) \\ HBIPS 1 – Admission screening for violence risk, substance use, psychological trauma history and patient strengths completed \\ HBIPS 4 - Patient discharged on multiple antipsychotic medications \\ HBIPS 5 – Patient discharged on multiple antipsychotic medications with appropriate justification \\ HBIPS 6 – Post discharge continuing care plan created \\ HBIPS 7 – Post discharge continuing care plan transmitted to next level of care provider upon discharge For HBIPS 1, there was nearly 100 percent compliance for all patients. For HBIPS 4 and 5, there was more variation between patients from different racial groups. For example, more than 30 percent of Asian patients were discharged on multiple antipsychotic medications, compared to 15 percent of White patients, and 2 percent of Black patients. However, all patients had higher percentages of being discharged on multiple medications with appropriate justification (HBIPS 5). For White, Black, and Asian patients, a postdischarge continuing care plan was created more than 90 percent of the time (HBIPS 6). However, that plan was not always transmitted to the next level-of-care provider upon the patients’ discharge (HBIPS 7). TABLE 25. HBIPS QUALITY MEASURES BY RACE, ALL PATIENTS, ABH-ROCKVILLE, 2012 (IN PERCENTS)
HBIPS 1
HBIPS 4
HBIPS 5
HBIPS 6
HBIPS 7
White
99.9
14.9
65.0
90.7
86.5
Black
99.6
1.6
77.5
90.8
86.7
Asian
100
31.5
76.5
92.9
89.4