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Follow-Up After Hospitalization for Mental Illness: Age 21 & Older

Follow-up care after hospitalization for mental illness helps improve health outcomes and prevent readmissions. Recommended post-discharge treatment includes a visit with a mental health provider within 30 days of discharge. Ideally, patients should see a mental health provider within 7 days after discharge.

Explore the percentage of adults who were discharged after hospitalization for the treatment of select mental illness diagnoses and had a follow-up visit with a mental health provider:

  • Within 7 days after discharge (7-Day Follow-Up rate)
  • Within 30 days after discharge (30-Day Follow-Up rate)

Higher rates are better.

The purple dashed line represents the median, or middle of all values reported.

This measure reports the percentage of discharges among adults age 21 and older who were hospitalized for treatment of select mental illness diagnoses and had a follow-up visit with a mental health provider within (1) 7 days and (2) 30 days of discharge.

Follow-up visits include:

  • Outpatient visits
  • Intensive outpatient encounters
  • Partial hospitalizations

States voluntarily report on Follow-Up After Hospitalization for Mental Illness: Age 21 & Older (FUH-AD) as part of the Core Set of Adult Health Care Quality Measures. These data show performance rates for states that voluntarily reported the measure using Adult Core Set measure specifications.

The included populations for Adult Core Set measures can vary by state. For example, some states report data on certain populations such as those covered under managed care but not those covered under fee-for-service (FFS). This variation in data can affect measure performance and comparisons between states.

Specifications for this measure changed substantially for Federal Fiscal Year (FFY) 2018.  Rates are not comparable with rates reported for previous years.

Follow-Up After Hospitalization for Mental Illness: Age 21 & Older

Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports as of June 3, 2019 for the Adult Core Set FFY 2018 reporting cycle; see 2018 Child and Adult Health Care Quality Measures. For more information about Follow-Up After Hospitalization for Mental Illness: Age 21 & Older (FUH-AD) visit Adult Health Care Quality Measures.

Notes:

The following state did not report data to the Centers for Medicare & Medicaid Services (CMS) for the 30-day Follow Up rate: OR. The following states did not report either the 7-day Follow-Up or 30-day Follow-Up rate: AK, CO, ID, IN, ME, MT, ND, and VA.

The Adult Core Set specifications include guidance for calculating this measure using the administrative method. Unless otherwise specified, the administrative data source is the state’s Medicaid Management Information System (MMIS) and/or data submitted by managed care plans, including behavioral health plans.

Unless otherwise specified:

  • States used Adult Core Set specifications, based on National Committee for Quality Assurance (NCQA) 2018 specifications. The following states used NCQA 2017 specifications: NV and OR.
  • Denominators are assumed to be the measure-eligible population for states using the administrative method. Some states reported exclusions from the denominator, as noted in the state-specific comments.
  • The measurement period for this measure was January 1, 2017 to December 31, 2017. AZ reported data for FFY 2016.
  • Rates displayed reflect state reporting for Medicaid enrollees ages 21 to 64. CT and TX reported results for age 21 and older. FL, HI, KS, KY, NJ, NM, NV, OH, RI, TN, and UT reported results for age 6 and older.

AHRQ = Agency for Healthcare Research and Quality; CCO = Coordinated Care Organization; CHIP = Children’s Health Insurance Program; CMS = Centers for Medicare & Medicaid Services; CMO = Care Management Organization; CY = Calendar Year; ED = Emergency Department; EHR = Electronic Health Record; EQRO = External Quality Review Organization; FFS = Fee for Service; FFY = Federal Fiscal Year; HEDIS = Healthcare Effectiveness Data and Information Set; HMO = Health Maintenance Organization; ICD = International Classification of Diseases; LOINC = Logical Observation Identifiers Names and Codes; MACPro = Medicaid and CHIP Program System; MCO = Managed Care Organization; MMIS = Medicaid Management Information System; NCQA = National Committee for Quality Assurance; NR = Not Reported; PCCM = Primary Care Case Management; PCP = Primary Care Practitioner.