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Follow-Up After Hospitalization for Mental Illness: Ages 6-20

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 children ages 6-20 who were discharged after hospitalization for treatment of selected 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 state performance on the percentage of discharges among children ages 6-20 who were hospitalized for treatment of selected 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: Ages 6-20 (FUH-CH) as part of the Core Set of Child Health Care Quality Measures. These data show performance rates for states that voluntarily reported the measure using Child Core Set measure specifications.

The included populations for Child 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: Ages 6-20

Source: Mathematica analysis of Medicaid and CHIP Program System (MACPro) reports as of June 3, 2019 for the Child Core Set FFY 2018 reporting cycle; see 2018 Child and Adult Health Care Quality Measures. For more information on Follow-Up After Hospitalization for Mental Illness: Ages 6-20 (FUH-CH) visit Child Health Care Quality Measures.

Notes:

The following state did not report data for 30-Day Follow-Up: OR. The following states did not report either the 7-day Follow-Up or 30-day Follow-Up rate: CO, ID, ND, MD, WA, and WI.

# = Rate not reported because denominator is less than 30.

The Child 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 Child Core Set specifications, based on National Committee for Quality Assurance (NCQA) 2018 specifications. The following state used NCQA 2017 specifications: 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 1, 2017. AZ reported data for FFY 2016.
  • Rates displayed reflect state reporting for enrollees ages 6 to 20. FL, HI, IN, KS, KY, NJ, NM, NV, OH, RI, TN, UT, and VA reported results for age 6 and older.

ADHD = Attention-Deficit/Hyperactivity Disorder; CCO = Coordinated Care Organization; CHIP = Children’s Health Insurance Program; CMS = Centers for Medicare & Medicaid Services; CPT = Current Procedural Terminology; CY = Calendar Year; ED = Emergency Department; EPSDT = Early and Periodic Screening, Diagnostic, and Treatment; 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.