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Treatment Record Review Results

Office site visits are scheduled annually for the purpose of conducting treatment record documentation audits of high-volume Providers in order to monitor adherence to treatment record standards and to audit billing accuracy. The intent is for treatment records to be maintained in a manner that is current, detailed and organized, and which permits effective and confidential care. The quality review of treatment records is based on the applicable HealthChoices regulations governing each level of care. These indicators include the adequacy of documentation in treatment plans, progress notes, intake assessment, continuity and coordination of care, and discharge planning.

Cloaked Average Score of Quality Treatment Record Reviews
2008
Identifier BHRS Score Ranking Outpatient Score Ranking RTF Score Ranking TCM Score Ranking
A 68% 6            
B         72% 7    
C         78% 5    
D             81% 2
E         80% 3    
F                
G             68% 9
H 67% 7 77% 6     79% 3 (tie)
I         74% 6    
J     83% 3     82% 1
K                
L     64% 9        
M         53% 11    
N     60% 11        
O         79% 4    
P     63% 10        
Q             73% 6
R         82% 1    
S                
T                
U 85% 1            
V 70% 4 (tie) 82% 4        
W 62% 9 78% 5     70% 7
X 70% 4 (tie) 84% 2     79% 3 (tie)
Y     73% 7 (tie)        
Z 83% 2     69% 9 75% 5
AA     73% 7 (tie)        
BB                
CC         68% 10    
DD         81% 2    
EE 81% 3 86% 1        
FF         70% 8    
GG 63% 8         69% 8
Network average 2008* 72%   75%   74%   75%  
Network average 2007 71%   62%   77%   72%  
Network average 2006 75%   67%   82%   None  
* Benchmark was raised to 72% from 70%
 

Please note that CRR-HH records were also reviewed with the results as follows:

Identifier CRR-HH Score Ranking
H 70% 1 (tied)
Q 70% 1 (tied)
V 69% 3
Y 63% 4
Network Average 68%  
2008    
Network Average 82%  
2007    

For the 2008 treatment record annual review, the CBHNP QI Committee set a performance goal of 72% compliance with the identified indicators. Across the network, all four levels demonstrated compliance percentages above the 72% target. CBHNP will continue to work with Provider organizations who did not meet an average 72% compliance rating in instituting appropriate corrective actions. Please keep in mind that the Treatment Record Tool may change from year to year and the comparison of yearly averages must be interpreted cautiously. CBHNP commends providers as they continue to provide quality treatment as indicated in quality indicators that show improvement and maintenance of sustained high ratings. Across the network, CBHNP identified the following areas for continued improvement and encourages all providers to target these areas for improvement:


Criterion – Coordination with PCP Compliance %
2008
  BHRS Network Average FBMH Network Average OP Mental Health Network Average
Name/contact information for Primary Care Physician--PCP 93% 90% 99%
Coordination at the time of admission 67% 73% 67%
Coordination at the time of discharge 29% 31% 47%


Criterion - Coordination and Continuity of Care Complaince%
2008
  BHRS Network Average FBMH Network Average OP Mental Health Network Average
-- with other mental health providers 71% 86% 99%
-- with SA providers 0% 33% 50%
-- with educational/ vocational systems 77% 88% 78%
-- with child protective services 67% 71% 87%
-- with juvenile probation 0% 65% 57%
* The Treatment record reflects continuity and coordination of care when applicable

Criterion - Treatment Plans & Progress Notes Complaince%
2008
  BHRS Network Average FBMH Network Average OP Mental Health Network Average
-- Treatment Plans have measurable goals and objectives with dates for completion 90% 82% 30%
-- Treatment Plans have therapeutic interventions / modalities identified 90% 62% 72%
-- Treatment plans build on the strengths of the Member 6% 3% 1%
-- In the Progress Noted was there documentation of the Member’s esponse to treatment/progress towards goals (analyzed intervention for effectiveness) 41% 20% 11%

BHRS Autism Competency Tool Summary