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Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series (2006)
Board on Health Care Services (HCS)

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. "Appendix C: Mental and Substance Use Health for Veterans: Experience with Performance Evaluation in the Department of Veterans Affairs." Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series. Washington, DC: The National Academies Press, 2006.

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Improving the Quality of Health Care for Mental and Substance-Use Conditions

Percentage readmitted within 180 days (32.1%)

Days to readmission first year after discharge (64.7%)

Outpatient Care Measures

Service Utilization and Continuity of Care Six Months Following Inpatient Index Stay

Any outpatient stop in 6 months after DC (82.1%)

Any outpatient stop in 30 days after DC (63.3%)

Days to first outpatient stop in 6 months after discharge (24.9)

Number of stops in 6 months among those with any stops (25.8)

Continuity: Bi-months with two stops (2.16)

Any medical outpatient stop in 6 months after DC (82.8%)

Days to 1st medical OP stop in 6 months after DC (36.6)

Number of OP medical stops in 6 months among those with any stops (10.6)

(Next 4 measures apply to those with a dual diagnosis (Psyc. and SA)

At least 1 Psyc. and 1 SA OP stop in 6 months after DC (21.2%)

At least 3 Psyc. and 3 SA OP stop in 6 months after DC (17.3%)

Continuity: bi-months with two stops (2.17)

Number of Psyc. and SA visits among those with any stops (25.89)

Continuity of Care among Outpatients with Psychotic Diagnoses

Number of outpatient stops (16.8)

Number of days with outpatient stops (12.5)

Continuity: bi-months with 2 stops (2.56)

Continuity: months with any MH visit of 6 months (3.98)

Dropout (6 months with no OP visit) 15%

Continuity of care index (.56)

Modified MCI (.80)

Inpatient Satisfaction Measures

Coordination of Care (.72)

Provision of Information (.66)

Timeliness/Access to Care (.61)

Courtesy (.66)

Emotional Support (.63)

Respect for Patient Preferences (.71)

Family Involvement (.54)

Physical Care (.62)

Transition Home (.62)

General Satisfaction (.53)

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