Core requirements for all measures - Florida Department of ...



Guidance 24Performance Outcomes Measurement ManualContract Reference:Sections A-1.1 and C-2.2.3.3Frequency:OngoingDue Date:N/AContents TOC \o "1-3" \h \z \u Core requirements for all measures PAGEREF _Toc434391295 \h 3Employment Overview PAGEREF _Toc434391296 \h 3Target Population PAGEREF _Toc434391297 \h 3ADULT MENTAL HEALTH PAGEREF _Toc434391298 \h 4?M0003 Average annual days worked for pay for adults with severe and persistent mental illness PAGEREF _Toc434391299 \h 4?M0703 Percent of adults with serious mental illness who are competitively employed PAGEREF _Toc434391300 \h 6?M0016 Number of adults with a serious and persistent mental illness in the community served PAGEREF _Toc434391301 \h 8?M0017 Number of adults in mental health crisis served PAGEREF _Toc434391302 \h 9?M0018 Number of adults with forensic involvement served PAGEREF _Toc434391303 \h 10?M0742 Percent of adults with severe and persistent mental illnesses who live in stable housing environment. PAGEREF _Toc434391304 \h 11?M0743 Percent of adults in forensic involvement who live in stable housing environment. PAGEREF _Toc434391305 \h 13?M0744 Percent of adults in mental health crisis who live in stable housing environment. PAGEREF _Toc434391306 \h 15CHILDREN’S MENTAL HEALTH PAGEREF _Toc434391307 \h 17?M0031 Number of SED children to be served PAGEREF _Toc434391308 \h 17?M0032 Number of ED children to be served PAGEREF _Toc434391309 \h 18?M0033 Number of at-risk children to be served PAGEREF _Toc434391310 \h 19?M0377 Percent of children with emotional disturbances who improve their level of functioning PAGEREF _Toc434391311 \h 20?M0378 Percent of children with serious emotional disturbances who improve their level of functioning PAGEREF _Toc434391312 \h 21?M0778 Percent of children with emotional disturbance (ED) who live in stable housing environment PAGEREF _Toc434391313 \h 21?M0779 Percent of children with serious emotional disturbance (SED) who live in stable housing environment PAGEREF _Toc434391314 \h 23?M0780 Percent of children at risk of emotional disturbance who live in stable housing environment PAGEREF _Toc434391315 \h 25?M0012 Percent of school days seriously emotionally disturbed (SED) children attended. PAGEREF _Toc434391316 \h 27ADULT SUBSTANCE ABUSE PAGEREF _Toc434391317 \h 28?M0755 Percent of adults who successfully complete substance abuse treatment services. PAGEREF _Toc434391318 \h 28?M0063 Number of adults that receive substance related services PAGEREF _Toc434391319 \h 30?M0756 Percent of adults with substance abuse who live in a stable housing environment at the time of discharge. PAGEREF _Toc434391320 \h 31?M0753 Percentage change in clients who are employed from admission to discharge. PAGEREF _Toc434391321 \h 33?M0754 Percent change in the number of adults arrested 30 days prior to admission versus 30 days prior to discharge. PAGEREF _Toc434391322 \h 35CHILDREN’S SUBSTANCE ABUSE PAGEREF _Toc434391323 \h 36?M0052 Number of children that receive substance related services. PAGEREF _Toc434391324 \h 36?M0725 Percent of children who successfully complete substance abuse treatment services. PAGEREF _Toc434391325 \h 37?M0751 Percent change in the number of children arrested 30 days prior to admission versus 30 days prior to discharge. PAGEREF _Toc434391326 \h 38?M0752 Percent of children with substance abuse who live in a stable housing environment at the time of discharge. PAGEREF _Toc434391327 \h 39Core requirements for all measuresValid DCF contractValid target population at start of the episode of careValid fund sourceTANF only for services funded through the TANF Other Cost Accumulators (OCA)SAMH, Title XXI, PTS, Local Match when appropriateReport capabilities must be based on the following hierarchiesSubcontractor to MEEmployment OverviewThe Department tracks employment across several measures. Employment measures are focused on the consumer’s employment status following admission. Employment data is required for all consumers between the ages of 18 and 62 who are receiving services in non-institutional setting.Definitions from the Florida Department of Economic Opportunity are used as the basis for determining employment in Florida. DEO defines employment as including persons who: did any work as paid employees, worked in their own business or farm, or worked 15 hours or more as unpaid workers in a family business during the reference week (normally the week including the 12th of the month). It also includes those who had a job but did not work due to a temporary absence. Each employed person is counted only once, even if they had more than one job.Unemployment is defined as those who did not have a job during the reference week, were available for work, and made specific efforts to find a job sometime during the 4 weeks prior to the reference week.Target PopulationTo ensure that outcome measures accurately represent an episode of care, an individual’s target population is established at admission. The Department recognizes that an episode of care may extend well beyond a particular fiscal year. As such, it is important that service providers accurately record all admissions and discharges.ADULT MENTAL HEALTHM0003 Average annual days worked for pay for adults with severe and persistent mental illnessThis output is reported as a whole number.Target population is persons with a severe and persistent mental illness;Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay 12 - Medical Services14 - Outpatient-Individual20 - Residential Level 321 - Residential Level 434 - FACT Teams35 - Outpatient-Group.Exclude persons that received assessment only services; Ages 18 to 62;Exclude persons that were served at a state mental health treatment facility any time during the review period.Employment status is one of the following at any time during the review period:10 - Active military, overseas20 - Active military, USA30 - Full Time31 - Unpaid Family Workers (minimum of 15 hours worked for family business)40 - Part Time70 - Unemployed50 - Leave of AbsenceFor leave of absence, the provider should inquire how many days worked prior to the leave of absence.For each personCount the number of post-admission outcome records (e.g., periodic or discharge) per person per provider.Sum the number of days worked per person per provider.Divide the number of days worked by the count of post-admission outcome records (e.g., periodic or discharge) per person per provider.Multiply result by 12.1667 to arrive at an ‘annual’ estimate.Round the result to the nearest whole number.For example, John Doe has the following three performance outcome records:PROVIDSPROVIDEVALDATEDAYSWORK59-123456759-765432107/19/20131259-123456759-765432110/12/20131559-123456759-222222209/09/201318At the ME (PROVID) level, days worked is:Number of records = 3Sum of days worked = (12+15+18) = 45 45 / 3 = 1515*12.1667 = 182.5Round to 183At the SPROVID level, days worked for SPROVID 59-7654321 is:Number of records = 2Sum of days worked = (12+15) = 2727 / 2 = 13.513.5*12.1667 = 164.3Round to 164M0703 Percent of adults with serious mental illness who are competitively employedThis outcome is reported as a percent.Target population includes persons with a serious mental illness ;Most recent evaluation is periodic or discharge;Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay 12 - Medical Services14 - Outpatient-Individual20 - Residential Level 321 - Residential Level 4 34 - FACT Teams35 - Outpatient-GroupExclude persons that received assessment only services;Ages 18 to 62; Numerator = distinct count of persons where employment status includes any of the following:10 - Active military, overseas20 - Active military, USA30 - Full Time 31 - Unpaid Family Workers (minimum of 15 hours worked for family business)40 - Part Time50 - Leave of AbsenceFor leave of absence, the provider should inquire how many days worked prior to the leave of absence.Denominator = distinct count of persons where employment status includes any of the following:10 - Active military, overseas20 - Active military, USA30 - Full Time31 - Unpaid Family Workers40 - Part Time50 - Leave of Absence70 - Terminated/UnemployedDivide to obtain the percent of adults with serious mental illness who are competitively employed;Round result to the nearest whole number.For example, ME1 and ME2 have the following performance outcome records:PROVIDSPROVIDSSNEMPLOYMENT STATUS59-123456759-765432112345678930 - Full Time 59-123456759-765432198765432150 – Leave of Absence59-123456759-222222212121212170 – Terminated/Unemployed59-333333359-555555595467302770 – Terminated/UnemployedAt the ME level, the percent of adults with serious mental illness who are competitively employed for ME1 (59-1234567) is:Numerator = 2Denominator = 3Percent = 66.66%Round = 67%At the ME level, the percent of adults with serious mental illness who are competitively employed for ME2 (59-333333333) is:Numerator = 0Denominator = 1Percent = 0%Round = 0%At the SPROVID level, days worked for SPROVID 59-7654321 is:Numerator = 2Denominator = 2Percent = 100%Round = 100%M0016 Number of adults with a serious and persistent mental illness in the community servedThis output is reported as a whole number.Persons identified with a severe and persistent mental illness at the start of the episode of careReceived any mental health services;18 years of age or older;Distinct count at:ME level;Subcontractor level.M0017 Number of adults in mental health crisis servedThis output is reported as a whole number.Persons that do not meet criteria for having a severe and persistent mental illness or forensic involvement that received at least one CSU or Crisis Support service during the review period;18 years of age or older;Distinct count at:ME level;Subcontractor level.M0018 Number of adults with forensic involvement servedThis output is reported as a whole number.Persons whose legal status at the start of the episode of care indicates forensic involvement;Received mental health servicesExclude persons that received assessment only services unless the assessment was part of a competency to proceed to trial determination;18 years of age or older;Distinct count at:ME level;Subcontractor level.M0742 Percent of adults with severe and persistent mental illnesses who live in stable housing environment.This outcome is reported as a percent.Persons identified with a severe and persistent mental illness at the start of the episode of care;Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12 - Medical Services 14 - Outpatient-Individual20 - Residential Level 321 - Residential Level 434 - FACT Teams35 - Outpatient-GroupExclude persons that received assessment only services, and persons that are incarcerated or residing in any non-community based institutional settings18 years of age or older;Most recent evaluation is periodic or discharge;Numerator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home11 - Nursing Home12 - Supported Housing 17 – Limited Mental Health Assisted Living Facility (LM-ALF)Denominator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives 04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 – Adult Residential Treatment Facility 09 – Homeless10 – State Mental Health Treatment Facilities11 - Nursing Home12 - Supported Housing13 – Correctional Facilities15 - Crisis Residence 17 - Limited Mental Health Assisted Living Facility (LM-ALF)99 - Not Available or Unknown For example, ME1 and ME2 have the following performance outcome records:PROVIDSPROVIDSSNRESIDENTIAL STATUS59-123456759-765432112345678901 - Independent Living-alone59-123456759-765432198765432105 - Dependent Living-with Non-Relatives59-123456759-222222212121212113 - Correctional Facility (NOT INCLUDED) 59-333333359-555555595467302715 - Crisis ResidenceAt the ME level, the percent of adults with serious mental illness who are living in stable housing for ME1 (59-1234567) is:Numerator = 2Denominator = 2Percent = 100.00%Round = 100.00%At the ME level, the percent of adults with serious mental illness who are living in stable housing for ME2 (59-333333333) is:Numerator = 0Denominator = 1Percent = 0.00%Round = 0.00%At the SPROVID level, stable housing for SPROVID 59-7654321 is:Numerator = 2Denominator = 2Percent = 100.00%Round = 100.00%M0743 Percent of adults in forensic involvement who live in stable housing environment.This outcome is reported as a percent. Persons whose legal status at the start of the episode of care indicates forensic involvement;Release pending hearing-competentRelease pending hearing-ITPConditionally released-ITPReleased pending hearing – NGIConditionally released – NGIIncompetent to Proceed – Age 21+Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12 - Medical Services14 - Outpatient-Individual20 - Residential Level 321 - Residential Level 434 - FACT Teams35 - Outpatient-GroupExclude persons that received assessment only services unless the assessment was part of a competency to proceed to trial determination; 18 years of age or older;Most recent evaluation is periodic or discharge;Numerator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives 03 - Independent Living-with Non-Relatives 04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home11 - Nursing Home12 - Supported Housing17 – Limited Mental Health Assisted Living Facility (LM-ALF)Denominator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 – Adult Residential Treatment Facility09 - Homeless10 - Hospital11 - Nursing Home12 - Supported Housing13 - Correctional Facility15 - Crisis Residence 17 – Limited Mental Health Assisted Living Facility (LM-ALF)99 - Not Available or UnknownM0744 Percent of adults in mental health crisis who live in stable housing environment.This outcome is reported as a percent.Persons that do not meet criteria for having a severe and persistent mental illness or forensic involvement that received at least one CSU or Crisis Support service during the review period;Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12- Medical Services14 - Outpatient-Individual20 - Residential Level 321 - Residential Level 434- FACT Teams 35 - Outpatient-GroupExclude persons that received assessment only services unless the assessment was part of a competency to proceed to trial determination;18 years of age or older;Most recent evaluation is periodic or discharge;Numerator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home11 - Nursing Home12 - Supported Housing17 – Limited Mental Health Assisted Living Facility (LM-ALF)Denominator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home09 - Homeless10 - Hospital11 - Nursing Home12 - Supported Housing13 - Correctional Facility15 - Crisis Residence17 – Limited Mental Health Assisted Living Facility (LM-ALF)99 - Not Available or UnknownCHILDREN’S MENTAL HEALTHM0031 Number of SED children to be servedThis output is reported as a whole number.Children identified with severe emotional disturbance at the start of the episode of care;Received mental health services;Under 18 years of age at the time of admission;Distinct count at:ME level;Subcontractor level.M0032 Number of ED children to be servedChildren identified with emotional disturbance at the start of the episode of care;Received mental health services;18 years of age or younger;Distinct count at:ME level;Subcontractor level.M0033 Number of at-risk children to be servedChildren who do not meet criteria for emotional disturbance or severe emotional disturbance at the start of the episode of care; Received mental health services;Under 18 years of age at the time of admission;Distinct count at:ME level;Subcontractor level.M0377 Percent of children with emotional disturbances who improve their level of functioningChildren identified with emotional disturbance at the start of the episode of care;Received mental health services;Under 18 years of age at the time of admission;The Department’s tool for measuring functional level is the Children’s Functional Assessment Ratings Scale (CFARS);Must have two CFARS for comparison purposes;Current CFARS cannot be an admission CFARS.Prior CFARS cannot be a discharge CFARS.For each child per provider with a pair of CFARSSum together the scores on the 16 domains to arrive at a total CFARS scores for the current and for the prior CFARS.Subtract the current CFARS total score from the prior CFARS total scoreAssign a score of +1 to improved for each child if:Current score minus prior score is negative or Current total score less than 48 and danger to self and danger to others are both less than or equal to three;Else assign a score of 0 to improved for each child.Numerator = Count of all children where improved = 1;Denominator = Count of all children where improved =0 or 1;Round to nearest whole number.For example, ME1 has the following CFARS records:RECORDPROVIDSPROVIDSSNEVALUATION DATEPURPOSETOTAL SCORE159-123456759-765432112345678907/22/20131 – ADMISSION120259-123456759-765432112345678902/01/20142 – PERIODIC90359-123456759-222222201010101009/18/20131 – ADMISSION115459-123456759-555555595467302706/20/20133 – DISCHARGE80559-123456759-555555595467302708/10/20131 - ADMISSION95In the example above, only records 1 and 2 are valid pair of CFARS for comparison. Records 4 and 5 would not be valid as the current CFARS is an admission and the prior was a discharge.At the ME level, the percent of children with emotional disturbances who improve their level of functioning would be calculated as:Current Total Score (90) minus prior Total Score (120) = -30;Assign a score of +1 to improved for SSN 123456789;Numerator = count of records where improved = 1 (1);Denominator = count of records where improved = 1 or 0 (1);Percent = 100%Round = 100%M0378 Percent of children with serious emotional disturbances who improve their level of functioningChildren identified with serious emotional disturbance at the start of the episode of care; received mental health services;Under 18 years of age at the time of admission;Must have two CFARS for comparison purposes;Current CFARS cannot be an admission CFARS.Prior CFARS cannot be a discharge CFARS.For each child per provider with a pair of CFARSSum together the scores on the 16 domains to arrive at a total CFARS scores for the current and for the prior CFARS.Subtract the current CFARS total score from the prior CFARS total scoreAssign a score of +1 to improved for each child if:Current score minus prior score is negative or Current total score less than 48 and danger to self and danger to others are both less than or equal to three;Else assign a score of 0 to improved for each child.Numerator = Count of all children where improved = 1;Denominator = Count of all children where improved =0 or 1;Round to nearest whole number.For example, ME1 has the following CFARS records:RECORDPROVIDSPROVIDSSNEVALUATION DATEPURPOSETOTAL SCORE159-123456759-765432112345678907/22/20131 – ADMISSION120259-123456759-765432112345678902/01/20142 – PERIODIC90359-123456759-222222201010101009/18/20131 – ADMISSION115459-123456759-555555595467302706/20/20131 – ADMISSION80559-123456759-555555595467302708/10/20133 – DISCHARGE95In the example above, records 1 and 2 and 4 and 5 are valid pairs of CFARS for comparison. At the ME level, the percent of children with serious emotional disturbances who improve their level of functioning would be calculated as:For SSN 123456789, current Total Score (90) minus prior Total Score (120) = -30;For SSN 954673027, current Total Score (95) minus prior Total Score (80) = 15;Assign a score of +1 to improved for SSN 123456789;Assign a score of 0 to improved for SSN 954673027;Numerator = count of records where improved = 1 (1);Denominator = count of records where improved = 1 or 0 (2);Percent = 50%Round = 50%M0778 Percent of children with emotional disturbance (ED) who live in stable housing environmentThis outcome is reported as a percent. Children identified with an emotional disturbance at the start of the episode of care;Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay 12- Medical Services 14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 434- FACT Teams35 - Outpatient-GroupExclude persons that received assessment only services; Under 18 years of age at the time of admission;Most recent evaluation is periodic or discharge;Numerator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home11 - Nursing Home12 - Supported Housing17 – Limited Mental Health Assisted Living Facility (LM-ALF)Denominator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home09 – Homeless10 – State Mental Health Treatment Facility12 - Supported Housing14 – DJJ Facility15 - Crisis Residence16 - Children Residential Treatment Facility17 – Limited Mental Health Assisted Living Facility (LM-ALF) 99 - Not Available or UnknownM0779 Percent of children with serious emotional disturbance (SED) who live in stable housing environmentThis outcome is reported as a percent.Children identified with a serious emotional disturbance at the start of the episode of care;Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12 - Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupExclude persons that received assessment only services; Under 18 years of age at the time of admission;Most recent evaluation is periodic or discharge;Numerator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home11 - Nursing Home12 - Supported Housing17 – Limited Mental Health Assisted Living Facility (LM-ALF)Denominator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home09 – Homeless10 State Mental Health Treatment Facility12 - Supported Housing14 – DJJ Facility15 - Crisis Residence16 - Children Residential Treatment Facility17 – Limited Mental Health Assisted Living Facility (LM-ALF) 99 - Not Available or UnknownM0780 Percent of children at risk of emotional disturbance who live in stable housing environmentThis outcome is reported as a percent.Children that do not meet criteria for emotional disturbance or serious emotional disturbance at the start of the episode of care;Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12 - Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupUnder 18 years of age at the time of admission;Most recent evaluation is periodic or discharge; Numerator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home11 - Nursing Home12 - Supported Housing17 – Limited Mental Health Assisted Living Facility (LM-ALF)Denominator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home09 – Homeless10 – State Mental Health treatment Facility12 - Supported Housing14 – DJJ Facility15 - Crisis Residence16 - Children Residential Treatment Facility17 – Limited Mental Health Assisted Living Facility (LM-ALF)99 - Not Available or UnknownM0012 Percent of school days seriously emotionally disturbed (SED) children attended.This outcome is reported as a percent.Children identified with a serious emotional disturbance at the start of the episode of care;Received mental health treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12 - Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupExclude persons that received assessment only services;Under 18 years of age at the time of admission;Numerator = sum of school days attended for all children per provider;Denominator = sum of school days available for all children per provider;Round to nearest whole number.For example, ME1 has the following performance outcome records:PROVIDSPROVIDDAYS ATTENDEDDAYS AVAILABLE59-123456759-76543219012059-123456759-9999999606059-123456759-22222226090At the ME level, the percent of school days seriously emotionally disturbed (SED) children attended is:Numerator = (90 + 60 + 60) = 210Denominator = (120 + 60 + 90) = 270Percent = 77.77%Round to 78%.ADULT SUBSTANCE ABUSEM0755 Percent of adults who successfully complete substance abuse treatment services.This outcome is reported as a percent.Target population is persons with a diagnosed substance related disorder at the time of admission;Ages 18 and over;Must be discharged from an episode of careEligible discharge reasons limited to:01 - Completed Episode of Care - no substance abuse13 - Referred outside of agency - episode of care completedReceived substance abuse treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12 - Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupFrequency of primary, secondary and tertiary substance use is no use within prior 30 days.Numerator = all persons that received eligible substance abuse treatment services that were discharged with no substance use in the prior 30 days who were deemed to have completed their episode of care.Denominator = all persons that received eligible substance abuse treatment services that were discharged with any of the following codes;1 - Completed Episode of Care – no substance abuse2 - Completed Episode of Care – some substance use (some impairment) 6 - Non-compliant with agency’s rules7 - Left before completing treatment (involuntary)8 - Incarcerated9 – Died13 - Referred outside of agency – episode of care completed14 - Referred outside of agency – episode of care not completed15 - Left before completing treatment (voluntary)16 – Administrative Discharge (Agency initiated)17 – Agency Closed with no ReferralFor example, ME1 has the following performance outcome records:PROVIDSPROVIDSSNDISCHARGE REASONSERVICESUSE IN PRIOR 30 DAYS?59-123456759-765432112345678901 - Completed Episode of Care 18 - RESIDENTIAL LEVEL 1NO59-123456759-765432198765432106 - Non-compliant with agency's rules35 - OUTPATIENT GROUPYES59-123456759-222222201020304010 - Completed non-treatment service 24 - DETOXIFICATIONNOAt the ME level, the percent of adults who successfully complete substance abuse treatment services is:Numerator = 1 (SSN 123456789)Denominator = 2 (do not count detoxification)Percent = 50.00%Round to 50.00%M0063 Number of adults that receive substance related servicesThis output is reported as a percent.Target population is persons with a diagnosed substance related disorder;18 years of age or older;Distinct count at:ME level;Subcontractor level.M0756 Percent of adults with substance abuse who live in a stable housing environment at the time of discharge.This outcome is reported as a percent.Target population is persons with a diagnosed substance related disorder;18 years of age or older;Must be discharged from the episode of care;Received substance abuse treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12 - Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupNumerator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home11 - Nursing Home12 - Supported Housing17 – Limited Mental Health Assisted Living Facility (LM-ALF) Denominator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home09 - Homeless10 - Hospital11 - Nursing Home12 - Supported Housing13 – Correctional Facility15 - Crisis Residence17 – Limited Mental Health Assisted Living Facility (LM-ALF)99 - Not Available or UnknownM0753 Percentage change in clients who are employed from admission to discharge.This outcome is reported as a percent.Target population is persons with a diagnosed substance related disorder;18 years of age or older;Must be discharged from the episode of care;Ages 18 to 62;Received substance abuse treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12- Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupFor each person that received substance abuse treatment services:Compare discharge employment status to admission employment status.Assign a value of +1 to employed for each person where the discharge employment status includes any of the following:10 - Active military, overseas20 - Active military, USA30 - Full Time31 - Unpaid Family Workers (minimum of 15 hours worked for family business)40 - Part Time50 - Leave of AbsenceELSE assign a value of 0.Assign a value of +1 to employed for each person where the admission employment status includes any of the following:10 - Active military, overseas20 - Active military, USA30 - Full Time31 - Unpaid Family Workers (minimum of 15 hours worked for family business)40 - Part Time50 - Leave of AbsenceELSE assign a value of 0.For each person, calculate a change value. If the discharge employed value is greater than or equal to the admission value, assign a score of +1. If the discharged employed value is less than the admission value, assign a score of -1. Else assign a 0.At the ME level, percentage change in clients who are employed from admission to discharge is calculated as the sum of the change values divided by the total number of clients.M0754 Percent change in the number of adults arrested 30 days prior to admission versus 30 days prior to discharge.This outcome is reported as a percent. A negative percent is good as it indicates that fewer people were arrested at time 2 relative to time 1.Target population is persons with a diagnosed substance related disorder;18 years of age or older;Received substance abuse treatment services; Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12- Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupMust be discharged from the episode of care;For each person that received substance abuse treatment services:Compare discharge arrest status to admission arrest status.Count each person arrested 30 days prior to discharge as CURRENT_ARRESTS Count each person arrested 30 days prior to admission as PRIOR_ARRESTSCount all persons as TOTALCalculate the percent change as:(CURRENT_ARRESTS – PRIOR_ARRESTS/PRIOR_ARRESTSRound to nearest whole number.CHILDREN’S SUBSTANCE ABUSEM0052 Number of children that receive substance related services.This output is reported as a number.Target population is children with a diagnosed substance related disorder;17 years of age or younger at time of admission;Distinct count at:ME level;Subcontractor level.M0725 Percent of children who successfully complete substance abuse treatment services.This outcome is reported as a percent.Target population is children with a diagnosed substance related disorder;Must be discharged from an episode of care;Eligible discharge reasons limited to:01 - Completed Episode of Care - no substance abuse13 - Referred outside of agency-episode of care completedReceived substance abuse treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12 - Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupFrequency of primary, secondary and tertiary substance use is no use within prior 30 days.Numerator = all persons that received eligible substance abuse treatment services that were discharged with no substance use in the prior 30 days who were deemed to have completed their episode of care.Denominator = all persons that received eligible substance abuse treatment services that were discharged with any of the following codes:1 - Completed Episode of Care – no substance abuse2 - Completed Episode of Care – some substance use (some impairment)6 - Non-compliant with agency’s rules7 - Left before completing treatment (involuntary)8 - Incarcerated9 - Died13 - Referred outside of agency – episode of care completed14 - Referred outside of agency – episode of care not completed15 - Left before completing treatment (voluntary16 – Administrative Discharge (Agency initiated)17 – Agency Closed with no ReferralM0751 Percent change in the number of children arrested 30 days prior to admission versus 30 days prior to discharge.This outcome is reported as a percent.Target population is persons with a diagnosed substance related disorder;17 years of age or younger at time of admission;Received substance abuse treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12- Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupMust be discharged from the episode of care;For each person that received substance abuse treatment services:Compare discharge arrest status to admission arrest status.Count each person arrested 30 days prior to discharge as CURRENT_ARRESTSCount each person arrested 30 days prior to admission as PRIOR_ARRESTSCount all persons as TOTALCalculate the percent change as:(CURRENT_ARRESTS – PRIOR_ARRESTS)/ PRIOR_ARRESTSRound to nearest whole number.M0752 Percent of children with substance abuse who live in a stable housing environment at the time of discharge.This outcome is reported as a percent.Target population is children with a diagnosed substance related disorder;17 years of age or younger at time of admission;Received substance abuse treatment services;Eligible services limited to:06 - Day / Night08 - In-Home and On-Site Services Overlay12- Medical Services14 - Outpatient-Individual18 - Residential Level 119 - Residential Level 220 - Residential Level 321 - Residential Level 435 - Outpatient-GroupMust be discharged from the episode of care;Numerator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home11 - Nursing Home12 - Supported Housing16 - Children Residential Treatment Facility17 – Limited Mental Health Assisted Living Facility (LM-ALF)Denominator = distinct count of persons where residential status includes any of the following:01 - Independent Living-alone02 - Independent Living-with Relatives03 - Independent Living-with Non-Relatives04 - Dependent Living-with Relatives05 - Dependent Living-with Non-Relatives06 - Assisted Living Facility (ALF)07 - Foster Care/Home08 - Group Home09 - Homeless10 - Hospital11 - Nursing Home12 - Supported Housing15 - Crisis Residence16 - Children Residential Treatment Facility17 – Limited Mental Health Assisted Living Facility (LM-ALF) ................
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