Using PSYCKES for DSRIP

Provider Partners

We will begin shortly

To hear the webinar, click “Call Me” in the Audio Connection box and enter

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Erica Van De Wal-Ward Samantha Phillips

PSYCKES Implementation Team Department of Health

February 2017 Robin Kerner, PhD, PCMH CCE

Public Consulting Group

Q&A via WebEx

All phone lines are muted

Access “Q&A” box in WebEx menu at the right of

your screen; if you expanded the view of the

webinar to full screen, hover cursor over green bar

at top of screen to see menu

Type questions using the “Q&A” feature

–Submit to “all panelists” (default)

–Please do not use Chat function for Q&A

Slides will be emailed to attendees after the webinar

Agenda

PSYCKES Overview

DSRIP-Related Quality Indicators in PSYCKES

Access to Client-Level Data

PSYCKES Demonstration:

– My QI Report

– Recipient Search

– Clinical Summary

Keys for Successful Implementation

Access, Training & Support

What is PSYCKES?

A secure, HIPAA-compliant web-based platform for

sharing Medicaid claims and encounter data and

other state administrative data

Designed to support clinical decision-making and

quality improvement

Ongoing data updates

Data & Reports Available in PSYCKES 6 million Medicaid enrollees, currently or historically, in the

Behavioral Health population (BH service/diagnosis/medication)

Clinical Summary provides up to 5 years of data for NYS Medicaid enrollees, including FFS and managed care

– All Medicaid-reimbursable services for which a claim was submitted and paid, across treatment settings

– Information from “real time” state administrative databases

Quality Indicator reports summarize the proportion of individuals with active quality concern

– My QI Report allows provider agencies to drill-down to list of recipients who meet criteria for quality concerns (actionable data)

– Reports can be filtered by program type, MC Plan, region, age group

Recipient Search is used to perform flexible searches on populations of interest

Quality Indicators “Flags”

PSYCKES identifies clients flagged for quality

concern in order to inform the treating provider and

to support clinical review and quality improvement

When a client has a quality flag, the provider is

allowed access to that individual’s Clinical Summary

DSRIP-Related Indicators in PSYCKES Medication-Related

– Low Adherence to Antipsychotic by those with Schizophrenia

– Inadequate Duration of Antidepressant by those with MDD

Acute Care Utilization

–High utilization of inpatient or ER for behavioral health, medical, or any cause in past 12 months

–Preventable Hospitalization for Asthma, Diabetes, Dehydration

–Readmission within 30 days for behavioral health, medical or any cause

General Health

–Diabetes Monitoring for people with diabetes and schizophrenia

–Diabetes Screening for people with schizophrenia or bipolar on Antipsychotic

PSYCKES Use Cases: PPS

1. Statewide Reports: Identify prevalence rates of quality indicators among partner networks

2. My QI Reports: Drill down into a specific partner to see full picture of prevalence rates for all quality indicators

3. Communicate with partners on actionable information

PSYCKES Use Cases: Providers

1. Support Quality Improvement Projects

- Use My QI Reports to obtain list of clients with active quality

concerns where action now may impact performance

- QI reports link to individual client Clinical Summary to support clinical review and treatment planning to address quality flag

2. Clinical Review and Decision-Making

- Look up individual Clinical Summaries of past 5 years of

treatment, across settings and over time, including medical and

behavioral health services, Health Home, ACT Team, and AOT

- Intake, evaluation, risk-assessment, and treatment planning for

clients presenting to any provider

- Case review by quality managers

3. Identify cohorts of interest (e.g., AOT, Medical Services)

Access to Client-Level

Data

Access to Client Data in PSYCKES

Clients are assigned to an agency/hospital in one of

two ways:

Automatically: Client had a billed service at the

agency/hospital within the past 9 months

Manually:

–Signed consent

–Emergency (72 hours)

– Attest client is served by / being transferred to agency

prior to billing and/or signed consent

Access to Client Data Without Consent

Certain data provided without consent...

–Positive for any quality concern flagged in PSYCKES

–At least one billed service anywhere in agency/hospital in past 9 months

Rationale: monitor quality and safety of Medicaid program

Does not include Protected Health Information (PHI) with

special protections

–Substance use information/treatment

–HIV

–Genetic testing

–Reproductive / family planning

Access to Client Data With Consent / Clinical Emergency

Expanded access

–New clients who have not yet been linked to agency/hospital through Medicaid billing can be viewed with consent

–Clients who do not have quality flags can be viewed with consent

–Includes information with special protections (substance use, HIV, genetic testing, family planning)

Access to client-level data

–With consent (3 years)

–In clinical emergencies (limited duration, 72 hours)

PSYCKES Demo:

My QI Report

My QI Report: Example Provider Partner

Click “Modify Filter” to select specific program type of interest within organization, for example MH Clinic

Modify Filter page in My QI Report Select a particular program type, for example, Clinic MH All and click “Submit”

Select desired quality indicator set

Select desired sub-indicator

Select desired quality indicator set

Select desired sub-indicator

Action: Review List of Flagged Recipients

Click on recipient name to go to Clinical Summary

QI Reports can be exported to PDF or Excel

PSYCKES Demo:

Recipient Search

Recipient Search: Flexible Population Searches

Main Street Behavioral Health Center

Search by HARP, AOT, or Managed Care Status

Search by Medical and/or BH Diagnosis

Search by Service Type & Number of Visits

Main Street Behavioral Health Center

Main Street BH Center

Search results can be exported to PDF or Excel.

Click on a recipient name to review Clinical Summary

Clinical Summary: Up to 5 years of data across settings

Diagnoses: BH & Medical, Primary and Secondary

Select diagnosis to view related service invoices

Diagnoses: BH & Medical, Primary and Secondary

Integrated View of Services Over Time

Medications Picked up: Psychotropic & Medical

Outpatient Services: BH & Medical

Inpatient & ER Services: Across treatment settings

Dental, Vision, Residential, Lab & Pathology, Radiology

New in PSYCKES

New PSYCKES Features

Suicide Attempt, Suicidal Ideation & Self-Harm Alerts

Upload Care Plans and attach to Clinical Summary (e.g., Safety Plan, Psychiatric Advanced Directive)

PSYCKES Mobile Application for iPhones & iPads

–Look up client to view Clinical Summary while in the field

–Testing in progress

New Quality Indicator Coming Soon

–BH QARR Performance Tracking Measures, such as: • No Follow Up after MH Inpatient (7 Days, 30 Days)

• No Child ADHD Medication Follow Up (Initiation, Continuation)

–Calculated by DOH monthly after 6 month data maturation period

Successful PSYCKES

Implementation

Keys to Successful Implementation

Champion gives strong message supporting PSYCKES use

Plan

– Complete documents for PSYCKES access

– Establish PSYCKES workgroup

– Determine PSYCKES use cases

Prepare

– Develop plan to integrate PSYCKES into routine workflow

– Grant users access to PSYCKES

– Prepare computers

– Train designated staff

Put into Use

– Put PSYCKES and established procedures into practice

Sustain

– Develop a plan to sustain practices

Access, Training &

Support

PSYCKES Website: www.psyckes.org

http:www.psyckes.org

PSYCKES Access PSYCKES access is turned on at the agency/hospital level

The following provider agencies/hospitals are eligible for PSYCKES access:

Agencies/hospitals with an OMH-licensed program or an OASAS-licensed program

Federally Qualified Health Centers (FQHCs)

If provider agency/hospital already has PSYCKES access, security manager can grant access to additional staff

User ID and security token emailed within one to two weeks

Contact PSYCKES-Help@omh.ny.gov if you need to find out your security manager

If provider agency/hospital does not have PSYCKES access, you can apply for access by contacting PSYCKES-Help@omh.ny.gov

mailto:Help@omh.ny.govmailto:PSYCKES-Help@omh.ny.gov

PSYCKES Support

PPS: How to best utilize QI reports from

PSYCKES to support DSRIP

PSYCKES Help: Access & technical support

- 9:00AM – 5:00PM, Monday – Friday

- PSYCKES-help@omh.ny.gov

ITS Help Desk: Login & SMS support

- Non-state employees: healthhelp@its.ny.gov

- State employees: fixit@its.ny.gov

mailto:fixit@its.ny.govmailto:healthhelp@its.ny.govmailto:PSYCKES-help@omh.ny.gov

Structure BookmarksUsing PSYCKES for DSRIP Provider Partners Using PSYCKES for DSRIP Provider Partners Using PSYCKES for DSRIP Provider Partners We will begin shortly To hear the webinar, click “Call Me” in the Audio Connection box and enter your phone number -the WebEx system will call your phone If you do not see the Audio Connection box, go to the top of your WebEx screen, click “Communicate” > “Audio Connection” > “Join Teleconference” Erica Van De Wal-Ward Samantha Phillips PSYCKES Implementation Team Department of Health February 2017 Robin Kerner, PhD, PCMH CCE Public Consulting Group Q&A via WebEx. Q&A via WebEx. All phone lines are muted Access “Q&A” box in WebEx menu at the right of your screen; if you expanded the view of the webinar to full screen, hover cursor over green bar at top of screen to see menu Type questions using the “Q&A” feature –..Submit to “all panelists” (default) –..Please do not use Chat function for Q&A Slides will be emailed to attendees after the webinar. Agenda. PSYCKES Overview DSRIP-Related Quality Indicators in PSYCKES Access to Client-Level Data PSYCKES Demonstration: – My QI Report – Recipient Search – Clinical Summary Keys for Successful Implementation Access, Training & Support PSYCKES Overview DSRIP-Related Quality Indicators in PSYCKES Access to Client-Level Data PSYCKES Demonstration: – My QI Report – Recipient Search – Clinical Summary Keys for Successful Implementation Access, Training & Support PSYCKES Overview DSRIP-Related Quality Indicators in PSYCKES Access to Client-Level Data PSYCKES Demonstration: – My QI Report – Recipient Search – Clinical Summary Keys for Successful Implementation Access, Training & Support PSYCKES Overview DSRIP-Related Quality Indicators in PSYCKES Access to Client-Level Data PSYCKES Demonstration: – My QI Report – Recipient Search – Clinical Summary Keys for Successful Implementation Access, Training & Support

What is PSYCKES? What is PSYCKES? A secure, HIPAA-compliant web-based platform for sharing Medicaid claims and encounter data and other state administrative data Designed to support clinical decision-making and quality improvement Ongoing data updates Data & Reports Available in PSYCKES. 6 million Medicaid enrollees, currently or historically, in the Behavioral Health population (BH service/diagnosis/medication) Clinical Summary provides up to 5 years of data for NYS Medicaid enrollees, including FFS and managed care –..All Medicaid-reimbursable services for which a claim was submitted and paid, across treatment settings –..Information from “real time” state administrative databases Quality Indicator reports summarize the proportion of individuals with active quality concern –.6 million Medicaid enrollees, currently or historically, in the Behavioral Health population (BH service/diagnosis/medication) Clinical Summary provides up to 5 years of data for NYS Medicaid enrollees, including FFS and managed care –..All Medicaid-reimbursable services for which a claim was submitted and paid, across treatment settings –..Information from “real time” state administrative databases Quality Indicator reports summarize the proportion of individuals with active quality concern –.6 million Medicaid enrollees, currently or historically, in the Behavioral Health population (BH service/diagnosis/medication) Clinical Summary provides up to 5 years of data for NYS Medicaid enrollees, including FFS and managed care –..All Medicaid-reimbursable services for which a claim was submitted and paid, across treatment settings –..Information from “real time” state administrative databases Quality Indicator reports summarize the proportion of individuals with active quality concern –.6 million Medicaid enrollees, currently or historically, in the Behavioral Health population (BH service/diagnosis/medication) Clinical Summary provides up to 5 years of data for NYS Medicaid enrollees, including FFS and managed care –..All Medicaid-reimbursable services for which a claim was submitted and paid, across treatment settings –..Information from “real time” state administrative databases Quality Indicator reports summarize the proportion of individuals with active quality concern –.

populations of interest

Quality Indicators Quality Indicators “Flags” PSYCKES identifies clients flagged for quality concern in order to inform the treating provider and to support clinical review and quality improvement When a client has a quality flag, the provider is allowed access to that individual’s Clinical Summary “Flags” PSYCKES identifies clients flagged for quality concern in order to inform the treating provider and to support clinical review and quality improvement When a client has a quality flag, the provider is allowed access to that individual’s Clinical Summary

DSRIP-Related Indicators in PSYCKES. DSRIP-Related Indicators in PSYCKES. Medication-Related – Low Adherence to Antipsychotic by those with Schizophrenia – Inadequate Duration of Antidepressant by those with MDD Acute Care Utilization –..High utilization of inpatient or ER for behavioral health, medical, or any cause in past 12 months –..Preventable Hospitalization for Asthma, Diabetes, Dehydration –..Readmission within 30 days for behavioral health, medical or any cause General Health –..Diabetes Monitoring for people with diabetes and schizophrenia Medication-Related – Low Adherence to Antipsychotic by those with Schizophrenia – Inadequate Duration of Antidepressant by those with MDD Acute Care Utilization –..High utilization of inpatient or ER for behavioral health, medical, or any cause in past 12 months –..Preventable Hospitalization for Asthma, Diabetes, Dehydration –..Readmission within 30 days for behavioral health, medical or any cause General Health –..Diabetes Monitoring for people with diabetes and schizophrenia –..Diabetes Screening for people with schizophrenia or bipolar on Antipsychotic

PSYCKES Use Cases: PPS. PSYCKES Use Cases: PPS. 1.. Statewide Reports: Identify prevalence rates of quality indicators among partner networks 2.. My QI Reports: Drill down into a specific partner to see full picture of prevalence rates for all quality indicators 3.. Communicate with partners on actionable information PSYCKES Use Cases: Providers 1. Support Quality Improvement Projects -Use My QI Reports to obtain list of clients with active quality concerns where action now may impact performance -.QI reports link to individual client Clinical Summary to support clinical review and treatment planning to address quality flag 2. Clinical Review and Decision-Making -Look up individual Clinical Summaries of past 5 years of treatment, across settings and over time, including medical and behavioral health services, Health Home, ACT Team, and AOAccess to Client-Level Data

Access to Client Data in PSYCKES Access to Client Data in PSYCKES Clients are assigned to an agency/hospital in one of two ways: Automatically: Client had a billed service at the agency/hospital within the past 9 months Manually: –..Signed consent –..Emergency (72 hours) – Attest client is served by / being transferred to agency prior to billing and/or signed consent Access to Client Data. Without Consent Access to Client Data. Without Consent Certain data provided without consent... –..Positive for any quality concern flagged in PSYCKES –..At least one billed service anywhere in agency/hospital in past 9 months Rationale: monitor quality and safety of Medicaid program. Does not include Protected Health Information (PHI) with special protections –..Substance use information/treatment –..HIV –..Genetic testing –..Reproductive / family planning Certain data provided without consent... –..Positive for any quality concern flagged in PSYCKES –..At least one billed service anywhere in agency/hospital in past 9 months Rationale: monitor quality and safety of Medicaid program. Does not include Protected Health Information (PHI) with special protections –..Substance use information/treatment –..HIV –..Genetic testing –..Reproductive / family planning

Access to Client Data With Consent / Clinical Emergency Access to Client Data With Consent / Clinical Emergency Expanded access –..New clients who have not yet been linked to agency/hospital through Medicaid billing can be viewed with consent –..Clients who do not have quality flags can be viewed with consent –..Includes information with special protections (substance use, HIV, genetic testing, family planning) Access to client-level data –..With consent (3 years) –..In clinical emergencies (limited duration, 72 hours) Expanded access –..New clients who have not yet been linked to agency/hospital through Medicaid billing can be viewed with consent –..Clients who do not have quality flags can be viewed with consent –..Includes information with special protections (substance use, HIV, genetic testing, family planning) Access to client-level data –..With consent (3 years) –..In clinical emergencies (limited duration, 72 hours)

PSYCKES Demo: My QI Report My QI Report: Example Provider Partner. My QI Report: Example Provider Partner. FigureClick “Modify Filter” to select specific program type of interest within organization, for example MH Clinic

Modify Filter page in My QI Report. Modify Filter page in My QI Report. Select a particular program type, for example, Clinic MH All and click “Submit” Select desired quality indicator set Select desired sub-indicator Select desired quality indicator set Select desired sub-indicator Action: Review List of Flagged Recipients. Action: Review List of Flagged Recipients. Click on recipient name to go to Clinical Summary QI Reports can be exported to PDF or Excel PSYCKES Demo: Recipient Search

Recipient Search: Flexible Population Searches. Recipient Search: Flexible Population Searches. Main Street Behavioral Health Center

Search by HARP, AOT, or Managed Care Status. Search by HARP, AOT, or Managed Care Status. Figure

Search by Medical and/or BH Diagnosis. Search by Medical and/or BH Diagnosis. Figure

Search by Service Type & Number of Visits. Search by Service Type & Number of Visits. Main Street Behavioral Health Center Main Street BH Center Search results can be exported to PDF or Excel. Click on a recipient name to review Clinical Summary Clinical Summary: Up to 5 years of data across settings. FigureDiagnoses: BH & Medical, Primary and Secondary. Select diagnosis to view related service invoices Diagnoses: BH & Medical, Primary and Secondary. FigureIntegrated View of Services Over Time. FigureMedications Picked up: Psychotropic & Medical. FigureOutpatient Services: BH & Medical. FigureInpatient & ER Services: Across treatment settings. FigureDental, Vision, Residential, Lab & Pathology, Radiology. FigureNew in PSYCKES

New PSYCKES Features .New PSYCKES Features .Suicide Attempt, Suicidal Ideation & Self-Harm Alerts Upload Care Plans and attach to Clinical Summary (e.g., Safety Plan, Psychiatric Advanced Directive) PSYCKES Mobile Application for iPhones & iPads –..Look up client to view Clinical Summary while in the field –..Testing in progress New Quality Indicator Coming Soon –..BH QARR Performance Tracking Measures, such as: • No Follow Up after MH Inpatient (7 Days, 30 Days) • No Child ADHD Medication Follow Up (Initiation, Continuation) –..CaSuicide Attempt, Suicidal Ideation & Self-Harm Alerts Upload Care Plans and attach to Clinical Summary (e.g., Safety Plan, Psychiatric Advanced Directive) PSYCKES Mobile Application for iPhones & iPads –..Look up client to view Clinical Summary while in the field –..Testing in progress New Quality Indicator Coming Soon –..BH QARR Performance Tracking Measures, such as: • No Follow Up after MH Inpatient (7 Days, 30 Days) • No Child ADHD Medication Follow Up (Initiation, Continuation) –..CaSuicide Attempt, Suicidal Ideation & Self-Harm Alerts Upload Care Plans and attach to Clinical Summary (e.g., Safety Plan, Psychiatric Advanced Directive) PSYCKES Mobile Application for iPhones & iPads –..Look up client to view Clinical Summary while in the field –..Testing in progress New Quality Indicator Coming Soon –..BH QARR Performance Tracking Measures, such as: • No Follow Up after MH Inpatient (7 Days, 30 Days) • No Child ADHD Medication Follow Up (Initiation, Continuation) –..CaSuicide Attempt, Suicidal Ideation & Self-Harm Alerts Upload Care Plans and attach to Clinical Summary (e.g., Safety Plan, Psychiatric Advanced Directive) PSYCKES Mobile Application for iPhones & iPads –..Look up client to view Clinical Summary while in the field –..Testing in progress New Quality Indicator Coming Soon –..BH QARR Performance Tracking Measures, such as: • No Follow Up after MH Inpatient (7 Days, 30 Days) • No Child ADHD Medication Follow Up (Initiation, Continuation) –..Ca

Successful PSYCKES Implementation

Keys to Successful Implementation. Keys to Successful Implementation. Champion gives strong message supporting PSYCKES use Plan – Complete documents for PSYCKES access – Establish PSYCKES workgroup – Determine PSYCKES use cases Prepare – Develop plan to integrate PSYCKES into routine workflow – Grant users access to PSYCKES – Prepare computers – Train designated staff Put into Use – Put PSYCKES and established procedures into practice Sustain – Develop a plan to sustain practices Champion gives strong message supporting PSYCKES use Plan – Complete documents for PSYCKES access – Establish PSYCKES workgroup – Determine PSYCKES use cases Prepare – Develop plan to integrate PSYCKES into routine workflow – Grant users access to PSYCKES – Prepare computers – Train designated staff Put into Use – Put PSYCKES and established procedures into practice Sustain – Develop a plan to sustain practices Champion gives strong message supporting PSYCKES use Plan – Complete documents for PSYCKES access – Establish PSYCKES workgroup – Determine PSYCKES use cases Prepare – Develop plan to integrate PSYCKES into routine workflow – Grant users access to PSYCKES – Prepare computers – Train designated staff Put into Use – Put PSYCKES and established procedures into practice Sustain – Develop a plan to sustain practices Champion gives strong message supporting PSYCKES use Plan – Complete documents for PSYCKES access – Establish PSYCKES workgroup – Determine PSYCKES use cases Prepare – Develop plan to integrate PSYCKES into routine workflow – Grant users access to PSYCKES – Prepare computers – Train designated staff Put into Use – Put PSYCKES and established procedures into practice Sustain – Develop a plan to sustain practices

Access, Training & Support PSYCKES Website: www.psyckes.org. PSYCKES Website: www.psyckes.org. PSYCKES Website: www.psyckes.org.

Figure

PSYCKES Access. PSYCKES Access. PSYCKES access is turned on at the agency/hospital level The following provider agencies/hospitals are eligible for PSYCKES access: Agencies/hospitals with an OMH-licensed program or an OASAS-licensed program Federally Qualified Health Centers (FQHCs) If provider agency/hospital already has PSYCKES access, security manager can grant access to additional staff User ID and security token emailed within one to two weeks Contact PSYCKES-Help@omh.ny.gov if you need to find out your security PSYCKES access is turned on at the agency/hospital level The following provider agencies/hospitals are eligible for PSYCKES access: Agencies/hospitals with an OMH-licensed program or an OASAS-licensed program Federally Qualified Health Centers (FQHCs) If provider agency/hospital already has PSYCKES access, security manager can grant access to additional staff User ID and security token emailed within one to two weeks Contact PSYCKES-Help@omh.ny.gov if you need to find out your security PSYCKES access is turned on at the agency/hospital level The following provider agencies/hospitals are eligible for PSYCKES access: Agencies/hospitals with an OMH-licensed program or an OASAS-licensed program Federally Qualified Health Centers (FQHCs) If provider agency/hospital already has PSYCKES access, security manager can grant access to additional staff User ID and security token emailed within one to two weeks Contact PSYCKES-Help@omh.ny.gov if you need to find out your security PSYCKES access is turned on at the agency/hospital level The following provider agencies/hospitals are eligible for PSYCKES access: Agencies/hospitals with an OMH-licensed program or an OASAS-licensed program Federally Qualified Health Centers (FQHCs) If provider agency/hospital already has PSYCKES access, security manager can grant access to additional staff User ID and security token emailed within one to two weeks Contact PSYCKES-Help@omh.ny.gov if you need to find out your security

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PSYCKES Support PSYCKES Support PPS: How to best utilize QI reports from .PSYCKES to support DSRIP . PSYCKES Help: Access & technical support. -9:00AM – 5:00PM, Monday – Friday -PSYCKES-help@omh.ny.gov ITS Help Desk: Login & SMS support -Non-state employees: healthhelp@its.ny.gov -State employees: fixit@its.ny.gov PPS: How to best utilize QI reports from .PSYCKES to support DSRIP . PSYCKES Help: Access & technical support. -9:00AM – 5:00PM, Monday – Friday -PSYCKES-help@omh.ny.gov ITS Help Desk: Login & SMS support -Non-state employees: healthhelp@its.ny.gov -State employees: fixit@its.ny.gov PPS: How to best utilize QI reports from .PSYCKES to support DSRIP . PSYCKES Help: Access & technical support. -9:00AM – 5:00PM, Monday – Friday -PSYCKES-help@omh.ny.gov ITS Help Desk: Login & SMS support -Non-state employees: healthhelp@its.ny.gov -State employees: fixit@its.ny.gov PPS: How to best utilize QI reports from .PSYCKES to support DSRIP . PSYCKES Help: Access & technical support. -9:00AM – 5:00PM, Monday – Friday -PSYCKES-help@omh.ny.gov ITS Help Desk: Login & SMS support -Non-state employees: healthhelp@its.ny.gov -State employees: fixit@its.ny.gov

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