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Project Information

ACCELERATING UTILIZATION OF CE FINDINGS IN MEDICAID MENTAL HEALTH

Agency:
AHRQ

HHS/Agency for Healthcare Research and Quality

Project Number:
1R18HS019937-01
Contact PI / Project Leader:
CRYSTAL, STEPHEN
Awardee Organization:
RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK

Description

Abstract Text:
DESCRIPTION (provided by applicant): State Medicaid programs play a central role in the provision of mental health services in the U.S., particularly for lower-income youth and adults with severe mental illness, whose mental health treatment is often sub- optimal and varies widely, often without apparent clinical rationale. Building on an existing network partnership, the Network for Evidence Based Treatment (NET) will bring together seven state Medicaid programs accounting for 33% of Medicaid enrollment nationally, together with experts from the Rutgers-Columbia mental health CERTs and other partners, into a consortium that will implement an innovative, multi-component initiative to increase the utilization of evidence-based clinical and delivery system practices in the provision of mental health treatment for beneficiaries of state Medicaid programs. Ten specific clinical target areas have been identified for measurement and intervention based on CE evidence: mental health drug polypharmacy; management of metabolic risks of antipsychotics; antipsychotic utilization for children under age six; higher than recommended doses of antipsychotics; utilization of appropriate mental health services as a complement or alternative to psychotropic treatments; consistency between diagnoses and treatments; geographical, provider, racial/ethnic, and other treatment lacking clinical rationale; improvement of treatment adherence for adults with severe mental illness; identification and prediction of high risk/high utilization beneficiaries and targeting of services to these subpopulations; safe and effective psychotropic and mental health services use by foster care youth. The NET will improve treatment practices in these clinical target areas by implementing highly effective organizational practices including the systematic utilization of administrative and clinical data to monitor and guide policy, systematic provision of provider feedback, multi-state networking to support transfer of successful innovations across states, and creation of multi-agency, multi-stakeholder quality collaboratives within states in order to implement an innovative multi-state, multi-faceted, data-driven CQI program in each state. We will put into place in collaborating states an integrated system of quality improvement tools including baseline and follow-up state profiles of use to identify and track variation in treatment patterns; implementation and systematic use of a set of quality metrics and a system of provider feedback utilizing the metrics; and development of a multi-stakeholder quality collaborative, a state quality improvement plan, and a continuous quality improvement process in each state. Results will be evaluated and disseminated nationally. The potential impact of the NET is enormous given Medicaid's central role in financing mental health care, and the large number of beneficiaries affected. PUBLIC HEALTH RELEVANCE: State Medicaid programs play a central role in the provision of mental health services in the U.S., particularly for lower-income youth and adults with severe mental illness, whose mental health treatment is often sub- optimal and varies widely, often without apparent clinical rationale. Building on an existing network partnership, the Network for Evidence Based Treatment (NET) will bring together seven state Medicaid programs accounting for 33% of Medicaid enrollment nationally, together with experts from the Rutgers-Columbia mental health CERTs and other partners, into a consortium that will implement an innovative, multi-component initiative to increase the utilization of evidence-based clinical and delivery system practices in the provision of mental health treatment for beneficiaries of state Medicaid programs. We will put into place in collaborating states an integrated system of quality improvement tools including baseline and follow-up state profiles of use to identify and track variation in treatment patterns; implementation and systematic use of a set of quality metrics and a system of provider feedback utilizing the metrics; and development of a multi-stakeholder quality collaborative, a state quality improvement plan, and a continuous quality improvement process in each state. Results will be evaluated and disseminated nationally; the potential impact is extremely large given the large number of beneficiaries affected.
Project Terms:
Accounting; Adult; Affect; Age; Antipsychotic Agents; Area; base; beneficiary; Child; Clinical; Clinical Data; Complement; Data; Development; Diagnosis; Dose; Enrollment; evidence base; Evidence based treatment; Feedback; follow-up; foster care; Healthcare; high risk; improved; innovation; Intervention; Low income; Measurement; Medicaid; Mental Health; Mental Health Services; Metabolic; Metric; Monitor; Pattern; Pharmaceutical Preparations; Play; Policies; Polypharmacy; Process; programs; Provider; public health relevance; racial and ethnic; Risk; Role; Services; severe mental illness; System; tool; treatment adherence; Variant; young adult; Youth

Details

Contact PI / Project Leader Information:
Name:  CRYSTAL, STEPHEN
Other PI Information:
Not Applicable
Awardee Organization:
Name:  RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK
City:  PISCATAWAY    
Country:  UNITED STATES
Congressional District:
State Code:  NJ
District:  06
Other Information:
Fiscal Year: 2010
Award Notice Date: 28-Sep-2010
DUNS Number: 001912864
Project Start Date: 30-Sep-2010
Budget Start Date: 30-Sep-2010
CFDA Code: 715
Project End Date: 29-Sep-2013
Budget End Date: 29-Sep-2013
Agency: ?

Agency: The entity responsible for the administering of a research grant, project, or contract. This may represent a federal department, agency, or sub-agency (institute or center). Details on agencies in Federal RePORTER can be found in the FAQ page.

HHS/Agency for Healthcare Research and Quality
Project Funding Information for 2010:
Year Agency

Agency: The entity responsible for the administering of a research grant, project, or contract. This may represent a federal department, agency, or sub-agency (institute or center). Details on agencies in Federal RePORTER can be found in the FAQ page.

FY Total Cost
2010 AHRQ

HHS/Agency for Healthcare Research and Quality

$4,927,837

Results

i

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