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Howard Brown Health Mental Health Quality Improvement Presentation - PowerPoint PPT Presentation

Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision Kelly Ducheny Senior Director Behavioral Health Services (BHS) Sandra C. Candelaria Corts- Quality Improvement Coordinator Howard


  1. Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision Kelly Ducheny – Senior Director Behavioral Health Services (BHS) Sandra C. Candelaria Cortés- Quality Improvement Coordinator

  2. Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision • Project Rationale: Review clients served by the RW Part A for Mental Health services to assure compliance on the following: • Standard 3: Measurement & HRSA Service Plan Requirements Measure, H1 Initial Mental Health Service Plan • Standard 7 & 8: Measurement: Progress in Treatment and Outcome of Treatment, Item H8, Progress towards one goal. • The data analyze reflect the audit period: March 1st, 2016 to February 28th, 2017 • Baseline Data: 42 Individuals, 39 Not Englewood, 3 Englewood Individuals with a developed or updated treatment plan = 19 • (45%), Not Englewood = 18 (46%), Englewood = 1 (33%) • 10 Individuals were Phone Screened and Refer Out

  3. Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision • Standard 3 (6 Exclusions): 36 Individuals, Not Englewood = 33, Englewood = 3 Individuals Initial Mental Health Plan (H1) = 15 (42%) • • Not Englewood = 12 (36%) • Englewood = 2 (67%) • Standard 7 & 8 (5 Exclusions): 37 Individuals, Not Englewood = 34, Englewood = 3 Individuals Initial Mental Health Plan (H1) = 15 (41%) • • Not Englewood = 14 (41%) • Englewood = 1 (33%)

  4. Howard Brown Health Mental Health Quality Improvement Presentation Service Plan/ Treatment Plan Revision  Findings & Conclusions: • Found documentation issues on the team Create documentation expectations, what should be  included and what shouldn’t. Define the standards on how information should be documented. Found that some charts without treatment plan were • clients assigned to group therapy.  Take a look into this and decide how could be solved.  Sustained Improvement: Continue completing chart audits to assure that proper documentation is complete and to identify issues that need to be resolve.

  5. Questions & Comments Contact Information Kelly Ducheny: KellyD@howardbrown.org Sandra Candelaria: SandraC@howardbrown.org

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