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DHHS Releases Monthly Behavioral Health Performance Measures


For Immediate Release
Thursday, August 22, 2013

Raleigh, N.C. - Today, the N.C. Department of Health and Human Services released monthly performance measures for the state's network of Local Management Entities/Managed Care Organizations (LME-MCO). The data, self-reported from LME-MCOs, provides information on behavioral health services provided to Medicaid-eligible individuals across the state.

Currently, monthly reported measures include call center activities, persons served, community psychiatric hospitalizations, authorization requests, claims, and complaints for both the uninsured and persons receiving Medicaid.

"The monthly data we have only gives us a sense of the performance of our behavioral health system, but does not yet give us a clear look at outcomes," said NC Department of Health and Human Services Secretary Aldona Wos. "Our goal is to create a system that drives outcomes and helps make people healthier. To accomplish that, we must have meaningful data."

Secretary Wos and department leaders have been traveling the state to gather input toward the development of a plan for the Partnership for a Healthier North Carolina from healthcare providers, community leaders, consumers and advocates. Based on feedback during those meetings, DHHS has convened an internal work group to increase oversight and improve communication with LME-MCOs and develop outcomes-based quality measures for behavioral health services.

"By moving forward with clear performance measures, we can better ensure that our partners are delivering consistent, quality care in an efficient, outcomes based manner," said Dave Richard, director of the DHHS Division of Mental Health, Developmental Disabilities and Substance Abuse Services. "Using these numbers as a baseline, we can begin to concentrate our focus on specific goals and identify areas to improve."

With the implementation of NC Tracks, the state's multi-payer Medicaid Management Information System, Wos said the department will have a more robust capability to track quality measures for behavioral health services.

Click here for the monthly reports


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