Care coordinator B QOC Annual % of discharges with active y/n Star service auto fill Quarterly involved in discharge participation of HH staff planning for IP admissions, residential, NF, or correctional facility Antidepressant A OC Annual % of members ages 18 & > who y/n MCO Monthly medication HEDIS were treated with antidepressants, management (AMM) had a dx of major depressive disorder (MDD) and who remained on anti-depressant medication for at least 84 days (12 weeks) Quarterly medication B QOC % of members for whom y/n Star service auto fill Quarterly reconciliation with medications were reconciled by a adolescents, adults and prescribing practitioner, clinical PCP pharmacist or registered nurse Multidisciplinary care B QOC % of members that had a date Star service auto fill Quarterly management meetings care team meeting Completed visits for B QOC Composite % of all visits for y/n Star service Quarterly referral members for whom referrals have been made and the referral appt. was kept Coordinate with school C QOC % of care transitions for youth y/n Star service Quarterly (with parental where coordination with school is transitional care auto permission) related to indicated fill setting of care transitions Goal III: Enhance member engagement and self-efficacy (power or capacity to produce a desired effect) Adult/child/ Reporting Quality Intermediate Actions Domain Measure Value Data source both Frequency Monitoring Peer Support B QOC Annual % of members reporting positive y/n Star & Annual EOC experience w peer support services member survey
Care coordinator involved in discharge planning for IP admissions, residential, NF, or correctional facility B QOC Annual % of discharges with active participation of HH staff y/n Star service auto fill Quarterly Antidepressant medication management (AMM) A OC HEDIS Annual % of members ages 18 & > who were treated with antidepressants, had a dx of major depressive disorder (MDD) and who remained on anti-depressant medication for at least 84 days (12 weeks) y/n MCO Monthly Quarterly medication reconciliation with adolescents, adults and PCP B QOC % of members for whom medications were reconciled by a prescribing practitioner, clinical pharmacist or registered nurse y/n Star service auto fill Quarterly Multidisciplinary care management meetings B QOC % of members that had a care team meeting date Star service auto fill Quarterly Completed visits for referral B QOC Composite % of all visits for members for whom referrals have been made and the referral appt. was kept y/n Star service Quarterly Coordinate with school (with parental permission) related to setting of care transitions C QOC % of care transitions for youth where coordination with school is indicated y/n Star service transitional care auto fill Quarterly Goal III: Enhance member engagement and self-efficacy (power or capacity to produce a desired effect) Intermediate Actions Adult/child/ both Domain Reporting Frequency Measure Value Data source Quality Monitoring Peer Support B QOC EOC Annual % of members reporting positive experience w peer support services y/n Star & member survey Annual