Hospital Based Inpatient Psych Care HIBPS Hospital Based
Hospital Based Inpatient Psych Care • HIBPS (Hospital Based Inpatient Psych Care) • The following slides indicate the 2015 Core Measure Summary for our hospital based inpatient psych unit • Please review the slides and take the quiz • This presentation is for the 6 th floor staff
OBMC Core Measures January 2015 Immunization (IMM) and Substance Use (SUB) MEASURE NEW RATIONALE Immunization- (Oct 1 st-March 31 st) Complete influenza vaccine assessment on all patients 6 months and older and administer vaccine prior to discharge to all eligible patients Influenza vaccine is recommended by the CDC for patients 6 months and older unless contraindicated Document Refusal if patient does not want vaccine prior to discharge Do not give vaccine if: • Hypersensitivity to eggs or other components of vaccine • Bone Marrow Transplant within past 6 months • History of Guillain-Barre Syndrome within 6 weeks after a previous flu vaccination • Anaphylactic latex allergy • Already immunized during the current flu season Substance Use- Hospitalized patients who are screened within the first three days of admission using a validated screening questionnaire for unhealthy alcohol use. (Oak. Bend Uses a validated screening tool called the AUDIT) Excessive use of alcohol and drugs has a substantial harmful impact on health and society in the United States. Must have screening documented by 3 rd day of admission unless it is documented that patient is cognitively impaired 1 st 3 days of admission. Page 1 of 2
Hospital Based Inpatient Psych (HBIPS) HBIPS cont and Tobacco Use (TOB) MEASURE RATIONALE Complete admission screening within the first three days of admission for all of the following: risk of violence to self and others, substance use, psychological trauma history and 2 patient strengths. Professional literature suggests that these factors are underidentified yet integral to current psychiatric status and should be assessed in order to develop appropriate treatment Document appropriate justification for prescribing more than 1 antipsychotic medication at discharge (PRN medications are excluded) Practice guidelines recommend the use of a second antipsychotic only after multiple trials of a single antipsychotic have proven inadequate Document name, dosage and indication for each medication ordered (or continued) at discharge Reduction of medication errors Document follow-up care providers/referrals (or patient’s refusal of next level of care) Continuity of care Page 2 of 2 Document proof of transmission of D/C summary to follow-up care provider or that follow-up provider has access to EMR (or patient’s refusal of aftercare or signing release) RATIONALE For optimum care, next level of care providers need to know details of precipitating events preceding hospital admission, the patient’s treatment course, discharge medications and next level of care recommendations Screen all patients for tobacco NEW These are acceptable reasons for use. Patients identified as not administering cessation tobacco product users within the medication: past 30 days must receive or -Allergy to all of the FDA-approved refuse practical counseling to tobacco cessation medications. quit AND receive or refuse FDA- -Drug interaction (for all of the approved cessation medications FDA-approved medications) with during the first three days after other drugs the patient is currently admission. taking. Documentation of reasons for -Other reasons documented by not administering cessation physician, advanced practice nurse medications must be (APN), physician assistant (PA), or documented w/in 3 days. pharmacist
- Slides: 3