BHO SUD Continuity of Care: 2010-2014
The Behavioral Health Organization (BHO) initiative overseesthe transition to managed care for Medicaid recipients who receive mental health (MH) and substance use disorder (SUD) services in New York State. The metrics emphasize improving rates of timely follow-up treatment post discharge, timely filling of appropriate medication prescriptions post discharge, and reducing rates of readmission.The BHO SUD Continuity of Care dataset is designed to assess the frequency with which individuals receive a lower level, less intensive, substance use disorder or Mental Health Follow-Up service within 14 or 30 days following a discharge from inpatient detoxification, chemical dependence inpatient rehabilitation, inpatient detoxification or chemical dependence inpatient rehabilitation.
The year 2015 saw the conclusion of the first phase of the Behavioral Health Organization initiative
(BHO). A new Behavioral Health Managed Care Transition phase II is underway. The data contained in
the BHO metrics span 2010 to 2014, using the 2010 calendar year for a baseline. Earlier in the program
(2011‐2012) the metrics were calculated quarterly and on a year‐to‐date basis, later in (2013‐2014),
New York State Office of Mental Health opted for semi‐annual and year‐to‐date aggregations.
Columns
| Name | Socrata field name | Column name in sgr mount | Data type | Description |
|---|---|---|---|---|
| Year | year | year | Number | 4 Digit year for which the metric is calculated |
| Year to Date Rate | year_to_date_rate | year_to_date_rate | Number | For the Performance Metric and the Quarter being examined, this is the rate of the metric as calculated by dividing the Year to Date Numerator by the Year to Date Denominator. |
| Description of Metric | description_of_metric | description_of_metric | Text | Short description of the BHO Performance Metric. For this SUD Continuity of Care dataset, there are eight possible metrics: 1. Percentage of SUD Detox Discharges Followed by a Lower Level SUD Service within 14 Days; 2. Percentage of SUD Rehabilitation Discharges Followed by a Lower Level SUD Service within 14 Days; 3. Percentage of SUD Detox Discharges Followed by a Lower Level SUD Service or MH Outpatient Treatment within 14 Days; 4. Percentage of SUD Rehabilitation Discharges Followed by a Lower Level SUD Service or MH Outpatient Treatment within 14 Days; 5. Percentage of SUD Detox Discharges Followed by a Lower Level SUD Service within 30 Days; 6. Percentage of SUD Rehabilitation Discharges Followed by a Lower Level SUD Service within 30 Days; 7. Percentage of SUD Detox Discharges Followed by a Lower Level SUD Service or MH Outpatient Treatment within 30 Days; 8. Percentage of SUD Rehabilitation Discharges Followed by a Lower Level SUD Service or MH Outpatient Treatment within 30 Days. More detailed descriptions of these metrics are provided in the “Detailed Metric Definitions” table in the data dictionary attached to this dataset. |
| Rate | rate | rate | Number | For the Age Group, OMH Region, Performance Metric and Quarter being examined, this is the rate of the metric as calculated by dividing the Numerator by the Denominator. |
| Denominator | denominator | denominator | Number | The denominator includes discharges from chemical dependence inpatient rehabilitation identified from paid fee-for-service Medicaid claims. Individuals who meet any of the following criteria are excluded: Ineligible for Medicaid in any of the 30 days post discharge; Medicare-eligible. |
| Year to Date Denominator | year_to_date_denominator | year_to_date_denominator | Number | Value of the bottom of the "Rate" calculation for the Age Group, OMH Region, Performance Metric and Year to Date being examined. For example, for the metric "14 Day SUD Detox (SUD Follow-Up)" in Q4 of 2012, this is the number of all patients discharged from chemical dependence inpatient rehabilitation identified from paid fee-for-service Medicaid claims during Quarters 1,2, 3 and 4 of that year. |
| Indicator Domain Group | indicator_domain_group | indicator_domain_group | Text | This is the domain group that the BHO Performance Indicator belongs to. For this dataset, the domain group is “SUD Continuity of Care” |
| Age Group | age_group | age_group | Text | Standardized Age Groups; either “Adult” or “Children”. All SUD metrics are reported for the “Adult” Age Group (defined as age 18 and up) |
| Row Created Date Time | row_created_date_time | row_created_date_time | Calendar date | Date and Time when data was generated (e.g. “12/19/2014 09:45:21”) |
| Metric ID | metric_id | metric_id | Number | Numeric Code that uniquely identifies the Metric |
| OMH Region | omh_region | omh_region | Text | Name of the OMH Region for which the Indicator is calculated |
| Numerator | numerator | numerator | Number | Value of the "top" of the "Rate" calculation for the Age Group, OMH Region, Performance Metric and Quarter that is being examined. The description of the Numerator is specific to the metric being evaluated. For more detail on the numerator for each metric, see the “Detailed Metric Descriptions” table in the data dictionary attached to this dataset. |
| Quarter | quarter | quarter | Text | Quarter for which the metric is calculated: Q1, Q2, Q3, Q4 or some combination of one or two quarters (beginning in 2013, data is collected semi-annually) |
| Year to Date Numerator | year_to_date_numerator | year_to_date_numerator | Number | Value of the "top" of the "Rate" calculation for the year to date as of the Quarter that is being examined. For example, for the metric "14 Day SUD Detox (SUD Follow-Up)" in Q4 of 2012, the Numerator is the number of discharges in the denominator where the individual had a substance use disorder non-crisis treatment service within 14 days post discharge from inpatient detoxification during Quarters 1, 2, 3 and 4 of 2012. |