Behavior and Mental Health

Description:

Diabetes screening for people with schizophrenia or bipolar disease who are using antipsychotic medication.

• Subcategory Name:

  Behavioral And Mental Health

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Description:

Tobacco use: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including tobacco use screening and cessation interventions (refer to NQF #0028) for patients with co- occurring conditions of behavioral or mental health and at risk factors for tobacco dependence.

• Subcategory Name:

  Behavioral And Mental Health

• Activity Weighting:

Description:

Depression screening and follow-up plan: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including depression screening and follow-up plan (refer to NQF #0418) for patients with co-occurring conditions of behavioral or mental health conditions.

• Subcategory Name:

  Behavioral And Mental Health

• Activity Weighting:

Description:

Major depressive disorder: Regular engagement of MIPS eligible clinicians or groups in integrated prevention and treatment interventions, including suicide risk assessment (refer to NQF #0104) for mental health patients with co- occurring conditions of behavioral or mental health conditions.

• Subcategory Name:

  Behavioral And Mental Health

• Activity Weighting:

Description:

Offer integrated behavioral health services to support patients with behavioral health needs who also have conditions such as dementia or other poorly controlled chronic illnesses. The services could include one or more of the following:

• Use evidence-based treatment protocols and treatment to goal where appropriate;
• Use evidence-based screening and case finding strategies to identify individuals at risk and in need of services;
• Ensure regular communication and coordinated workflows between MIPS eligible clinicians in primary care and behavioral health;
• Conduct regular case reviews for at-risk or unstable patients and those who are not responding to treatment;
• Use of a registry or health information technology functionality to support active care management and outreach to patients in treatment;
• Integrate behavioral health and medical care plans and facilitate integration through co-location of services when feasible; and/or
• Participate in the National Partnership to Improve Dementia Care Initiative, which promotes a multidimensional approach that includes public reporting, state-based coalitions, research, training, and revised surveyor guidance.

• Subcategory Name:

  Behavioral And Mental Health

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Description:

Enhancements to an electronic health record to capture additional data on behavioral health (BH) populations and use that data for additional decision- making purposes (e.g., capture of additional BH data results in additional depression screening for at-risk patient not previously identified).

• Subcategory Name:

  Behavioral And Mental Health

• Activity Weighting:

Description:

Individual MIPS eligible clinicians or groups must regularly engage in integrated prevention and treatment interventions, including screening and brief counseling (for example: NQF #2152) for patients with co-occurring conditions of mental health and substance abuse. MIPS eligible clinicians would attest that 60 percent for the CY 2018 Quality Payment Program performance period, and 75 percent beginning in the 2019 performance period, of their ambulatory care patients are screened for unhealthy alcohol use.

• Subcategory Name:

  Behavioral And Mental Health

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Description:

To receive credit for this activity, MIPS eligible clinicians must complete a collaborative care management training program, such as the American Psychiatric Association (APA) Collaborative Care Model training program available to the public, in order to implement a collaborative care management approach that provides comprehensive training in the integration of behavioral health into the primary care practice.

• Subcategory Name:

  Behavioral And Mental Health

• Activity Weighting:

Description:

Create and implement a plan for trauma-informed care (TIC) that recognizes the potential impact of trauma experiences on patients and takes steps to mitigate the effects of adverse events in order to avoid re-traumatizing or triggering past trauma. Actions in this plan may include, but are not limited to, the following:

• Incorporate trauma-informed training into new employee orientation
• Offer annual refreshers and/or trainings for all staff
• Recommend and supply TIC materials to third party partners, including care management companies and billing services
• Identify patients using a screening methodology
• Flag charts for patients with one or more adverse events that might have caused trauma
• Use ICD-10 diagnosis codes for adverse events when appropriate

TIC is a strengths-based healthcare delivery approach that emphasizes physical, psychological, and emotional safety for both trauma survivors and their providers. Core components of a TIC approach are: awareness of the prevalence of trauma; understanding of the impact of past trauma on services utilization and engagement; and a commitment and plan to incorporate that understanding into training, policy, procedure, and practice.

• Subcategory Name:

  Behavioral And Mental Health

• Activity Weighting:

Description:

Develop and implement programs to support clinician well-being and resilience-for example, through relationship-building opportunities, leadership development plans, or creation of a team within a practice to address clinician well-being-using one of the following approaches:

• Completion of clinician survey on clinician well-being with subsequent implementation of an improvement plan based on the results of the survey.
• Completion of training regarding clinician well-being with subsequent implementation of a plan for improvement.

• Subcategory Name:

  Behavioral And Mental Health

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Description:

Screen for perinatal mood and anxiety disorders (PMADs) and substance use disorder (SUD) in pregnant and postpartum women, and screen and refer to treatment and/or refer to appropriate social services, and document this in patient care plans.

• Subcategory Name:

  Behavioral and Mental Health

• Activity Weighting:

Description:

Complete age-appropriate screening for mental health and substance use in older adults, as well as screening and referral to treatment and/or referral to appropriate social services, and document this in patient care plans.

• Subcategory Name:

  Behavioral and Mental Health

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