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Follow-Up After Hospitalization for Mental Illness

This HEDIS Measure

Assesses adults and children 6 years of age and older who were hospitalized for treatment of selected mental health disorders and had an outpatient visit, an intensive outpatient encounter or a partial hospitalization with a mental health practitioner. The measure identifies the percentage of members who received follow-up within 7 days of discharge and within 30 days of discharge.

So What?

Approximately one in four adults in the U.S. suffers from mental illness in a given year and nearly half of U.S. adults will develop at least one mental illness in their lifetime.1,2 There are over 2,000,000 hospitalizations each year for mental illness in the United States.3 Patients hospitalized for mental health issues are vulnerable after their discharge and follow-up care by trained mental health clinicians is critical for their health and well-being.

References

  1. National Alliance on Mental Illness. 2011. “Mental Illness: What is Mental Illness: Mental Illness Facts.” https://www.nami.org/Search?searchtext=about+mental+illness&searchmode=anyword
  2. Centers for Disease Control and Prevention. Updated September 1, 2011. CDC Mental Illness Surveillance. “CDC Report: Mental Illness Surveillance Among Adults in the United States.” http://www.cdc.gov/mentalhealthsurveillance/fact_sheet.html
  3. Centers for Disease Control and Prevention. 2010. “Health Data Interactive.” http://www.cdc.gov/nchs/hdi.htm
tables
Follow-Up Within 7 Days Post-Discharge
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 52.9 50.4 45.5 35.1 35.4
2015 52.2 48.6 43.6 33.8 33.4
2014 53.0 49.6 43.9 35.3 34.7
2013 54.6 49.8 42.0 34.5 33.5
2012 57.9 53.0 43.7 38.1 37.7
2011 58.9 54.0 46.5 38.0 38.7
2010 59.7 54.2 44.6 37.4 39.1
2009 58.7 52.6 42.9 37.3 40.6
2008 57.2 49.8 42.6 38.1 37.3
2007 55.6 41.9 42.5 37.0 33.3
2006 56.7 48.3 39.1 36.9 38.5
2005 55.8 49.9 39.2 39.2 47.1
2004 55.9 38.0 40.1
2003 54.4 37.7 38.8
2002 52.7 37.2 38.7
2001 51.3 33.2 37.2
2000 48.2
1999 47.4
Follow-Up Within 30 Days Post-Discharge
  Commercial Medicaid Medicare
Year HMO PPO HMO HMO PPO
2016 72.0 70.0 63.8 53.8 58.9
2015 70.7 68.7 61.2 52.1 53.6
2014 71.0 69.2 63.0 54.3 56.7
2013 72.8 69.0 60.9 53.5 56.0
2012 76.0 72.2 63.6 56.4 60.6
2011 76.5 72.7 65.0 56.1 60.6
2010 77.4 74.1 63.8 55.4 61.2
2009 76.8 72.1 60.2 54.8 60.5
2008 76.1 71.4 61.7 56.5 55.5
2007 74.0 63.4 61.0 54.4 50.2
2006 75.8 68.1 57.7 56.3 58.3
2005 75.9 70.7 56.8 59.4 60.1
2004 75.9 54.9 60.7
2003 74.4 56.4 60.3
2002 73.6 56.7 60.6
2001 73.2 52.2 60.6
2000 71.2
1999 70.1