Assesses adults and children 6 years of age and older who were hospitalized for treatment of selected mental illness or intentional self-harm 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 and 30 days of discharge.
Why It Matters
Approximately one in four adults in the U.S. suffer from mental illness in a given year; nearly half 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 discharge and follow-up care by trained mental health clinicians is critical for their health and well-being.
Results
Follow-Up Within 7 Days Post-Discharge
| Measure Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2019 | 46.2 | 43.5 | 36.2 | § | § |
| 2018 | 45.6 | 43.0 | 35.8 | 27.7 | 27.3 |
| 2017 | 48.2 | 44.9 | 37.0 | 32.2 | 32.4 |
| 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
| Measure Year | Commercial HMO | Commercial PPO | Medicaid HMO | Medicare HMO | Medicare PPO |
|---|---|---|---|---|---|
| 2019 | 67.8 | 65.4 | 56.9 | § | § |
| 2018 | 66.6 | 64.9 | 56.8 | 48.1 | 49.2 |
| 2017 | 69.7 | 67.3 | 58.0 | 52.7 | 55.1 |
| 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 | - | - | - | - |
§ Not available due to CMS suspension of data reporting during COVID-19 pandemic.
This State of Healthcare Quality Report classifies health plans differently than NCQA’s Quality Compass. HMO corresponds to All LOBs (excluding PPO and EPO) within Quality Compass. PPO corresponds to PPO and EPO within Quality Compass.
Figures do not account for changes in the underlying measure that could break trending. Contact Information Products via my.ncqa.org for analysis that accounts for trend breaks.
References
- 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
- 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.” https://www.cdc.gov/mmwr/preview/mmwrhtml/su6003a1.htm?s_cid=su6003a1_w
- Centers for Disease Control and Prevention. 2010. “Health Data Interactive.” http://www.cdc.gov/nchs/hdi.htm