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Feds to Release 8 Quality Measures for Psych Unit Care

Cheryl Clark, for HealthLeaders Media, January 16, 2014

Congress specifically wants to make caregivers more aware of such dangerous practices, so these new requirements were authorized in the Patient Protection and Affordable Care Act in 2010. Rules finalized by CMS last August specifically governing payment for these 1,800 hospitals paid under the federal Inpatient Psychiatric Facility Prospective Payment System finalized these eight measures. And there are more to come.

So far, psychiatric care providers are generally pleased with the measures. "The CMS focus on using the data developed through these measures to improve the quality and efficiency of care is extremely important," says Joel Yager, MD, chair of the American Psychiatric Association's Council on Quality of Care. "The field has demonstrated over time that these measures have direct applicability to quality and can be used to positively impact the patient care experience."

"This new reporting system will give psychiatric providers the opportunity to demonstrate their quality, as virtually all other specialties in medicine do," says Kathleen McCann, director of quality and regulatory affairs for the National Association of Psychiatric Health Systems, which supports the new requirements.

8 Measures
Six measures have been reported for the first time to CMS specific to adult patients treated in hospital psychiatric units. The first reporting period for these six ran between Oct. 1, 2012 and March 31, 2013. They are:

  • HBIPS-2 – The total number of hours that all patients were maintained in a physical restraint.
  • HBIPS-3 – The total number of hours that all patients were held in seclusion.
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