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Feds to Release 8 Quality Measures for Psych Unit Care

Cheryl Clark, for HealthLeaders Media, January 16, 2014

Mental health providers should "avoid the use of dangerous or restrictive interventions" such as restraints and seclusion, according to the measures' definitions, because they increase the patient's risk of physical injury as well as psychological harm. They should only be used when the patient is in imminent danger to him or herself, or others, and only when less restrictive interventions have failed.

They are also specifically not to be used to address staff shortages or to be used as a form of discipline or coercion.

  • HBIPS-4 – The number of patients discharged on multiple anti-psychotic medications.
  • HBIPS-5 – The number of patients discharged on two or more antipsychotic medications with appropriate justification.
  • HBIPS-6 – The number of patients discharged who have had a continuing care plan created for them.
  • HBIPS-7 – The number of patients discharged who have had a continuing care plan delivered to the next level of care clinician or entity.

HBIPS 4 through 7 will be posted on Hospital Compare in April. Measures for seclusion and restraint await clarification before they will be reported, perhaps later this year.

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