COMPARISON OF PERFORMANCE INDICATORS
	NCQA/BMAP, ACMHA, NASMHPD/NASADAD/APWA
	Draft: January 21, 1998

		ACCESS

Performance Indicator	NCQA/bmp	ACMHA	3 ASSNS	
Penetration/utilization rates (by age, sex, race, setting	X	X	X	
Consumer perception of access		X	X	
Full range of services available:
    	Weekend detox
    	New medications
    	In-home services for children	X	X		
Cultural accessibility	X	X	Dvpmnt set	
Percent of members admitted to MH services that have inpatient services as their first encounter	X			
Percent of elderly plan members screened for depression and substance abuse	X			
Percent of alcohol/drug-related diagnoses that trigger alcohol or drug screening and percentage of positive screens that resulted in referral	X			
Percent of enrolled population that lives within specified driving time of providers	X			
Service denials, terminations or refusals		X	Dvpmnt set	

	QUALITY/APPROPRIATENESS

Performance Indicator	NCQA/bmp	ACMHA	3 ASSNS	
Consumer participation in treatment planning (adults)		X	X	
Consumers linked to primary health services			X	
Contact within 7 days following hospital discharge	X	X	X	
Adults with SMI receiving services that promote recovery			X	
Children receiving "best practice" e.g., in-home services			X	
Family involvement in treatment for children/adolescents	X	X	X	
Readmissions within 30 days	X		X	
Consumer perceptions of quality/appropriateness (or family proxy for children)	XX	XX	X	
Seclusion and restraint			X	
Medication used appropriately	X	X	X	
Incidence of diagnosis of depression, substance abuse	X			
Use of standardized assessments and diagnostic procedures in guiding behavioral treatments	X			
Engagement in treatment	X	X		
Rates of involuntary inpatient treatment in covered population	X	X		
Single point of responsibility for coordinating care across systems for children		X		

	OUTCOMES

Performance Indicator	NCQA/bmp	ACMHA	3 ASSNS	
Employment (adults)/school improvement (children)	X	X	X	
Level of Functioning	X	X	X	
Symptom (substance use) reduction	X		X	
Adverse outcomes
    	Patient injuries
    	Abnormal involuntary movements
    	Elopement
    	Out of home placements			X	
Consumer perception of outcomes	XX	X	X	
Health status: mortality	X		X	
Recovery/hope/personhood	X		X	
Reduced substance abuse impairment	X		X	
Living situation		X	X	
Criminal justice		X	X	
Quality of life	X	XXX		

	STRUCTURE/PLAN MANAGEMENT

Performance Indicator	NCQ/BMAP	ACMHA	3 ASSNS	
Consumer/family involvement in policy development, quality assurance and planning			X	
Proportion of expenditures on administration			X	
Average per member per month expenditures for MH/SA  			X	
Capacity of information system	X	X		
Organizational structure is consistent with MH/SA service delivery		X		
Consumer rights are defined and procedures for resolving complaints in place & used		X		
Staffing levels are appropriate		X		
Appropriate linkages to other service systems		X		
Continuity of care within the organization		X		
Single, fixed point of responsibility		X		
Quality assurance system in place		X		
Consumers and families educated about their rights, services available, and probable outcomes		X		
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