Form 1 Training 15 Performance Measure with Proposed Revisions

Maternal and Child Health Bureau Performance Measures for Discretionary Grant Information System (DGIS)

Training 15 PERFORMANCE MEASURE_revised

Revised Performance Measure

OMB: 0915-0298

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Training 15 PERFORMANCE MEASURE


Goal: Consultation and Training for Mental and Behavioral Health

Level: Grantee

Domain: MCH Workforce Development


GOAL

Increase the availability and accessibility of consultation services to providers caring for individuals with behavioral or mental health conditions.



MEASURE

Number of providers participating in consultation and care coordination support services.



DEFINITION

Total number of providers participating in consultation (teleconsultation and in-person) and care coordination support services provided by the Pediatric Mental Health Care Access (PMHCA) program and the Screening for Maternal Depression and Related Behavioral Disorders (MDRBD) program.



BENCHMARK DATA SOURCES




GRANTEE DATA SOURCES

PMHCA and MDRBD awardees report using the data collection form.



SIGNIFICANCE

Mental and behavioral health issues are prevalent among children and adolescents, and pregnant and postpartum women in the United States. However, due to shortages in the number of psychiatrists, developmental-behavioral providers, and other behavioral health clinicians, access to mental and behavioral health services is lacking. Research indicates that telehealth can improve access to care, reduce health care costs, improve health outcomes, and address workforce shortages in underserved areas. Telehealth strategies that connect primary care providers with specialty mental and behavioral health care providers can be an effective means of increasing access to mental and behavioral health services for children and pregnant and postpartum women, especially those living in rural and other underserved areas.















Training 15 Data Collection Form

  1. Provider Consultation and Training

    1. Consultation:

       Provider Type

      Number enrolled (if applicable)1

      Number participating2

      Number enrolled AND participating

      (if applicable)3

      Primary Care Providers (non-specialty)

      Pediatrician


       

       

      Family Medicine


       

       

      OB/GYN


       

       

      Internal Medicine


       

       

      Advanced Practice Nurse/Nurse Practitioner


       

       

      Certified Nurse Midwife


       

       

      Physician Assistant




      Others

      Psychiatrist


       

       

      Developmental-Behavioral Pediatrician


       

       

      Nurse


       

       

      Behavioral Health Clinician (e.g. psychologist, therapist, counselor)


       

       

      Care Coordinator/ Patient Navigator




      Other Specialist Physician, APN/NP, PA (specify type):


       

       

      Other (specify type):


       

       

      Unknown Provider type




      Total (will auto-populate)




      Total Primary Care (will auto-populate)




      1. Number and types of providers enrolled for and participating in program consultation (teleconsultation or in-person) and care coordination support services4.













      1. Use of program consultation and care coordination support services.

        1. Number of provider contacts with the program for consultation (teleconsultation or in-person), care coordination support, or both.

 Type of contact

Number of provider contacts with the program for services

Consultation Only

 

Care Coordination Support Only

 

Both

 

        1. Number of consultations and referrals5 given to providers.


Consultation or referral

Number of consultations or referrals given

Consultations via telehealth

 

Consultations in-person

 

Referrals

 




        1. Please indicate the condition(s) about which providers contacted the program for consultation (teleconsultation or in-person) or care coordination support services. Select all conditions that apply. Specify the number of contacts for each condition. Each contact can involve more than one condition6.

  • Anxiety disorders

    • Number of contacts for this reason _________

  • Depressive disorders(excluding postpartum depression)

    • Number of contacts for this reason _________

  • Postpartum depression

    • Number of contacts for this reason _________

  • Bipolar and related disorders

    • Number of contacts for this reason _________

  • Attention-Deficit/ Hyperactivity Disorder (ADHD)

    • Number of contacts for this reason _________

  • Autism Spectrum Disorder

    • Number of contacts for this reason _________

  • Disruptive, impulse-control, and conduct disorders

    • Number of contacts for this reason _________

  • Feeding and eating disorders

    • Number of contacts for this reason _________

  • Obsessive-compulsive and related disorders

    • Number of contacts for this reason _________

  • Trauma and stressor-related disorders

    • Number of contacts for this reason _________

  • Schizophrenia spectrum and other psychotic disorders

    • Number of contacts for this reason _________

  • Substance-related disorders

    • Number of contacts for alcohol _________

    • Number of contacts for marijuana _________

    • Number of contacts for nicotine _________

    • Number of contacts for opioids _________

    • Number of contacts for other substance-related disorders _______

  • Suicidality or self-harm

    • Number of contacts for this reason _________

  • Other (please specify)___________

    • Number of contacts for this reason _________



      1. Number of consultations (teleconsultations and in-person) and referrals provided by each member of the mental health team. [Measures applies only to PMHCA awardees]

Member of mental health team

Number of consultations provided

Number of referrals provided

Psychiatrist



Psychologist



Social Worker



Counselor



Care Coordinator



Other behavioral clinicians



Other (specify type):



Total (will auto-populate)







    1. Training:

      1. Number and types of providers trained.

 Provider Type

Number Trained

Primary Care Providers (non-specialty)

Pediatrician

 

Family Medicine

 

OB/GYN

 

Internal Medicine

 

Advanced Practice Nurse/Nurse Practitioner

 

Certified Nurse Midwife

 

Physician Assistant


Others

Psychiatrist

 

Developmental-Behavioral Pediatrician

 

Nurse

 

Behavioral Health Clinician (e.g. psychologist, therapist, counselor)

 

Care Coordinator/ Patient Navigator


Other Specialist Physician, APN/NP, PA (specify type):

 

Other (specify type):

 

Unknown Provider type


Total Primary Care (will auto-populate)


Total (will auto-populate)










      1. Total number of trainings held ____

        1. Topics covered by trainings and number of trainings per topic. Select all that apply:

Mental or behavioral health conditions-related trainings (e.g., anxiety, depression, substance use disorder, ADHD, OCD, eating disorders, tics, Autism, developmental delay, behavioral dysregulation, etc.) Please include comprehensive trainings that cover medications, screenings, treatments, etc. for specific conditions in this category.

Number of trainings covering topic _____

Medication-focused trainings

Number of trainings covering topic _____

Screening and assessment/testing-focused trainings

Number of trainings covering topic _____

Treatment modality-focused trainings

Number of trainings covering topic _____

Trauma focused trainings

Number of trainings covering topic _____

Parent and family-focused trainings

Number of trainings covering topic _____

Practice Improvement/Systems Change/Quality Improvement (e.g., practice workflows, integrating protocols into the EHR, integrating behavioral health into primary care, expanding community referrals, ensuring culturally and linguistically appropriate services)

Number of trainings covering topic _____

COVID-19-focused trainings

Number of trainings covering topic _____

Other (please specify) ________________

Number of trainings covering topic _____

        1. Training mechanisms used. Select all that apply:

          • In-person

Number of trainings using this mechanism _____

          • Project ECHO® (distance learning cohort)

Number of trainings using this mechanism _____

          • ECHO-like (distance learning cohort)

Number of trainings using this mechanism _____

          • Web-based

Number of trainings using this mechanism _____

          • Other (please specify)

Number of trainings using this mechanism _____



  1. Individuals Served

    1. Number of individuals for whom a provider contacted the program for consultation (teleconsultation or in-person) or care coordination support services


Total

Rural/underserved7

Children 0-11



Adolescents 12-21



Women (pregnant or postpartum)





    1. Number of individuals recommended for referral and/or treatment, among those for whom a provider contacted the program for consultation (teleconsultation or in-person) or care coordination support services.


Referral only

Treatment only

Both referral and treatment

Children 0-11




Adolescents 12-21




Women (pregnant or postpartum)


















    1. Percent of individuals screened for behavioral or mental health condition [Optional]


Numerator8

Denominator9

% (auto-populated)

Children 0-11 screened for behavioral or mental health condition




Adolescents 12-21 screened for behavioral or mental health condition




Women (pregnant or postpartum) screened for behavioral or mental health condition




Women (pregnant or postpartum) screened for depression




Women (pregnant or postpartum) screened for anxiety




Women (pregnant or postpartum) screened for substance use










1 Enrolled provider: a provider who has formally registered with the program to facilitate use of consultation (teleconsultation or in-person) or care coordination support services, at the time of reporting. An enrolled provider is currently enrolled with the program even if initial enrollment occurred prior to current reporting period. An enrolled provider may or may not be a participating provider.

2 Participating provider: a provider who has contacted the program for consultation (teleconsultation or in-person) or care coordination support services, and who may or may not be an enrolled provider.

3 This column refers to the number of enrolled providers (registered) who are participating in the program (contacting the program for consultation or care coordination support services).

4 Care Coordination Support: In context of MDRBD/PMHCA, care coordination support means, at minimum, that the program provides resources and referrals to a provider when they contact the program, or to the patient/family when the program works with patients/families directly. In these programs, “care coordination support” is synonymous with “providing resources and referrals”.

5 Referrals are given to providers (or directly to the patients/families) by the program to introduce specific health providers or services. Referrals are typically provided using the referral database. More than one referral can be provided at a time.

6 If the patient has a diagnosed condition, but the provider is calling about another condition, a different presenting concern, or another reason, please count the reason(s) the provider is calling the program. If the patient does not have a diagnosis, the reason for contact can be a suspected diagnosis, diagnostic impression, presenting concerns/symptoms, suspected problem, or another reason. The condition(s) selected should be the reason(s) the provider is calling for consultation (teleconsultation or in-person) or care coordination support services.

7 For this measure, you may use provider zip codes to identify rural or underserved counties if the patient zip code is unavailable. The use of patient zip codes is not required. HRSA defines rural areas as all counties that are not designated as parts of metropolitan areas (MAs) by the Office of Management and Budget. In addition, HRSA uses Rural Urban Commuting Area Codes to designate rural areas within MAs. This rural definition can be accessed at https://datawarehouse.hrsa.gov/tools/analyzers/geo/Rural.aspx. If the county is not entirely rural or urban, follow the link for “Check Rural Health Grants Eligibility by Address” to determine if a specific site qualifies as rural based on its specific census tract within an otherwise urban county. Underserved areas are defined by the following terms: Any Medically Underserved Area/Population (MUA/P); or a Partially MUA/P. MUA/Ps are accessible through https://data.hrsa.gov/tools/shortage-area/mua-find


8 For PMHCA: Number of children and adolescents, 0-21 years of age, for whom a provider contacted the mental health team for consultation or referral, who received at least one screening for a behavioral health condition using a standardized validated tool.

For MDRBD: Number of pregnant and postpartum women (PPW) for whom a provider contacted the program for consultation or referral during the reporting period, who received at least one screening for [depression, anxiety, or substance use] using a standardized validated tool.


9 For PMHCA: Number of children and adolescents, 0-21 years of age, for whom a provider contacted the mental health team for consultation or referral.

For MDRBD: Number of pregnant and postpartum women (PPW) for whom a provider contacted the program for consultation or referral during the reporting period.

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