Behavioral Health Quality Measures

CMS’ Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) was developed as a result of the Social Security Act in 2012. Inpatient Psychiatric Facilities and Acute Care Facilities that house Inpatient Psychiatric patient units  must participate in this pay-for-reporting program in order to receive a 2% Medicare Annual Payment Update (APU). 

Each year the program requirements evolve in order to continually improve the care delivered to this population. CMS publicly reports the data in order to create a more informed consumer. Identical measures are used by The Joint Commission as accreditation standards for its Hospital-Based Inpatient Psychiatric Services (HBIPS). Both of these regulatory programs will continue to expand. The CMS IPF PPS is projected to develop a pay-for-performance component. 
Given the complexity of behavioral health measures and the continuing refinement of the legislation, it’s important to work with a partner who is paying close attention to the details and methodology. Press Ganey experts specialize in behavioral health and quality improvement initiatives to help ensure that our clients have the information they need to deliver patient-centered care. Through Quality PerformerSM clients can abstract and submit the behavioral health quality measure sets necessary for both CMS and Joint Commission simultaneously. 

Behavioral Health Resources

2015 Flexible ORYX® Performance Measure Reporting Options
CMS IPF Fact Sheet
Quality Net IPF Overview
Quality PerformerSM-Behavioral Health Measures
TJC Core Measures Overview
TJC HBIPS Specifications Manual


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