10432 Web-based Measure Online Data Entry Tool Content

Inpatient Psychiatric Facility Quality Reporting (IPFQR) Program

Web-based Measure

Online Data Entry Tool Content

HBIPS-2 Hours of Physical Restraint Use

N UMERATOR Q4 2012 Q1 2013

P lease enter the total number of hours that all psychiatric 1-12 years old

p atients were in physical restraints for each age group. 13-17 years old

18-64 years old

65 and over

D ENOMINATOR Q4 2012 Q1 2013

P lease enter the number of inpatient psychiatric days 1-12 years old

f or each age group. 13-17 years old

( convert days to hours) 18-64 years old

65 and over

NOTE: Denominator basis is per 1,000 hours.

Q4 2012 Q1 2013

Measure rates of physical restraint use per inpatient 1-12 years old

p sychiatric day for each age group. 13-17 years old

18-64 years old

65 and over

Overall

NOTE: Measure rates will be auto calculated from above entries.

HBIPS-3 Hours of Seclusion Use

N UMERATOR Q4 2012 Q1 2013

P lease enter the total number of hours that all psychiatric 1-12 years old

p atients were in seclusion for each age group. 13-17 years old

18-64 years old

65 and over

D ENOMINATOR Q4 2012 Q1 2013

P lease enter the number of inpatient psychiatric days 1-12 years old

f or each age group. 13-17 years old

18-64 years old

65 and over

Q4 2012 Q1 2013

M easure rates of seclusion use per inpatient psychiatric day 1-12 years old

f or each age group. 13-17 years old

18-64 years old

65 and over

Overall

NOTE: Measure rates will be auto calculated from above entries.

HBIPS-4 Patients Discharged on Multiple Antipsychotic Medications

N UMERATOR Q4 2012 Q1 2013

P lease enter the number of psychiatric patients discharged 1-12 years old

o n multiple antipsychotic medications for each age group. 13-17 years old

18-64 years old

65 and over

D ENOMINATOR Q4 2012 Q1 2013

P lease enter the total number of psychiatric patients 1-12 years old

d ischarged for each age group. 13-17 years old

18-64 years old

65 and over

Q4 2012 Q1 2013

M easure rates of psychiatric patients who were discharged 1-12 years old

o n multiple antipsychotic medications for each age group. 13-17 years old

18-64 years old

65 and over

Overall

NOTE: Measure rates will be auto calculated from above entries.

HBIPS-5 Patients Discharged on Multiple Antipsychotic Medications with Appropriate Justification

N UMERATOR Q4 2012 Q1 2013

P lease enter the number of psychiatric patients discharged 1-12 years old

o n two or more multiple antipsychotic medications 13-17 years old

for each age group. 18-64 years old

65 and over

D ENOMINATOR Q4 2012 Q1 2013

P lease enter the total number of psychiatric patients 1-12 years old

d ischarged for each age group. 13-17 years old

18-64 years old

65 and over

Q4 2012 Q1 2013

M easure rates of psychiatric patients who were discharged 1-12 years old

o n multiple antipsychotic medications with appropriate 13-17 years old

j ustification for each age group. 18-64 years old

65 and over

Overall

NOTE: Measure rates will be auto calculated from above entries.

HBIPS-6 Patients Discharged from a Hospital-based Inpatient Psychiatric Setting with a Continuing Care Plan Created

N UMERATOR Q4 2012 Q1 2013

P lease enter the number of psychiatric patients for whom 1-12 years old

t he post discharge continuing care plan is created and contains 13-17 years old

a ll of the following: reason for hospitalization, principal 18-64 years old

discharge diagnosis, discharge medications, and next level of 65 and over

care.

D ENOMINATOR Q4 2012 Q1 2013

P lease enter the total number of psychiatric patients 1-12 years old

d ischarged for each age group. 13-17 years old

18-64 years old

65 and over

Q4 2012 Q1 2013

Measure rates of psychiatric patients who were discharged 1-12 years old

from a hospital-based inpatient psychiatric setting 13-17 years old

with a Continuing Care Plan Created for each age group. 18-64 years old

65 and over

Overall

NOTE: Measure rates will be auto calculated from above entries.

HBIPS-7 Patients Discharged from a Hospital-based Inpatient Psychiatric Setting with a Continuing Care Plan Provided to the Next Level of Care Clinician or Entity.

N UMERATOR Q4 2012 Q1 2013

P lease enter the number of psychiatric patients for whom 1-12 years old

t he post discharge continuing care plan was transmitted 13-17 years old

t o the next level of care. 18-64 years old

65 and over

D ENOMINATOR Q4 2012 Q1 2013

P lease enter the total number of psychiatric patients 1-12 years old

d ischarged for each age group. 13-17 years old

18-64 years old

65 and over

Q4 2012 Q1 2013

Measure rate of psychiatric patients who were discharged 1-12 years old

from a hospital-based inpatient psychiatric setting 13-17 years old

with a continuing care plan provided to the next level of care 18-64 years old

f or each age group. 65 and over

Overall

NOTE: Measure rates will be auto calculated from above entries.

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