Quality Indicators
What is a Quality Indicator/flag?
- PSYCKES identifies clients flagged for quality concerns to inform the treating provider, network, or care manager and to support clinical review, care coordination, and quality improvement.
- User-friendly Statewide Reports and My QI Reports, updated monthly, display quality indicator prevalence rates at the statewide, region, county, network, provider, program, and managed care plan level.
- Some examples of our quality indicators are:
- No diabetes monitoring for individuals with diabetes and schizophrenia
- Low medication adherence for individuals with schizophrenia
- Antidepressant trial of < 12 weeks for individuals with depression
- High Utilization of Inpatient/Emergency Room, Hospital Readmission, Preventable Hospitalization HARP Enrolled-Not Health Home Enrolled, HARP Enrolled-Not Assessed for HCBS
- Eligible for Health Home Plus-No Health Home Plus Service in the past 3 months or 12 months
- The Performance Tracking Indicators are unique indicator sets in PSYCKES because they are calculated by the NYS Department of Health (DOH) on “mature” Medicaid data and sent to OMH to display in the PSYCKES application. DOH calculates the Performance Tracking Indicators after a 6+ month billing data maturation period to allow for services to be invoiced. The ‘as of’ date for these measures in the application, reflects the most recent performance tracking data run by DOH. These measures are based on a 12-month period of services.
Technical Specifications Documents
Comments or questions about the information on this page, including accessibility issues, can be directed to the PSYCKES Team.