program guidance for contract deliverables … guidance for contract deliverables ... of discharge....

Program Guidance for Contract Deliverables Incorporated Document 14

Updated 07/01/2018 ID 14, of 27

Performance Outcomes Measurement Manual

Contents Core requirements for all measures ......................................................................................................... 3

Employment Overview .............................................................................................................................. 3

Target Population ..................................................................................................................................... 3

Adult Mental Health...................................................................................................................................... 3

M0003 Average annual days worked for pay for adults with severe and persistent mental illness ........ 3

M0703 Percent of adults with serious mental illness who are competitively employed ......................... 5

M0016 Number of adults with a serious and persistent mental illness in the community served .......... 6

M0017 Number of adults in mental health crisis served .......................................................................... 7

M0018 Number of adults with forensic involvement served ............................................................... 7

M0742 Percent of adults with severe and persistent mental illnesses who live in stable housing

environment. ............................................................................................................................................ 7

M0743 Percent of adults in forensic involvement who live in stable housing environment. .................. 9

M0744 Percent of adults in mental health crisis who live in stable housing environment. ................... 10

Children’s Mental Health ............................................................................................................................ 11

M0031 Number of SED children to be served ........................................................................................ 11

M0032 Number of ED children to be served .......................................................................................... 12

M0033 Number of at‐risk children to be served .................................................................................... 12

M0378 Percent of children with serious emotional disturbances who improve their level of

functioning .............................................................................................................................................. 13

M0778 Percent of children with emotional disturbance (ED) who live in stable housing environment 14

M0779 Percent of children with serious emotional disturbance (SED) who live in stable housing

environment ........................................................................................................................................... 15

M0780 Percent of children at risk of emotional disturbance who live in stable housing environment 17

M0012 Percent of school days seriously emotionally disturbed (SED) children attended. .................... 18

Adult Substance Abuse ............................................................................................................................... 19

M0755 Percent of adults who successfully complete substance abuse treatment services. ................ 19

M0063 Number of adults that receive substance related services ........................................................ 20

M0756 Percent of adults with substance abuse who live in a stable housing environment at the time

of discharge. ............................................................................................................................................ 20


Updated 07/01/2018 ID 14, of 27

M0753 Percentage change in clients who are employed from admission to discharge. ....................... 21

M0754 Percent change in the number of adults arrested 30 days prior to admission versus 30 days

prior to discharge. ................................................................................................................................... 23

Children’s Substance Abuse ........................................................................................................................ 24

M0052 Number of children that receive substance related services. .................................................... 24

M0725 Percent of children who successfully complete substance abuse treatment services. ............. 24

M0751 Percent change in the number of children arrested 30 days prior to admission versus 30 days

prior to discharge. ................................................................................................................................... 25

M0752 Percent of children with substance abuse who live in a stable housing environment at the time

of discharge. ............................................................................................................................................ 26


Updated 07/01/2018 ID 14, of 27

Corerequirementsforallmeasures Valid DCF contract

Valid target population at start of the episode of care

Valid fund source

o TANF only for services funded through the TANF Other Cost Accumulators (OCA)

o SAMH, Title XXI, PTS, Local Match when appropriate

Report capabilities must be based on the following hierarchies

o Subcontractor to ME

EmploymentOverviewThe Department tracks employment across several measures. Employment measures are focused on

the consumer’s employment status following admission. Employment data is required for all

consumers between the ages of 18 and 62 who are receiving services in non‐institutional setting.

Definitions from the Florida Department of Economic Opportunity1 are used as the basis for determining

employment in Florida. DEO defines employment as including persons who: did any work as paid

employees, worked in their own business or farm, or worked 15 hours or more as unpaid workers in a

family business during the reference week (normally the week including the 12th of the month). It also

includes those who had a job but did not work due to a temporary absence. Each employed person is

counted only once, even if they had more than one job.

Unemployment is defined as those who did not have a job during the reference week, were available for

work, and made specific efforts to find a job sometime during the 4 weeks prior to the reference week.

TargetPopulationTo ensure that outcome measures accurately represent an episode of care, an individual’s target

population is established at admission. The Department recognizes that an episode of care may extend

well beyond a particular fiscal year. As such, it is important that service providers accurately record all

admissions and discharges.

Adult Mental Health

M0003 Average annual days worked for pay for adults with severe and persistent mental

illness

This output is reported as a whole number.

Target population is persons with a severe and persistent mental illness;

Received mental health treatment services;

o Eligible services limited to:

06 ‐ Day / Night

1 http://www.floridajobs.org/frequently‐asked‐questions‐directory/frequently‐asked‐questions/category/c86500ec‐ef5f‐45dc‐aecd‐47963129c215/x


Updated 07/01/2018 ID 14, of 27

08 ‐ In‐Home and On‐Site Services Overlay 12 ‐ Medical Services 14 ‐ Outpatient‐Individual 20 ‐ Residential Level 3 21 ‐ Residential Level 4 34 ‐ FACT Teams 35 ‐ Outpatient‐Group.

o Exclude persons that received assessment only services;

Ages 18 to 62;

Exclude persons that were served at a state mental health treatment facility any time during the

review period.

Employment status is one of the following at any time during the review period:

o 10 ‐ Active military, overseas o 20 ‐ Active military, USA o 30 ‐ Full Time o 31 ‐ Unpaid Family Workers (minimum of 15 hours worked for family business) o 40 ‐ Part Time o 50 ‐ Leave of Absence

For leave of absence, the provider should inquire how many days worked prior to the leave of absence.

o 70 ‐ Unemployed

For each person

o Count the number of post‐admission outcome records (e.g., periodic or discharge) per

person per provider.

o Sum the number of days worked per person per provider.

o Divide the number of days worked by the count of post‐admission outcome records

(e.g., periodic or discharge) per person per provider.

o Multiply result by 12.1667 to arrive at an ‘annual’ estimate.

o Round the result to the nearest whole number.

For example, John Doe has the following three performance outcome records:

PROVID SPROVID EVALDATE DAYSWORK

59‐1234567 59‐7654321 07/19/2013 12

59‐1234567 59‐7654321 10/12/2013 15

59‐1234567 59‐2222222 09/09/2013 18

At the ME (PROVID) level, days worked is:

1) Number of records = 3

2) Sum of days worked = (12+15+18) = 45

3) 45 / 3 = 15

4) 15*12.1667 = 182.5

5) Round to 183


Updated 07/01/2018 ID 14, of 27

At the SPROVID level, days worked for SPROVID 59‐7654321 is:

1) Number of records = 2

2) Sum of days worked = (12+15) = 27

3) 27 / 2 = 13.5

4) 13.5*12.1667 = 164.3

5) Round to 164

M0703 Percent of adults with serious mental illness who are competitively employed

This outcome is reported as a percent.

Target population includes persons with serious mental illness;

Most recent evaluation is periodic or discharge;


o Eligible services limited to: 06 ‐ Day / Night 08 ‐ In‐Home and On‐Site Services Overlay 12 ‐ Medical Services 14 ‐ Outpatient‐Individual 20 ‐ Residential Level 3 21 ‐ Residential Level 4 34 ‐ FACT Teams 35 ‐ Outpatient‐Group


Ages 18 to 62;

Numerator = distinct count of persons where employment status includes any of the following:

o 10 ‐ Active military, overseas o 20 ‐ Active military, USA o 30 ‐ Full Time o 31 ‐ Unpaid Family Workers (minimum of 15 hours worked for family business) o 40 ‐ Part Time o 50 ‐ Leave of Absence

For leave of absence, the provider should inquire how many days worked prior to the leave of absence.

Denominator = distinct count of persons where employment status includes any of the

following:

o 10 ‐ Active military, overseas o 20 ‐ Active military, USA o 30 ‐ Full Time o 31 ‐ Unpaid Family Workers o 40 ‐ Part Time o 50 ‐ Leave of Absence o 70 ‐ Terminated/Unemployed

Divide to obtain the percent of adults with serious mental illness who are competitively employed;

Round result to the nearest whole number.


Updated 07/01/2018 ID 14, of 27

For example, ME1 and ME2 have the following performance outcome records:

PROVID SPROVID SSN EMPLOYMENT STATUS

59‐1234567 59‐7654321 123456789 30 ‐ Full Time

59‐1234567 59‐7654321 987654321 50 – Leave of Absence

59‐1234567 59‐2222222 121212121 70 – Terminated/Unemployed

59‐3333333 59‐5555555 954673027 70 – Terminated/Unemployed

At the ME level, the percent of adults with serious mental illness who are competitively employed for

ME1 (59‐1234567) is:

1) Numerator = 2

2) Denominator = 3

3) Percent = 66.66%

4) Round = 67%

At the ME level, the percent of adults with serious mental illness who are competitively employed for

ME2 (59‐333333333) is:

1) Numerator = 0

2) Denominator = 1

3) Percent = 0%

4) Round = 0%

At the SPROVID level, days worked for SPROVID 59‐7654321 is:

1) Numerator = 2

2) Denominator = 2

3) Percent = 100%

4) Round = 100%

M0016 Number of adults with a serious and persistent mental illness in the community

served


Persons identified with a severe and persistent mental illness at the start of the episode of care

Received any mental health services;

18 years of age or older;

Distinct count at:

o ME level;

o Subcontractor level.


Updated 07/01/2018 ID 14, of 27

M0017 Number of adults in mental health crisis served


Persons that do not meet criteria for having a severe and persistent mental illness or forensic

involvement that received at least one CSU or Crisis Support service during the review period;


Distinct count at:

o ME level;


M0018 Number of adults with forensic involvement served


Persons whose legal status at the start of the episode of care indicates forensic involvement;

Received mental health services

o Exclude persons that received assessment only services unless the assessment was part

of a competency to proceed to trial determination;


Distinct count at:

o ME level;


M0742 Percent of adults with severe and persistent mental illnesses who live in stable

housing environment.


Persons identified with a severe and persistent mental illness at the start of the episode of care;



06 ‐ Day / Night

08 ‐ In‐Home and On‐Site Services Overlay

12 ‐ Medical Services

14 ‐ Outpatient‐Individual

20 ‐ Residential Level 3


34 ‐ FACT Teams

35 ‐ Outpatient‐Group

o Exclude persons that received assessment only services, and persons that are

incarcerated or residing in any non‐community based institutional settings



Numerator = distinct count of persons where residential status includes any of the following:


Updated 07/01/2018 ID 14, of 27

o 01 ‐ Independent Living‐alone

o 02 ‐ Independent Living‐with Relatives

o 03 ‐ Independent Living‐with Non‐Relatives

o 04 ‐ Dependent Living‐with Relatives

o 05 ‐ Dependent Living‐with Non‐Relatives

o 06 ‐ Assisted Living Facility (ALF)

o 07 ‐ Foster Care/Home

o 08 ‐ Group Home

o 11 ‐ Nursing Home

o 12 ‐ Supported Housing

o 17 – Limited Mental Health Assisted Living Facility (LM‐ALF)

Denominator = distinct count of persons where residential status includes any of the following:








o 08 – Adult Residential Treatment Facility

o 09 ‐ Homeless



o 13 – Correctional Facilities

o 15 ‐ Crisis Residence

o 17 ‐ Limited Mental Health Assisted Living Facility (LM‐ALF)

o 99 ‐ Not Available or Unknown

For example, ME1 and ME2 have the following performance outcome records:

PROVID SPROVID SSN RESIDENTIAL STATUS

59‐1234567 59‐7654321 123456789 01 ‐ Independent Living‐alone

59‐1234567 59‐7654321 987654321 05 ‐ Dependent Living‐with Non‐Relatives

59‐1234567 59‐2222222 121212121 13 ‐ Correctional Facility (NOT INCLUDED)

59‐3333333 59‐5555555 954673027 15 ‐ Crisis Residence

At the ME level, the percent of adults with serious mental illness who are living in stable housing for

ME1 (59‐1234567) is:

1) Numerator = 2

2) Denominator = 2

3) Percent = 100.00%

4) Round = 100.00%


Updated 07/01/2018 ID 14, of 27

At the ME level, the percent of adults with serious mental illness who are living in stable housing for

ME2 (59‐333333333) is:

1) Numerator = 0

2) Denominator = 1

3) Percent = 0.00%

4) Round = 0.00%

At the SPROVID level, stable housing for SPROVID 59‐7654321 is:

1) Numerator = 2

2) Denominator = 2

3) Percent = 100.00%

4) Round = 100.00%

M0743 Percent of adults in forensic involvement who live in stable housing environment.

This outcome is reported as a percent. Persons whose legal status at the start of the episode of

care indicates forensic involvement;

o Release pending hearing‐competent

o Release pending hearing‐ITP

o Conditionally released‐ITP

o Released pending hearing – NGI

o Conditionally released – NGI

o Incompetent to Proceed – Age 21+



06 ‐ Day / Night






34 ‐ FACT Teams












Updated 07/01/2018 ID 14, of 27




o 08 ‐ Group Home












o 08 – Adult Residential Treatment Facility

o 09 ‐ Homeless

o 10 ‐ Hospital



o 13 – Correctional Facility




M0744 Percent of adults in mental health crisis who live in stable housing environment.


Persons that do not meet criteria for having a severe and persistent mental illness or forensic

involvement that received at least one CSU or Crisis Support service during the review period;



06 ‐ Day / Night


12‐ Medical Services




34‐ FACT Teams





Updated 07/01/2018 ID 14, of 27











o 08 ‐ Group Home












o 08 ‐ Group Home

o 09 ‐ Homeless

o 10 ‐ Hospital



o 13 ‐ Correctional Facility




Children’s Mental Health

M0031 Number of SED children to be served


Children identified with severe emotional disturbance at the start of the episode of care;

Received mental health services;

Under 18 years of age at the time of admission;

Distinct count at:


Updated 07/01/2018 ID 14, of 27

o ME level;


M0032 Number of ED children to be served

Children identified with emotional disturbance at the start of the episode of care;


18 years of age or younger;

Distinct count at:

o ME level;


M0033 Number of at‐risk children to be served

Children who do not meet criteria for emotional disturbance or severe emotional disturbance at

the start of the episode of care; Received mental health services;


Distinct count at:

o ME level;


M0377 Percent of children with emotional disturbances who improve their level of

functioning.

Children identified with emotional disturbance at the start of the episode of care;



The Department’s tool for measuring functional level is the Children’s Functional Assessment

Ratings Scale (CFARS);

Must have two CFARS for comparison purposes;

o Current CFARS cannot be an admission CFARS.

o Prior CFARS cannot be a discharge CFARS.

For each child per provider with a pair of CFARS

o Sum together the scores on the 16 domains to arrive at a total CFARS scores for the

current and for the prior CFARS.

o Subtract the current CFARS total score from the prior CFARS total score

Assign a score of +1 to improved for each child if:

Current score minus prior score is negative or

Current total score less than 48 and danger to self and danger to others

are both less than or equal to three;

Else assign a score of 0 to improved for each child.

Numerator = Count of all children where improved = 1;

Denominator = Count of all children where improved =0 or 1;


Updated 07/01/2018 ID 14, of 27

Round to nearest whole number.

For example, ME1 has the following CFARS records:

RECORD PROVID SPROVID SSN EVALUATION DATE PURPOSE TOTAL SCORE

1 59‐1234567 59‐7654321 123456789 07/22/2013 1 – ADMISSION 120

2 59‐1234567 59‐7654321 123456789 02/01/2014 2 – PERIODIC 90

3 59‐1234567 59‐2222222 010101010 09/18/2013 1 – ADMISSION 115

4 59‐1234567 59‐5555555 954673027 06/20/2013 3 – DISCHARGE 80

5 59‐1234567 59‐5555555 954673027 08/10/2013 1 ‐ ADMISSION 95

In the example above, only records 1 and 2 are valid pair of CFARS for comparison. Records 4 and 5

would not be valid as the current CFARS is an admission and the prior was a discharge.

At the ME level, the percent of children with emotional disturbances who improve their level of

functioning would be calculated as:

1) Current Total Score (90) minus prior Total Score (120) = ‐30;

2) Assign a score of +1 to improved for SSN 123456789;

3) Numerator = count of records where improved = 1 (1);

4) Denominator = count of records where improved = 1 or 0 (1);

5) Percent = 100%

6) Round = 100%

M0378 Percent of children with serious emotional disturbances who improve their level of

functioning

Children identified with serious emotional disturbance at the start of the episode of care; Received

mental health services;


Must have two CFARS for comparison purposes;

o Current CFARS cannot be an admission CFARS.

o Prior CFARS cannot be a discharge CFARS.

For each child per provider with a pair of CFARS

o Sum together the scores on the 16 domains to arrive at a total CFARS scores for the

current and for the prior CFARS.

o Subtract the current CFARS total score from the prior CFARS total score

Assign a score of +1 to improved for each child if:

Current score minus prior score is negative or

Current total score less than 48 and danger to self and danger to others

are both less than or equal to three;

Else assign a score of 0 to improved for each child.


Updated 07/01/2018 ID 14, of 27

Numerator = Count of all children where improved = 1;

Denominator = Count of all children where improved =0 or 1;


For example, ME1 has the following CFARS records:

RECORD PROVID SPROVID SSN EVALUATION DATE PURPOSE TOTAL SCORE

1 59‐1234567 59‐7654321 123456789 07/22/2013 1 – ADMISSION 120

2 59‐1234567 59‐7654321 123456789 02/01/2014 2 – PERIODIC 90

3 59‐1234567 59‐2222222 010101010 09/18/2013 1 – ADMISSION 115

4 59‐1234567 59‐5555555 954673027 06/20/2013 1 – ADMISSION 80

5 59‐1234567 59‐5555555 954673027 08/10/2013 3 – DISCHARGE 95

In the example above, records 1 and 2 and 4 and 5 are valid pairs of CFARS for comparison.

At the ME level, the percent of children with serious emotional disturbances who improve their level

of functioning would be calculated as:

1) For SSN 123456789, current Total Score (90) minus prior Total Score (120) = ‐30;

2) For SSN 954673027, current Total Score (95) minus prior Total Score (80) = 15;

3) Assign a score of +1 to improved for SSN 123456789;

4) Assign a score of 0 to improved for SSN 954673027;

5) Numerator = count of records where improved = 1 (1);

6) Denominator = count of records where improved = 1 or 0 (2);

7) Percent = 50%

8) Round = 50%

M0778 Percent of children with emotional disturbance (ED) who live in stable housing

environment


Children identified with an emotional disturbance at the start of the episode of care;



06 ‐ Day / Night








34‐ FACT Teams




Updated 07/01/2018 ID 14, of 27











o 08 ‐ Group Home












o 08 ‐ Group Home

o 09 ‐ Homeless

o 10 ‐ State Mental Health Treatment Facility


o 14 ‐ DJJ Facility


o 16 ‐ Children Residential Treatment Facility



M0779 Percent of children with serious emotional disturbance (SED) who live in stable

housing environment


Children identified with a serious emotional disturbance at the start of the episode of care;



06 ‐ Day / Night


Updated 07/01/2018 ID 14, of 27




















o 08 ‐ Group Home












o 08 ‐ Group Home

o 09 ‐ Homeless









Updated 07/01/2018 ID 14, of 27

M0780 Percent of children at risk of emotional disturbance who live in stable housing

environment


Children that do not meet criteria for emotional disturbance or serious emotional disturbance at

the start of the episode of care;



06 ‐ Day / Night



















o 08 ‐ Group Home













Updated 07/01/2018 ID 14, of 27

o 08 ‐ Group Home

o 09 ‐ Homeless








M0012 Percent of school days seriously emotionally disturbed (SED) children attended.


Children identified with a serious emotional disturbance at the start of the episode of care;



06 ‐ Day / Night











Numerator = sum of school days attended for all children per provider;

Denominator = sum of school days available for all children per provider;


For example, ME1 has the following performance outcome records:

PROVID SPROVID DAYS ATTENDED DAYS AVAILABLE

59‐1234567 59‐7654321 90 120

59‐1234567 59‐9999999 60 60

59‐1234567 59‐2222222 60 90

At the ME level, the percent of school days seriously emotionally disturbed (SED) children attended is:

Numerator = (90 + 60 + 60) = 210

Denominator = (120 + 60 + 90) = 270

Percent = 77.77%


Updated 07/01/2018 ID 14, of 27

Round to 78%.

Adult Substance Abuse

M0755 Percent of adults who successfully complete substance abuse treatment services.


Target population is persons with a diagnosed substance related disorder at the time of

admission;

Ages 18 and over;

Must be discharged from an episode of care

o Eligible discharge reasons limited to:

01 ‐ Completed Episode of Care ‐ no substance abuse

13 ‐ Referred outside of agency ‐ episode of care completed

Received substance abuse treatment services;


06 ‐ Day / Night









Frequency of primary, secondary and tertiary substance use is no use within prior 30 days.

Numerator = all persons that received eligible substance abuse treatment services that were

discharged with no substance use in the prior 30 days who were deemed to have completed

their episode of care. Denominator = all persons that received eligible substance abuse treatment services that were

discharged with any of the following codes; o 1 ‐ Completed Episode of Care – no substance abuse

o 2 ‐ Completed Episode of Care – some substance use (some impairment)

o 6 ‐ Non‐compliant with agency’s rules

o 7 ‐ Left before completing treatment (involuntary)

o 8 ‐ Incarcerated

o 9 – Died

o 13 ‐ Referred outside of agency – episode of care completed

o 14 ‐ Referred outside of agency – episode of care not completed

o 15 ‐ Left before completing treatment (voluntary)

o 16 – Administrative Discharge (Agency initiated)


Updated 07/01/2018 ID 14, of 27

o 17 – Agency Closed with no Referral

For example, ME1 has the following performance outcome records:

PROVID SPROVID SSN DISCHARGE REASON SERVICES

USE IN PRIOR 30 DAYS?

59‐1234567 59‐7654321 123456789 01 ‐ Completed Episode of Care 18 ‐ RESIDENTIAL LEVEL 1 NO

59‐1234567 59‐7654321 987654321 06 ‐ Non‐compliant with agency's rules 35 ‐ OUTPATIENT GROUP YES

59‐1234567 59‐2222222 010203040 10 ‐ Completed non‐treatment service 24 ‐ DETOXIFICATION NO

At the ME level, the percent of adults who successfully complete substance abuse treatment services

is:

Numerator = 1 (SSN 123456789)

Denominator = 2 (do not count detoxification)

Percent = 50.00%

Round to 50.00%

M0063 Number of adults that receive substance related services

This output is reported as a percent.

Target population is persons with a diagnosed substance related disorder;


Distinct count at:

o ME level;


M0756 Percent of adults with substance abuse who live in a stable housing environment at

the time of discharge.




Must be discharged from the episode of care;



06 ‐ Day / Night








Updated 07/01/2018 ID 14, of 27











o 08 ‐ Group Home












o 08 ‐ Group Home

o 09 ‐ Homeless

o 10 ‐ Hospital



o 13 ‐ Correctional Facility


o 17 ‐ Limited Mental Health Assisted Living Facility (LM‐ALF)


M0753 Percentage change in clients who are employed from admission to discharge.





Ages 18 to 62;




Updated 07/01/2018 ID 14, of 27

06 ‐ Day / Night









For each person that received substance abuse treatment services:

o Compare discharge employment status to admission employment status.

Assign a value of +1 to employed for each person where the discharge

employment status includes any of the following:

10 ‐ Active military, overseas

20 ‐ Active military, USA

30 ‐ Full Time

31 ‐ Unpaid Family Workers (minimum of 15 hours worked for family business)

40 ‐ Part Time

50 ‐ Leave of Absence

ELSE assign a value of 0. Assign a value of +1 to employed for each person where the admission

employment status includes any of the following:

10 ‐ Active military, overseas

20 ‐ Active military, USA

30 ‐ Full Time

31 ‐ Unpaid Family Workers (minimum of 15 hours worked for family business)

40 ‐ Part Time

50 ‐ Leave of Absence

ELSE assign a value of 0. o For each person, calculate a change value. If the discharge employed value is greater

than or equal to the admission value, assign a score of +1. If the discharge is less than the admission value, assign a score of else assign a score of 0.


At the ME level, percentage change in clients who are employed from admission to discharge is

calculated as:

1) Employed at admission = 2

2) Employed at discharge = 1


Updated 07/01/2018 ID 14, of 27

3) (Employed at discharge minus employed at admission) divided by employed at admission =

(1‐2) / 2 = ‐50%

4) Round = ‐50%

M0754 Percent change in the number of adults arrested 30 days prior to admission versus 30

days prior to discharge.

This outcome is reported as a percent. A negative percent is good as it indicates that fewer people were

arrested at time 2 relative to time 1.





06 ‐ Day / Night











o Compare discharge arrest status to admission arrest status.

Assign a value of 0 to arrest for each person not arrested 30 days prior to

discharge.

ELSE assign a value of +1. Assign a value of 0 to arrest for each person not arrested 30 days prior to

admission

ELSE assign a value of +1. o Determine percent of persons arrested at admission

Count number of persons arrested at admission Divide count of persons arrested at admission by count of all admissions;

o Determine percent of persons arrested at discharge; Count number of persons arrested at discharge Divide count of persons arrested at admission by count of all discharges;

Calculate the percent change as:

o (Percent of Persons Arrested at Discharge minus Percent of Persons Arrested at

Admission) divided by Percent of Persons Arrested at Admission



Updated 07/01/2018 ID 14, of 27

For example, ME1 has the following substance abuse outcome records:

PROVID SPROVID SSN EVALUATION DATE PURPOSE ARRESTED 30 DAYS PRIOR?

59‐1234567 59‐7654321 123456789 07/22/2013 1 – ADMISSION NO

59‐1234567 59‐7654321 123456789 02/01/2014 3 – DISCHARGE NO

59‐1234567 59‐2222222 010101010 09/18/2013 1 – ADMISSION NO

59‐1234567 59‐2222222 010101010 10/20/2013 3 – DISCHARGE NO

59‐1234567 59‐7654321 909090909 8/20/2013 1 – ADMISSION YES

59‐1234567 59‐7654321 909090909 9/18/2013 3 – DISCHARGE NO

At the ME level, percentage change in the number of adults arrested 30 days prior to admission versus

30 days prior to discharge is calculated as:

1) Number arrested at admission = 1 (SSN 909090909)

2) Number arrested at discharge = 0

3) (Number arrested at discharge minus number arrested at admission) divided by number

arrested at admission = (0‐1) / 1 = ‐100%

4) Round = ‐100%

Children’s Substance Abuse

M0052 Number of children that receive substance related services.

This output is reported as a number.

Target population is children with a diagnosed substance related disorder;

17 years of age or younger at time of admission;

Distinct count at:

o ME level;


M0725 Percent of children who successfully complete substance abuse treatment services.



Must be discharged from an episode of care;

o Eligible discharge reasons limited to:

01 ‐ Completed Episode of Care ‐ no substance abuse

13 ‐ Referred outside of agency‐episode of care completed



06 ‐ Day / Night




Updated 07/01/2018 ID 14, of 27







Frequency of primary, secondary and tertiary substance use is no use within prior 30 days.

Numerator = all persons that received eligible substance abuse treatment services that were

discharged with no substance use in the prior 30 days who were deemed to have completed

their episode of care.

Denominator = all persons that received eligible substance abuse treatment services that were

discharged with any of the following codes; o 1 ‐ Completed Episode of Care – no substance abuse

o 2 ‐ Completed Episode of Care – some substance use (some impairment)

o 6 ‐ Non‐compliant with agency’s rules

o 7 ‐ Left before completing treatment (involuntary)

o 8 ‐ Incarcerated

o 9 – Died

o 13 ‐ Referred outside of agency – episode of care completed

o 14 ‐ Referred outside of agency – episode of care not completed

o 15 ‐ Left before completing treatment (voluntary)

o 16 – Administrative Discharge (Agency initiated)

o 17 – Agency Closed with no Referral

M0751 Percent change in the number of children arrested 30 days prior to admission versus

30 days prior to discharge.






06 ‐ Day / Night










Updated 07/01/2018 ID 14, of 27



o Compare discharge arrest status to admission arrest status.

Count each person arrested 30 days prior to discharge as CURRENT_ARRESTS

Count each person arrested 30 days prior to admission as PRIOR_ARRESTS

Count all persons as TOTAL

Calculate the percent change as:

o (CURRENT_ARRESTS – PRIOR‐ARRESTS) / PRIOR_ARRESTS


M0752 Percent of children with substance abuse who live in a stable housing environment at

the time of discharge.






06 ‐ Day / Night


















o 08 ‐ Group Home






Updated 07/01/2018 ID 14, of 27









o 08 ‐ Group Home

o 09 ‐ Homeless

o 10 ‐ Hospital







program guidance for contract deliverables … guidance for contract deliverables ... of discharge....

Documents