Psychiatric Care Indicators

Psychiatric Care Indicators

Indicator PSY-1: Injurious Behavior
The following measures are available for both adults and adolescents:
• Psychiatric self-injury events per 1000 discharges
• Psychiatric suicide attempts per 1000 inpatient days
• Psychiatric suicides per 1000 inpatient days
• Psychiatric self-injury events per 1000 inpatient days
• Psychiatric inpatient days with one or more self-injury events per 100 inpatient days
• Psychiatric physical assault events per 1000 discharges
• Psychiatric physical assault events per 1000 inpatient days
• Psychiatric inpatient days with one or more physical assault events per 100 inpatient days
Indicator PSY-2: Unplanned Departures Resulting in Discharge
The following measures are available for both adults and adolescents:
• Total unplanned departures from psychiatric inpatient care resulting in discharge
• Unplanned departures from psychiatric inpatient care due to AMA resulting in discharge
• Unplanned departures from psychiatric inpatient care due to elopement resulting in discharge
Indicator PSY-3: Transfers/Discharges to Inpatient Acute Care
Measures are available for adult transfers/discharges from psychiatric inpatient care to inpatient acute care for the following
time frames:
• Within 24 hours of psychiatric admission
• > 24 but <= 72 hours of psychiatric admission
Indicator PSY-4: Readmissions to Psychiatric Inpatient Care
The following measures are available for adults only:
• Readmissions to psychiatric inpatient care:
• <=24 hours of discharge
• >24 but <=72 hours of discharge
• >72 hours but <=7 days of discharge
The following measures are available for both adults and adolescents:
• Readmissions to psychiatric inpatient care:
• within 15 days of discharge
• within 15 days of discharge with prior psychiatric LOS <= 72 hours
• within 15 days of discharge with prior psychiatric LOS > 72 hours but <= 15 days
• within 15 days of discharge with prior psychiatric LOS > 15 days
• within 16 to 31 days of discharge

P s y c h i a t r i c C a r e I n d i c a t o r s
 • within 32 to 60 days of discharge
Indicator PSY-5: Physical Restraint Events
The following measures are available for both adults and adolescents:
• Psychiatric physical restraint events per 1000 discharges
• Psychiatric inpatient discharges with one or more physical restraint events per 100 discharges
• Psychiatric physical restraint events per 1000 inpatient days
• Psychiatric inpatient days with one or more physical restraint events per 100 inpatient days
• Psychiatric inpatients with one or more physical restraint events per 1000 discharges
• Psychiatric inpatients with one or more physical restraint events per 1000 inpatient days
• Psychiatric inpatients with one or more physical restraint events per 100 inpatients
• Psychiatric repeated use of physical restraint
Indicator PSY-6: Seclusion Events
The following measures are available for both adults and adolescents:
• Psychiatric seclusion events per 1000 discharges
• Psychiatric seclusion events lasting <= 1 hour
• Psychiatric seclusion events lasting > 1 but <= 6 hours
• Psychiatric seclusion events lasting > 6 but <= 12 hours
• Psychiatric seclusion events lasting > 12 hours
• Psychiatric seclusion events per 1000 inpatient days
• Psychiatric inpatient days with one or more seclusion events per 100 inpatient days
• Psychiatric inpatients experiencing one or more seclusion events per 1000 discharges
• Psychiatric inpatients experiencing one or more seclusion events per 1000 inpatient days
• Repeated use of psychiatric seclusion
Indicator PSY-7: Partial Hospitalization Programs
• PHP discharges to inpatient psychiatric or substance abuse unit/facility:
• total
• for patients with <= 1 PHP visit
• for patients with > 1 for <= 5 PHP visits
• for patients with > 5 but <= 14 PHP visits
• for patients with > 14 PHP visits
• because the initial discharge to PHP was inappropriate
• due to patient non-compliance with treatment and/or medication
• due to return or exacerbation of symptoms not related to patient non-compliance
• due to medical or psychiatric complication of treatment including medication adjustment
• for substance abuse treatment
• for all other reasons
• PHP discharges:
• to Intensive Outpatient Programs (IOP)

P s y c h i a t r i c C a r e I n d i c a t o r s
 • to mental health centers or clinics
• to private outpatient practitioners
• due to no shows, AMAs, or elopments
• with no mental health follow-up
• for all other discharge dispositions
• for patients with <= 1 PHP visit
• for patients with > 1 but <= 5 PHP visits
• for patients with > 5 but <= 14 PHP visits
• for patients with > 14 PHP visits
Indicator PSY-8: Documented Falls
The following measures are available for adults only:
• Documented falls in inpatient psychiatric care
• Documented falls in inpatient psychiatric care due to patient’s health status
• Documented falls in inpatient psychiatric care due to medication
• Documented falls in inpatient psychiatric care due to environmental causes
• Documented falls in inpatient psychiatric care due to all other causes
• Documented falls in inpatient psychiatric care resulting in injury

P s y c h i a t r i c C a r e I n d i c a t o r s