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Clinical and Quality Measures Toolkit for Behavioral Providers

Female clinician counseling client - Clinical and Quality Measures Toolkit for Behavioral Providers

Quality Measures (HEDIS®)

HEDIS® Definition

HEDIS® Overview for Behavioral Health Providers

Attention Deficit/Hyperactivity Disorder

Provider Best Practice Resource:

Treatment and Follow up for Children Prescribed ADHD Medications (ADD)

Provider Resource:

Patient Handout:

ADHD Health Care Appointment Planner

ADHD Initial Appointment Reminder Form

Medication Tracking Log

Screening Tool:

Vanderbilt Scale

Follow-up after Hospitalization or Emergency Department Visit

Provider Best Practice Resource:

Follow-Up Care After Discharge (FUH, FUI, FUA, FUM)

Practice Resource:

POS 53 for FUH Community Mental Health Centers

Provider Best Practice Resource:

Antidepression Medication Screening and Management

Provider Resource:

Child and Adolescent Mental Health

Screening Tool:

Patient Health Questionnaire Screening Tools (PHQ-9)

PHQ-9 Scoring Instructions

Schizophrenia/Antipsychotic Medications

Provider Best Practice Resource:

Psychosocial Care and Metabolic Screening for Children and Adolescents on Antipsychotic Medications (APM, APP)

Metabolic Testing & Monitoring for Adult Patients (SSD, SMD, SMC)

Provider Resource:

Long-Acting Injectable (LAI) Medication

Substance Use Disorders

Provider Best Practice Resource:

Helping Patients get the Care they need within 7 days after Discharge (FUH, FUI, FUA, FUM)

Medication Assisted Treatment (MAT)

Treatment for Individuals with Substance Use Disorder (IET)

Provider Resource:

Quick Reference Guide for Substance Use Screening Tools

Screening Tool:

APA DSM5 Level 2 Substance Use Adult -DSM5 adult substance use questionnaire

APA DSM5 Level 2 Substance Use Parent of Child Age 6 to 17- DSM5 child and adolescent substance use questionnaire

AUDIT-C - Adult alcohol use questionnaire

AUDIT-C scoring cards

CRAFFT (Self-Administered) -Adolescent alcohol and drug use questionnaire

CRAFFT (Practitioner-Administered) - Adolescent alcohol and drug use questionnaire

SBIRT -Screening, Brief Intervention, and Referral to Treatment

Other Important Resources

Member Website:

Live and Work Well
(use access code 'clinician' then click on "Mind & Body")

Provider Resource:

Behavioral Health Clinical Practice Guidelines

Treatment Guideposts

The National Committee for Quality Assurance (NCQA®) has developed measures of healthcare that are quantifiable, comparable and meaningful. They are called the Healthcare Effectiveness Data and Information Set (HEDIS®) measures. NCQA reports that, “HEDIS is one of health care's most widely used performance improvement tools.

191 million people are enrolled in plans that report HEDIS results" to measure performance on important dimensions of care and service. Altogether, HEDIS consists of 90 measures across six domains of care.

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