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 levels.
- Some examples of our quality indicators include:
- No diabetes monitoring for individuals with diabetes and schizophrenia
- Low medication adherence for individuals with schizophrenia
- High utilization of inpatient or emergency room services
- 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 the Department of Health (DOH) calculates them on “mature” Medicaid data. DOH calculates the indicator sets after a 6+ month billing data maturation period to allow for service invoicing. 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.