The Psychiatric Services and Clinical Knowledge Enhancement System (PSYCKES) Continuous Quality Improvement (CQI) Initiative aims to decrease risky prescribing practices among New York State Medicaid enrollees. Freestanding mental health clinics participating in the initiative work on reducing high/moderate risk antipsychotics for individuals having a cardiometabolic disorder, multiple long-term psychotropic medications, higher than recommended doses of psychotropic medications, and risky psychotropic medications in children and youth. Approximately 335 clinics are participating statewide. Clinics use PSYCKES to identify individuals who have been flagged as having a quality concern and to access client-level information for clinical decision-making. PSYCKES is also used to track clinics' ongoing progress in the initiative.
Hospital Quality Collaborative
The New York State Office of Mental Health (OMH), Greater New York Hospital Association (GNYHA), and Healthcare Association of New York State (HANYS) are co-sponsoring the Readmissions Quality Collaborative, focused on reducing readmission rates among adults discharged from behavioral health inpatient services. Participating hospitals work together to implement evidence-based clinical and operational interventions in the areas of medication practices, engagement in care, and treatment integration, in order to enhance care transitions and promote improved client outcomes. Data from PSYCKES supports the quality improvement activities and helps to measure project impact.
MyCHOIS is an innovative Web-based portfolio of reports and tools developed by New York State Office of Mental Health to promote active participation by consumers in their treatment and recovery. MyCHOIS includes three major components: the My Treatment Data portal, which allows Medicaid consumers to view and comment on their treatment history; a Learning Center, which provides access to educational materials and recovery tools; and CommonGround, a shared decision-making tool developed by Pat Deegan, PhD.
Consumers use MyCHOIS to complete a MyCHOIS CommonGround Health Report prior to each medication appointment at computer kiosks dedicated to MyCHOIS use. Trained peer specialists assist consumers as they navigate the MyCHOIS program, empower consumers to find appropriate resources in the Learning Center and function as integral members of the MyCHOIS quality improvement team. As clinics incorporate MyCHOIS and the MyCHOIS CommonGround Health Report into daily use, we anticipate an enhanced focus on client-centered care, more frequent shared decision-making, an improvement in client and prescriber satisfaction and an increase in the effectiveness and efficiency of medication visits.
PSYCKES for Assertive Community Treatment (ACT)
The PSYCKES ACT Initiative is designed to support the implementation of PSYCKES in ACT teams statewide. The overall goal of this initiative is to assist teams in integrating PSYCKES into routine clinical workflow. The comprehensive client data in PSYCKES supports teams during clinical review, intake, treatment planning, ongoing clinical decision-making, care coordination and discharge planning.
PSYCKES for Care Management (CM)
The PSYCKES Care Management Initiative is designed to support the implementation of PSYCKES in Care Management programs statewide. The overall goal of this initiative is to assist programs in integrating PSYCKES into routine clinical workflow. The comprehensive client data in PSYCKES supports care management programs during intake assessment, service planning, and care coordination.
PSYCKES Emergency Room (ER) Pilot
PSYCKES is being piloted in ER settings for use in clinical decision-making. This pilot addresses ER staff's need for timely diagnostic and treatment information on clients who may never have been seen before and whose acute condition prevents them from providing this information. The goal of the pilot ER implementation will be:
- to establish best practices for integrating PSYCKES use into ER work flow
- to determine what adaptations (if any) are required for the PSYCKES application
- to evaluate the impact of PSYCKES access in this new setting.
Comments or questions about the information on this page can be directed to the PSYCKES Team.