Others titles
- Psychiatric Hospital Compare Data by Facility
- Inpatient Hospital Quality Measures
- CMS Quality Measures Data
- IPQRF Program Quality Measures
- Inpatient Psychiatric Hospital Facility Quality Measures
- Inpatient Psychiatric Hospital Facility Quality Reporting Program
Keywords
- Quality Reporting Programs
- Quality Reporting Payments
- Quality of Care Information
- Eligible Psychiatric Hospitals
- Psychiatric Hospital
- Psychiatric Services
- CMS Hospital Compare
- Psychiatric Hospital Facilities
Inpatient Psychiatric Hospital Facility Quality Measures by Facility
This dataset includes Psychiatric facilities that are eligible for the Inpatient Psychiatric Facility Quality Reporting (IPFQR) program are required to meet all program requirements, otherwise their Medicare payments may be reduced. It contains facility-wise data for the hospitals in United States for several inpatient psychiatric facility quality measures.
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Description
The Inpatient Psychiatric Hospital Facility Quality Reporting (IPFQR) program is being developed as mandated by section 1886(s)(4) of the Social Security Act (SSA), as added and amended by Sections 3401(f) and 10322(a) of the Affordable Care Act (Pub.L. 111-148).
The IPFQR program is a pay-for-reporting program intended to equip consumers with quality of care information to make more informed decisions about healthcare options. It is also intended to encourage hospitals and clinicians to improve the quality of inpatient care provided to beneficiaries by, first, ensuring that providers are aware of and reporting on best practices for their respective facilities and type of care. Because this is a pay-for-reporting program, facilities will be subject to payment reduction for non-participation. Eligible Psychiatric hospitals that do not participate in the IPFQR program in a fiscal year will receive a 2.0 percentage point reduction to their annual update to their standard federal rate for that year. The reduction is noncumulative across payment years.
The IPFQR program requires facilities to submit data for specific inpatient psychiatric clinical process measures. These quality measures will be announced no later than October 1, 2012. To meet the IPFQR program requirement, Inpatient Psychiatric Facilities (IPFs) will be required to submit all quality measures in the form, manner, and time as specified by the Secretary, to the Centers for Medicare & Medicaid Services (CMS), beginning with Fiscal Year (FY) 2014 payment determination year and subsequent fiscal years. Participating IPFs must comply with the program requirements, which will be set forth through rule-making, including public reporting of the measure rates.
About this Dataset
Data Info
Date Created | 2014-01-28 |
---|---|
Last Modified | 2023-07-05 |
Version | 2023-07-05 |
Update Frequency |
Quarterly |
Temporal Coverage |
N/A |
Spatial Coverage |
United States |
Source | John Snow Labs; Centers for Medicare & Medicaid Services; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | Quality Reporting Programs, Quality Reporting Payments, Quality of Care Information, Eligible Psychiatric Hospitals, Psychiatric Hospital, Psychiatric Services, CMS Hospital Compare, Psychiatric Hospital Facilities |
Other Titles | Psychiatric Hospital Compare Data by Facility, Inpatient Hospital Quality Measures, CMS Quality Measures Data, IPQRF Program Quality Measures, Inpatient Psychiatric Hospital Facility Quality Measures, Inpatient Psychiatric Hospital Facility Quality Reporting Program |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Provider_Number | CMS certification number (CCN). Identification number of the hospital within the CMS dataset. | integer | level : Nominal |
Hospital_Name | Name of the hospital (also referred to as the provider) | string | - |
Address | Main street address information of the hospital | string | - |
City | Mailing city. The city in the main street address of the hospital. | string | - |
State_Abbreviation | Two-letter state abbreviation in the mailing address of the hospital. This includes information on hospitals in: | string | - |
ZIP_Code | 5 digit postal zip code in the mailing address of the hospital. | integer | level : Nominal |
County | Mailing county of the hospital. | string | - |
HBIPS2_Measure_Description | Description of Hospital Based Inpatient Psychiatric Services Core Measure Set. HBIPS2 is described as Hours of Physical Restraint Use. Total hours all patients spent in physical restraint as a proportion of total inpatient hours. | string | - |
HBIPS2_Overall_Rate_Per_1000 | Indicates the overall rate per 1000 for Hospital Based Inpatient Psychiatric Services (HBIP2) Measure. | number | level : Ratio |
HBIPS2_Overall_Numerator | Indicates the overall Numerator value for Hospital Based Inpatient Psychiatric Services (HBIP2) Measure. | number | level : Ratio |
HBIPS2_Overall_Denominator | Indicates the overall Denominator value for Hospital Based Inpatient Psychiatric Services (HBIPS2) Measure. | integer | level : Ratio |
HBIPS2_Overall_Footnote | Footnote Values for Overall Hospital Based Inpatient Psychiatric Services (HBIPS2) Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
HBIPS3_Measure_Description | Description of Hospital Based Inpatient Psychiatric Services Core Measure Set. HBIPS3 is described as Hours of Seclusion Use. Total hours all patients spent in seclusion as a proportion of total inpatient hours. | string | - |
HBIPS3_Overall_Rate_Per_1000 | Indicates the overall rate per 1000 for Hospital Based Inpatient Psychiatric Services (HBIPS3) Measure. | number | level : Ratio |
HBIPS3_Overall_Numerator | Indicates the overall Numerator value for Hospital Based Inpatient Psychiatric Services (HBIPS3) Measure. | number | level : Ratio |
HBIPS3_Overall_Denominator | Indicates the overall Denominator value for Hospital Based Inpatient Psychiatric Services (HBIPS3) Measure. | integer | level : Ratio |
HBIPS3_Overall_Footnote | Footnote Values for Overall Hospital Based Inpatient Psychiatric Services (HBIPS3) Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
HBIPS5_Measure_Description | Description of Hospital Based Inpatient Psychiatric Services Core Measure Set. HBIPS5 is described as Patients discharged on multiple antipsychotic medications with appropriate justification. Percent of patients discharged on multiple antipsychotic medications with appropriate justification as a proportion of patients discharged on two or more antipsychotic medications. Appropriate justifications are limited to augmentation of clozapine, tapering to monotherapy, and history of at least three failed trials of monotherapy. | string | - |
HBIPS5_Overall_Percent_of_Total | Indicates the overall percentage for Hospital Based Inpatient Psychiatric Services (HBIPS5) Measure. | number | level : Ratio |
HBIPS5_Overall_Denominator | Indicates the overall Denominator value for Hospital Based Inpatient Psychiatric Services (HBIPS5) Measure. | integer | level : Ratio |
HBIPS5_Overall_Footnote | Footnote Values for Overall Hospital Based Inpatient Psychiatric Services (HBIPS5) Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
SMD_Measure_Description | Description of Screening for Screening for Metabolic Disorders (SMD) Measure. | string | - |
SMD_Percent | Indicates the overall percentage for Screening for Metabolic Disorders (SMD) Measure. | integer | level : Ratio |
SMD_Denominator | Indicates the overall Denominator value of Screening for Metabolic Disorders (SMD) Measure. | integer | level : Ratio |
SMD_Footnote | Indicates the footnote value of Screening for Metabolic Disorders (SMD) Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
SUB2_2a_Measure_Description | Description of Substance Use Treatment Measure. Substance2 is described as Alcohol Use Brief Intervention Provided or Offered. | string | - |
SUB2_Percent | Indicates the overall percentage for Substance2 Measure. | number | level : Ratio |
SUB2_Denominator | Indicates the overall Denominator value for Substance2 Measure. | integer | level : Ratio |
SUB2_Footnote | Footnote Values for Substance2 Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
SUB2a_Percent | Indicates the overall percentage for Substance2a Measure. | number | level : Ratio |
SUB2a_Denominator | Indicates the overall Denominator value for Substance2a Measure. | integer | level : Ratio |
SUB2a_Footnote | Footnote Values for Substance2a Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
SUB3_3a_Measure_Description | Description of National-wise Substance Use Treatment Measure. SUB3 3a is described as use of Alcohol and other Drug Use Disorder Treatment Provided or Offered at Discharge. | string | - |
SUB3_Percent | Indicates the overall percentage for SUB3 Measure. | integer | level : Ratio |
SUB3_Denominator | Indicates the overall Denominator value for SUB3 Measure. | integer | level : Ratio |
SUB3_Footnote | Indicates the footnote Values for Substance3 Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
SUB3a_Percent | Indicates the overall percentage for SUB3a Measure. | integer | level : Ratio |
SUB3a_Denominator | Indicates the overall Denominator value for SUB3a Measure. | integer | level : Ratio |
SUB3a_Footnote | Indicates the footnote Values for Substance3a Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
TOB2_2a_Measure_Description | Description of Substance Use Treatment Measure. Tobacco2 is described as Tobacco Use Treatment during the hospital stay. | string | - |
TOB2_Percent | Indicates the overall percentage for Tobacco2 Measure. | number | level : Ratio |
TOB2_Denominator | Indicates the overall Denominator value for Tobacco2 Measure. | integer | level : Ratio |
TOB2_Footnote | Footnote Values for Tobacco2 Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
TOB2a_Percent | Indicates the overall percentage for Tobacco2a Measure. | number | level : Ratio |
TOB2a_Denominator | Indicates the overall Denominator value for Tobacco2a Measure. | integer | level : Ratio |
TOB2a_Footnote | Footnote Values for Tobacco2a Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
TOB3_3a_Measure_Description | Description of Substance Use Treatment Measure. It is described as Tobacco Use Treatment Provided or Offered at Discharge. | string | - |
TOB3_Percent | Indicates the overall percentage for Tobacco3 Measure. | number | level : Ratio |
TOB3_Denominator | Indicates the overall Denominator value for Tobacco3 Measure. | integer | level : Ratio |
TOB3_Footnote | Footnote Values for Tobacco3 Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
TOB3a_Percent | Indicates the overall percentage for Tobacco3a Measure. | number | level : Ratio |
TOB3a_Denominator | Indicates the overall Denominator value for Tobacco3a Measure. | integer | level : Ratio |
TOB3a_Footnote | Footnote Values for Tobacco3a Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
TR1_Measure_Description | Description of Transition record with specified elements received by discharged patients (TR1). | string | - |
TR1_Percent | Indicates the percentage of Transition Record with specified elements (TR1) Measure. | integer | level : Ratio |
TR1_Denominator | Indicates the overall Denominator value for Transition Record with specified elements (TR1) Measure. | integer | level : Ratio |
TR1_Footnote | Footnote Values for Transition Record with specified elements (TR1) Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
TR2_Measure_Description | Description of Timely Transmission of transition record (TR2) Measure. | string | - |
TR2_Percent | Indicates the percentage of Timely Transmission of transition record (TR2) Measure. | integer | level : Ratio |
TR2_Denominator | Indicates the overall Denominator value for Timely Transmission of transition record (TR2) Measure. | integer | level : Ratio |
TR2_Footnote | Footnote Values for Timely Transmission of transition record (TR2) Measure. Footnote describes an additional piece of information given separately for the compiled data. | string | - |
TR2_Start_Date | The first day of TR2 data measures was collected. The date format is YYYY-MM-DD. | date | - |
TR2_End_Date | The last day of TR2 data measures was collected. The date format is YYYY-MM-DD. | date | - |
FUH_Measure_Description | Description of Follow-Up after Hospitalization (FUH) Measure. FUH for Mental Illness measures the percentage of discharged patients age 6 years or older who had an outpatient visit, an intensive outpatient encounter, or a partial hospitalization with a mental health practitioner, within 7 days and 30 days of discharge. CMS will calculate these measures based on Medicare claims data. | string | - |
FUH30_Percent | Indicates the percent for Follow-up after Hospitalization (FUH) for Mental Illness of 30-Days. | number | level : Ratio |
FUH30_Denominator | Indicates the overall Denominator value for Follow-up after Hospitalization (FUH) Measure within 30 Days of discharge. | integer | level : Ratio |
FUH30_Footnote | Footnote Values for Follow-Up After Hospitalization (FUH) Measure within 30 Days of discharge. Footnote describes an additional piece of information given separately for the compiled data. | integer | level : Nominal |
FUH7_Percent | Indicates the percent for Follow-up after Hospitalization (FUH) for Mental Illness of 7-Days. | number | level : Ratio |
FUH7_Denominator | Indicates the overall Denominator value for Follow-up after Hospitalization (FUH) Measure within 30 Days of discharge. | integer | level : Ratio |
FUH7_Footnote | Footnote Values for Follow-Up After Hospitalization (FUH) Measure within 30 Days of discharge. Footnote describes an additional piece of information given separately for the compiled data. | integer | level : Nominal |
FUH_Measure_Start_Date | The first day of FUH data measures was collected. The date format is YYYY-MM-DD. | date | - |
FUH_Measure_End_Date | The last day of FUH data measures was collected. The date format is YYYY-MM-DD. | date | - |
MedCont_Measure_Description | It is described as Medication Continuation Following Inpatient Psychiatric Discharge. | string | - |
MedCont_Percent | Indicates the overall percentage for MedCon Measure. | number | level : Ratio |
MedCont_Denominator | Indicates the overall Denominator value for Medication Continuation Following Inpatient Psychiatric Discharge. | integer | level : Ratio |
MedCont_Footnote | integer | level : Nominal | |
MedCont_Measure_Start_Date | The first day the data regarding MedCont measures was collected. The date format is YYYY-MM-DD. | date | - |
MedCont_Measure_End_Date | The last day the data regarding MedCont measures was collected. The date format is YYYY-MM-DD. | date | - |
READM30_IPF_Measure_Description | Description of patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF). | string | - |
READM30_IPF_Category | Indicates the category of patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF). | string | - |
READM30_IPF_Denominator | Indicates the overall Denominator value for patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF). | integer | level : Ratio |
READM30_IPF_Rate | Indicates the rate for patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF). | number | level : Ratio |
READM30_IPF_Lower_Estimate | Indicates the lower estimate value for patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF). | number | level : Ratio |
READM30_IPF_Higher_Estimate | Indicates the higher estimate value for patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF). | number | level : Ratio |
READM30_IPF_Footnote | Footnote Values for patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF). Footnote describes an additional piece of information given separately for the compiled data. | integer | level : Nominal |
READM30_IPF_Start_Date | The first day the data regarding READM30 IPF Measure was collected. The date format is YYYY-MM-DD. | date | - |
READM30_IPF_End_Date | The last day the data regarding READM30 IPF Measure was collected. The date format is YYYY-MM-DD. | date | - |
IMM2_Measure_Description | Indicates the description of Influenza Immunization2 Measure. | string | - |
IMM2_Percent | Indicates the overall percentage for Influenza Immunization2 Measure. | number | level : Ratio |
IMM2_Denominator | Indicates the overall Denominator value for Influenza Immunization2 Measure. | integer | level : Ratio |
IMM2_Footnote | Footnote Values for Influenza Immunization2 Measure. Footnote describes an additional piece of information given separately for the compiled data. | integer | level : Nominal |
Flu_Season_Start_Date | The first day of the Flu Season data measures was collected. The date format is YYYY-MM-DD. | date | - |
Flu_Season_End_Date | The last day of the Flu Season data measures was collected. The date format is YYYY-MM-DD. | date | - |
IPFQR_HCP_COVID19_Measure_Description | It describes inpatient psychiatric hospital facility quality measures percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR- HCP COVID-19). | string | - |
IPFQR_HCP_COVID19_Percent | Indicates the overall percentage for IPFQR HCP COVID19 Measure. | number | level : Ratio |
IPFQR_HCP_COVID19_Denominator | Indicates the overall Denominator value for IPFQR HCP COVID19 Measure. | integer | level : Ratio |
IPFQR_HCP_COVID19_Footnote | Footnote Values for IPFQR HCP COVID19 Measure. Footnote describes an additional piece of information given separately for the compiled data. | integer | level : Nominal |
IPFQR_HCP_COVID19_Start_Date | The first day the data regarding IPFQR HCP COVID19 Measure was collected. The date format is YYYY-MM-DD. | date | - |
IPFQR_HCP_COVID19_End_Date | The last day the data regarding IPFQR HCP COVID19 Measure was collected. The date format is YYYY-MM-DD. | date | - |
Data Preview
Provider Number | Hospital Name | Address | City | State Abbreviation | ZIP Code | County | HBIPS2 Measure Description | HBIPS2 Overall Rate Per 1000 | HBIPS2 Overall Numerator | HBIPS2 Overall Denominator | HBIPS2 Overall Footnote | HBIPS3 Measure Description | HBIPS3 Overall Rate Per 1000 | HBIPS3 Overall Numerator | HBIPS3 Overall Denominator | HBIPS3 Overall Footnote | HBIPS5 Measure Description | HBIPS5 Overall Percent of Total | HBIPS5 Overall Denominator | HBIPS5 Overall Footnote | SMD Measure Description | SMD Percent | SMD Denominator | SMD Footnote | SUB2 2a Measure Description | SUB2 Percent | SUB2 Denominator | SUB2 Footnote | SUB2a Percent | SUB2a Denominator | SUB2a Footnote | SUB3 3a Measure Description | SUB3 Percent | SUB3 Denominator | SUB3 Footnote | SUB3a Percent | SUB3a Denominator | SUB3a Footnote | TOB2 2a Measure Description | TOB2 Percent | TOB2 Denominator | TOB2 Footnote | TOB2a Percent | TOB2a Denominator | TOB2a Footnote | TOB3 3a Measure Description | TOB3 Percent | TOB3 Denominator | TOB3 Footnote | TOB3a Percent | TOB3a Denominator | TOB3a Footnote | TR1 Measure Description | TR1 Percent | TR1 Denominator | TR1 Footnote | TR2 Measure Description | TR2 Percent | TR2 Denominator | TR2 Footnote | TR2 Start Date | TR2 End Date | FUH Measure Description | FUH30 Percent | FUH30 Denominator | FUH30 Footnote | FUH7 Percent | FUH7 Denominator | FUH7 Footnote | FUH Measure Start Date | FUH Measure End Date | MedCont Measure Description | MedCont Percent | MedCont Denominator | MedCont Footnote | MedCont Measure Start Date | MedCont Measure End Date | READM30 IPF Measure Description | READM30 IPF Category | READM30 IPF Denominator | READM30 IPF Rate | READM30 IPF Lower Estimate | READM30 IPF Higher Estimate | READM30 IPF Footnote | READM30 IPF Start Date | READM30 IPF End Date | IMM2 Measure Description | IMM2 Percent | IMM2 Denominator | IMM2 Footnote | Flu Season Start Date | Flu Season End Date | IPFQR HCP COVID19 Measure Description | IPFQR HCP COVID19 Percent | IPFQR HCP COVID19 Denominator | IPFQR HCP COVID19 Footnote | IPFQR HCP COVID19 Start Date | IPFQR HCP COVID19 End Date |
10007 | MIZELL MEMORIAL HOSPITAL | 702 N MAIN ST | OPP | AL | 36467 | COVINGTON | Hours of physical-restraint use | 0.0 | 0.0 | 2100 | Hours of seclusion use | 0.0 | 0.0 | 2100 | Patients discharged on multiple antipsychotic medications with appropriate justification | 100.0 | 23.0 | Screening for metabolic disorders (SMD) | 100 | 104 | Alcohol use brief intervention provided or offered | 76.0 | 17.0 | 76.0 | 17.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 100.0 | 13.0 | 100.0 | 13.0 | Tobacco use treatment provided or offered | 100.0 | 43.0 | 65.0 | 43.0 | Tobacco use treatment provided or offered at discharge | 100.0 | 43.0 | 65.0 | 43.0 | Transition record with specified elements received by discharged patients (TR1) | 100 | 166 | Timely transmission of transition record (TR2) | 100 | 166 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 1.0 | 1.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 1.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 96 | 21.4 | 16.2 | 28.3 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 74 | 88 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 58.6 | 33.0 | 2022-07-01 | 2022-09-30 | |||||||||||||||||||||||
10008 | CRENSHAW COMMUNITY HOSPITAL | 101 HOSPITAL CIRCLE | LUVERNE | AL | 36049 | CRENSHAW | Hours of physical-restraint use | 0.15 | 11.91 | 3282 | Hours of seclusion use | 0.16 | 12.47 | 3282 | Patients discharged on multiple antipsychotic medications with appropriate justification | 100.0 | 144.0 | Screening for metabolic disorders (SMD) | 92 | 352 | Alcohol use brief intervention provided or offered | 38.0 | 82.0 | 29.0 | 79.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 1.0 | 310.0 | 0.0 | 310.0 | Tobacco use treatment provided or offered | 98.0 | 256.0 | 1.0 | 256.0 | Tobacco use treatment provided or offered at discharge | 97.0 | 234.0 | 0.0 | 234.0 | Transition record with specified elements received by discharged patients (TR1) | 100 | 352 | Timely transmission of transition record (TR2) | 100 | 352 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 58.8 | 17.0 | 17.6 | 17.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 1.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 60 | 17.3 | 12.4 | 23.4 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 90 | 188 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 74.6 | 42.0 | 2022-07-01 | 2022-09-30 | |||||||||||||||||||||
10011 | ST. VINCENT'S EAST | 50 MEDICAL PARK EAST DRIVE | BIRMINGHAM | AL | 35235 | JEFFERSON | Hours of physical-restraint use | 2.0 | 669.4 | 13912 | Hours of seclusion use | 0.24 | 79.59 | 13912 | Patients discharged on multiple antipsychotic medications with appropriate justification | 1.0 | Screening for metabolic disorders (SMD) | 3 | 188 | Alcohol use brief intervention provided or offered | 52.0 | 27.0 | 56.0 | 25.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 29.0 | 28.0 | 18.0 | 28.0 | Tobacco use treatment provided or offered | 0.0 | 92.0 | 0.0 | 62.0 | Tobacco use treatment provided or offered at discharge | 0.0 | 51.0 | 0.0 | 51.0 | Transition record with specified elements received by discharged patients (TR1) | 48 | 305 | Timely transmission of transition record (TR2) | 48 | 305 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 42.7 | 75.0 | 32.0 | 75.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 72.5 | 138.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 259 | 21.8 | 18.1 | 26.1 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 85 | 119 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 95.5 | 30.0 | 2022-07-01 | 2022-09-30 | |||||||||||||||||||||
10012 | DEKALB REGIONAL MEDICAL CENTER | 200 MED CENTER DRIVE | FORT PAYNE | AL | 35968 | DE KALB | Hours of physical-restraint use | 0.0 | 0.0 | 3617 | Hours of seclusion use | 0.0 | 0.0 | 3617 | Patients discharged on multiple antipsychotic medications with appropriate justification | 1.0 | Screening for metabolic disorders (SMD) | 100 | 161 | Alcohol use brief intervention provided or offered | 1.0 | 1.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 1.0 | 1.0 | Tobacco use treatment provided or offered | 91.0 | 22.0 | 71.0 | 21.0 | Tobacco use treatment provided or offered at discharge | 1.0 | 1.0 | Transition record with specified elements received by discharged patients (TR1) | 99 | 184 | Timely transmission of transition record (TR2) | 98 | 184 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 1.0 | 1.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 1.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 137 | 19.5 | 14.6 | 25.1 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 87 | 87 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 5.0 | 2022-07-01 | 2022-09-30 | |||||||||||||||||||||||||||||||
10016 | SHELBY BAPTIST MEDICAL CENTER | 1000 FIRST STREET NORTH | ALABASTER | AL | 35007 | SHELBY | Hours of physical-restraint use | 0.0 | 0.0 | 13776 | Hours of seclusion use | 0.0 | 0.0 | 13776 | Patients discharged on multiple antipsychotic medications with appropriate justification | 61.0 | 41.0 | Screening for metabolic disorders (SMD) | 95 | 445 | Alcohol use brief intervention provided or offered | 86.0 | 42.0 | 86.0 | 42.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 79.0 | 112.0 | 79.0 | 112.0 | Tobacco use treatment provided or offered | 94.0 | 157.0 | 85.0 | 157.0 | Tobacco use treatment provided or offered at discharge | 43.0 | 145.0 | 43.0 | 145.0 | Transition record with specified elements received by discharged patients (TR1) | 83 | 623 | Timely transmission of transition record (TR2) | 82 | 623 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 50.0 | 42.0 | 21.4 | 42.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 1.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 142 | 19.2 | 14.8 | 24.4 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 99 | 301 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 87.9 | 58.0 | 2022-07-01 | 2022-09-30 | |||||||||||||||||||||
10021 | DALE MEDICAL CENTER | 126 HOSPITAL AVE | OZARK | AL | 36360 | DALE | Hours of physical-restraint use | 0.0 | 0.0 | 252 | Hours of seclusion use | 0.0 | 0.0 | 252 | Patients discharged on multiple antipsychotic medications with appropriate justification | 1.0 | Screening for metabolic disorders (SMD) | 82 | 28 | Alcohol use brief intervention provided or offered | 1.0 | 1.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 1.0 | 1.0 | Tobacco use treatment provided or offered | 1.0 | 1.0 | Tobacco use treatment provided or offered at discharge | 1.0 | 1.0 | Transition record with specified elements received by discharged patients (TR1) | 0 | 34 | Timely transmission of transition record (TR2) | 0 | 34 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 45.5 | 11.0 | 0.0 | 11.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 1.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 62 | 20.8 | 14.9 | 28.1 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 100 | 11 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 79.5 | 60.0 | 2022-07-01 | 2022-09-30 | ||||||||||||||||||||||||||||||
10023 | BAPTIST MEDICAL CENTER SOUTH | 2105 EAST SOUTH BOULEVARD | MONTGOMERY | AL | 36116 | MONTGOMERY | Hours of physical-restraint use | 0.03 | 7.25 | 12053 | Hours of seclusion use | 0.88 | 254.63 | 12053 | Patients discharged on multiple antipsychotic medications with appropriate justification | 93.0 | 28.0 | Screening for metabolic disorders (SMD) | 86 | 359 | Alcohol use brief intervention provided or offered | 65.0 | 79.0 | 65.0 | 63.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 69.0 | 141.0 | 63.0 | 141.0 | Tobacco use treatment provided or offered | 57.0 | 255.0 | 58.0 | 187.0 | Tobacco use treatment provided or offered at discharge | 27.0 | 169.0 | 8.0 | 169.0 | Transition record with specified elements received by discharged patients (TR1) | 86 | 648 | Timely transmission of transition record (TR2) | 65 | 648 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 34.0 | 97.0 | 12.4 | 97.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 70.5 | 149.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 217 | 17.6 | 14.0 | 21.9 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 73 | 306 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 94.9 | 125.0 | 2022-07-01 | 2022-09-30 | ||||||||||||||||||||
10033 | UNIVERSITY OF ALABAMA HOSPITAL | 619 SOUTH 19TH STREET | BIRMINGHAM | AL | 35233 | JEFFERSON | Hours of physical-restraint use | 0.0 | 1.34 | 35992 | Hours of seclusion use | 0.01 | 5.14 | 35992 | Patients discharged on multiple antipsychotic medications with appropriate justification | 100.0 | 15.0 | Screening for metabolic disorders (SMD) | 86 | 313 | Alcohol use brief intervention provided or offered | 99.0 | 280.0 | 100.0 | 278.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 99.0 | 266.0 | 98.0 | 266.0 | Tobacco use treatment provided or offered | 84.0 | 217.0 | 1.0 | 217.0 | Tobacco use treatment provided or offered at discharge | 82.0 | 197.0 | 1.0 | 197.0 | Transition record with specified elements received by discharged patients (TR1) | 94 | 717 | Timely transmission of transition record (TR2) | 60 | 717 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 27.6 | 87.0 | 13.8 | 87.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 62.4 | 93.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 200 | 17.9 | 14.1 | 22.5 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 77 | 339 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 94.1 | 295.0 | 2022-07-01 | 2022-09-30 | ||||||||||||||||||||
10034 | COMMUNITY HOSPITAL INC | 805 FRIENDSHIP ROAD | TALLASSEE | AL | 36078 | ELMORE | Hours of physical-restraint use | 0.0 | 0.0 | 1385 | Hours of seclusion use | 0.0 | 0.0 | 1385 | Patients discharged on multiple antipsychotic medications with appropriate justification | 1.0 | Screening for metabolic disorders (SMD) | 100 | 78 | Alcohol use brief intervention provided or offered | 1.0 | 1.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 1.0 | 1.0 | Tobacco use treatment provided or offered | 1.0 | 1.0 | Tobacco use treatment provided or offered at discharge | 1.0 | 1.0 | Transition record with specified elements received by discharged patients (TR1) | 78 | 93 | Timely transmission of transition record (TR2) | 78 | 93 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 1.0 | 1.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 1.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 49 | 18.0 | 13.0 | 24.8 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 87 | 45 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 86.6 | 52.0 | 2022-07-01 | 2022-09-30 | ||||||||||||||||||||||||||||||||
10039 | HUNTSVILLE HOSPITAL | 101 SIVLEY RD | HUNTSVILLE | AL | 35801 | MADISON | Hours of physical-restraint use | 0.0 | 0.0 | 7917 | Hours of seclusion use | 0.0 | 0.0 | 7917 | Patients discharged on multiple antipsychotic medications with appropriate justification | 84.0 | 57.0 | Screening for metabolic disorders (SMD) | 91 | 383 | Alcohol use brief intervention provided or offered | 100.0 | 97.0 | 84.0 | 97.0 | Alcohol and other drug use disorder treatment provided or offered at discharge | 32.0 | 159.0 | 26.0 | 159.0 | Tobacco use treatment provided or offered | 100.0 | 306.0 | 36.0 | 305.0 | Tobacco use treatment provided or offered at discharge | 39.0 | 255.0 | 1.0 | 255.0 | Transition record with specified elements received by discharged patients (TR1) | 93 | 685 | Timely transmission of transition record (TR2) | 91 | 685 | 2021-01-01 | 2021-12-31 | Percent of patients receiving follow-up care within 30 days (FUH-30) or within 7 days (FUH-7) after hospitalization for mental illness | 38.3 | 107.0 | 14.0 | 107.0 | 2020-07-01 | 2021-06-30 | Medication Continuation Following Inpatient Psychiatric Discharge | 64.9 | 134.0 | 2019-07-01 | 2021-06-30 | Patients readmitted to any hospital within 30 days of discharge from the inpatient psychiatric facility (READM-30-IPF) | No Different than the National Rate | 295 | 21.7 | 18.0 | 26.0 | 2019-07-01 | 2021-06-30 | Influenza immunization (IPFQR-IMM-2) | 90 | 341 | 2021-10-01 | 2022-03-31 | Percentage of healthcare personnel who completed COVID-19 primary vaccination series (IPFQR-HCP COVID-19) | 89.3 | 70.0 | 2022-07-01 | 2022-09-30 |