Hospital-Based Inpatient Psychiatric Services (HBIPS)

 

HBIPS Measures Defined

 

HBIPS 1 - Initial Screening. Percent of patients discharged that were screened by the 3rd day post admission for all of the following: risk of violence to self, risk of violence to others, substance use, psychological trauma history, and patient strengths.

 

HBIPS 2 - Hours of Physical Restraint Use. Total hours all patients spent in physical restraint as a proportion of total inpatient hours. Restraint is defined as mechanical and manual devises that restrict freedom of movement of the body.

 

HBIPS 3 - Hours of Seclusion Use. Total hours all patients spent in seclusion as a proportion of total inpatient hours. Seclusion is defined as restricted alone to a room or area where the patient is not allowed to leave without the permission of staff.

 

HBIPS 4 - Discharge on Multiple Antipsychotic Medications. Percent of patients discharged on two or more antipsychotic medications as a proportion of patients discharged on one or more antipsychotic medications. Antipsychotic medications include regularly scheduled oral doses and long-acting injectable forms, regardless of diagnosis.

 

HBIPS 5 - Discharge 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.

 

HBIPS 6 - Continuing Care Plan Created. Percent of patients discharged with a continuing care plan created that includes all of the following: reason for hospitalization, discharge diagnosis, discharge medications, and next level of care recommendations. Minimum information for all discharge medications includes medication name, dose, and indications for use.

 

HBIPS 7 - Continuing Care Plan Transmitted. Percent of patients discharged with a complete continuing care plan (defined in HBIPS 6) that is transmitted to next level of care provider by the 5th day post discharge.

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