Welcome

IBHI is a not for profit charity (501C3) dedicated to helping organizations which serve people with a behavioral health problem to achieve better results. IBHI has several approaches to achieving these results. We are always eager to talk with people who have this goal or who are wondering what they might do to address a specific problem. Contact us by e-mailing peter@ibhi.net or calling 518-732-7178

Topics recently addressed:

  • Restructuring Emergency Department operations to provide better service for people with behavioral health problems
  • Avoiding long stays by Emergency Departments patients ( boarding)
  • Understanding how to measure results for better outcomes
  • Creating better connections between consumers, family and clinical supporters
  • Reducing readmission of people with behavioral health admissions
  • Reducing readmissions of people with a non-behavioral health admission who also have a behavioral health problem
  • Integrating behavioral health into primary care
  • Improving staff satisfaction and retention
  • Understanding and improving consumer/patient satisfaction
  • Meeting Joint Commission expectations
  • Building Community partnerships

 

News

 Policy Statement from Institute for Behavioral Healthcare Improvement

     March 13, 2018

Real improvements have been called for in care for people with behavioral health problems.

Much discussion has occurred in recent weeks about the potential value of more care for people with behavioral health problems.  Some proposals have been made for improving care which have no or very little evidence to support their implementation.  The Board of the Institute for Behavioral Healthcare Improvement calls on policy makers to choose key changes in services which have evidence to support their implementation.  These are establishment of standards for:

  1. Early intervention, especially for teenagers and younger, in the development of behavioral health problems, especially in presentation of psychosis.
  2. Special and intensive care for people following first psychotic break .
  3. Long term follow up for people with psychosis to assure their care is not interrupted.
  4. Unified reporting of rate of recovery by all programs for all problem categories.  No other action is as likely to assure a general improvement in care.
  5. Immediate access to care – no waiting periods more than 12 hours.
  6. Assured access to safe living situations for anyone presenting with an addiction to alcohol or drugs.

These six actions will achieve a very large increase in recovery from behavioral health problems and save millions of lives and billions of dollars in both costs of care and lost productivity. Equally important, they will lead to far greater satisfaction with life for those who suffer, and major reduction in the stigma of behavioral health problems.

IBHI is a 501 (c) (3) organization not a part of any other organization, and is dedicated to improving the quality and outcome of care for people with behavioral health problems.  It is not an advocacy organization, except for the improvement of care in general.

For more information, visit the IBHI website www.ibhi.net or
call Executive Director Peter C Brown 518-732-7178.

JPS Health and IBHI Tackle Readmissions and Win Award

JPS Health Network of Ft Worth Texas has lowered its readmission rate by two thirds for patients most at risk for readmission, through a successful campaign created by  collaboration with the Institute for Behavioral Health Improvement (IBHI). In recognition, The Texas Hospital Association awarded JPS with the 2014 Bill Aston Award for Quality for its implementation of the Discharge Management Improvement Project.

IBHI provided workshops, coaching and overall guidance during the early program implementation period. With IBHI’s guidance, data mining began including analysis of electronic medical record data, 250 in depth chart reviews, and interviews with patients. ““Everybody knew what our readmission rate was, but we didn’t know which patients were coming back or why,”” said JPS’ Director of Psychiatric Social Services.

The team began looking at variables that indicated an increased likelihood of a patient being readmitted within 30 days of discharge. The JPS team was able to identify multiple variables that ranged from co-occurring substance use disorder to residing in specific zip codes. The variables were then weighted according to the degree of correlation and became a new risk assessment tool administered to every patient admitted to the psychiatric facility.

The program then created a menu of interventions targeted at reducing readmissions. The interventions could be individualized and were varied in frequency and duration based on the degree of readmission risk indicated on the assessment. Many of the interventions implemented were built from work done with IBHI.

Over the course of fiscal year 2014, the readmission rate for high-risk patients fell from 16 percent to 9 percent. It fell again, to 5 percent, in the first quarter of fiscal 2015.

JPS Health Network was quick to note that this type of success would not have been possible without IBHI’s involvement.