Behavioral Health System Performance Framework and Dashboard

AHCCCS divides the Performance Framework into four categories: Outcomes - Impact on Quality of Life, Access to Services, Service Delivery, and Coordination/Collaboration. Each category includes data from a variety of sources: demographic data provided by clients; individual and family survey data; analysis of claims data; audits of client records; and data reported by the Regional Behavioral Health Authorities (RBHAs). All data included in the Framework are validated by AHCCCS. For a detailed description of the data sources and how the information is processed, see the Data Dictionary for each category.

The Dashboard organizes the data by these categories and presents the information in easy to read scorecard formats:

For Adults and Children Statewide

Has quality of life improved for individuals served by the behavioral health system?
Individuals... Statewide Adult Statewide Child
Have drug/alcohol use history, now no use 52.0% 57.1%
Are not homeless 96.8% 99.8%
Are employed 35.8% 14.8%
Attend school 11.7% 86.0%
Have no recent criminal justice system involvement 93.7% 97.3%
Participate in self-help groups 15.1% 4.8%

ADHS/DBHS uses certain National Outcomes Measures (NOMs) domains as defined by the Substance Abuse and Mental Health Services Administration to assess behavioral health recipients' (BHR) treatment outcomes. Information for the measures is pulled from the Client Information System (CIS), comparing each metric at intake to update/discharge. FY2013 results are presented here for the following domains:

  • Substance Abstinence – the BHR has a history of drug/alcohol use, and reports no use in the 30 days prior to the assessment.
  • Stable Housing – the BHR is not homeless, but is living independently, at home with family, or in therapeutic foster care.
  • Employment – the BHR is employed full or part time with and without supports.
  • Education – the BHR is attending school or a vocational program.
  • Arrest-Free – the BHR reports no arrest in the 30 days prior to assessment.
  • Self-Help groups – the BHR participated in a self-help or recovery group within 30 days prior to the assessment. This domain was initiated in FY2011.

See Summary tab for historical trend charts.

For Adults by GSA

Has quality of life improved for individuals served by the behavioral health system?
Individuals... GSA 1
(NARBHA)
GSA 2
(Cenpatico)
GSA 3
(Cenpatico)
GSA 4
(Cenpatico)
GSA 5
(CPSA)
GSA 6
(Magellan)
Have drug/alcohol use history, now no use 50.5% 69.2% 48.0% 51.1% 51.1% 52.0%
Are not homeless 97.1% 96.2% 98.0% 97.9% 95.0% 97.3%
Are employed 34.6% 30.3% 39.7% 33.2% 36.4% 36.5%
Attend school 9.1% 9.7% 7.4% 9.0% 10.1% 14.1%
Have no recent criminal justice system involvement 86.2% 98.5% 98.4% 98.1% 86.1% 98.0%
Participate in self-help groups 23.6% 11.5% 7.8% 5.6% 15.3% 14.5%

ADHS/DBHS uses certain National Outcomes Measures (NOMs) domains as defined by the Substance Abuse and Mental Health Services Administration to assess behavioral health recipients' (BHR) treatment outcomes. Information for the measures is pulled from the Client Information System (CIS), comparing each metric at intake to update/discharge. FY2013 results are presented here for the following domains:

  • Substance Abstinence – the BHR has a history of drug/alcohol use, and reports no use in the 30 days prior to the assessment.
  • Stable Housing – the BHR is not homeless, but is living independently, at home with family, or in therapeutic foster care.
  • Employment – the BHR is employed full or part time with and without supports.
  • Education – the BHR is attending school or a vocational program.
  • Arrest-Free – the BHR reports no arrest in the 30 days prior to assessment.
  • Self-Help groups – the BHR participated in a self-help or recovery group within 30 days prior to the assessment. This domain was initiated in FY2011.

See Summary tab for historical trend charts.

For Children by GSA

Has quality of life improved for individuals served by the behavioral health system?
Individuals... GSA 1
(NARBHA)
GSA 2
(Cenpatico)
GSA 3
(Cenpatico)
GSA 4
(Cenpatico)
GSA 5
(CPSA)
GSA 6
(Magellan)
Have drug/alcohol use history, now no use 62.2% 63.6% 58.0% 57.6% 54.8% 55.5%
Are not homeless 99.9% 99.6% 99.8% 99.8% 99.9% 99.7%
Are employed 11.7% 0.0% 0.0% 0.0% 66.7% 14.1%
Attend school 84.5% 86.7% 85.5% 85.5% 81.4% 88.1%
Have no recent criminal justice system involvement 94.9% 98.0% 98.0% 98.7% 95.6% 98.2%
Participate in self-help groups 22.5% 2.7% 7.0% 1.4% 1.4% 3.0%

ADHS/DBHS uses certain National Outcomes Measures (NOMs) domains as defined by the Substance Abuse and Mental Health Services Administration to assess behavioral health recipients' (BHR) treatment outcomes. Information for the measures is pulled from the Client Information System (CIS), comparing each metric at intake to update/discharge. FY2013 results are presented here for the following domains:

  • Substance Abstinence – the BHR has a history of drug/alcohol use, and reports no use in the 30 days prior to the assessment.
  • Stable Housing – the BHR is not homeless, but is living independently, at home with family, or in therapeutic foster care.
  • Employment – the BHR is employed full or part time with and without supports.
  • Education – the BHR is attending school or a vocational program.
  • Arrest-Free – the BHR reports no arrest in the 30 days prior to assessment.
  • Self-Help groups – the BHR participated in a self-help or recovery group within 30 days prior to the assessment. This domain was initiated in FY2011.

See Summary tab for historical trend charts.

Trend Charts

Charts illustrating the performance trend for Outcomes - Impact on Quality of Life category metrics are available in these files:

Summary

This printer-friendly file includes the Description of Current Metrics, Adults and Children Statewide scorecard, Adults by GSA scorecard, Children by GSA scorecard, and Trend Charts for the Outcomes - Impact on Quality of Life category:

Source Data

This Excel workbook includes the historical and current numerator and denominator raw data for calculating each metric in the Outcomes - Impact on Quality of Life category:

Data Dictionary

This document details the methodology for data collection and calculation for each metric in the Outcomes - Impact on Quality of Life category:

For Adults and Children Statewide

Do individuals and families have access to recovery and resiliency oriented services?
Individuals... Statewide Adult Statewide Child
Are satisfied with their access to services 86.5% 83.7%
Receive timely services 90.6% 90.1%
Live within 15 miles of an outpatient clinic (within 10 miles for GSA 6) 96.4% 95.8%

Performance is presented for:

  • FY2013 Annual MHSIP Consumer Survey for Adults and Youth receiving behavioral health services
  • Quarter 5 FY2013 Access to Care performance measure
    • Results for initial reporting of Q5 and restatement of Q3 and Q4FY13 are based on encounters available as of December 11, 2013
  • FY2013 Provider Network analysis Geomapping

See Summary tab for historical trend charts.

For Adults by GSA

Do individuals and families have access to recovery and resiliency oriented services?
Individuals... GSA 1
(NARBHA)
GSA 2
(Cenpatico)
GSA 3
(Cenpatico)
GSA 4
(Cenpatico)
GSA 5
(CPSA)
GSA 6
(Magellan)
Are satisfied with their access to services 85.1% 88.4% 88.2% 93.0% 79.1% 89.0%
Receive timely services 80.2% 92.9% 94.8% 95.9% 90.3% 91.9%
Live within 15 miles of an outpatient clinic (within 10 miles for GSA 6) 83.4% 98.1% 91.3% 89.9% 97.8% 99.2%

Performance is presented for:

  • FY2013 Annual MHSIP Consumer Survey for Adults and Youth receiving behavioral health services
  • Quarter 5 FY2013 Access to Care performance measure
    • Results for initial reporting of Q5 and restatement of Q3 and Q4FY13 are based on encounters available as of December 11, 2013
  • FY2013 Provider Network analysis Geomapping

See Summary tab for historical trend charts.

For Children by GSA

Do individuals and families have access to recovery and resiliency oriented services?
Individuals... GSA 1
(NARBHA)
GSA 2
(Cenpatico)
GSA 3
(Cenpatico)
GSA 4
(Cenpatico)
GSA 5
(CPSA)
GSA 6
(Magellan)
Are satisfied with their access to services 93.0% 90.7% 92.0% 90.9% 83.1% 80.7%
Receive timely services 83.0% 95.0% 96.9% 96.0% 92.8% 89.7%
Live within 15 miles of an outpatient clinic (within 10 miles for GSA 6) 82.2% 98.6% 93.0% 91.3% 98.0% 99.2%

Performance is presented for:

  • FY2013 Annual MHSIP Consumer Survey for Adults and Youth receiving behavioral health services
  • Quarter 5 FY2013 Access to Care performance measure
    • Results for initial reporting of Q5 and restatement of Q3 and Q4FY13 are based on encounters available as of December 11, 2013
  • FY2013 Provider Network analysis Geomapping

See Summary tab for historical trend charts.

Trend Charts

Charts illustrating the performance trend for the Access to Services category metrics are available in these files:

Summary

This printer-friendly file includes the Description of Current Metrics, Adults and Children Statewide scorecard, Adults by GSA scorecard, Children by GSA scorecard, and Trend Charts for the Access to Services category:

Source Data

This Excel workbook includes the historical and current numerator and denominator raw data for calculating each metric in the Access to Services category:

Data Dictionary

This document details the methodology for data collection and calculation for each metric in the Access to Services category:

For Adults and Children Statewide

Are services provided based on the needs of individuals and families?
Individuals... Statewide Adult Statewide Child
Participate in their treatment planning 91.0% 92.9%
Have current and complete service plans 84.2% 84.0%
Receive services identified on their service plan 84.8% 85.2%

Performance is presented for:

  • FY2013 Annual MHSIP Consumer Survey for Adults and Youth receiving behavioral health services
  • Quarter 5 FY2013 Behavioral Health Service Plan performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology
  • Quarter 4 FY2013 Behavioral Health Service Provision performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology

See Summary tab for historical trend charts.

For Adults by GSA

Are services provided based on the needs of individuals and families?
Individuals... GSA 1
(NARBHA)
GSA 2
(Cenpatico)
GSA 3
(Cenpatico)
GSA 4
(Cenpatico)
GSA 5
(CPSA)
GSA 6
(Magellan)
Participate in their treatment plans 93.4% 90.9% 92.9% 92.4% 89.4% 90.6%
Have current and complete service plans 76.5% 81.3% 82.4% 94.1% 88.2% 82.4%
Receive services identified on their service plan 91.7% 87.5% 80.0% 80.0% 82.4% 88.2%

Performance is presented for:

  • FY2013 Annual MHSIP Consumer Survey for Adults and Youth receiving behavioral health services
  • Quarter 5 FY2013 Behavioral Health Service Plan performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology
  • Quarter 4 FY2013 Behavioral Health Service Provision performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology

See Summary tab for historical trend charts.

For Children by GSA

Are services provided based on the needs of individuals and families?
Individuals... GSA 1
(NARBHA)
GSA 2
(Cenpatico)
GSA 3
(Cenpatico)
GSA 4
(Cenpatico)
GSA 5
(CPSA)
GSA 6
(Magellan)
Participate in their treatment plans 96.0% 93.1% 92.5% 93.2% 93.6% 91.9%
Have current and complete service plans 88.2% 87.5% 87.5% 82.4% 70.6% 88.2%
Receive services identified on their service plan 78.6% 93.3% 85.7% 82.4% 71.4% 100%

Performance is presented for:

  • FY2013 Annual MHSIP Consumer Survey for Adults and Youth receiving behavioral health services
  • Quarter 5 FY2013 Behavioral Health Service Plan performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology
  • Quarter 4 FY2013 Behavioral Health Service Provision performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology

See Summary tab for historical trend charts.

Trend Charts

Charts illustrating the performance trend for the Service Delivery category metrics are available in these files:

Summary

This printer-friendly file includes the Description of Current Metrics, Adults and Children Statewide scorecard, Adults by GSA scorecard, Children by GSA scorecard, and Trend Charts for the Service Delivery category:

Source Data

This Excel workbook includes the historical and current numerator and denominator raw data for calculating each metric in the Service Delivery category:

Data Dictionary

This document details the methodology for data collection and calculation for each metric in the Service Delivery category:

For Adults and Children Statewide

Do individuals and families get seamless behavioral and medical care coordination?
Individuals... Statewide Adult Statewide Child
Have their care coordinated with their medical doctor 87.0% 90.0%
Return to a psychiatric hospital 18.4% 7.1%
Stay in a psychiatric hospital an average of... (days) 10.6% 10.1%

Performance is presented for:

  • Quarter 5 FY2013 Coordination of Care performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology
  • Quarter 1 FY2014 Service utilization data submitted to ADHS/DBHS by the RBHAs
    • Readmission to a psychiatric hospital
    • Average length of stay in a psychiatric hospital

See Summary tab for historical trend charts.

For Adults by GSA

Do individuals and families get seamless behavioral and medical care coordination?
Individuals... GSA 1
(NARBHA)
GSA 2
(Cenpatico)
GSA 3
(Cenpatico)
GSA 4
(Cenpatico)
GSA 5
(CPSA)
GSA 6
(Magellan)
Have their care coordinated with their medical doctor 88.2% 87.5% 87.5% 88.2% 82.4% 88.2%
Return to a psychiatric hospital 10.6% 5.6% 17.6% 17.4% 16.5% 20.2%
Stay in a psychiatric hospital an average of…(days) 6.4% 13.9% 15.3% 9.8% 7.7% 11.8%

Performance is presented for:

  • Quarter 5 FY2013 Coordination of Care performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology
  • Quarter 1 FY2014 Service utilization data submitted to ADHS/DBHS by the RBHAs
    • Readmission to a psychiatric hospital
    • Average length of stay in a psychiatric hospital

See Summary tab for historical trend charts.

For Children by GSA

Do individuals and families get seamless behavioral and medical care coordination?
Individuals... GSA 1
(NARBHA)
GSA 2
(Cenpatico)
GSA 3
(Cenpatico)
GSA 4
(Cenpatico)
GSA 5
(CPSA)
GSA 6
(Magellan)
Have their care coordinated with their medical doctor 100% 100% 100% 88.2% 64.7% 88.2%
Return to a psychiatric hospital 2.2% 11.1% 0.0% 14.3% 3.0% 8.1%
Stay in a psychiatric hospital an average of…(days) 14.0% 8.7% 10.6% 9.4% 12.9% 9.1%

Performance is presented for:

  • Quarter 5 FY2013 Coordination of Care performance measure
    • Quarterly dashboard scores will roll up to an annual sample size reflecting a 90/10 sampling methodology
  • Quarter 1 FY2014 Service utilization data submitted to ADHS/DBHS by the RBHAs
    • Readmission to a psychiatric hospital
    • Average length of stay in a psychiatric hospital

See Summary tab for historical trend charts.

Trend Charts

Charts illustrating the performance trend for the Coordination/Collaboration metrics are available in these files:

Summary

This printer-friendly file includes the Description of Current Metrics, Adults and Children Statewide scorecard, Adults by GSA scorecard, Children by GSA scorecard, and Trend Charts for the Coordination/Collaboration category:

Source Data

This Excel workbook includes the historical and current numerator and denominator raw data for calculating each metric in the Coordination/Collaboration category:

Data Dictionary

This document details the methodology for data collection and calculation for each metric in the Coordination/Collaboration category:

Scorecard Summaries

The following printer-friendly files provide the current scorecards of all of the categories, either statewide or broken out by Geographical Service Area (GSA) populations: