Quality Improvement
Behavioral Health
https://healthystmarys.com/groups/behavioral-health/
Improvement Strategies and Objectives:
Strategy #1: BH 1: Reduce emergency department (ED) visits related to behavioral health conditions.
Objective #1: Reduce the rate of ED visits related to mental health conditions for adolescents under the age of 18
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Rate of ED visits related to mental health conditions for adolescents under the age of 18 (per 100,000 population)
Objective Time-Frame Target Goal: 1941.2
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adolescents under the age of 18 (per 100,000 population) | 1941.2 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adolescents under the age of 18 (per 100,000 population) | 1941.2 | Active | Decrease | 1362.6 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adolescents under the age of 18 (per 100,000 population) | 1941.2 | Active | Decrease | 2156.5 |
Objective #2: Reduce the rate of ED visits related to mental health conditions for adults ages 18-64
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Rate of ED visits related to mental health conditions for adults ages 18-64 (per 100,000 population)
Objective Time-Frame Target Goal: 9799.5
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adults ages 18-64 (per 100,000 population) | 9799.5 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adults ages 18-64 (per 100,000 population) | 9799.5 | Active | Decrease | 2522.2 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adults ages 18-64 (per 100,000 population) | 9799.5 | Active | Decrease | 10888.3 |
Objective #3: Reduce the rate of ED visits related to mental health conditions for adults 65 and over
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Rate of ED visits related to mental health conditions for adults 65 and over (per 100,000 population)
Objective Time-Frame Target Goal: 23050.1
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adults 65 and over (per 100,000 population) | 23050.1 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adults 65 and over (per 100,000 population) | 23050.1 | Active | Decrease | 3628.1 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits related to mental health conditions for adults 65 and over (per 100,000 population) | 23050.1 | Active | Decrease | 25611.2 |
Objective #4: Reduce the rate of inpatient visits for mental health conditions
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Rate of inpatient visits for mental health conditions (per 100,000 population)
Objective Time-Frame Target Goal: 2756.1
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of inpatient visits for mental health conditions (per 100,000 population) | 2756.1 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of inpatient visits for mental health conditions (per 100,000 population) | 2756.1 | Active | Decrease | 3287 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of inpatient visits for mental health conditions (per 100,000 population) | 2756.1 | Active | Decrease | 3062.3 |
Objective #5: Reduce the rate of ED visits for addictions related conditions
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Rate of ED visits for addictions related conditions (per 100,000 population)
Objective Time-Frame Target Goal: 1324.2
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits for addictions related conditions (per 100,000 population) | 1324.2 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits for addictions related conditions (per 100,000 population) | 1324.2 | Active | Decrease | 2469 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rate of ED visits for addictions related conditions (per 100,000 population) | 1324.2 | Active | Decrease | 1471.3 |
Strategy #2: BH 2: (Developmental) Reduce the long-term effects of the COVID-19 pandemic on mental health.
Strategy #3: BH 3: (Developmental) Increase access to telehealth behavioral health services.
Strategy #4: BH 4: Reduce misuse of drugs and alcohol.
Objective #1: Reduce marijuana use (one or more times during life) among high school students
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Marijuana use (one or more times during life) among high school students
Objective Time-Frame Target Goal: 26.4
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Marijuana use (one or more times during life) among high school students | 26.4 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Marijuana use (one or more times during life) among high school students | 26.4 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Marijuana use (one or more times during life) among high school students | 26.4 | Active | Decrease | 29.3 |
Objective #2: Reduce misuse of prescription painkillers (one or more times during life) among high school students
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Misuse of prescription painkillers (one or more times during life) among high school students
Objective Time-Frame Target Goal: 13.3
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Misuse of prescription painkillers (one or more times during life) among high school students | 13.3 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Misuse of prescription painkillers (one or more times during life) among high school students | 13.3 | Active | Decrease | 14 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Misuse of prescription painkillers (one or more times during life) among high school students | 13.3 | Active | Decrease | 14.8 |
Objective #3: Reduce the percentage of adults who engaged in binge-drinking in the past 30 days
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Percentage of adults who engaged in binge-drinking in the past 30 days
Objective Time-Frame Target Goal: 12.1
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Percentage of adults who engaged in binge-drinking in the past 30 days | 12.1 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Percentage of adults who engaged in binge-drinking in the past 30 days | 12.1 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Percentage of adults who engaged in binge-drinking in the past 30 days | 12.1 | Active | Decrease | 13.4 |
Objective #4: Reduce the number of deaths due to overdose
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Number of deaths due to overdose
Objective Time-Frame Target Goal: 28
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of deaths due to overdose | 28 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of deaths due to overdose | 28 | Active | Decrease | 33 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of deaths due to overdose | 28 | Active | Decrease | 31 |
Strategy #5: BH 5: Reduce the number of emergency petitions (EPs) that need to be made by the St. Mary’s County Sheriff’s Office (SMCSO).
Objective #1: Reduce the number of EPs made by SMCSO
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Number of EPs made by SMCSO
Objective Time-Frame Target Goal: 811
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of EPs made by SMCSO | 811 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of EPs made by SMCSO | 811 | Active | Decrease | 804 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of EPs made by SMCSO | 811 | Active | Decrease | 901 |
Objective #2: Reduce the number of individuals who have multiple EPs by SMCSO within the same calendar year
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
View the full data for this objective (including larger text size) at: https://healthystmarys.com/groups/behavioral-health/raw-data.
Objective Time-Frame Target Measure: Number of individuals who have multiple EPs by SMCSO within the same calendar year
Objective Time-Frame Target Goal: 207
Objective Time-Frame Target Date: 2026-12-31
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2024 | February 2024 | March 2024 | April 2024 | May 2024 | June 2024 | July 2024 | August 2024 | September 2024 | October 2024 | November 2024 | December 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of individuals who have multiple EPs by SMCSO within the same calendar year | 207 | Active | Decrease |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2023 | February 2023 | March 2023 | April 2023 | May 2023 | June 2023 | July 2023 | August 2023 | September 2023 | October 2023 | November 2023 | December 2023 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of individuals who have multiple EPs by SMCSO within the same calendar year | 207 | Active | Decrease | 71 |
| Measure | Target Goal | Status | Desired Trend | Contributor | January 2022 | February 2022 | March 2022 | April 2022 | May 2022 | June 2022 | July 2022 | August 2022 | September 2022 | October 2022 | November 2022 | December 2022 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Number of individuals who have multiple EPs by SMCSO within the same calendar year | 207 | Active | Decrease | 230 |
Strategy #6: BH 6: (Developmental) Monitor those with a behavioral health condition that utilize social services.
Strategy #7: BH 7: (Developmental) Reduce the number of individuals who are scheduled for behavioral health services with local clinicians but never engage.
Strategy #8: BH 8: (Developmental) Reduce health inequities related to behavioral health conditions and treatment.
Behavioral Health - Quality Improvement Project #1
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