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MBHP Quality Management Program


Quality Management Program Description, Goals, and Evaluation
Performance Incentive Projects

Quality Management Program Description, Goals, and Evaluation

MBHP's mission is to continually help the people we serve live their lives to the fullest potential. Our Quality Management (QM) Program ensures that we fulfill this mission.

As part of our Quality Management Program, MBHP has formed a Quality Management Committee that provides a formal process for quality improvement. MBHP believes that providers should participate in our Quality Management Program and values our providers' opinions and ideas. If you are interested in participating on one of our provider quality committees, please contact the Quality Management Department at
1-800-495-0086
.

Each year, MBHP formulates a quality work plan that includes goals and the actions that are necessary to achieve those goals. At the end of the year, MBHP evaluates and updates its Quality Management Program. To review an executive summary of the Quality Management Program description, goals, and evaluation, click the link below.

ImagePdf2013 Quality Management Program Provider Summary

Performance Incentive Projects

An important component of the Massachusetts Behavioral Health Partnership's (MBHP) contract with MassHealth is performance incentive (PI) projects. These projects focus on large-scale quality improvement and program development goals. From FY96 to FY10, MBHP and its collaborators have completed approximately 171 projects.

In collaboration with the Executive Office of Health and Human Services and other stakeholders, MBHP pursues annual PI projects that reflect the Commonwealth's priorities. The focus of these projects may include child/adolescent services, rehabilitation and recovery services, behavioral health/primary care integration, continuity of care, homeless services, mental health/substance abuse integration, level of care enhancement, and pharmacy management.

The PI projects are negotiated each year between MBHP and MassHealth. MassHealth often seeks input from a wide range of stakeholders, including state agencies (especially DMH), consumers and their families, advocates, and trade groups. A scope of service, which includes specific deliverables, is negotiated and finalized for each project and included in the annual contract. MBHP and MassHealth jointly develop a more extensive methodology that outlines how the deliverables will be completed, defines the terminology used in the contract language, and describes the format for the final compliance report. Examples of very successful PIs that have evolved into programs include the following:
  • The Massachusetts Child Psychiatry Access Project (MCPAP), which makes child psychiatry services universally accessible to primary care providers (PCPs) by providing timely access to child psychiatry consultation. This project gained national recognition and has appeared in several professional publications.

  • The Community Support Program for People Experiencing Chronic Homelessness (CSPECH), which provides case management services to adults who are experiencing chronic homelessness so that they can be permanently housed in apartments or congregate living facilities.

  • Recovery Learning Communities, which are peer-run centers providing support services and advocacy for and by consumers of behavioral health services.

The success of the PI process has received public recognition. In 2006, the General Accounting Office (GAO) researched how to enhance vendor performance through the use of performance accountability provisions within governmental contracts. The GAO cited the Commonwealth's contract with MBHP as one of four best practice examples they included in their report to Congress. This public-private partnership reflects the foresight of the Massachusetts government officials who implemented this arrangement in 1996.

For more information on Performance Incentives, please contact Greg Chalmers, MBHP, at greg.chalmers@valueoptions.com.


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 Notices of new routine authorizations, and the letters themselves, are available at the MBHP/ValueOptions online provider portal ProviderConnect. Letters related to adverse actions or denials continue to be sent through the mail. To hear a previously presented training on the authorization letter Go Green program click here.

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This page was last updated: 11/14/2013