NAPHS and its members are committed to the delivery of responsive, accountable, and clinically effective prevention, treatment, and care for children, adolescents, adults, and older adults with mental and substance use disorders.
Kathleen McCann, R.N., Ph.D., is the association's Director of Quality and Regulatory Affairs, serving as the key contact for both members and policy leaders on a wide range of quality, clinical, accreditation, and regulatory issues.
Learn more about the following quality initiatives and resources:
CMS: New IPFQR Program Frequently Asked Questions (FAQ)
NAPHS comments to HSAG/CMS on proposed medication reconciliation measure
Occupational Health and Safety Administration (OSHA) / Labor Department Request for Information (RFI) on “Prevention of Workplace Violence in Healthcare and Social Assistance”
Joint Commission: America's Hospitals: Improving Quality and Safety -- The Joint Commission's Annual Report 2016 (including HBIPS meaures). Also see news release.
NAPHS comment letter on proposed rule on Hospital Outpatient Prospective Payment System (OPPS)
CMS final rule on inpatient PPS for acute-care hospitals (including sections on IPF Quality Reporting Program, observation status, and uncompensated care). Also see 10.5.16 correction and 10.31.16 correction.
Joint Commission releases updated Sentinel Event data through Q2 2016, including 1) a Sentinel Event Data Summary—As of July 5, 2016; 2) Sentinel Event Data—Event Type by Year (from 1995 to Q2 in 2016); and 3) Sentinel Event Statistics Data - General Information (1995-Q2 2016).
CMS proposed rule: "Medicare & Medicaid: Hospital & Critical Access Hospital Changes to Promote Innovation, Flexibility, and Improvement in Patient Care" (proposed changes to Hospital CoPs)
NAPHS, AHA, FAH, NRI joint letter to CMS seeking a delay in implementation of two new IPFQR transition of care measures (#0647, #0648) and the Screening for Metabolic Disorders measure (not NQF-endorsed)
CMS final rule (including a provision giving MCOs flexibiiity on IMD exclusion--p.27555-27563): "Medicaid & CHIP Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability." Also see CMS fact sheets, 7.20.16 correcting amendment, 1.3.17 correcting amendment, and 3.6.17 correcting amendment.
CMS proposed rule on quality reporting requirements for inpatient psychiatric facilities (for FY19 payment determination). See pages 25238-25244 on IPFQR.
Joint Commission Sentinel Event Alert (#56): "Detecting and treating suicide ideation in all settings"
NAPHS comment letter to CMS on "Medicare and Medicaid Programs; Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies”
FDA proposed order: "Neurological Devices; Reclassification of Electroconvulsive Therapy Devices Intended for Use in Treating Severe Major Depressive Episode in Patients 18 Years of Age and Older Who Are Treatment Resistant or Require a Rapid Response; Effective Date of Requirement for Premarket Approval for ECT for Certain Specified Intended Uses"
NAPHS comment letter on proposed Medicare hospital outpatient PPS/partial hospitalization program (OPPS/PHP) rates for CY16
NAPHS Action Alert: "IPFQR Tips to Avoid Errors During Submission of Web-based Measure Data for FY2016"
HRSA notice: "Publication of the Revised Guidebook for the National Practitioner Data Bank"
NAPHS comment letter to CMS on proposed rule: "Inpatient Psychiatric Facilities PPS-Update for Fiscal Year Beginning October 1, 2015 (FY16)" (including IPFQR quality measures)
CMS proposed rule: "Medicaid & Children’s Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability." Also see CMS fact sheet.
NAPHS Action Alert: "New Resources Now Available for the IPFQR Program; Next Webinar is November 20, 2014 at 2pm Eastern"
CMS final rule on the Medicare outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY15.
NAPHS Action Alert: October 29 Inpatient Psychiatric Facility Quality Reporting Program National Provider webinar on "A Closer Look at the Measures for Collection CY 2015" at 2pm Eastern. Download slides.
NAPHS comment letter on proposed Medicare hospital outpatient prospective payment system/partial hospitalization program (OPPS/PHP) rates for CY15.
CMS final rule: "Medicare Program: Inpatient Psychiatric Facilities Prospective Payment System - Update for Fiscal Year Beginning October 1, 2014 (FY15).”
NAPHS Action Alert: "QualityNet’s Secure Portal Now Available for IPF Quality Reporting"
Notice of Participation form for IPF Quality Reporting program
CMS release: First public reporting of quality measures from inpatient psychiatric facilities launched on Hospital Compare
CMS/CDC/OCR final rule: "CLIA Program and HIPAA Privacy Rule; Patients’ Access to Test Reports"
Order a recording of a special training call on "Reporting SUB-1 (Alcohol Use Screening) in the IPFQR." Also download materials (files are large; please allow time for each to open): 1) Joint Commission PowerPoint; 2) Michael Miller, M.D., PowerPoint; 3) Eric Goplerud PowerPoint; 4) SBIRT Mentor brochure. Also see 5) the Telligen IPFQR newsletter. After the training, please complete 6) an online evaluation.
CMS: Inpatient Psychiatric Facility Quality Reporting (IPFQR) Quarterly Newsletter (Vol.1.No.1)
NAPHS comments to National Quality Forum on proposed behavioral health measures
CMS final rule: "Medicare Program: Conditions of Participation (CoPs) for Community Mental Health Centers"
Joint Commission releases updated Sentinel Event data updated to June 2013. Link to the full report or view specific sections including 1) a Sentinel Event Data Summary—As of August 1, 2013; 2) Sentinel Event Data—Event Type by Year; and 3) Sentinel Event Data—Root Cause by Event Type.
NAPHS comments on SAMHSA's National Behavioral Health Quality Framework
NAPHS Alert: "Paper forms available to assist those having difficulty with data submission for the IPF Quality Reporting program." See forms for 1) Notice of Participation; 2) IPF Data Collection paper form; and 3) IPF DACA paper form.
CMS final rules: "Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals...and FY2014 Rates; Quality Reporting Requirements for Specific Providers; ....etc." (See pages 50887-50901 for IPF quality reporting section.) Also see 7.30.14 correcting amendment.
Behavioral Briefing: IPFQR Structural/Web-Based Measures Application Now Available
NAPHS comment letter to CMS: "Medicare: ....Quality Reporting Requirements for Specific Providers (CMS-1599-P)"
CMS proposed rule on quality reporting requirements for inpatient psychiatric facilities (for FY15 payment determination). See page 27734.
Design Guide for the Built Environment of Behavioral Healthcare Facilities authors receive NAPHS Quality Award on 10th anniversary of the publication
HHS final rule: "Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules"
CMS final rule on quality reporting requirements for inpatient psychiatric facilities (see pages 53644-53680). [View]
HHS final notice: "Medicaid Program: Initial Core Set of Health Care Quality Measures for Medicaid Eligible Adults" [View]
CMS final rule: "Medicare Program; Availability of Medicare data for performance measurement" [View]
NAPHS comments on CMS proposed inpatient psychiatric facilities performance measures required by the Affordable Care Act [View]
NAPHS comment letter to CMS on proposed rule: "Medicare and Medicaid Programs: Influenza Vaccination Standard for Certain Participating Providers and Suppliers" [View]
NAPHS comment letter to AHRQ on "Medicaid Program: Initial Core Set of Health Quality Measures for Medicaid-Eligible Adults" [View]
Joint Commission HBIPS core measures now required of psychiatric hospitals; available to psychiatric units to use
Federal Register notice with comment period: "Medicaid Program: Initial Core Set of Health Quality Measures for Medicaid-Eligible Adults" [View]
Federal Register: Final rule: "Medicare and Medicaid Programs: Changes to the Hospital and Critical Access Hospital Conditions of Participation to Ensure Visitation Rights for All Patients" [View]
Federal Register: Medicare program final rule, including...."Medicaid Program: Accreditation for Providers of Inpatient Psychiatric Services" (large file--please allow time for file to open) [View]
CMS final rule on "Medicare and Medicaid: Hospital participation conditions; patients' rights" [CMS-3018-F] published in the Federal Register. Includes revised regulatory language on the "one-hour rule."
"Hospital Conditions of Participation: Requirements for History and Physical Examinations; Authentication of Verbal Orders; Securing Medications; and Postanesthesia Evalutions (CMS-3122-F)."
About the NAPHS / NASMHPD / NRI Collaboration (.pdf) [View]
News release on the 10/16/02 teaming agreement [View]
RECURRING: PEPPER Training and Resources