In its fiscal year (FY) 2015 final rule, the Centers for Medicare & Medicaid (CMS) required reporting of tobacco treatment quality measures as part of the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS). This pre-intervention, post-intervention policy analysis evaluates the impact of that policy at a large academic medical center that opted to improve performance as it implemented reporting measures.Electronic medical record data were collected retrospectively for all adult (≥18 years) inpatient psychiatric admissions from January 1st 2014 to December 31st 2015. Data from admissions were analyzed to determine changes in the provision of tobacco treatment including the proportions of patients screened for tobacco use, receiving tobacco cessation counseling, and receiving tobacco cessation medication(s) using a chi-square test. Covariate analysis of treatment differences based on psychiatric diagnosis was analyzed using Cochran-Mantel-Haenszel and Breslow-Day test.Post-policy screening for admissions increased significantly (85
作者:Shane, Carrillo;Niaman, Nazir;Eric, Howser;Lisa, Shenkman;Melinda, Laxson;Taenisha S, Scheuermann;Kimber P, Richter
来源:Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco 2016 年