Psychiatric Inpatient Discharge Planning Practices and Attendance at Aftercare Appointments

• Published in: Psychiatric services (Washington, D.C.) Vol. 68; no. 1; pp. 92 - 95
• Main Authors: Smith, Thomas E, Abraham, Maria, Bolotnikova, Natalia V, Donahue, Sheila A, Essock, Susan M, Olfson, Mark, Shao, Wenjun S, Wall, Melanie M, Radigan, Marleen
• Format: Journal Article
• Language: English
• Published: United States American Psychiatric Association 01.01.2017; American Psychiatric Publishing, Inc
• Subjects: Adolescent; Adult; Aftercare - statistics & numerical data; Aged; Aged, 80 and over; Discharge; Female; Health services utilization; Hospitals; Humans; Inpatient care; Male; Medicaid; Medicaid - statistics & numerical data; Mental Disorders - therapy; Mental Health Services - statistics & numerical data; Middle Aged; New York; Patient Discharge - statistics & numerical data; Psychiatry; United States; Young Adult; New York; United States > US; Discharge Planning; Engagement; Care Transitions; Hospitalization; Mental health systems/hospitals; Inpatient treatment
• ISSN: 1075-2730; 1557-9700
• DOI: 10.1176/appi.ps.201500552

Objective:This study examined discharge planning practices by hospital providers for 17,053 psychiatric discharges in New York’s statewide Medicaid program.Methods:Claims data were linked to information reported to New York State by managed behavioral health care organizations (MBHOs) conducting inpatient utilization reviews. MBHOs documented hospital providers’ reports of the presence of three discharge planning practices for each discharge: communicating with an outpatient provider prior to discharge, scheduling an aftercare appointment, and forwarding a discharge summary.Results:Hospital providers reported completing at least one of the three discharge planning practices for 85% of discharges. Individuals who received all three discharge planning practices had a higher likelihood of follow-up and kept their first outpatient follow-up visit at almost twice the speed compared with individuals who received none of the practices (hazard ratio=1.96, p<.001).Conclusions:This study provided baseline information concerning routine discharge planning practices and their relationship to timeliness of care transitions.