HEDIS Follow-up After Hospitalization (FUH) rates for seven and 30 days need improvement. It is difficult to ensure patients follow-up with a behavioral health provider within seven or 30 days following discharged from an inpatient stay, which reduces the likelihood for readmission. Transitional Case Management can be performed by licensed behavioral health managed care/health plan staff, thus reducing the burden on providers and providing a follow-up access solution.
Describe importance of increasing FUH, follow-up after emergency room for alcohol and other drugs (FUA) and follow-up after emergency room for mental health (FUM) rates.
Define the common barriers for why members are non-compliant with FUH, FUA and FUM measures.
Demonstrate how a Transitional Case Management model of care can be set up and used to impact patients' follow-up from mental health inpatient and/or emergency room stays.