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Provider Scorecard

Fiscal Year 2016 Provider Scorecard

The Provider Scorecard rates a community based mental health provider certified by the Department of Behavioral Health to deliver mental health treatment and supports. Twenty-six of 28 providers or 93 percent met the sampling criteria for the FY 16 Provider Scorecard.  

The Provider Scorecard makes valuable information available to residents seeking or receiving mental health services to help them choose a provider they believe can best meet their needs.  In addition, the Provider Scorecard illuminates the strengths of an individual provider and the public mental health system and helps to identify areas that require provider and system improvement.  

How the Provider Scorecard is Compiled

In its regulatory capacity, the Department evaluates the quality of services and adherence to federal and District regulations and policy requirements. These multiple data sources allow DBH to compile the Provider Scorecard.  The Provider Scorecard comprises two scored sections—Quality and Financial—described below and in the Technical Specifications document.   In addition, five bonus points are awarded to agencies with a recognized national accreditation that demonstrates an organizational investment and commitment to meet and maintain high quality consumer service and business standards and practices.

The FY 16 Provider Scorecard is based on data elements from fiscal year 2016 (October 1, 2015 through September 30, 2016) and the FY15 Claims Audit.

Quality Section

The primary source of data for the Quality section of the Provider Scorecard is the annual Quality Review conducted by the Office of Accountability, Division of Quality Improvement. This detailed process reviews essential clinical documentation from a proportional random sample of consumer clinical records at each provider. The review consists of 16 indicators from six practice domains.

Financial Section

This section incorporates the prior year claims audit results and scores compliance with specific operational requirements: development of an Operational Compliance Plan, submission of required financial statements, screening for third-party liability, and required staff exclusion checks.

Previous Provider Scorecards are available below.

For more information about the Provider Scorecard and Quality Improvement activities, please contact the Deputy Director of Accountability at (202) 673-2245.