This study examined the extent to which facility characteristics, discharge practices, and the availability of outpatient mental health care are associated with receiving follow-up care within 7 days of discharge from an inpatient psychiatric facility among Medicare beneficiaries. The study merged 2018 National Mental Health Services Survey data with 2018 Inpatient Psychiatric Facility Quality Reporting program data representing 1147 inpatient psychiatric facilities. Results from logistic regression analyses indicated that inpatient facilities operated by private for-profit organizations and public agencies had lower odds of achieving high performance on a measure that assessed if Medicare beneficiaries received follow-up care within 7 days of discharge relative to private nonprofit facilities; follow-up rates were inversely associated with the proportion of involuntarily committed patients at the facility. Follow-up rates were not associated with other facility characteristics, discharge practices, the availability of outpatient care at the location of the inpatient facility, or the density of outpatient mental health providers in the community. Improving follow-up care for Medicare beneficiaries could target for-profit and public hospitals and those that serve a high proportion of individuals involuntarily committed to inpatient care.
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We appreciate the feedback of Herman Alvarado (SAMHSA) and Linda Hermer (Eagle Technologies) on previous drafts. Ian Huff and Christine Cheu (Mathematica) provided programming support.
The Substance Abuse and Mental Health Services Administration (contract HHSS283201600001C/LC-001-BHSIS) sponsored this study.
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The original online version of this article was revised: In the online publication, the first sentence in the Results section incorrectly reads:
Across IPFs, 28% of Medicare beneficiaries received follow-up care within 7 days of discharge had their records transmitted to the next provider within 24 h of discharge based on the Timely Transmission of Transition Record measure (median = 68%; range 0 to 100% across IPFs). Should be replaced with: Across IPFs, 28% of Medicare beneficiaries discharged from an IPF received follow-up care within 7 days (median = 26%; range 0 to 81% across IPFs) and 50% of those discharged had their records transmitted to the next provider within 24 hours of discharge based on the Timely Transmission of Transition Record measure (median = 68%; range 0 to 100% across IPFs).
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Brown, J.D., Bell, N. Factors Associated with the Receipt of Follow-Up Care Among Medicare Beneficiaries Discharged from Inpatient Psychiatric Facilities. J Behav Health Serv Res 50, 221–227 (2023). https://doi.org/10.1007/s11414-022-09810-7