行为健康转型绩效指标报告
Delivering on California’s commitment to modernize the behavioral health system and bolster transparency and accountability, the Department of Health Care Services (DHCS) is publishing the inaugural set of Behavioral Health Transformation Performance Measures rates.
This release represents a major milestone for the Behavioral Health Services Act (BHSA) and the state’s Mental Health for All modernization journey, marking a historic shift in the completeness and quality of behavioral health metrics used in California.
这套史无前例的质量和公平性衡量标准结合了来自 Medi-Cal、社会服务和公共卫生部门的数据，用于评估全州的行为健康服务和结果。该指标集结合了国家指标管理机构制定的现有指标和新的DHCS指标，旨在反映加州人最关心的结果，并与14个全州行为健康目标保持一致。主要成果包括减少无家可归现象、加强住院后的后续跟进、改善获得行为健康护理的机会以及消除服务提供方面的差距。
今年报告的比率主要集中在 2024-2025 财年（7 月 1 日至 6 月 30 日）的衡量期内，在 2026 年 7 月 BHSA 启动之前，确定了这些指标的基准绩效。
这些措施将如何推进行为健康转型
行为健康转型 (BHT) 绩效指标是加强透明度、规划和人口健康管理、问责制和公平性的基础工具。它们帮助DHCS及其合作伙伴了解人们正在接受哪些服务，确定存在哪些差距，并指导如何分配资源以满足当地需求。
这些绩效指标将从几个关键方面推动BHT的发展：
- 透明度和问责制：这些措施使各县、医疗管理计划和DHCS能够了解服务提供和结果。这有助于确保资源分配到最需要的地方，并确保Program对结果负责。
- 更好的规划和结果：通过跟踪这些指标，DHCS 及其合作伙伴可以发现护理方面的差距，更有效地进行干预，并改善人口健康。随着时间的推移，这些数据将有助于指导政策制定、强制执行要求，并推动行为健康服务的持续改进。
- 公平与质量：这些措施旨在支持全州范围内的质量和公平目标，确保所有加州人，特别是那些最需要帮助的人，都能及时获得尊重和有效的行为健康护理。
- 数据驱动的决策：拥有一致的全州数据可以进行更明智的规划、更明智的决策，并改进预防和早期干预策略。
These performance measures have replaced population-level behavioral health measures used to support planning in advance of the July 2026 launch of the BHSA. Going forward, the performance measures will be used in county planning and reporting to DHCS, including: the Behavioral Health Services Act Integrated Plan (IP), Annual Updates (AUs) and the Behavioral Health Outcomes, Accountability, and Transparency Report (BHOATR) for county behavioral health; and the annual PHM Strategy Deliverable for Medi-Cal MCPs. More information on these reports can be found in the BHSA County Policy Manual.
随着时间的推移，这些措施将有助于执行县级行为健康和 Medi-Cal 管理式医疗计划 (MCP) 必须遵守的政策和合同要求，从而加强整个行为健康服务体系的问责制。
利率每年公布一次。
新绩效指标体系的设计过程
To create this measure set, DHCS established the Quality and Equity Advisory Committee and hosted public meetings to establish 14 statewide behavioral health goals focused on the outcomes that matter most to Californians. DHCS collaborated with county behavioral health and MCP leaders, advocates, experts, and members of the public to select 51 performance measures that track statewide and local progress toward these 14 goals and include three cross-goal equity measures designed to close racial, ethnic, and language disparities in utilization of behavioral health services and evidence-based practices.
该指标集由国家指标管理机构制定的 15 项现有指标和 DHCS 创建的 36 项新指标组成，因为现有指标未能涵盖该州感兴趣的服务和结果。新的DHCS措施采用了一种新颖独特的方法来评估行为健康，该方法基于以下三个原则：
- 了解哪些人有心理健康需求。DHCS 开发了一种首创的方法，用于识别有行为健康需求的加州居民，无论他们目前是否正在接受服务。它涵盖了所有程度的需求（轻度、中度和重度），并能更准确地指出存在严重行为健康需求的人群。DHCS 利用了多个医疗保健系统中的诊断、先前服务利用情况、药物、系统参与情况和其他行政记录数据。虽然这些措施目前还无法满足那些没有历史 Medi-Cal 记录表明存在行为健康需求的个人的需求，但这代表着向人口健康模式迈出了重要一步，该模式认为所有人口都有资格获得公共行为健康服务，而不仅仅是那些积极参与治疗的人。
- Assessing whether behavioral health needs are met across delivery systems. Using a person-centered approach, these performance measures assess whether individuals receive services aligned with their identified behavioral health needs, regardless of which delivery system provides them. In California, MCPs generally deliver Medi-Cal non-specialty mental health services, while county behavioral health departments generally deliver specialty mental health and substance use disorder services to a subset of Medi-Cal members with a higher level of need as well as eligible Californians not enrolled in Medi-Cal. Historically, most behavioral health measures evaluated these systems separately; the new measures instead reflect service delivery across both systems. This unified approach promotes joint accountability and collaboration, ensuring people receive appropriate services no matter where they enter the system.
- 利用多个数据源，更全面地了解需求和护理情况。行为健康转型绩效指标利用 Medi-Cal 以外的数据，以更全面地了解 Medi-Cal 成员的行为健康需求和服务提供情况。2026 年的费率包含了公共卫生和住房服务系统的数据，预计未来的版本将整合教育系统和非 Medi-Cal 县行为健康服务的数据。扩大后的数据基础增强了透明度，提高了全州行为健康信息的完整性，并支持根据《行为健康服务法》进行更有效的规划。
For now, these measures are limited to Californians enrolled in Medi-Cal, a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, and pregnant people. DHCS is exploring calculating these measures for additional populations over time.
关于首发价格
2026 年 7 月，DHCS 计算了第一组行为健康转型绩效指标，主要针对 2024-25 财年衡量期（也有一些例外，因为 2025 年的数据尚未可用，无法计算该指标）。从 2026 年到 2028 年，DHCS 将计算并公布 34 项绩效指标；另外 17 项指标最早也要到 2028 年才会公布。
See the tables below for the latest Behavioral Health Transformation performance measure rates, and click on the link for each individual measure to access background information, the statewide rate stratified by demographics, and county behavioral health and MCP rates. County behavioral health and MCPs can access more detailed measure data and individual-level data within Medi-Cal Connect, DHCS’s data analytics and population health management platform.
2026 年，有 17 项行为健康转型绩效指标未进行计算，部分原因是数据可用性问题。这包括为实现上述目标而采取的措施，以及以下目标：改善社交联系和提高工作参与度。这些措施最早也要到2028年才能进行计算。有关这些措施的更多信息，请参阅《绩效指标补充文件》。
预计出版时间表：
| 发布 | 主要测量期 |
|---|---|
| 2026 | 2024-2025财年 |
| 2027 | 2025-2026财年 |
| 2028 | 2026-2027财年 |
| 2029 | 2027-2028财年 |
有关 BHT、全州行为健康目标和措施的更多信息，请参阅以下资源：
改善医疗服务获取措施
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| BH-1。一项或多项针对有心理健康需求人士的行为健康服务 (BHSRV1-WMH) | Novel DHCS measure: Percent of people enrolled in Medi-Cal and living with mental health needs who receive one or more core clinical services to address behavioral health in a 12-month period | 65.93% | BH-1 概览和费率 |
| BH-2。一项或多项针对有严重心理健康需求人群的行为健康服务 (BHSRV1-WSMH) | Novel DHCS measure: Percent of people enrolled in Medi-Cal and living with significant mental health needs who receive one or more core clinical services to address behavioral health in a 12-month period | 71.43% | BH-2 概述和价格 |
| BH-3。启动 SUD 治疗 (IET-I) | NCQA HEDIS measure: Percent of new substance use disorder (SUD) episodes in a 12-month period for Medi-Cal members 13 years of age and older that result in treatment initiation within 14 days | 将于今年晚些时候发布 | 将于今年晚些时候发布 |
Reduce Untreated Behavioral Health Conditions Measures
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| BH-5。为有心理健康需求的人群提供三项或以上行为健康服务 (BHSRV3-WMH) | Novel DHCS measure: Percent of people enrolled in Medi-Cal and living with mental health needs who receive three or more core clinical services to address behavioral health in a 12-month period | 36.19% | BH-5 概览和价格 |
| BH-6。为有严重心理健康需求的人群提供三项或以上行为健康服务 (BHSRV3-WSMH) | Novel DHCS measure: Percent of people enrolled in Medi-Cal and living with significant mental health needs who receive three or more core clinical services to address behavioral health in a 12-month period | 50.20% | BH-6 概览和价格 |
| BH-7。参与药物滥用治疗（IET-E） | NCQA HEDIS measure: Percent of new SUD episodes in a 12-month period for people enrolled in Medi-Cal that result in treatment engagement within 34 days of treatment initiation | 将于今年晚些时候发布 | 将于今年晚些时候发布 |
| BH-12。青少年和成人抑郁症筛查和随访（DSF-E） | NCQA HEDIS measure: Percent of Medi-Cal members 12 years of age and older who were screened for clinical depression using a standardized instrument in a 12-month period and, if screened positive, received follow-up care within 30 days | 75.80% | BH-12 概述和价格 |
| BH-14。药物滥用急诊就诊后7天随访（FUA-7d） | NCQA HEDIS measure: Percent of emergency department visits in a 12-month period among Medi-Cal members 13 years of age and older with a principal diagnosis of SUD or any diagnosis of drug overdose for which the person received follow-up within 7 days after the emergency department visit | 26.91% | BH-14 概述和价格 |
| BH-15。精神疾病急诊就诊后随访——7 天 (FUM-7d) | NCQA HEDIS measure: Percent of emergency department visits in a 12-month period for Medi-Cal members 6 years of age and older with a principal diagnosis of mental illness or intentional self-harm for which the person received a follow-up service within 7 days after the emergency department visit | 37.07% | BH-15 概述和价格 |
改善护理体验措施
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| BH-9。基于个人文化背景的护理感知：专科心理健康服务 (PC-SMHS) | UCLA ISP and SMHSA Measure: Percent of people who completed the Mental Health Statistics Improvement Program (MHSIP) Consumer Survey in a 12-month period who responded with “strongly agree” or “agree” to Q18 asking if “staff were sensitive to my cultural background (race, religion, language, etc.)” | 86.9% | BH-9 概览和价格 |
| BH-10。基于个人文化背景的护理感知：DMC-ODS（PC-DMCODS） | UCLA ISP and SMHSA Measure: Percent of people who completed the Treatment Perception Survey in a 12-month period who responded with “strongly agree” or “agree” to Q7 asking if “staff were sensitive to my cultural background (race/ethnicity, religion, language, etc.)” | 90.4% | BH-10 概览和价格 |
| BH-11。基于文化背景的护理感知：非专科心理健康服务 (PC-NSMHS) | AHRQ Measure: Percent of people who completed the MCP Consumer Assessment of Healthcare Providers and Systems (CAHPS) Experience of Care & Health Outcomes (ECHO) BH Survey in a 12-month period who responded with “Yes” to Q27 asking “was the care you received responsive to [language, race, religion, ethnic background, culture] needs” | 80.27% | BH-11 概述和价格 |
改善并发躯体健康问题的预防和治疗措施
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| PH-1。成人获得预防/门诊健康服务的机会：显著的行为健康需求（AAP-WSBH） | NCQA HEDIS Measure, calculated for people with significant behavioral health needs: Percent of adults 20 years of age and older enrolled in Medi-Cal and living with significant behavioral health needs who have one or more ambulatory or preventive care visits in a 12-month period | 82.11% | PH-1 概述和费率 |
| PH-2。儿童和青少年健康保健访视：显著的行为健康需求 (WCV-WSBH) | NCQA HEDIS Measure, calculated for people with significant behavioral health needs: Percent of children and youth 3 to 21 years of age enrolled in Medi-Cal and living with significant behavioral health needs who have at least one comprehensive well-care visit in a 12-month period | 57.20% | PH-2 概述和费率 |
| PH-3。为有严重行为健康需求的人群提供牙科就诊服务 (ADV-WSBH) | Novel DHCS Measure: Percent of members enrolled in Medi-Cal dental benefits and living with significant behavioral health needs who receive at least one dental visit in a 12-month period | 37.60% | PH-3 概述和费率 |
Reduce Homelessness Measures
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| HO-1。有严重行为健康需求人群中的无家可归问题 (PEH-WSBH) | 新型DHCS测量： Metric 1. Rate (per 10,000) of people enrolled in Medi-Cal and living with significant behavioral health needs who are identified as experiencing homelessness in a 12-month period based on available data compared with Metric 2. Rate (per 10,000) of all people enrolled in Medi-Cal who are identified as experiencing homelessness in a 12-month period based on available data | Metric 1 (members with significant BH needs): 988.67 Metric 2 (all members): 263.03 | HO-1 概览和费率 |
| HO-2。为有严重行为健康需求、面临或正在经历无家可归的人群提供住房服务 (HOUSSRV-WSBH) | Novel DHCS Measure: Percent of people enrolled in Medi-Cal who are living with significant behavioral health needs and are identified as at risk of or experiencing homelessness in a 12-month period based on available data, who receive at least one Medi-Cal housing Community Support in a 12-month period | 27.09% | HO-2 概述和费率 |
Reduce Institutionalization Measures
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| IN-4。精神疾病住院后随访——7 天 (FUH) (FUH-7d) | NCQA HEDIS Measure: Percent of discharges for people 6 years of age and older enrolled in Medi-Cal who were hospitalized for a principal diagnosis of mental illness, or any diagnosis of intentional self-harm in a 12-month period, for which the person received a mental health follow-up service within 7 calendar days after the discharge | 44.12% | IN-4 概述和费率 |
Reduce Justice-Involvement Measures
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| JI-3。为有重大心理健康需求的涉法人员重返社会计划参与者提供出狱后心理健康服务 | Novel DHCS Measure: Percent of releases from a correctional facility in a 12-month period among Medi-Cal members 12 years of age and older with a significant behavioral health need enrolled in 90-day pre-release services through the California Advancing and Innovating Medi-Cal (CalAIM) Justice-Involved Reentry Initiative for which members received at least one core clinical service to address behavioral health within 14 calendar days of release | 不符合2026年出版条件 | 该指标于2026年计算得出，但由于加州司法介入重返社会计划（CalAIM Justice-Involved Reentry Initiative）在2024-2025财年尚未全面实施，且分母规模过小，因此不符合发布标准。 |
| JI-4。对参与司法系统的重返社会人员继续进行药物治疗（MAT） | Novel DHCS Measure: Percent of releases from a correctional facility in a 12-month period among Medi-Cal members 16 years of age and older that received MAT for Opioid Use Disorder (OUD) or Alcohol Use Disorder (AUD) as part of their 90-day CalAIM Justice-Involved Reentry Initiative pre-release services for which members continued MAT within 30 calendar days of release | 不符合2026年出版条件 | 该指标于2026年计算得出，但由于加州司法介入重返社会计划（CalAIM Justice-Involved Reentry Initiative）在2024-2025财年尚未全面实施，且分母规模过小，因此不符合发布标准。 |
Reduce Overdoses Measures
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| OD-1。药物过量致死（ODDEATH） | Novel DHCS Measure: Age-adjusted rate (per 100,000) of people 10 years of age and older enrolled in Medi-Cal who die from an unintentional drug overdose during a 12-month period | 60 。 95 | OD-1 概述和费率 |
| OD-2。因药物过量而再次急诊就诊或住院治疗 (ODRPT) | Novel DHCS Measure: Rate (per 100,000) of people 10 years of age and older enrolled in Medi-Cal who had two or more unintentional drug-related overdoses resulting in treatment in an emergency department or hospital in a 12-month period | 16 。 84 | OD-2 概述和费率 |
| OD-3。恢复激励措施 – 应急管理 (CM) | Novel DHCS Measure: Percent of Medi-Cal members 12 years of age and older living with a moderate or severe stimulant use disorder who receive CM in the Recovery Incentives Program in a 12-month period | 4.55% | OD-3 概述和费率 |
| OD-4。阿片类药物使用障碍（POD）的药物治疗 | NCQA HEDIS Measures: Percentage of OUD pharmacotherapy events that lasted at least 180 days among people enrolled in Medi-Cal who are 16 years of age and older with a diagnosis of OUD and a new OUD pharmacotherapy event | 将于今年晚些时候发布 | 将于今年晚些时候发布 |
| OD-5。物质使用障碍高强度治疗后随访——7 天（FUI-7d） | NCQA HEDIS Measures: Percent of acute inpatient hospitalizations, residential treatment, or withdrawal management visits for a diagnosis of substance use disorder in a 12-month period among people 13 years of age and older enrolled in Medi-Cal for which the person received follow-up within 7 days after the visit or discharge | 35.95% | OD-5 概述和费率 |
Reduce Removal of Children From Home Measures
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| RC-1。寄养儿童和青少年 | Novel DHCS Measure: Rate (per 10,000) of children and youth 0 to 20 years of age enrolled in Medi-Cal who are in foster care during a 12-month period | 116 。 47 | RC-1 概述和费率 |
| RC-2。寄养儿童和青少年专业心理健康服务 (FCSRV) | Novel DHCS Measure: Percent of children and youth in foster care 0 to 20 years of age and enrolled in Medi-Cal who receive at least three core clinical services to address behavioral health needs delivered by the specialty mental health system (SMHS) within a 12-month period | 41.05% | RC-2 概述和费率 |
| RC-3。为有严重行为健康需求的父母、监护人和孕妇提供的行为健康服务 (PARSRV-WSBH) | Novel DHCS Measure: Percent of pregnant and postpartum people and parents or guardians 12 to 64 years of age who are enrolled in Medi-Cal and are living with significant behavioral health needs who receive at least one core clinical service for behavioral health in a 12-month period | 66.60% | RC-3 概述和费率 |
Reduce Suicides Measures
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| 苏-1。自杀死亡人数 | Novel DHCS Measure: Age-adjusted rate (per 100,000) of people 10 years of age and older enrolled in Medi-Cal who died by suicide at any point in a 12-month period | 15 。 15 | SU-1 概述和费率 |
| 苏-2。因自残而再次就诊急诊室或住院治疗 (SUIRPT) | Novel DHCS Measure: Rate (per 100,000) of people 10 years of age and older enrolled in Medi-Cal who had two or more self-harm or suicide attempts resulting in treatment in an emergency department or hospital in a 12-month period | 13 。 13 | SU-2 概述和费率 |
Improve Engagement in School Measures
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| SL-4。生命最初三年发育筛查（DEV-CH） | OHSU and CMS Measure: Percent of children 1 to 3 years of age enrolled in Medi-Cal who are screened for risk of developmental, behavioral, and social delays using a standardized screening tool in the 12 months preceding or on their first, second, or third birthday | 50.63% | SL-4 概述和费率 |
公平性指标
| 度量名称 | 描述 | 全州费率 | 其他费率和信息 |
|---|---|---|---|
| EQ-1。心理健康需求人群行为健康服务方面的差异 (EQ-BHSRV1-WMH) | 新型DHCS测量： Metric 1. Percent of Native Hawaiian/Pacific Islander, Black, or Asian people enrolled in Medi-Cal and living with mental health needs who received one or more core clinical services to address behavioral health compared with Metric 2. Percent of people enrolled in Medi-Cal and living with mental health needs who received one or more core clinical services to address behavioral health | Total population: 65.93% Native Hawaiian or Pacific Islander: 58.33% Black of African American: 62.13% Asian: 62.07% | EQ-1 概述和费率 |
| EQ-2。有严重心理健康需求人群的行为健康服务差异 (EQ-BHSRV3-WSMH) | 新型DHCS测量： Metric 1. Percent of Spanish-speaking people enrolled in Medi-Cal and living with significant mental health needs who received three or more core clinical services to address behavioral health compared with Metric 2. Percent of people enrolled in Medi-Cal and living with significant mental health needs who received three or more core clinical services to address behavioral health | Total population: 50.20% Spanish-Speaking: 46.93% | EQ-2 概述和利率 |
| EQ-3。阿片类药物使用障碍药物治疗差异（EQ-POD） | NCQA HEDIS 指标，按种族/民族分层： Metric 1. Percentage of OUD pharmacotherapy events that lasted at least 180 days among people enrolled in Medi-Cal who are 16 years of age and older and are [racial/ethnic group to be determined later in 2026] with a diagnosis of OUD and a new OUD pharmacotherapy event compared with Metric 2. Percentage of OUD pharmacotherapy events that lasted at least 180 days among people enrolled in Medi-Cal who are 16 years of age and older with a diagnosis of OUD and a new OUD pharmacotherapy event | 将于今年晚些时候发布 | 将于今年晚些时候发布 |