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NRI-PQI Division

Your trusted expert partner in quality reporting for inpatient psychiatric facilities, helping streamline regulatory and accreditation processes.

We help inpatient psychiatric facility teams navigate Joint Commission and CMS data requirements that support quality-of-care accreditation and annual payment updates.

One Inpatient Psychiatric Facility Quality Reporting Solution

NRI-PQI manages the Behavioral Healthcare Performance Measurement System (BHPMS), a quality-of-care monitoring platform that stores patient-level data for nearly 200 inpatient psychiatric facilities across 44 states and Puerto Rico.

NRI-PQI BHPMS combines Joint Commission and CMS program requirements together in one oversight system, giving users a comprehensive, organization-wide view of facility performance.

NRI-PQI BHPMS supports inpatient psychiatric facility teams with enrollment, set up, data abstraction and submission, on-site training, and data integrity reviews to help strengthen readiness of teams related to mandated requirements.

NRI-PQI BHPMS Features Include:

·         Joint Commission ORYX performance measures

·         CMS Inpatient Psychiatric Facility Quality Reporting (IPFQR) program measures

·         NRI Defined Measures Related to Safety (Percent of Clients Secluded, Percent of Clients Restrained, Medication Error, Adverse Drug Reaction, Client Injury, Staff Injury); 30-Day Readmission, New Generation Antipsychotic Medication Use; Social Drivers of Health Measures; Facility Commitment to Health Equity; Inpatient Consumer Survey

·         Approved and listed vendor to meet CMS IPFQR program requirements

·         Quarterly data reporting to Joint Commission Direct Data Submission Platform

·         Annual data reporting to CMS Hospital Quality Reporting platform

·         Promotes timely data quality improvement efforts

·         Data Quality Reports

·         Control and Comparison Charts

·         Benchmark & Quartiles Comparison Charts

·         Stratifications by age, sex, race, ethnicity, facility’s size, forensic, and by region

·         Regional meetings for networking and discussing shared challenges

·         Monthly live educational events

·         Focus and targeted group meetings that foster uncovering new knowledge related to quality

·         Annual refresher trainings for C-suite teams and administrators on regulatory and accreditation updates and changes

Integrated Support for Regulatory, Accreditation, and Compliance

PQI provides comprehensive support for national regulatory and accreditation data reporting requirements. PQI also creates resources for inpatient psychiatric facilities to help facilities achieve national performance goals and quality standards. The PQI team educates on the intent of the performance measures, establishes standardized protocols for data collection, provides guidance on data file creation and submission, relates outcomes to clinical practice, and reports data to external entities. The PQI team guides behavioral health organizations from measure selection to data submission. With this integrated support, the PQI team promotes enhanced learning, continuous improvement, and compliance.

Elevating the Patient Voice with the Psychiatric Inpatient Experience (PIX) Survey

Patient experience is essential to the quality of care, and the PQI team has made it a core element of performance measurement.

With full integration of the Psychiatric Inpatient Experience (PIX) Survey, the PQI team helps behavioral health organizations capture and utilize patient perceptions of care alongside clinical and operational metrics.

Beginning in 2026, the PIX Survey is required for inpatient psychiatric facilities participating in the CMS IPFQR Program. The PQI team streamlines adoption and participation in the PIX Survey measures by supporting:

  • Standardized measure definitions

  • Paper and electronic (PIXe) survey collection tools

  • Tracking monthly indicators, completion rates, and progress

  • Tracking survey item responses

  • Benchmarking patient experience across peer facilities

  • Data submission to CMS

Facilities that do not participate in the CMS IPFQR program can still also select the PIX Survey measures set to drive internal quality improvement and strengthen patient-centered care.

Improving Patient Outcomes by Monitoring Social Drivers of Health Data

Social Drivers of Health (SDOH) data are linked to reduced chronic disease risk, increased appointment attendance, improved continuity of care, and overall improved patient outcomes and better health.

By integrating the Social Drivers of Health Measures (SDOH) Set—including SDOH-1 Screening for Social Drivers of Health and SDOH-2 Screen Positive Rate for Social Drivers of Health—the PQI team supports behavioral health organizations in achieving Joint Commission’s National Performance Goal (NP) 04.01.01 and Element of Performance (EP) 2, which focus on improving patient outcomes and assessing health-related social needs.

The SDOH Measure set is accessible to all PQI-BHPMS facility members, with feedback provided on these health-related social need domains:

  • Food Insecurity

  • Housing Instability

  • Transportation Needs

  • Utility Difficulties

  • Interpersonal Safety

Why Organizations Choose the NRI PQI Team

  • Decades of leadership in behavioral health performance measurement

  • Metrics intelligence related to external data reporting requirements

  • Timely national comparative data for inpatient psychiatric settings

  • Integrated support for Joint Commission, CMS, and patient experience reporting

  • Actionable insights that extend beyond compliance

  • A trusted partner to behavioral health systems nationwide

Flexible, Tiered Support to Meet You Where You Are

PQI offers flexible, tiered service options designed to meet organizations where they are—whether focused on core reporting needs or ready for deeper, customized insight. Each tier builds on PQI’s performance measurement foundation, with the flexibility to scale as needs evolve.

Tier 3 is our most comprehensive offering—designed for organizations seeking deeper insight, expert partnership, and tailored analytics.

With Tier 3, PQI becomes an extension of your team—delivering customized reports, advanced analysis, and expert guidance to support complex quality improvement initiatives and regulatory requirements across CMS, Joint Commission, and beyond.