Performance measurement for co-occurring mental health and substance use disorders

被引:5
|
作者
Dausey, David J. [1 ,2 ]
Pincus, Harold A. [2 ,3 ,4 ,5 ]
Herrell, James M. [6 ]
机构
[1] Carnegie Mellon Univ, Pittsburgh, PA 15213 USA
[2] RAND Corp, Pittsburgh, PA 15213 USA
[3] Columbia Univ Coll Phys & Surg, New York, NY 10032 USA
[4] New York Presbyterian Hosp, New York, NY 10032 USA
[5] Irving Ctr Clin & Translat Res, New York, NY 10032 USA
[6] CSAT, SAMHSA, Rockville, MD 20850 USA
关键词
PAY-FOR-PERFORMANCE; CARE; QUALITY; ACCOUNTABILITY; OUTCOMES; SYSTEMS; ABUSE;
D O I
10.1186/1747-597X-4-18
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: Co-occurring mental health and substance use disorders (COD) are the norm rather than the exception. It is therefore critical that performance measures are developed to assess the quality of care for individuals with COD irrespective of whether they seek care in mental health systems or substance abuse systems or both. Methods: We convened an expert panel and asked them to rate a series of structure, process, and outcomes measures for COD using a structured evaluation tool with domains for importance, usefulness, validity, and practicality. Results: We chose twelve measures that demonstrated promise for future pilot testing and refinement. The criteria that we applied to select these measures included: balance across structure, process, and outcome measures, quantitative ratings from the panelists, narrative comments from the panelists, and evidence the measure had been tested in a similar form elsewhere. Conclusion: To be successful performance measures need to be developed in such a way that they align with needs of administrators and providers. Policymakers need to work with all stakeholders to establish a concrete agenda for developing, piloting and implementing performance measures that include COD. Future research could begin to consider strategies that increase our ability to use administrative coding in mental health and substance use disorder systems to efficiently capture quality relevant clinical data.
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页数:7
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