The first book to focus on measuring the basic processes of mental
healthcare, such as access, detection, treatment appropriateness,
safety and continuity of care, "Improving Mental Healthcare: A
Guide to Measurement-Based Quality Improvement" integrates
practical information about quality measures& mdash;such as
their clinical logic, validity and basis in scientific
evidence& mdash;into a highly readable guide on how to
implement measures and use the results to improve quality of care.
"Improving Mental Healthcare" examines the clinical, policy, and
scientific underpinnings of process measurement, a widely used
method of assessing quality of mental healthcare. It describes the
use of measurement to improve quality, promote accountability,
encourage evidence-based practice, and shape incentives to favor
delivery of high-quality care.
Divided into two sections totaling 14 chapters, the first
section describes factors that led to a nationwide emphasis on
improving quality of care, major approaches to quality assessment,
considerations in selecting measures, as well as how to analyze and
interpret measure results. The second section summarizes
information on more than 300 quality measures, including their
clinical rationale, specifications, sources of data, supporting
evidence, readiness for use, and& mdash;where available&
mdash;data on reliability, validity, results, case-mix adjustment,
standards, and benchmarks.
"Improving Mental Healthcare" helps clinicians, managers,
administrators, payers, purchasers, accreditors, consumer groups,
and other stakeholders meet national mandates to assess and improve
quality of care by providing the following tools and guidance:
Results fromthe National Inventory of Mental Health Quality
Measures, a federally funded study summarizing clinical, technical,
and scientific properties of more than 300 process measures A
user-friendly format that helps potential measure users find
quality measures that reflect their priorities and meet their needs
Guidance for healthcare organizations and clinicians on how to
integrate measurement into a comprehensive approach to quality
management An understanding of the relationship between process
measurement and other approaches to quality assessment, in
particular outcomes assessment-the focus of a companion guide,
"Outcome Measurement in Psychiatry: A Critical Review" (APPI
2002)
"Improving Mental Healthcare," which includes extensive
references as well as useful figures and tables illustrating key
concepts, is essential reading for practicing clinicians,
healthcare managers, medical students and psychiatric
residents& mdash;who must now meet ACGME requirements to learn
about quality assessment and improvement& mdash;as well as
members of oversight organizations and consumer advocacy groups. It
will prove invaluable for healthcare organizations seeking to
improve quality of care, clinical training programs, and courses on
quality assessment, healthcare management, and mental health
policy.
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