Implementing Quality Management in Psychiatry: From Theory to Practice - Shifting Focus From Process to Outcome

Canadian Journal of Psychiatry

Volumn 48, Issue 7, 2003, Pages 467-474

  McGrath, Brent M ^a   Tempier, Raymond P ^b  

^a MCGILL UNIVERSITY HEALTH CENTRE   (Canada)

^b MONTREAL GENERAL HOSPITAL   (Canada)

Author keywords

Community psychiatry; Database; Outcome assessment, medical records systems; Quality management

Indexed keywords

COMPUTER; COST EFFECTIVENESS ANALYSIS; DATA BASE; DOCTOR PATIENT RELATION; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HUMAN; MEDICAL DOCUMENTATION; MEDICAL PRACTICE; MEDICAL RECORD; MENTAL HEALTH; OUTCOMES RESEARCH; PATIENT SATISFACTION; PRACTICE GUIDELINE; PSYCHIATRIST; PSYCHIATRY; REVIEW; SOCIAL PSYCHIATRY; TREATMENT OUTCOME;

EID: 0142090417     PISSN: 07067437     EISSN: None     Source Type: Journal    
DOI: 10.1177/070674370304800707     Document Type: Review

References (76)

1. Ellwood PM. Shattuck lecture outcomes management: a technology of patient experience. N Engl J Med 1988;318:1549-56.
2. Davis DF, Fong ML. Measuring outcomes in psychiatry: an inpatient model. Journal of Quality Improvement 1996;22(2):125-33.
3. Modai I, Ritsner M, Silver H, Kurs R. A computerized patient information system in a psychiatric hospital. Psychiatr Serv 2002;53:476-8.
4. Kissling W, Seemann U, Piwernetz K. Quality management in psychiatry. Int Clin Psychopharmacol 2001;16(Suppl 3);S15-S24.
5. Lamb HR. Introduction. Outcomes assessment in mental health treatment [special issue]. Psychiatr Serv 1998:2.
6. McCarthy PR, Gelber S, Dugger DE. Outcome measurement to outcome management: the critical step. Adm Policy Ment Health 1993;21(1):59-70.
7. Carman JM, Shortell SM, Foster RW, Hughes EFX, Boerstler H, O'Brien JL, and others. Keys for successful implementation of total quality management in hospitals. Health Care Manage Rev 1996;21(1):48-60.
8. Hermann RC, Palmer RH. Common ground: a framework for selecting core quality measures for mental health and substance abuse care. Psychiatr Serv 2002;53:281-7.
9. Joubert AF. PQM-psychiatry quality measurement. Int Clin Psychopharmacol 2001;16(Suppl 3):S25-S33.
10. Boerstler H, Foster RW, O'Conner EJ, O'Brien JL, Shortell SM, Carman JM, Hughes EF. Implementation of total quality management: conventional wisdom versus reality. Hosp Health Serv Adm 1996;41:143-59.
11. Smith GR, Rost KM, Fischer EP, Burnam MA, Burns BJ. Assessing the effectiveness of mental health care in routine clinical practice: characteristics, development, and users of patients outcomes modules. Eval Health Prof 1997;20(1):65-80.
12. Bartlett JC. Practice guidelines and outcomes management: future roles for psychiatrists. In: Lazarus JA, Sharfstein SS, editors. New roles for psychiatrists in organized systems of care. Washington (DC): American Psychiatric Press; 1998. p 123-40.
13. Yates PD. Understanding managed care. In: Guimon J, Sartorius N, editors. Manage or perish? The challenges of managed mental health care in Europe. New York: Kluwer Academic/Plenum Publishers; 1999. p 1-9.
14. Bollorino F, Piaggio A. Research and communication of mental health data. In: Guimon J, Sartorius N, editors. Manage or perish? The challenges of managed mental health care in Europe. New York: Kluwer Academic/Plenum Publishers; 1999. p 375-80.
15. Boronow JJ, Sharfstein SS. The identity of the field in the context of changing roles. In: Lazarus JA, Sharfstein SS, editors. New roles for psychiatrists in organized systems of care. Washington (DC): American Psychiatric Press; 1998. p 239-60.
16. Mirin SM, Namerow MJ. Why study treatment outcomes? Hosp Community Psychiatry 1991;42:1007-13.
17. McGrath BM, Tempier R. Experiencing the PQM in a Canadian clinic for long-term care and follow-up. The Lundbeck Institute Magazine (Denmark). Forthcoming.
18. Campbell J. Toward collaborative mental health outcomes systems. New Dir Ment Health Serv 1996;71:69-79.
19. Butler SF, Docherty JP. A comprehensive system for value accounting in psychiatry. Value Accounting 1996;23:479-91.
20. Greist JH. Computers and psychiatry. Psychiatr Serv 1995;46:989-91.
21. Rouan G, Marks E, Tuchfarber B, Redington TJ, Lorenzi N. Development, effects, and educational outcomes of reporting from a clinical database. Medical Decision Making 1991;11(Suppl):S80-S89.
22. Engel GL. The need for a new medical model: a challenge for biomedicine. Science 1977;196(4286):129-36.
23. Tempier R. Minimal psychiatric summary: the French way. In: Guimon J, Sartorius N, editors. Manage or perish? The challenges of managed mental health care in Europe. New York: Kluwer Academic/Plenum Publishers; 1999. p 143-51.
24. Ellwood PM, Lundberg GD. Managed care: a work in progress. JAMA 1996;276:1083-6.
25. Luo J, Hales RE, Servis M, Gill M. Use of personal digital assistants in consultation psychiatry. Psychiatr Serv 2002;53:271-2, 279.
26. Geraty RD. Administrative psychiatry and managed care: advances and opportunities. In: Lazarus JA, Sharfstein SS, editors. New roles for psychiatrists in organized systems of care. Washington (DC): American Psychiatric Press; 1998. p 71-85.
27. Guze BH, Duim S, McGuire MT, Moreau D, Poster E. Databases for clinical psychiatry. MD Comput 1996;13:210-5.
28. Romanow RJ. Building on values: the future of health care in Canada. Ottawa: National Library of Canada; 2002. ISBN 0-662-33043-9.
29. Baker JG, Shanfield SB, Schnee S. Using quality improvement teams to improve documentation in records at a community mental health center. Psychiatr Serv 2000;51:239-42.
30. Burlingame GM, Lambert MJ, Reisinger CW, Neff WM, Mosier J. Pragmatics of tracking mental health outcomes in a managed care setting. J Ment Health Adm 1995;22:226-36.
31. Berwick DM. Continuous improvement as an ideal in health care. N Engl J Med 1989;320(1):53-6.
32. Bilsker D, Goldner EM. Routine outcome measurement by mental health-care providers: is it worth doing? Lancet 2002;360:1689-90.
33. Fauman MA. Monitoring the quality of psychiatric care. Psychiatr Clin North Am 1990;13(1):73-85.
34. Marder SR. Can clinical practice guide a research agenda? Schizophr Bull 2002;28:127-9.
35. Kessner DM, Kalk CE, Singer J. Assessing health quality-the case for tracers. N Engl J Med 1973;288:189-94.
36. Smith GR, Manderscheid RW, Flynn LM, Steinwachs DM. principles for assessment of patient outcomes in mental health care. Outcomes assessment in mental health treatment [special issue]. Psychiatr Serv 1998:3-6.
37. Marks IM, Blanes T, McKenzie N. Computerized clinical benefit-cost audit of mental health care I: Theoretical and practical issues. J Ment Health 1995;1:63-9.
38. Burnam MA. Measuring outcomes of care for substance use and mental disorders. New Dir Ment Health Serv 1996;71:3-17.
39. Schulberg HC, Bromet E. Strategies for evaluating the outcome of community services for the chronically mentally ill. Am J Psychiatry 1981;138:930-5.
40. Murphy HBM. Results from evaluating a Canadian regional mental health program. Hosp Community Psychiatry 1973;24:533-9.
41. Davis AR, Ware JE Jr. Involving consumers in quality of care assessment. Health Aff 1988;Spring:32-48.
42. Goldstein LS. Linking utilization management with quality improvement. Psychiatr Clin North Am 1990;13(1):157-69.
43. Marks I. A computerized system to measure treatment outcomes and cost. Psychiatr Serv 1996;47:811-2.
44. McKenzie N, Blanes T, Marks IM. Computerized clinical benefit-cost audit of mental health care II: Time input, costs, patient satisfaction. J Ment Health 1995;1:71-8.
45. Clardy JA, Booth BM, Smith LG, Nordquist CR, Smith GR. Implementing a statewide outcomes management system for consumers of public mental health services. Outcomes assessment in mental health treatment [special issue]. Psychiatr Serv 1998:25-9.
46. Guimon J. Ethical problems in the practice of pyschiatrists under managed care. In: Guimon J, Sartorius N, editors. Manage or perish? The challenges of managed mental health care in Europe. New York: Kluwer Academic/Plenum Publishers; 1999. p 391-5.
47. Donabedian A, Wheeler JRC, Wyszewianski L. Quality, cost, and health: an integrative model. Med Care 1982;20:975-92.
48. Hermann RC, Finnerty M, Provost S, Palmer RH, Chan J, Lagodmos G, and others. Process measures for the assessment and improvement of quality of care for schizophrenia. Schizophr Bull 2002;28(1):95-104.
49. Goeree MD. Evaluation of programs for the treatment of schizophrenia: a health economic perspective. Ottawa: Health Canada; 1994. ISBN 0-662-22389-6: Cat. No. H39-302/1994E.
50. Srebnik D, Hendryx M, Stevenson J, Caverly S, Dyck DG, Cauce AM. Development of outcome indicators for monitoring the quality of public mental health care. Outcomes assessment in mental health treatment [special issue]. Psychiatr Serv 1998:13-9.
51. Russo J, Roy-Byrne P, Jaffe C, Ries R, Dagadakis C, Avery D. psychiatric status, quality of life, and level of care as predictors of outcomes of acute inpatient treatment. Outcomes assessment in mental health treatment [special issue]. Psychiatr Serv 1998:56-63.
52. Bhanji NH, Tempier R. Managing schizophrenia during the stable phase: is there consensus among practice guidelines? Can J Psychiatry 2002:47:76-80.
53. Finnerty M, Altmanberger R, Bopp J, Carpinello S, Docherty JP, Fisher W, and others. Using state administrative and pharmacy data bases to develop a clinical decision support tool for schizophrenia guidelines. Schizophr Bull 2002;28(1):85-94.
54. Buchanan RW, Kreyenbuhl J, Zito JM, Lehman A. The schizophrenia PORT pharmacological treatment recommendations: conformance and implications for symptoms and functional outcome. Schizophr Bull 2002;28(1):63-73.
55. Bassett A, Addington D. Canadian clinical practice guidelines for the treatment of schizophrenia. Can J Psychiatry 1998;43(Suppl 2, revised):25S-41S.
56. Erickson RC. Outcome studies in mental hospitals: a review. Psychol Bull 1975;82:519-40.
57. Bachrach LL. Assessment of outcomes in community support systems: results, problems, and limitations. Schizophr Bull 1982;8(1):39-60.
58. Dickerson FB. Assessing clinical outcomes: the community functioning of persons with serious mental illness. Outcomes assessment in mental health treatment [special issue]. Psychiatr Serv 1998:7-12.
59. Pincus HA, Zarin DA, West JC. Peering into the 'black box': measuring outcomes of managed care. Arch Gen Psychiatry 1996;53:870-7.
60. Bachrach LL. Planning high-quality services. Hosp Community Psychiatry 1991;42:268-9.
61. Goeree MD. Evaluation of programs for the treatment of schizophrenia: Part II, a review of selected programs in Canada. Ottawa (ON): Health Canada; 1996. ISBN 0-662-24140-1: Cat. No. H39-302/2-1996E.
62. Rosenblatt A, Attkisson CC. Assessing outcomes for sufferers of severe mental disorder: a conceptual framework and review. Eval Program Plann 1993;16:347-63.
63. Ogles BM, Lunnen KM. Assessing outcome in practice. J Ment Health 1996;5(1):35-45.
64. Dazord A. Assessing psychotherapy outcome: the state of the art. In: Guimon J, Sartorius N, editors. Manage or perish? The challenges of managed mental health care in Europe. New York (NY): Kluwer Academic/Plenum Publishers; 1999. p 381-9.
65. American Psychiatric Association: Diagnostic and statistical manual of mental disorders. 4th ed. Text revision. Washington (DC): American Psychiatric Association; 2000.
66. Bergner M, Bobbitt RA, Carter WB, Gilson BS. The Sickness Impact Profile: development and final revision of a health status measure. Med Care 1981;19:787-805
67. Hogan TP, Awad AG, Eastwood MR. A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity. Psychol Med 1983;13:177-83.
68. Kay SR, Fiszbein A, Opler LA. The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophr Bull 1987;13:261-76.
69. American Psychiatric Association: Handbook of psychiatric measures. Washington (DC): American Psychiatric Association; 2000.
70. Tansella M, Thornicroft G. A conceptual framework for mental health services: the matrix model. Psychol Med 1998;28:503-8.
71. Clark RE, Bartels SJ, Mellman TA, Peacock WJ. Recent trends in antipsychotic combination therapy of schizophrenia and schizoaffective disorder: implications for state mental health policy. Schizophr Bull 2002;28(1):75-84.
72. Miller AL, Craig CS. Combination antipsychotics: pros, cons, and questions. Schizophr Bull 2002;28:105-9.
73. Montgomery S. Evidence-based prescribing or prescribing-based evidence? Abstract S0404. Int J Psychiatry Clin Pract 2002;6:229.
74. Pelc I, Joosten J, From L, Bergeret I, Ledoux Y, Tecco J. The Minimal Psychiatric Summary (MPS) and the current organization in mental health care. In: Guimon J, Sartorius N, editors. Manage or perish? The challenges of managed mental health care in Europe. New York: Kluwer Academic/Plenum Publishers; 1999. p 131-42.
75. Greist JH. The computer as clinician assistant: assessment made simple. Psychiatr Serv 1998;49:467-72.
76. Posternak MA, Zimmerman M, Soloman DA. Integrating outcomes research into clinical practice. Psychiatr Serv 2002;53:335-6.