Is readmission a valid indicator of the quality of inpatient psychiatric care?

Journal of Behavioral Health Services and Research

Volumn 34, Issue 2, 2007, Pages 137-150

  Durbin, Janet ^a   Lin, Elizabeth ^a   Layne, Crystal ^b   Teed, Moira ^b  

^a UNIVERSITY OF TORONTO   (Canada)

^b CENTRE FOR ADDICTION AND MENTAL HEALTH   (Canada)

Author keywords

Hospital quality of care; Performance monitoring; Psychiatric readmission

Indexed keywords

ARTICLE; BIPOLAR DISORDER; COMMUNITY CARE; HEALTH CARE QUALITY; HEALTH HAZARD; HEALTH STATUS; HOSPITAL DISCHARGE; HOSPITAL PATIENT; HOSPITAL READMISSION; HUMAN; MAJOR DEPRESSION; MENTAL DISEASE; MENTAL HEALTH; MENTAL HEALTH CARE; MENTAL HEALTH RESEARCH; OUTCOME ASSESSMENT; PATIENT CARE; PREDICTOR VARIABLE; PSYCHOSIS; SCHIZOPHRENIA; STANDARDIZATION; SYSTEMATIC REVIEW;

HOSPITALS, PSYCHIATRIC; HUMANS; LENGTH OF STAY; MENTAL DISORDERS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT READMISSION; QUALITY OF HEALTH CARE; TIME;

EID: 34248222057     PISSN: 10943412     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11414-007-9055-5     Document Type: Article

References (56)

1. Adair CE, Simpson L, Birdsell JM, et al. Performance measurement systems in health and mental health services: models, practices and effectiveness. The Alberta Heritage Foundation for Medical Research; 2003.
2. Hospital Reports. Hospital Report Research Collaborative. 2006. http://www.hospitalreport.ca/. Accessed January 30, 2006.
3. Pink GH, McKillop I, Schraa EG, et al. Creating a balanced scorecard for a hospital system. Journal of Health Care Finance. 2001;27(3):1-20.
4. Lin E, Durbin J, Koegl C, et al. Hospital report 2004: Mental Health. Toronto, ON: Joint Initiative of the Ontario Hospital Association and the Government of Ontario, Hospital Report Research Collaborative, University of Toronto, 2005.
5. Rosenheck R, Cicchetti DA. Mental health program report card: a multidimensional approach to performance monitoring in public sector programs. Community Mental Health Journal. 1998;34:85-109.
6. National Association of State Mental Health Program Directors. Sixteen-State Study on Mental Health Performance Measures. Alexandria, VA: NASMHPD Research Institute; 2002.
7. Healthcare Commission. Performance Ratings 2005. Healthcare Commission; 2006.
8. Greenberg G, Rosenheck R. Department of Veterans Affairs National Mental Health Program Performance Monitoring System: Fiscal Year 2004 Report. Connecticut, VA: Northeast Program Evaluation Center (182); 2005.
9. Eisen S. BASIS plus™ Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Approved Quality Measures Reporting under the ORYX Initiative. Belmont, MA: McLean Hospital; 2005.
10. National Association of State Mental Health Program Directors. Behavioral Healthcare Performance Measurement System. Alexandria, VA: NASMHPD Research Institute; 2005.
11. Hermann R, Mattke S, the Members of the Organization for Economic Co-operation and Development (OECD) Mental Health Care Panel. Selecting Indicators for the Quality of Mental Health Care at the Health Systems Level in OECD Countries. Organization for Economic Co-operation and Development, 2004.
12. Sullivan G, Wells K, Morgenstern H, Leake B. Identifying modifyable risk factors for rehospitalization: a case-control study of seriously mentally ill persons in Mississippi. The American Journal of Psychiatry. 1995;152(12):1749-59.
13. Mechanic D, McAlpine DD, Olfson M. Changing patterns of psychiatric inpatient care in the United States, 1988-1994. Archives of General Psychiatry. 1998;55(9):785-791.
14. Sealy P, Whitehead PC. Forty years of deinstitutionalization of psychiatric services in Canada: an empirical assessment. Canadian Journal of Psychiatry. 2006;49(4):249-257.
15. Montgomery P, Kirkpatrick H. Understanding those who seek frequent psychiatric hospitalizations. Archives of Psychiatric Nursing. 2002;16(1):16-24.
16. Lyons JS, O'Mahoney MT, Miller SI, et al. Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators. American Journal of Psychiatry. 1997;154(3):337-340.
17. Craig TJ, Fennig S, Tanenberg-Karant M, et al. Rapid versus delayed readmission in first-admission psychosis: quality indicators for managed care? Annals of Clinical Psychiatry. 2000;12(4):233-238.
18. Dixon M, Robertson E, George M, et al. Risk factors for acute psychiatric readmission. Psychiatric Bulletin. 1997;21(10):600-603.
19. Druss BG, Bruce ML, Jacobs SC, et al. Trends over a decade for a general hospital psychiatry unit. Administration and Policy in Mental Health. 1998;25(4):427-435.
20. Hodgson RE, Lewis M, Boardman AP. Prediction of readmission to acute psychiatric units. Social Psychiatry and Psychiatric Epidemiology. 2001;36(6):304-309.
21. Hermann RC, Finnerty M, Provost S, et al. Process measures for the assessment and improvement of quality of care for schizophrenia. Schizophrenia Bulletin. 2002;28(1):95-104.
22. Klinkenberg WD, Calsyn RJ. Predictors of receipt of aftercare and recidivism among persons with severe mental illness: a review. Psychiatric Services. 1996;47(5):487-496.
23. Lien L. Are readmission rates influenced by how psychiatric services are organized? Nordic Journal of Psychiatry. 2002;56(1):23-28.
24. Bernardo AC, Forchuk C. Factors associated with readmission to a psychiatric facility. Psychiatric Services. 2001;52(8):1100-1102.
25. Heggestad T. Operating conditions of psychiatric hospitals and early readmission - effects of high patient turnover. Acta Psychiatrica Scandinavica. 2001;103:196-202.
26. Thomson R, Taber S, Lally J, et al. UK Quality Indicator Project (UK QIP) and the UK independent health care sector: a new development. International Journal for Quality in Health Care. 2004;16(Supplement 1):i51-i56.
27. Moran PW, Doerfler LA, Scherz J, et al. Rehospitalization of psychiatric patients in a managed care environment. Mental Health Services Research. 2000;2(4):191-198.
28. Druss B, Rosenheck R, Stolar, M. Patient satisfaction and administrative measures as indicators of the quality of mental health care. Psychiatric Services. 1999;50(8):1053-1058.
29. Figueroa R, Harman J, Engberg J. Use of claims data to examine the impact of length of inpatient psychiatric stay on readmission rate. Psychiatric Services. 2004;55(5):560-565.
30. Monnelly EP. Instability before discharge and previous psychiatric admissions as predictors of early readmission. Psychiatric Services. 1997;48(12):1584-1586.
31. Nicolson R, Feinstein A. Predictors of early psychiatric readmission. Psychiatric Services. 1996;47(2):199.
32. Swett C. Symptom severity and number of previous psychiatric admissions as predictors of readmission. Psychiatric Services. 1995;46(5):482-485.
33. Craig TJ, Bracken J. A case-control study of rapid readmission in a state hospital population. Annals of Clinical Psychiatry. 1995;7(2):79-85.
34. Prince J. Interaction and hospital care. The Journal of Nervous and Mental Disease. 2006;194(1):34-39.
35. Olfson M, Mechanic D, Boyer C, Hansell S, Walkup J, Weiden P. Assessing clinical predictions of early rehospitalization in schizophrenia. 1999;187(12):721-729.
36. Wickizer TM, Lessler D. Do treatment restrictions imposed by utilization management increase the likelihood of readmission for psychiatric patients? Medical Care. 1998;36(6):844-850.
37. Lieberman PB, Witala SA, Elliott B, McCormick S, Goyette SB. Decreasing length of stay: are there effects on outcomes of psychiatric hospitalization? The American Journal of Psychiatry. 1998;155:905-909.
38. Pincus HA, Zarin DA, West JC. Peering into the "black box". Measuring outcomes of managed care. Archives of General Psychiatry. 1996;53:870-877.
39. Merrick EL. Treatment of major depression before and after implementation of a behavioral health carve-out plan. Psychiatric Services. 1998;49:1563-1567.
40. Heeren O, Dixon L, Gavirneni S, et al. The association between decreasing length of stay and readmission rate on a psychogeriatric unit. Psychiatric Services. 2002;53:76-79.
41. Wickizer TM, Lessler D, Boyd-Wickizer J. Effects of health care cost-containment programs on patterns of care and readmissions among children and adolescents. American Journal of Public Health. 1999;89:1353-1358.
42. Wells KB, Schoenbaum M, Unutzer J, et al. Quality of care for primary care patients with depression in managed care. Archives of Family Medicine. 1999;8:529-536.
43. Appleby L, Desai PN, Luchins DJ, Gibbons RD, Hedeker DR. Length of stay and recidivism in schizophrenia: a study of public psychiatric hospital patients. American Journal of Psychiatry. 1993;150:72-76.
44. Mueser KT, Bond GR, Drake RE, et al. Models of community care for severe mental illness: a review of research on case management. Schizophrenia Bulletin. 1998;24(1):37-74.
45. Olfson M. Assertive community treatment: an evaluation of experimental evidence. Hospital and Community Psychiatry. 1990;41:634-641.
46. Moore C. Acute in-patient care could do better, says survey. Nursing Times. 1998;94(3):54-56.
47. Olfson M, Mechanic D, Boyer CA, et al. Linking inpatients with schizophrenia to outpatient care. Psychiatric Services. 1998;49:911-916.
48. Nelson EA, Maruish ME, Axler JL. Effects of discharge planning and compliance with outpatient appointments on readmission rates. Psychiatric Services. 2000;51(7):885-889.
49. Horvitz-Lennon M, Normand S, Gaccione P, Frank R. Partial versus full hospitalization for adults in psychiatric distress: a systematic review of the published literature (1957-1997). 2001;158(5):676-685.
50. Brems C, Johnson ME, Corey S, et al. Consumer perspectives on services needed to prevent psychiatric hospitalization. Administration and Policy in Mental Health. 2004;32(1):57-61.
51. Ball J, Links P, Strike C, et al. 'It's overwhelming... everything seems to be too much': a theory of crisis for individuals with severe and persistent mental illness. Psychiatric Rehabilitation Journal. 2005;29(1):10-19.
52. Rabinowitz J, Massad A, Fenning S. Factors influencing disposition decisions for patients seen in a psychiatric emergency service. Psychiatric Services. 1995;46:712-718.
53. Mulder CL, Koopmans GT, Lyons JS. Determinants of indicated versus actual lev1el of care in psychiatric emergency services. Psychiatric Services. 2005;56(4):452-457.
54. Greenberg G, Rosenheck RA. Department of Veteran Affairs National Mental Health Program Performance Monitoring System: Fiscal year 2004 report. Northeast Program Evaluation Center, VA Connecticut Healthcare System, West Haven, CT; 2005.
55. Lin E, Durbin J, Koegl C, et al. Hospital report 2004: Mental health. Toronto, ON: Joint initiative of the Ontario Hospital Association and the Government of Ontario, Hospital Report Research Collaborative, University of Toronto; 2005.
56. Ashton CM, Del Junco DJ, Souchek J, et al. The association between the quality of inpatient care and early : a meta-analysis of the evidence. Medical Care. 1997;35(10):1044-1059.