Performance measurement and financial incentives for community behavioral health services provision

International Journal of Public Administration

Volumn 20, Issue 8-9, 1997, Pages 1555-1578

  Byrnes, Patricia ^a   Freeman, Mark ^a   Kauffman, Dean ^b  

^a OHIO STATE UNIVERSITY   (United States)

^b Drug Addition and Mental Health Services Board   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84937262844     PISSN: 01900692     EISSN: 15324265     Source Type: Journal    
DOI: 10.1080/01900699708525263     Document Type: Article

References (9)

1. Frank, R.G., Jackson, C.A., and Lynch, F.L., 1993. The Structure of Economic Incentives in the Robert Wood Johnson,' HUD Program on Chronic Mental Illness. Journal of Mental Health Administration, 20 Spring: 20–31. The system was implemented in 1991 and is further described in the report Allocations and Program Evaluation Process, Franklin County ADAMH Board Columbus, Ohio (1 993). The Board is also involved in a managed care pilot study, for a description of this study
2. Donwart, R.A., Schlesinger, M., and Pulices, R.T., 1986. The Promise and Pitfalls of Purchase of Service Contracts. Hospital and Community Psychiatry, 37 September: 875–882. For a good discussion of purchase of service contracts, see For analysis of alternative types of contracts see, Gauntner, J., J. Dacek, M.A. Jones, B.A. Karbler, T. Katoch, G. Long, and J. Nosek. “Managing Mental Health Service Contracts” Administration and Policy in Mental Health 20 (November 1992): 87 - 98 and Bymes, P. and M. Freeman. Financial Management Enhancements: Final Report to the Franklin County ADAMH, Public Management Programs, Ohio State University, Columbus, Ohio, 1994
3. Chamberlain, R., and Rapp, C.A., 1991. A Decade of Case Management: A Methodological Review of Outcome Research. Community Mental Health Journal, 27 June: 171–188. Other behavioral health service researchers have suggested modeling of provision of these health services as a production process to study economic performance. Examples include: Other behavioral health service researchers have suggested modeling of provision of these health services as a production process to study economic performance. Examples include: Hadley, T.R., G.R. Rossman, and D.S. Flores. “Use of Manpower Data in an Integrated Database for Program Efficiency Analysis: An Example from a Statewide Community Mental Health System.” Journal of Mental Health Administration 14 (Spring, 1987): 1-6. For a good review of these types of studies, see Taube, Carl A. “The Economics of Mental Health Services Through 1986: Empirical Studies” Administration and Policy in Mental Health 16 (Spring 1989):115-130
4. The six target populations defined by the Franklin County ADAMH Board are: (1) SMD: clients with severe mental disabilities, (2) SED: children and adolescents with severe emotional disabilities, (3) Elderly: elderly clients in need of mental health services andlor drug and alcohol addiction services, (4) C&A: children and adolescents in need of mental health andlor drug and alcohol addiction services, (5) AMH: adults in need of mental health andlor drug and alcohol addiction services, and (6) All: general populations in need of mental health andlor drug and alcohol addiction services.
5. Schinnar, A.P., Kamis-Gould, E., Enama-Markson, L., Rothbard, A.B., and Ramachandran, N., 1993. Organization Determinants of Performance of Outpatient Mental Health Program. Socio-Economic Planning Science, 27 September: 209–217. A recent application of DEA to behavioral health services is given in Applications to the hospital sector are included in Banker, R.D., R. Conrad and R. Strauss. “A Comparative Application of Data Envelopment Analysis and 1 Translog Methods: An Illustrative Study of Hospital Production” Management Science 32 (January 1986):30-44; Bymes, P. and V. Valdmanis, “Estimating Allocative and Technical Efficiency in Nonprofit Hospitals” in L. Seiford (ed.). Management Applications of DEA, New York, Kluwer-Nijoff, 1995; and Grosskopf, S. and V. Valdmanis. Measuring Hospital Performance: A Nonparametric Approach. Journal of Health Economics 6 (March 1987):89-107
6. Bymes, P., and Freeman, M., 1994. Financial Management Enhancements: Final Report to the Franklin County ADAMH, Columbus, Ohio: Public Management Programs, Ohio State University. A similar illustration of cost effectiveness is provided in
7. Byrnes, P., Färe and, R., and Grosskopf, S., 1984. Measuring Productive Efficiency: An Application to Illinois Strip Mines. Management Science, 30 June: 671–681. We used our own software using GAMS to run the DEA linear programming problems. For a description of the DEA linear programming problems
8. Glover, R.W., Berger, B.L., and Nelson, L.A., 1989. Performance Contracting the Colorado Model. Journal of Mental Health Administration, 16 Spring: 21–28. Performance contracting in behavioral health services at the state level has been discussed in the literature Barrett, T.J., B.L. Berger, and L.A. Bradley. “Performance Contracting: The Colorado Model Revisited” Administration and Policy in Mental Health 20 (November 1992):75-85
9. Hadley, T.R., Schinnar, A.P., Rothbard, A.B., and Kinosian, M.S., 1989. Capitation Financing of Public Mental Health Services for the Chronically Mentally Ill. Administration and Policy in Mental Health, 16 Summer: 201–213. The method may also prove quite useful in a managed care environment where capitated rates instead of fee-for-service arrangements are used. For a discussion of managed care in behavioral health services