PsychiatricTimes Members: Login | Register

|     

PsychiatricTimes SearchMedica Medline Drugs

Powered by SearchMedica

 
Risk Assessment
News
Current Issues
Blogs
Special Reports
CME
Conferences
Resources
Careers
Multimedia
About Us
 

Home »

Psychiatric Times. Vol. 15 No. 12
Pages: 1  2  3  
Previous
 

Assessing and Improving Quality of Care Programs Under Managed Care

By Arline Kaplan | December 1, 1998

Among the core features of MCC Behavioral Care's system are the following: 1) structured collection of baseline data is integrated into documentation of the initial clinical assessment of every patient; 2) longitudinal assessment occurs at six and 12 months with telephone follow-up of outcomes and satisfaction; 3) patients are assessed along multiple domains of function; and 4) clinical outcomes data can be linked to and analyzed with existing data on costs and utilization of services, as well as characteristics of providers, patients and benefits.

Already, the system has enabled MCC to identify significant predictors of treatment engagement, such as copayments less than $20 and special assistance for patients having difficulty getting to treatment appointments. It also has demonstrated the benefits of some substance abuse treatment programs on mental health, medical and functional outcomes.

Another quality information system was introduced by United Behavioral Health (Goldman, 1997; Goldman et al., 1998). The Goal-Focused Treatment and Patient Outcome system is a case management system for quality improvement through collaborative goal setting and focusing of treatment between clinicians and patients in psychotherapy.

Since 1994, data have been collected on general and individualized treatment goals at the beginning of all modalities of psychotherapy in adult members of the managed care system. Treatment and evaluation has been completed by 10,544 members (66%). Outcome is evaluated from global improvement ratings by providers and from patient satisfaction ratings from a mail survey. Ratings showed improvement at termination of treatment by 87% of the psychotherapy patients. Predictors of improvement included the absence of co-occurring disorders, participation in a higher number of treatment sessions (?12) and termination after completion of treatment goals (versus discontinuation).

The lack of agreement on outcomes measures and strategies, the report said, prompted the American College of Mental Health Administrators to invite industry, advocacy, professional, regulatory and government organizations to a summit in 1997. The purpose of the meeting was to develop a "consensus on core performance measures and strategies in mental health and substance abuse care."

The result was the specification of key outcome indicators that included mental and general health, housing, working, social and legal dimensions of function (American College of Mental Health Administrators, 1997).

Pages: 1  2  3  
Previous
 

Join the Conversation

Want to join the conversation? If you're a healthcare professional, we'd like to hear your comments. Just sign in or register today to become part of our growing, online community.





References
1. American College of Mental Health Administrators (1997), Santa Fe Summit Summary Report.
2. Frank RG, Berndt ER, Busche SH (in press), Price indexes for the treatment of depression. In: Measuring the Prices of Medical Treatments, Triplett J, ed. Washington, D.C.: Brookings Institute.
3. Goldman W (1997), Goal-Focused Treatment Planning and Outcomes. United Behavioral Health.
4. Goldman W, McCulloch J, Sturm R (1998), Cost and utilization of mental health services before and after managed care. Health Aff (Millwood) 17(2):40-52.
5. Kane RL, Barlett J, Potthoff S (1995), Building an empirically based outcomes information system for managed mental health care. Psychiatr Serv 46(5):459-461.
6. Kane R, Beyer Z, Potthoff S (1998), The future of outcomes monitoring in managed behavioral health care: report to NIMH from MCC Behavioral Health Care and University of Minnesota School of Public Health, Clinical Outcomes Research Center, Minneapolis, Minn.
7. Katon W, Von Korff M, Lin E et al. (1997), Population-based care of depression: effective disease management strategies to decrease prevalence. Gen Hosp Psychiatry 19(3):169-178.
8. Wells K (in press), the design of "Partners in Care": evaluating the cost-effectiveness of improving care for depression in primary care. Social Psychiatry and Psychiatric Epidemiology.


 
TOPIC INDEX

Addiction Medicine
Alzheimer Disease
Anxiety Disorders
ADHD
Bipolar Disorder
Child & Adolescent Psychiatry
Dementia
Depression
DSM-5
Geriatric Psychiatry

 

Health Care Reform
Major Depressive
Disorder
OCD
Personality Disorders
Schizoaffective Disorder
Schizophrenia
Sleep Disorders
Somatoform Disorders
All Topics

 


 
FROM PHYSICIANS PRACTICE
Primary Care Can't Thrive Without Nurse Practitioners
Courtney H. Lyder, ND,  May 17, 2013
With a projected shortfall of primary-care physicians, it's time for alternate solutions to patient care. Nurse practitioners are one logical remedy.
VWhat Physicians Can Learn from the Allscripts EHR Lawsuit
Marisa Torrieri,  May 16, 2013
Lawsuit prompts question: What should physicians do to ensure they end up with a great EHR instead of buyer’s remorse?
Eight Ways ICD-9 Will Still Matter to Medical Practices
Brenda Edwards, CPC,  May 15, 2013
What should your medical practice do with your ICD-9-CM book after October 1, 2014? Keep it.
Seven Ways Technology Can Speed Up Patient Collections
Cheyenne Brinson,  May 15, 2013
Failing to adopt widely available billing and collections technology can cost medical practices big. Here's how to do it right.
Four Reasons Private Medical Practice is Becoming Extinct
Carol Stryker,  May 15, 2013
It’s becoming increasingly difficult for private medical practices to thrive. Here’s what’s driving the trend toward consolidation.
 

 

 
MOST POPULAR
  • Most Popular
  • Most Emailed
  • Most Recent
  • Developmental Psychopathology Comes of Age
  • The Moral Struggles of Practicing Psychiatrists
  • Grief and Depression: The Sages Knew the Difference
  • Update on Mental Health Benefits and Substance Use Disorder Services Under the Affordable Care Act
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Synthetic Cathinones: Signs, Symptoms, and Treatment
  • Developmental Psychopathology Comes of Age
  • Psychiatry and the Myth of “Medicalization”
  • An Update on ADHD
  • Successful Aging: Strategies to Help Maintain and Nurture a Healthy Brain
  • Ethical and Legal Issues in Geriatric Psychiatry
  • Eco-Psychiatry: Why We Need to Keep the Environment in Mind
  • DSM-5: Where Do We Go From Here?
  • Suicidal Behavior: A Separate Diagnosis
Click here to subscribe to our newsletter
 
COMMENTS
  • Most Commented
  • Most Recent
  • Psychiatry and the Myth of “Medicalization”
  • Grief and Depression: The Sages Knew the Difference
  • Is it Time for a Treatment Manual to Complement DSM-5?
  • Diagnosis and its Discontents: The DSM Debate Continues
  • Lamotrigine for Major Depressive Disorder Is Inappropriate
  • Psychiatry and the Myth of “Medicalization”
  • Parity Laws: Powerful Weapon—or Pipe Dream?
  • The Moral Struggles of Practicing Psychiatrists
  • DSM-5 Won’t Solve the Overdiagnosis Problem—But Clinicians Can
  • NIMH vs DSM 5: No One Wins, Patients Lose
Click here to subscribe to our newsletter
 
CAREER CENTER

  •   Featured Jobs  
  •    Resources   
  • Psychiatry and Nurse Practitioner Opportunities
  • Associate Medical Director - Psychiatrist Delray Beach, Florida
  • Retiring Child Psychiatrist Seeks Replacement August 2010 or Before
  • Chairperson, Dept of Psychiatry Needed
  • FT Staff Psychiatrist - Excellent Benefits
  • BC Adult and Child Psychiatrits - PT and FT Positions Available
  • Managing Risks When Practicing in Three-Party Care Settings
  • 12 Tips for Making Your Practice Greener
  • Keys to Avoiding Malpractice: Standard of Care in Psychiatric Practice
  • Take This Job and Shove It
  • Merging Administrative and Academic Careers in Psychiatry
 
SearchMedica SEARCH RESULT

Find peer-reviewed literature and websites for practicing medical professionals

CME on Display
Evidence on Display
Guidelines on Display
Patient Education on Display
Clinical Trials on Display
Practical Articles on Display
Research and Reviews on Display
All "Display" results

CancerNetwork | ConsultantLive | Diagnostic Imaging | Musculoskeletal Network | OBGYN.net | PediatricsConsultantLive |
Physicians Practice | Psychiatric Times | SearchMedica | Medical Resources

© 1996 - 2013 UBM Medica LLC, a UBM company
Privacy Statement - Terms of Service - Advertising Information - Editorial Policy Statement - UBM Medica Network Privacy Policy