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Medical Care Research and Review
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Quality Measures for Mental Health Care: Results from a National Inventory

Richard C. Hermann

Center for Quality Assessment and Improvement in Mental Health, Cambridge Hospital and Harvard Medical School

H. Stephen Leff

Evaluation Center, Human Services Research Institute

R. Heather Palmer

Harvard School of Public Health

Dawei Yang

Center for Quality Assessment and Improvement in Mental Health

Terri Teller

Center for Quality Assessment and Improvement in Mental Health

Scott Provost

Center for Quality Assessment and Improvement in Mental Health

Chet Jakubiak

Center for Quality Assessment and Improvement in Mental Health

Jeff Chan

Center for Quality Assessment and Improvement in Mental Health

The National Inventory of Mental Health Quality Measures was funded by the Agency for Healthcare Research and Quality to (1) inventory process measures for assessing the quality of mental health care; (2) identify clinical, administrative, and quality domains where measures have been developed; and (3) identify areas where further research and development is needed. Among the 86 measures identified, most evaluated treatment of major mental disorders, for example, schizophrenia (24 percent) and major depression (21 percent). Asmall proportion focused on children (8 percent) or the elderly (9 percent). Domains of quality included treatment appropriateness (65 percent), continuity (26 percent), access (26 percent), coordination (13 percent), detection (12 percent), and prevention (6 percent). Few measures were evaluated for reliability (12 percent) or validity (3 percent). Measures imposing a lower burden were more likely to be in use (••••2 = 4.41, p =.036). Further measures are needed to assess care for several priority clinical and demo-graphic groups. Research should focus on measure validity, reliability, and implementation costs. In order to foster quality improvement activities and use of common measures and specifications for mental health care, the inventory of quality measures will be made available at www.challiance.org/cqaimh.

Medical Care Research and Review, Vol. 57, No. 3 suppl, 136-154 (2000)
DOI: 10.1177/1077558700573008
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