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Abstract

Objective

This study by the International Initiative for Mental Health Leadership Clinical Leaders Project sought to describe ongoing or soon-to-be-established national-level mental health quality measurement programs in 12 participating countries, in order to understand the nature and structure of these programs.

Methods

A survey was distributed to representatives from the participating countries (Australia, Canada, England, Germany, Ireland, Japan, the Netherlands, New Zealand, Norway, Scotland, Taiwan, and the United States). Data included descriptions of qualifying programs and the organizations responsible for them, quality indicators used, entities assessed, sources and means of the programs’ data collection, the level at which data are reported, and how the data are used. Participants were asked to identify which quality domains and subdomains were represented by indicators in each program. Results were analyzed with descriptive statistics.

Results

Thirty-eight programs were identified. Most programs were administered by governmental organizations, focused on hospital care, and used encounter or utilization databases as sources of information. Programs used different methods to identify indicators. Program data were used for various purposes. A wide range of domains of quality were represented in the programs reported, although most commonality was seen in domains associated with high-acuity care, with fewer programs assessing recovery-related domains.

Conclusions

This study found wide variation among established quality assessment programs, which may reflect a focus on local priorities. The goal of this project is to work toward establishing an international framework for mental health quality assessment and thus a means to compare key measures of performance across countries.

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Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Pages: 982 - 988

History

Published online: 1 October 2012
Published in print: October 2012

Authors

Details

Sharat Parameswaran, M.D.
Brigitta Spaeth-Rublee, M.A.
Phuong Trang Huynh, Ph.D., M.P.H.
Harold Alan Pincus, M.D.
Dr. Parameswaran is affiliated with the Robert Wood Johnson Foundation Clinical Scholars at the University of California, Los Angeles, 10940 Wilshire Blvd., Suite 710-18, Los Angeles, CA 90024 (e-mail: [email protected]). He is also with the Department of Clinical Psychiatry at the Veterans Affairs Greater Los Angeles Healthcare System. Ms. Spaeth-Rublee and Dr. Huynh are with the New York State Psychiatric Institute, New York City.
Dr. Pincus is with the Department of Psychiatry, Columbia University, New York City.

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