Implementing Measurement-Based Care in Various Practice Settings - 02/09/20

Doi : 10.1016/j.chc.2020.06.007

Rajeev Krishna, MD, PhD, MBA ^a,^b,^⁎ , Jessica Jeffrey, MD, MPH, MBA ^c,^d, Paresh D. Patel, MD, PhD ^e
^a Big Lots Behavioral Health Service Line, Nationwide Children's Hospital, Columbus, OH, USA
^b Department of Psychiatry and Behavioral Health, The Ohio State University College of Medicine, Columbus, OH, USA
^c Department of Psychiatry and Biobehavioral Sciences, Division of Population Behavioral Health, UCLA Jane and Terry Semel Institute of Neuroscience and Human Behavior, 760 Westwood Plaza, A7-372, Los Angeles, CA 90024, USA
^d Nathanson Family Resilience Center, Los Angeles, CA 90024, USA
^e Department of Psychiatry, The University of Michigan College of Medicine, 4250 Plymouth Road, Ann Arbor, MI 48109, USA

^∗Corresponding author.

Résumé

Measurement-based care (MBC) is recognized as a valuable component to maximize quality in psychiatric care; however, actual use of MBC by practitioners is poor. A host of implementation barriers have been noted, and are likely significant contributors to this poor adoption. Many of these barriers are related to work-flow issues that can be managed or mitigated by appropriate infrastructure considerations. This article offers an overview of the continuum of infrastructures to support MBC in clinical practice, delineating the tradeoffs between these infrastructures, and then identifying specific experience-based strategies for addressing several major patient-, provider-, and organization-level barriers to MBC implementation.

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Keywords : Measurement feedback system, Implementation barriers, Psychiatric care, Work flow