Improving Mental Health Care: Commitment to Quality

Improving Mental Health Care: Commitment to Quality

by Barbara Dickey
     
 

How can professionals maintain or improve the quality of care they provide when pressured by payers to reduce the cost of care?

Clinicians today face the challenge of providing optimal care in an environment where costs drive clinical practice. But high quality, not cost, remains the goal of professionals. By arming themselves with measurable results, clinicians

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Overview

How can professionals maintain or improve the quality of care they provide when pressured by payers to reduce the cost of care?

Clinicians today face the challenge of providing optimal care in an environment where costs drive clinical practice. But high quality, not cost, remains the goal of professionals. By arming themselves with measurable results, clinicians can improve the processes of delivering mental health care and translate those improvements into better outcomes for patients and their families. In this timely guide, the editors have gathered the work of 49 distinguished contributors and crafted a valuable resource for overcoming the extraordinary challenge of delivering high quality mental health care. This groundbreaking book is divided into three sections: • The challenges today's clinicians face in providing optimal mental health care -- Beginning with a review of the report to then-President Clinton from the Advisory Commission on Consumer Protection and Quality in the Health Care Industry, subsequent chapters discuss professional ethics and managed care, how Wall Street investors are changing the practice of medicine, problems faced by managed care, and changes needed in medical education to ensure that physicians are well prepared to practice medicine in the 21st century. • Proven techniques for quality measurement -- Measuring quality of care presents significant conceptual and methodological problems. These chapters review quality measurement methods and describe support by the federal government to improve these methods. Also addressed are how consumers are joining the quality of care measurement movement and how one large urban county mental health program is advancing quality measurement.• Fourteen case reports of quality improvement projects -- These chapters detail principles and techniques that can be replicated or tailored to fulfill the requirements of a variety of clinical settings, ranging from the national health service in Great Britain to a small geriatric unit in a large hospital. The work showcased here was done by clinicians or administrators who, concerned about the quality of care in their own settings, used data to test for themselves whether their interventions resulted in improved care.

Even if managed care disappeared, we would still need to question, examine, and improve the quality of patient care -- with clinicians taking the lead, because only they can appreciate the subtle nuances that maintain or improve quality standards, and only they can make substantive changes in their clinical settings.

As both a broad conceptual framework for considering the quality of mental health care and as a practical field guide to real-life techniques for measuring the quality of care, this volume will prove exceptionally valuable for mental health care professionals, administrators, and policymakers as well as for consumers and consumer advocates, researchers, students, and public health professionals.

American Psychiatric Publishing

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Editorial Reviews

Doody's Review Service
Reviewer: Nishad J. Nadkarni, MD (Rush University Medical Center)
Description: This is a collection of timely and seminal papers in the area of quality delivery of mental health services.
Purpose: Given the staggering proliferation of new somatic and therapeutic treatment models, a real need for precise definition and monitoring of both cost-efficient and effective therapies exists. Such definition and monitoring should be based on sound research and operationalization of relevant concepts.
Audience: Although the author does not specify a target audience, it is clear that all personnel involved with mental healthcare, from clinicians to administrators, will find it useful. It is written at an appropriate level to address this broad audience.
Features: This book takes a methodical approach to its intended subject, beginning with attempts to more precisely define the concept of quality within diverse contexts, through presenting research on outcomes measures. Supported by high-quality appendixes and algorithms, the book encourages a hands-on approach to the field. Specific projects demonstrating the integration between clinical skills and medical economics are introduced, for example mental healthcare delivery in the elderly.
Assessment: This is a tremendously important addition to the field of mental health delivery. Of specific worth is the clearly unbiased and balanced approach taken by the authors, each of whom have extensive experience in this area. Recognition of the need to more precisely objectify and quantify the myriad of therapeutic interventions in terms of efficacy and cost-efficiency is the first step towards stronger service delivery. This book should be a must-read by administrators and clinicians alike.
3 Stars from Doody

Product Details

ISBN-13:
9780880489638
Publisher:
American Psychiatric Publishing, Incorporated
Publication date:
01/28/2002
Edition description:
1ST
Pages:
376
Product dimensions:
6.00(w) x 9.00(h) x 0.85(d)
Age Range:
18 Years

Meet the Author

Barbara Dickey, Ph.D., is Associate Professor of Psychology in the Department of Psychiatry at Harvard Medical School and The Cambridge Hospital. She has been active in hospital quality improvement efforts and has a long academic career in health services research. She has published widely in the fields of outcome research, homelessness, and the effects of managed care on costs and outcomes for people with serious mental illness. She is leading a research study of the quality of care for adults with schizophrenia, comparing the treatments and outcomes of people in managed care with those whose care is not managed. With Dr. Sederer, she coedited Outcomes Assessment in Clinical Practice.

Lloyd I. Sederer, M.D., was Medical Director and Executive Vice President of McLean Hospital at the time this book was being prepared. In this role, he directed the hospital's clinical services, including its special emphasis on clinical quality assessment and quality improvement. He is now Director of the Division of Clinical Services at the American Psychiatric Association in Washington, D.C. Dr. Sederer is Associate Professor of Clinical Psychiatry at Harvard Medical School and has published 10 books and over 125 articles, reviews, chapters, and monographs. He has consulted nationally and internationally on clinical care and service delivery, quality improvement, risk management, and the regulation and reimbursement of medical care.

American Psychiatric Publishing

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