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Quality Indicators: Defining and Measuring Quality in Psychiatric Care for Adults and Children (Report of the APA Task Force on Quality Indicators) / Edition 1

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Overview

The past decade has witnessed remarkable growth in the field of quality measurement in health care. Today's patients want to know that the care they receive is safe, effective, and accessible.

This compelling monograph combines — for the first time — the reports from two American Psychiatric Association task forces on quality in psychiatric care (March 1999, which focused on adults, and October 2001, which focused on children and adolescents), offering a clinical framework for quality measurement that provides sample indicators of quality for health plans, facilities, and systems of care.

Using similar formats and definitions, each task force considered a matrix of priority areas of care, including specific patient populations (e.g., elderly, seriously and persistently mentally ill, developmentally disabled people) and diagnostic categories (e.g., depressive disorder, schizophrenia, substance use disorders). Each then examined important aspects of patient care and constructed a quality framework that included dimensions of access, quality (appropriateness of care), perception of care (satisfaction), outcome, and — for the children's report — prevention.

Each task force also considered relevant methodological issues: cultural, linguistic, and ethnic differences; data collection and tracking; confidentiality of data; risk adjustment; use of rating scales and standardized instruments; and designation of standards.

Sample recommended goals include • For adults: patients with serious and persistent mental illness should have access to newer generations of antipsychotic medications as these become available; patients should achieve a significant reduction in symptom.• For children and adolescents: the mental health status of children and adolescents should be assessed annually; children with severe or persistent mental illness whose care involves multiple child-serving systems, caregivers, and service providers should have their care coordinated

Sample indicators include • For adults: utilization of new antipsychotics for patients with the diagnosis of schizophrenia; reduction in frequency of panic attacks in patients with the diagnosis of panic disorder• For children and adolescents: high levels of satisfaction of adolescents using mental health services or substance abuse services; reduction in a family's stress level and impact of illness

As the initial step in what must be an evolving effort by clinicians to define, measure, report, and improve the care that patients and their families receive, this monograph is essential reading for those who provide and receive care, accredit and regulate care, and purchase and administer clinical services.

Purchasers of mental health care want clear, reliable, meaningful, and comparable information on what care is provided and with what results. APA convened these two task forces to lend its professional expertise to that issue, to advise on how to develop clinically based, patient focused quality indicators that use existing and ongoing research and clinical consensus in selecting potential indicators.

American Psychiatric Publishing

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Editorial Reviews

Doody's Review Service
Reviewer: Daniel Loiterstein, MD (Rush University Medical Center)
Description: This book is the compilation of two American Psychiatric Association (APA) reports on quality indicators in psychiatric care. The APA Board of Trustees approved the original Report of the Task Force on Quality Indicators in March 1999. The Report of the Task Force on Quality Indicators for Children was approved in October 2001.
Purpose: The APA Task Force on Quality Indicators was established in September 1997 to produce a framework of clinical quality indicaqtors and illustrations of the indicators in the context of psychiatric and substance abuse treatment. The authors are successful in providing a base for ongoing work in the field of quality evaluation. Measurement of quality within medicine and psychiatry is a developing concept with many competing opinions.
Audience: The reports are primarily written for those interested in the evaluation of care in psychiatry. This diverse group may include accrediting organizations, government agencies, insurance companies, managed care organizations, administrators, physicians, psychologists, social workers, nurses, and others who are involved with the psychiatric care of adults and children. The authors of the report are the members of the task force apppointed by the APA executive committee. They come from diverse backgrounds and practice situations.
Features: The book contains each of the original reports as approved by the executive committee of the APA. Each report contains an executive summary, the report, appropriate references, a useful index of abbreviations and acronyms, and an index of quality indicators organized by topic. A separate, comprehensive index for each report is at the end of the book.
Assessment: The two reports contained in this book attempt to provide a famework for quantitative measures in the field of psychiatry. The value of the book lies in communicating the positions of the APA. There is much debate within psychiatry about this subject and this book contains none of that dissension. Updated reports will be essential, as there is much ongoing research and discourse on this controversial subject.
From The Critics
Featuring the reports of two American Psychiatric Association task forces on quality in psychiatric care, this volume provides a clinical framework for quality measurement and identifies sample indicators for health plans and systems of care. Access, appropriateness, satisfaction, outcomes, and prevention issues are specifically addressed. Methodological concerns surrounding cultural differences, data collection and tracking, confidentiality, risk adjustment, and ratings and standardization are also discussed. Annotation c. Book News, Inc., Portland, OR (booknews.com)

3 Stars from Doody
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Product Details

  • ISBN-13: 9780890422915
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 5/28/2002
  • Edition description: FIRST
  • Edition number: 1
  • Pages: 222
  • Product dimensions: 6.00 (w) x 9.00 (h) x 0.50 (d)

Table of Contents

Introduction. Report of the American Psychiatric Association Task Force on Quality Indicators. Executive summary. Charge and process. Definitions and framework. Recommendations and selected indicators. Other APA efforts. Report use and dissemination. Report of the task force on quality indicators. General context. APA context. Task force approach. Overall quality framework from a clinical perspective. Recommendations/goals and sample quality. Indicators for selected areas of focused. Quality assessment and improvement. Workbook of quality indicators. Next steps. References. Acronyms and abbreviations. Index of quality Indicators by topic. Report of the American Psychiatric Association Task Force on Quality Indicators for Children. Executive summary. Charge and process. Definitions. Quality framework. Workbook of quality indicators. Other APA efforts. Report dissemination. How to use this report. Report of the task force on quality indicators for children. General context. APA context. Task force approach. Overall quality framework. Workbook of quality indicators. Next steps. References. Acronyms and abbreviations. Glossary of terms and definitions. Index of quality indicators by topic. Index of surveys, rating scales, and instruments.

American Psychiatric Publishing

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