Related Experiment Video
Updated: May 29, 2026

Inverse Probability of Treatment Weighting (Propensity Score) using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
Use of administrative data to identify potential service gaps for individuals with serious mental illness
Thomas E Smith1, Anita Appel, Sheila A Donahue
1Department of Psychiatry, Columbia University, New York City, and the New York State Psychiatric Institute, 1051 Riverside Dr, Unit 100, New York, NY 10032, USA. tes2001@columbia.edu
Objective:
The New York City Mental Health Care Monitoring Initiative uses Medicaid claims data to identify individuals with serious mental illness who are experiencing or at risk for gaps in services. In this study the authors assessed whether proposed service use algorithms accurately identified such individuals.
Methods:
A random sample of 500 individuals with serious mental illness was identified. Individuals belonged to specific high-need cohorts and met predefined claims-based criteria for potential service gaps. Clinical staff initiated reviews with prior service providers for 230 individuals.
Results:
Over a two-week period staff completed reviews for 188 cases (88%). In 66 cases (35%) the individual was fully engaged in care; 84 (45%) had a recent episode of disengagement that was appropriately addressed, and 38 (20%) were not receiving adequate services.
Conclusions:
The proposed service use algorithms successfully identified high-need individuals with serious mental illness at risk for gaps in services.
Related Concept Videos
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Documentation of Nursing Diagnosis
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...
Types of Records II: Educational and Administrative Records
Diagnostic and Statistical Manual of Mental Disorders (DSM)
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Data Collection I
