Crisis Reliability Indicators Supporting Emergency Services (CRISES): A Framework for Developing Performance Measures...

Area of Science:

• Psychiatry
• Healthcare Management
• Quality Improvement

Background:

• Crisis and emergency psychiatric services are essential healthcare components.
• Current lack of standardized performance measures hinders quality improvement and inter-program comparison.
• The evolving healthcare landscape necessitates robust evaluation tools.

Purpose of the Study:

• To develop a standardized framework for measuring the performance of crisis and emergency psychiatric services.
• To create a foundation for internal quality improvement initiatives and external program comparisons.
• To address the growing need for standardized metrics in anticipation of pay-for-performance models.

Main Methods:

• Development of the Crisis Reliability Indicators Supporting Emergency Services (CRISES) framework.
• Identification of key domains: timely, safe, accessible, least-restrictive, effective, consumer/family centered, and partnership.
• Creation of supporting measures for each identified domain.

Main Results:

• The CRISES framework provides a structured approach to evaluating crisis services.
• It comprises distinct domains and associated performance measures.
• The framework is designed to be adaptable for various crisis service programs.

Conclusions:

• The CRISES framework offers a foundational structure for developing standardized performance measures in psychiatric crisis care.
• Implementation of such measures is crucial for advancing quality improvement and accountability in the field.
• This framework supports the increasing demand for standardized metrics driven by healthcare reform and pay-for-performance initiatives.