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Embracing performance measurement in mental health services
H Carrick1, R Purcell1, M Byrne1
1Roscommon Service Area, Health Service Executive (HSE) West, Roscommon, Ireland.
Implementing comprehensive performance indicators (PIs) is crucial for Irish mental health services. This study proposes a practical guide and a suite of PIs to align service objectives with national priorities.
Area of Science:
- Health Services Management
- Mental Health Policy
- Performance Measurement
Background:
- Performance measurement (PM) is a key policy in Irish health services.
- PM in Irish mental health services is underdeveloped, lacking comprehensive national performance indicators (PIs).
- Current PIs do not align with the objectives of managers and staff.
Purpose of the Study:
- To address the challenges in implementing PM in Irish mental health services.
- To propose a suite of practical performance indicators (PIs).
- To provide a guide for managers and staff on establishing and implementing PIs.
Main Methods:
- A narrative review of policy documents and relevant articles on PM in Irish mental health services.
- Identification of limitations in current PIs, emphasizing the need for structure, process, and outcome measures.
- Analysis of criticisms regarding top-down PM implementation.
Main Results:
- Identified limitations in the current set of PIs for Irish mental health services.
- Developed a proposed suite of comprehensive PIs (structure, process, outcome).
- Highlighted the need for a bottom-up approach to PM implementation, contrasting with criticisms of top-down methods.
Conclusions:
- The proposed PIs and practical guide offer valuable PM tools for Irish mental health services.
- The approach integrates clinician and service manager concerns with national health priorities.
- Provides guidance for service managers to establish and implement PIs within their specific services.
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