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Methods of Documentation VI: Case Management Model01:15

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Implementing Measurement-Based Care in Various Practice Settings.

Rajeev Krishna1, Jessica Jeffrey2, Paresh D Patel3

  • 1Big Lots Behavioral Health Service Line, Nationwide Children's Hospital, Columbus, OH, USA; Department of Psychiatry and Behavioral Health, The Ohio State University College of Medicine, Columbus, OH, USA.

Child and Adolescent Psychiatric Clinics of North America
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Summary
This summary is machine-generated.

Measurement-based care (MBC) improves psychiatric quality but faces poor adoption due to implementation barriers. This article reviews infrastructures and strategies to overcome these challenges in clinical practice.

Keywords:
Implementation barriersMeasurement feedback systemPsychiatric careWork flow

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Area of Science:

  • Psychiatric care quality improvement
  • Health services research

Background:

  • Measurement-based care (MBC) is crucial for enhancing psychiatric care quality.
  • Despite its recognized value, MBC adoption by clinicians remains low.
  • Implementation barriers significantly hinder widespread MBC use.

Purpose of the Study:

  • To provide an overview of infrastructures supporting MBC in clinical practice.
  • To delineate the tradeoffs associated with different MBC infrastructures.
  • To identify practical strategies for overcoming patient-, provider-, and organization-level barriers to MBC implementation.

Main Methods:

  • Review of existing literature on MBC implementation.
  • Analysis of infrastructure continua for supporting MBC.
  • Identification of experience-based strategies for barrier mitigation.

Main Results:

  • Various infrastructures can support MBC, each with distinct tradeoffs.
  • Work-flow issues are a major barrier, addressable through infrastructure.
  • Specific strategies exist for patient, provider, and organizational barriers.

Conclusions:

  • Effective infrastructure is key to successful MBC implementation.
  • Addressing workflow and multi-level barriers is essential for improving MBC adoption.
  • Practical strategies can facilitate the integration of MBC into routine psychiatric care.