Integrating outcomes, quality and utilization data for profiling behavioral health providers.
Profiling the performance of mental health providers can be done on the basis of performance indicators derived from outcomes research, quality assurance and utilization review. By focusing on collaboration and data-driven accountability, the authors have attempted to use provider profiling to rebalance the relationship between payor, provider and managed care organization, while avoiding the perception of a punitive grading system. Outcomes data thus are directly tied into provider profiling, in addition to their more customary uses in assessing and improving the quality of treatment results.
Vista Health Plans, San Diego, CA.
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PJ
Panzarino
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Kellar
D002140:California; D008605:Mental Health Services / Q000458:organization & administration / Q000592:standards*; D017063:Outcome Assessment, Health Care; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards*