Riding a Trojan horse: computerized psychiatric treatment planning using managed care principles.
Efforts to curtail health care costs have triggered new emphasis on resource management and accountability, entailing explicit documentation of the rationale for treatment and the resulting outcome of care. This article discusses the development of a computerized psychiatric treatment planning database that embodies principles and language of managed care, including specific admission criteria, severity ratings, and time frames for completion of interventions. The program is designed to balance goals of clinical utility, usefulness of the database as a tool for utilization review, quality improvement, and health services research, while providing an interface that is acceptable to clinicians.
Rosenquist
P B
PB
Bowman Gray School of Medicine, Winston-Salem, NC, USA.
Colenda
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CC
Briggs
J
J
Hardison
P
P
Jane
J
J
D019090:Case Management; D019091:Critical Pathways; D003658:Decision Making, Computer-Assisted; D006302:Health Services Research; D006801:Humans; D007256:Information Systems; D007591:Joint Commission on Accreditation of Healthcare Organizations; D016347:Medical Records Systems, Computerized; D001523:Mental Disorders / Q000628:therapy; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning / Q000639:trends*; D010348:Patient Care Team; D011567:Psychiatric Department, Hospital / Q000592:standards*; D012984:Software; D014600:Utilization Review