Population-based guidelines for performance measurement: a preliminary report.
This paper describes the development of--and early efforts to validate--guidelines that indicate average amounts of service expected to be used by a population of patients with a given disorder who are served by a comprehensive mental health system. These guidelines address expected service use by individuals in 55 diagnostic groups. The purpose of these guidelines is to provide a gauge for evaluating the amounts of service being delivered by managed care organizations. Three population-based guidelines (for attention-deficit/hyperactivity disorder, major depressive disorder, and schizophrenia) are compared to actual amounts of service delivered to enrollees in large behavioral health care systems.
McFarland
B H
BH
Department of Psychiatry, Oregon Health Sciences University, Portland 97201-3098, USA.
George
R A
RA
Goldman
W
W
Pollack
D A
DA
McCulloch
J
J
Penner
S
S
Angell
R H
RH
D018672:Community Health Planning; D017408:Guidelines as Topic; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis*; D008605:Mental Health Services / Q000592:standards / Q000600:supply & distribution*; D011569:Psychiatric Status Rating Scales; D012424:Rural Population; D014481:United States; D014505:Urban Population