Pushing the quality envelope: a new outcomes management system.
This article is based on the authors' experience in designing and implementing outcomes management systems for large managed care organizations. Topics addressed include design of instruments, use of cost-effective technology, development of computerized decision-support tools, and methods for case-mix adjustment. The case-mix-adjustment models are based on a data repository of several thousand treatment cases with multiple measurement points across the course of treatment. Data from controlled and field studies are described. These data suggest that the outcomes management methods outlined in this article can result in significantly improved clinical outcomes and a more rational allocation of behavioral health care resources.
Brown
G S
GS
Center for Clinical Informatics, LLC, Salt Lake City, Utah 84117, USA. jebbrown@clinical-informatics.com
Burlingame
G M
GM
Lambert
M J
MJ
Jones
E
E
Vaccaro
J
J
D003362:Cost-Benefit Analysis; D003953:Diagnosis-Related Groups; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration* / Q000592:standards; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D017146:Models, Organizational; D017063:Outcome Assessment, Health Care / Q000379:methods*; D016730:Program Development / Q000191:economics*; D011613:Psychotherapy; D011785:Quality Assurance, Health Care; D014481:United States