title: Evolving systems of care with total clinical outcomes management.
abstract: The current article proposes that further specification of the system of care concept is required. Based on the assertions that the system of care concept (a) refers to an ideal as opposed to an observable phenomenon, and (b) is engaged in offering transformational experiences, the authors propose that the system of care definition must be expanded to include measurement and outcomes monitoring strategies that extend beyond current quality improvement initiatives. The authors propose that communication across multiple levels is essential if the goal of offering transformational experiences to children and families is to be realized.
authors: University of Ottawa, Faculty of Social Sciences, School of Psychology, 145 Jean-Jacques Lussier Street, Ottawa, Ontario, K1N 6N5, Canada. jlyons@uottawa.ca
authors: John S
authors: JS
authors: Lyons
authors: Richard A
authors: RA
authors: Epstein
authors: Neil
authors: N
authors: Jordan
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration*; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D003142:Communication; D019058:Community Networks / Q000458:organization & administration*; D003695:Delivery of Health Care / Q000458:organization & administration*; D005190:Family; D006285:Health Planning / Q000458:organization & administration*; D006301:Health Services Needs and Demand; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration*; D009937:Organizational Objectives; D011785:Quality Assurance, Health Care; D012922:Social Change