State mental health policy: Physical health screening in state mental health clinics: the New York health indicators initiative.
The New York State Office of Mental Health recently mandated that all adult outpatient clinics regularly monitor three health indicators--body mass index, blood pressure, and smoking status. After the population was defined, medical equipment was distributed. Regular training and quality improvement meetings were held to improve the electronic database for indicator data. Clinical directors were provided regular feedback on performance monitoring. Learning collaboratives allowed sharing of implementation strategies. After only four months of this coordinated effort, approximately 7,500 people with mental illnesses had been screened for the three health indicators across New York State.
Mangurian
Christina
C
Division of Mental Health Services and Policy Research, Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York City, USA. christina.mangurian@ucsf.edu
Miller
Gregory A
GA
Jackson
Carlos T
CT
Li
Hailing
H
Essock
Susan M
SM
Sederer
Lloyd I
LI
D000328:Adult; D001794:Blood Pressure; D015992:Body Mass Index; D003155:Community Mental Health Centers / Q000331:legislation & jurisprudence*; D006284:Health Plan Implementation / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006291:Health Policy / Q000331:legislation & jurisprudence*; D006293:Health Promotion / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006305:Health Status Indicators; D006801:Humans; D007318:Inservice Training; D008403:Mass Screening / Q000331:legislation & jurisprudence*; D016347:Medical Records Systems, Computerized / Q000331:legislation & jurisprudence / Q000458:organization & administration; D001523:Mental Disorders / Q000453:epidemiology*; D009518:New York; D012907:Smoking / Q000453:epidemiology*; D000074606:Smoking Prevention